目的　总结探讨食管癌贲门癌手术后早期发生消化道瘘 (即 72 h之内 )的治疗方法。方法　本组报告 5例早期发生胸内消化道瘘病历 ,均采取二次剖胸探查 ,重新吻合或瘘口处修补方法解决消化道瘘。结果　 5例中 4例治愈出院 ,1例术后并发呼吸衰竭死亡。结论　食管癌贲门癌手术后早期发生消化道瘘病人应采用手术为应急措施。 Objective To summarize the treatment of gastrointestinal fistulas (ie, within 72 hours) in patients with esophageal and cardiac cancer. Methods The group reported 5 cases of early thoracic internal gastrointestinal fistulas. All patients underwent secondary thoracotomy exploration and re-anastomosis or fistula repair was used to resolve gastrointestinal fistulas. Results Of 5 patients, 4 were cured and discharged, and 1 patient died of respiratory failure after operation. Conclusions Surgery for esophageal and cardiac cancer patients with early gastrointestinal fistula should use surgery as an emergency measure.