The treatment after esophageal rupture includes: 1, immediate fasting, then do jejunostomy to control the infection; 2, the injury in the cervical esophagus must do external cervical drainage; 3, the injury in the thoracic esophagus, do closed thoracic drainage and mediastinal drainage, and do jejunostomy at the same time. If the infection is serious, external cervical esophagectomy should be considered; 4, injured in the thoracic esophagus, and within 24 hours after the meal has been clearly diagnosed, the general condition of the patient is good, can consider open chest exploratory surgery, suture fissure; 5, for late, generally more than 24 hours after the thoracic esophagus injury, can wait for the mediastinal and pleural cavity infection control, as well as the patient’s general condition improvement, esophageal reconstruction surgery. Whether surgery or not, it is essential to strengthen systemic nutritional support, and strong anti-infection treatment, etc., are very critical. Enteral nutrition through esophageal fistula or nasal feeding is not recommended, as severe reflux may occur and prolong the disease.