When the esophagus is scratched by a date, general treatment, medication and surgery should be carried out after the condition is clarified. 1. Define the condition: examination such as esophagoscopy is needed to determine the extent of the scratch. 2. Treatment (1) General treatment: For superficial esophageal mucosal injury, liquid diet or fasting for 1~2 days, intravenous rehydration and systemic supportive therapy can be given as appropriate. If esophageal perforation is suspected, gastric tube nasogastric diet is feasible. (2) Drug treatment: For those who have esophageal injury with infection, amoxicillin and ceftazidime can be applied for anti-infection treatment. The use of specific drugs should be carried out under the guidance of doctors. (3) Surgical treatment: it is suitable for patients with serious esophageal scratches, perforation or complication of abscess, and perforation repair and abscess drainage can be carried out. It is recommended to consult a doctor in time and choose the appropriate treatment plan under the doctor’s guidance.