1.病例介绍 张×,男49岁,主因:咳嗽、咳痰、痰中偶带血丝11月入院。X线所见:左肺上野可见一约4×4cm~2团块形。支气管镜检查:左肺上叶支气管粘膜充血、水肿、糜烂,左固有上叶口完全阻塞,舌段口狭小,变形,左下叶(—),活检:左肺上叶鳞病。 在气管插管全麻下,行左肺上叶切除术,左侧第5肋间进胸探查,肿瘤位于全肺上叶尖前段,大小约8× 1. Case presentation Zhang ×, male 49 years old, mainly due to: cough, sputum, sputum with bloodshot blood in November admitted to hospital. X-ray findings: An approximately 4×4 cm~2 mass in the upper lung of the left lung can be observed. Bronchoscopy: left upper lobe bronchial mucosal congestion, edema, erosion, left intrinsic upper lobe mouth completely blocked, tongue segment narrow, deformed, left lower lobe (-), biopsy: left upper lobe scale disease. Under general anesthesia with tracheal intubation, left upper lobe resection was performed. The left fifth intercostal space was advanced into the chest. The tumor was located in the anterior segment of the upper lobe of the whole lung and the size was approximately 8×.