临床资料患者,女,48岁。因间断咳嗽、咳痰1年余,痰中带血9个月,加重1个月入院。入院查体:右肺下部呼吸音减弱,未闻及干湿性啰音。胸部CT显示:右肺下叶近脊柱旁占位,考虑肺隔离症,合并感染可能(图1)。入院诊断:右肺下叶占位,肺结核,支气管扩张症,肺隔离症。入院后行肺部常规肿瘤标记物检查阴性,肺功能正常。在全身麻醉下行支气管镜检查,备行右侧电视胸腔镜探查,右肺下叶切除术。术中患者支气管镜检查未见异常,电视 Patients, female, 48 years old. Due to intermittent cough, sputum more than 1 year, bloody sputum 9 months, increased 1 month admission. Admission examination: the lower right lung breath sounds weakened, did not smell and wet and dry rales. Chest CT showed: right lower lobe near the spine to occupy, consider pulmonary sequestration, infection may be (Figure 1). Admission diagnosis: the right lower lobe occupancy, tuberculosis, bronchiectasis, pulmonary sequestration. After admission, the routine lung tumor markers were negative and the lung function was normal. Under general anesthesia under bronchoscopy, right bank video-assisted thoracoscopic exploration, right lower lobe resection. Intraoperative bronchoscopy showed no abnormalities, television