本文阐述了部分老年肺炎病人由于机体反应性差，出现临床症状、影像学表现、纤支镜检所见和对抗炎治疗的反应等都酷似肺癌的表现，并施行了肺叶切除术。指出对此类病人，在没有获得病理学诊断之前，应在严密观察下选择有效抗生素治疗，并适当延长用药时间，以期获得满意治疗效果。对部分纤支镜检查见支气管腔内肉芽肿堵塞、引流不畅或并发肺不张、多个脓疡形成者，应采用手术治疗。 This article describes some elderly patients with pneumonia due to poor reactivity, clinical symptoms, radiographic findings, bronchoscopy and anti-inflammatory treatment seen in the response are exactly like lung cancer performance, and the implementation of lobectomy. Pointed out that such patients, in the absence of pathological diagnosis should be selected under close observation of effective antibiotic treatment, and appropriate to extend the treatment time, in order to obtain satisfactory therapeutic effect. For some bronchoscopy see bronchial cavity granuloma occlusion, poor drainage or concurrent pulmonary atelectasis, multiple abscess formation, surgery should be used.