本文分析了日坛医院16年间收治的21例原发性气管癌,讨论了本病的诊断及治疗。必须强调对临床咳嗽,呼吸困难,喘鸣和痰中带血而普通X线胸片阴性的患者,应慎重排除本病可能。原发性气管癌的早期发现和治疗,尤其是放射和外科的综合治疗,可使患者获得较好的疗效,其中约半数可存活5年以上。 This article analyzed 21 cases of primary tracheal cancer treated in the hospital for 16 years and discussed the diagnosis and treatment of this disease. Patients with clinical cough, dyspnea, wheezing, and sputum with normal X-ray findings must be emphasized. Care should be taken to rule out the possibility of the disease. The early detection and treatment of primary tracheal cancer, especially combined radiation and surgery, can make patients get better results, of which about half can survive more than 5 years.