慢性阻塞性肺疾病 (COPD)是吸烟、空气污染及气道炎症引起 ,也是诱发肺癌的原因 ,以前肺癌患者合并严重 COPD时 ,丧失手术治疗时机 ,近年来受肺减容术 (L VRS)治疗终末期COPD的启发 ,扩宽了对肺癌手术范围。在严格掌握手术适应证及术式外 ,术后管理是手术治疗成功的关键。 1993 Chronic obstructive pulmonary disease (COPD) is caused by smoking, air pollution and airway inflammation and is also the cause of lung cancer. Previously, lung surgery (L VRS) treatment was lost in patients with lung cancer who had lost the opportunity for surgery when they had severe COPD. End-stage COPD inspired, broadening the scope of surgery for lung cancer. In strict control of surgical indications and surgical procedures, postoperative management is the key to the success of surgical treatment. 1993