目的:探讨原发性气管肿瘤的诊断与治疗方法。方法:回顾性分析14例原发气管肿瘤患者的临床资料。结果:气管肿瘤早期主要临床表现为咳嗽、咳痰,后期可出现咯血、活动后胸闷气促、呼吸困难、喘鸣及类似哮喘样表现;早期易误诊为支气管炎、肺炎、支气管哮喘,常导致误治。结论:气管肿瘤的治疗以快速及时解除气道梗阻为原则;单纯气管切除吻合围手术期病死率低,安全性高;气管切除范围应尽量小。 Objective: To explore the diagnosis and treatment of primary tracheal tumor. Methods: The clinical data of 14 patients with primary tracheal tumor were analyzed retrospectively. Results: The main clinical manifestations of tracheal tumor were cough and expectoration, hemoptysis in the later stage, postpartum chest tightness, shortness of breath, dyspnea, wheezing and asthma-like performance. Early misdiagnosis as bronchitis, pneumonia and bronchial asthma often led to Wrong treatment. Conclusion: The treatment of tracheal neoplasms is based on the principle of promptly and promptly relieving airway obstruction. The perioperative mortality and tracheal resection is simple and safe. The range of tracheostomy should be as small as possible.