He started coughing and coughing up sputum two months ago, but he thought he had a fire and was treated with Chinese medicine and anti-inflammatory drugs repeatedly, but he didn’t care about it. Half a month ago, he developed hemoptysis and was considered to have “right upper lung cancer and pulmonary atelectasis” by chest CT. The imaging department and respiratory department of our hospital carefully reviewed the film and highly suspected the airway foreign body. What was puzzling was that airway foreign bodies are often found in the lower right lung, but rarely in the upper right lung. Fibroscopy did confirm the foreign body in the right upper lobe bronchus, and also found that the right middle bronchus was narrowed like a fish lip during expiration and coughing, which might be the reason why the foreign body entered the airway and went straight to the right upper lung. Due to the special location of the foreign body and heavy local inflammatory reaction, it was difficult to remove the foreign body by fibronectomy. After hearing that the foreign body was not lung cancer, the stone fell to the ground, but when he learned that the foreign body was not removed, he was worried again: “Then it is not necessary to operate?” “On March 9, with the cooperation of the operating room, the patient underwent rigid bronchoscopy combined with fibronectomy to remove the foreign body under general anesthesia, and the foreign body, a 5×12mm fish spike, was successfully removed in less than 10 minutes. The foreign body was successfully removed in less than 10 minutes. The patient recovered well after the operation and was discharged from the hospital. This is the first case of rigid bronchoscopic airway foreign body removal in the respiratory field in Shenzhen. Rigid bronchoscopy is an important tool in modern interventional pulmonology, and is faster and safer than fibrinoscopy for complex and difficult airway lesions. However, the threshold is high, requiring skilled operators and tacit cooperation of anesthesiologists, and only a few hospitals in China have carried out the procedure. The Department of Respiratory Medicine has insisted on the development of respiratory endoscopy for many years, and many difficult techniques have filled the gaps in the city.