The patient: the patient could not breathe at the onset of the disease, and after the diagnosis showed that the disease was suffered at birth. The indications are: uneven distribution of emphysema, the main defect area is located in the upper lobe on both sides, the lung function decreases within a certain range, there is no disease in other organs of the body, and the age is below 65 years. The surgery can be performed by minimally invasive thoracoscopic surgery or sternal splitting bilateral decompression surgery.