The patient was emergency surgery after 3 hours, surgical time 150 minutes, drug use during surgery are: midazolam, fentanyl, propofol, rocuronium, servoflurane, besides ephedrine is used to improve blood pressure control when setting intubated and surgery was 20 minutes, immediately after surgery patients should not self-breathing had to mechanical ventilated and take x rays after 10 hours recorded the right dome above the left dome diaphragm to 5 cm, and the patients had on mechanical ventilation 7 days, and then breathe free.