患者张××,男,71岁,农民。因肛瘘、潮热、痰血2月,盗汗4月,于1981年3月26日入院。患者既往体健。查体:体温35.8℃,一般情况尚可,心、肺、腹无特殊发现。双踝关节下轻度可凹性肿。肛周5、6、12点钟处有瘘口,并有少许淡黄色分泌物。痰结核菌二次阴性。X 线胸片示两肺纹理多,双上中肺野见斑片、条状影,与肺门相连,左上肺有直径3×3cm 透亮区,内有液平,诊断为Ⅲ型肺结 Zhang × × patients, male, 71 years old, farmer. Due to anal fistula, hot flashes, sputum blood in February, night sweats in April, on March 26, 1981 admission. Past patient’s health. Physical examination: body temperature 35.8 ℃, the general situation is acceptable, heart, lung, abdomen no special findings. Double ankle joint can be slightly concave concave swelling. Perianal fistula at 5,6,12 o’clock, and a little yellowish secretions. Mycobacterium tuberculosis second negative. X-ray showed more than two lungs, both in the lung field see the patch, strip film, and hilar connected to the left upper lung diameter 3 × 3cm translucent area, there are levels, the diagnosis of type Ⅲ pulmonary knot