【摘 要】
：
患者,男性,74岁,常规来全科医生处体检。患者自诉反复便秘和腹泻60余年。患者60余年前无明显诱因下出现便秘和腹泻反复发生。有时大便时肛门疼痛,为撕裂样,便时疼痛,便后消失
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患者,男性,74岁,常规来全科医生处体检。患者自诉反复便秘和腹泻60余年。患者60余年前无明显诱因下出现便秘和腹泻反复发生。有时大便时肛门疼痛,为撕裂样,便时疼痛,便后消失。大便次数较少,质地很硬,约3～5d—次,大便表面和手纸上有新鲜血。有时出现腹泻,每
Patient, male, 74 years old, routinely comes to the GP for medical examination. Patient self-prosecution repeated constipation and diarrhea more than 60 years. More than 60 years ago, there was no obvious incentive for constipation and diarrhea. Anal stool sometimes when the stool, to tear-like, then when the pain, then disappear. Stool frequency less, texture is very hard, about 3 ~ 5d-times, stool surface and toilet paper with fresh blood. Sometimes diarrhea, each
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