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李××,男,52岁,干部,门诊号:032523,患者于1980年2月12日晚车送来院急诊。病人诉说当晚7时许解大便过程突觉骶尾、肛门区刀割样剧痛并放射至外阴、腰部及双大腿内侧,伴双下肢无力及排便中断和肛门阵缩感,未见出血,家人即送来院。病人以往体健,无肛裂病史。体格检查:神清,急性痛苦病容,呈弓腰姿势不敢下坐,双肺呼吸音清,心率84次/分、律整,腹平软,肝、脾、腹块均未触及,肠鸣音正常,四肢运动、感觉正常。肛门区于5、7、8、10、11点钟处可见混合痔脱出,表面未见血迹,肛管齿状线上6点钟及12点钟处有1异物
Li × ×, male, 52 years old, cadre, outpatient number: 032523, the patient was sent to the hospital emergency room on the evening of February 12, 1980. Patient complained about the night 7 o’clock solution to the process of stool synapse sacrococcygeal, anal area knife-like pain and radiate to the vulva, waist and inner thighs, with weakness in both lower extremities and defecation and anal contraction, no bleeding, family members That is sent to the hospital. Past patient health, no history of anal fissure. Physical examination: God clear, acute pain, bow waist posture can not sit down, lung breath sounds clear, heart rate 84 beats / min, law, abdominal soft, liver, spleen, abdominal mass were not touched, bowel Sounds normal, limbs, feeling normal. Anal area at 5,7,8,10,11 o’clock mixed mixed hemorrhoids prolapse, no blood on the surface, the anal canal dentition line at 6 o’clock and 12 o’clock at a foreign body