患者女性,48岁。以“肛旁流脓水2个月伴便痛便血3d”为主诉,经门诊初部诊断为“肛瘘,内痔出血”收入院。问及病史,病人2个月前无明确诱因发现肛旁胀痛,继而破溃,流脓流水,色黄微稠,久不收口。近3d伴有排便疼痛,便后滴血来诊。病者无发冷发热,饮食正常,体重无明显改变,成形软便 Patient female, 48 years old. To “anal suppuration pus 2 months with stool blood in the stool of the three-dimensional” complaint, the outpatient clinic diagnosed as “anal fistula, hemorrhoids bleeding” income hospital. Asked about the history of the patient 2 months ago, there was no clear incentive to find anal perianal pain, then ulceration, pus flow, color yellow thick, long time no closure. Nearly 3 days accompanied by defecation pain, then bleeding to the clinic. No chills fever, normal diet, no significant change in body weight, forming soft stools