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女,23岁。便血4h于1999年2月11日入院。入院前6d,因足月妊娠在当地镇医院行会阴左侧切术分娩一活男婴,产程顺利,出血不多。病人产后即感肛门坠胀,产后4d始解少量稀便,入院前4h,肛门坠胀更为明显,继之解出鲜血约500ml,继后反复便血5次,每次200～300ml。检查:T38.4℃,P132次/min,R33次/min,BP9/6kPa,皮肤、粘膜无瘀点、瘀斑及蜘蛛痣。心肺正常,腹无压痛,未扪及包块,无移动性浊音。直肠指检:前壁有三针缝线通过,抽出手指时肛门有鲜血流出。妇科检查:会阴左侧切口长约4cm,7号丝线
Female, 23 years old. Blood in the stool 4h was admitted on February 11, 1999. 6d before admission, due to full-term pregnancy in the local town hospital perineal left lateral excision birth a live baby boy, labor process smoothly, bleeding is small. The patient was anorectal bulge after childbirth, 4d after delivery a small amount of loose stools solution, 4h before admission, anal ankle more obvious, followed by solution of blood about 500ml, followed by repeated blood in the stool 5 times, each 200 ~ 300ml. Check: T38.4 ℃, P132 times / min, R33 times / min, BP9 / 6kPa, skin, mucous membrane petechiae, ecchymosis and spider nevus. Cardiopulmonary normal, abdominal no tenderness, palpable mass, no mobility dullness. Digital rectal examination: the front wall has three stitches through the anus out of the finger when the blood outflow. Gynecological examination: perineal left incision about 4cm, No. 7 silk