On Wednesday morning I had a colonoscopy when my intern called me to say that a patient who was 10 days postoperative with mixed hemorrhoids was bleeding from a dislodged ligature thread and they had instilled thrombin in the anus. In the afternoon as I was nearing the end of my shift in the outpatient clinic, Dr. G on the ward called to say that the bleeding patient might need to go to the operating room to stop the bleeding, so I immediately went to the ward. The patient is a middle-aged male, lying on his side in bed, with a yellowish color and a tense expression, and is being given fluids, and the indicators shown on the vital signs monitor are normal and stable. Review of the condition: the patient 10:00 a.m. after changing the medicine back to the hospital bed to stay for a while to feel a burst of heat in the anus, there is blood from the anus overflow to the patient pants are stained, interns immediately enema with drugs. After returning to the ward, the patient felt a burst of abdominal intestinal tinnitus, abdominal discomfort with a sense of embarrassment, 2:00 p.m. panic and cold sweat. Under local anesthesia, Dr. G of the ward inserted a suction catheter wrapped with sterile gauze into the anus and pushed thrombin through the catheter. Checked hemoglobin: 10.9 grams. (preoperative 14,7 grams), coagulation four: three abnormal (preoperative no abnormality), estimated that the patient’s bleeding is about 500 ml or so. Look at the local situation: the distal end of the anal catheter has blood flowing out from the anus, and the gauze wrapped outside the catheter is also stained with blood. I pulled out the catheter and saw that the gauze and catheter inserted into the lower end of the rectum had blood, which indicated that the compression of hemostasis did not achieve the expected effect. In order to compression hemostasis, we use a double-lumen catheter inserted into the anus about 10 cm, in the balloon mouth pushed saline 10 ml, the catheter will be slowly backward, back to the resistance to stop (water capsule compression in the rectum at the bottom of the hemorrhoidal ligation is also the hemorrhoidal core area), and pushed the catheter after the fixed catheter prothrombin, slowly the patient a burst of bowel sounds relief, the spirit of the spirit is not tense. After the success of compression hemostasis, in order to allow the patient to reduce the activity, we gave the patient catheterization, control of diet and bowel movements, systemic nutritional support. On the morning of the 2nd day, 4 mL of water was withdrawn from the balloon port of the catheter in 2 times, and the catheter was removed after 40 hours of observation without bleeding. After the catheter was removed, the patient frequently (5 times in half a day) excreted dark red blood, and there was no abdominal discomfort. Afterwards, the patient and the patient exchange, the patient said with gauze wrapped suction catheter compression hemostasis anus hold up pain, with double lumen catheter compression hemostasis anus discomfort significantly reduced. Exactly: double lumen catheter small, hemostatic effect, the patient’s pain is small, the operation is simple and effective. Hemorrhoidal surgical ligation line is generally 7 to 12 days after surgery off, offline when some people will appear renewed hemorrhage, local hemostasis is the key to treatment. Double lumen catheter inserted into the anus airbag water injection can be both local compression, but also can be injected into the topical hemostatic drugs, to observe the effect of hemostasis, the intestinal tube and the outside world also reduce the patient’s abdominal distension. If you clinically encounter cases of hemorrhage, this method can help you solve the problem, may wish to try. Wednesday morning, I do colonoscopy intern doctor called me that there is a mixed hemorrhoid surgery 10 days after the patient ligature line off bleeding, they have been thrombin instillation in the anus. In the afternoon when I was about to finish my shift in the outpatient clinic, Dr. G from the ward called and said that the bleeding patient might need to go to the operating room to stop the bleeding, so I went to the ward immediately. Shandong University of Traditional Chinese Medicine Hospital, Department of Anus and Intestines Mei Xiaoling patient middle-aged male, lying on the side of the bed, yellowish color, tense expression, being transfused, life fingerprints monitor shows the indicators of normal and stable. Review of the condition: the patient 10:00 a.m. after the change of medicine back to the bed to stay for a while to feel a burst of heat in the anus, there is blood from the anus overflow to the patient pants are stained, interns immediately with drugs enema. After returning to the ward, the patient felt a burst of abdominal intestinal tinnitus, abdominal discomfort with a sense of embarrassment, 2:00 p.m. panic and cold sweat. Under local anesthesia, Dr. G of the ward inserted a suction catheter wrapped with sterile gauze into the anus and pushed thrombin through the catheter. Checked hemoglobin: 10.9 grams. (preoperative 14,7 grams), coagulation four: three abnormal (preoperative no abnormality), estimated that the patient’s bleeding is about 500 ml or so. Look at the local situation: the distal end of the anal catheter has blood flowing out from the anus, and the gauze wrapped outside the catheter is also stained with blood. I pulled out the catheter and saw that the gauze and catheter inserted into the lower end of the rectum had blood, which indicated that the compression of hemostasis did not achieve the expected effect. In order to compression hemostasis, we use a double-lumen catheter inserted into the anus about 10 cm, in the balloon mouth pushed saline 10 ml, the catheter will be slowly backward, back to the resistance to stop (water capsule compression in the rectum at the bottom of the hemorrhoidal ligation is also the hemorrhoidal core area), and pushed the catheter after the fixed catheter prothrombin, slowly the patient a burst of bowel sounds relief, the spirit of the spirit is not tense. After the success of compression hemostasis, in order to allow the patient to reduce the activity, we gave the patient catheterization, control of diet and bowel movements, systemic nutritional support. On the morning of the 2nd day, 4 mL of water was withdrawn from the balloon port of the catheter in 2 times, and the catheter was removed after 40 hours of observation without bleeding. After the catheter was removed, the patient frequently (5 times in half a day) excreted dark red blood, and there was no abdominal discomfort. Afterwards, the patient and the patient exchange, the patient said with gauze wrapped suction catheter compression hemostasis anus hold up pain, with double lumen catheter compression hemostasis anus discomfort significantly reduced. Exactly: double lumen catheter small, hemostatic effect, the patient’s pain is small, the operation is simple and effective. Hemorrhoidal surgical ligation line is generally 7 to 12 days after surgery off, offline when some people will appear renewed hemorrhage, local hemostasis is the key to treatment. Double lumen catheter inserted into the anus airbag water injection can be both local compression, but also can be injected into the topical hemostatic drugs, to observe the effect of hemostasis, the intestinal tube and the outside world also reduce the patient’s abdominal distension. If you clinically encounter cases of hemorrhage, this method can help you solve the problem, may wish to try.