In acute hemorrhagic necrotizing enterocolitis, the stool is usually bright red blood or mucopurulent stool. This is mainly due to ischemia and necrosis of intestinal contents after intestinal necrosis, resulting in bleeding changes. At the same time, some necrotic material of enterocolitis may be absorbed into the blood due to hemorrhage and necrosis, causing local bacteremia, resulting in hypotension, shock and other manifestations. In general, acute hemorrhagic necrotizing enterocolitis requires emergency surgical treatment and aggressive anti-shock therapy.