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NLR was positively associated with poor prognosis of PLA; elevated NLR could predictor of high risk of death, ICU admission, and development of septic shock. Emergency physicians should consider NLR for the prognosis of PLA and early aggressive treatment, especially in patients with NLR > 16.9.

Among the biomarkers, S-100B at 24 hours and NSE at 48 hours post-ROSC were highly predictive of neurological outcomes in patients treated with TH after CA.

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HighlightsStapled hemorrhoidopexy (SH) is common treatment for prolapsed hemorrhoid.Unexpected abdominal pain following SH may related rectal perforation.Laparoscopic repair of rectal perforation is feasible in selective patients.A transanal rectal tube keep in several days may substitute diverting stoma.