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【单选题】
患者，男性，49岁。6年前出现排便时出血，多为便纸上带血，鲜血附于粪便表现，无局部疼痛，无肿块脱出，往往于进食辛辣食物、大便硬结时发作和症状加重。体检：截石位，在齿状线上1cm约7点处触及柔软团状肿块，无触痛，指套退出无染血。 引起该患者便血的原因首选
A.
Ⅰ期内痔
B.
Ⅱ期内痔
C.
Ⅲ期内痔
D.
血栓性外痔
E.
混合痔
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