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患者,男,81岁,既往有“慢性阻塞性肺病、慢性肺源性心脏病”22年,无烟酒等不良嗜好,否认胃病史,否认食物及药物过敏史。2014年7月16日因关节疼痛口服双氯芬酸钠缓释胶囊(戴芬,Temmler Werke GmbH,规格:75 mg,批号:114836)75 mg,当晚解黑便1次,性状软,量约80 g,因患者自觉无任何不适,故未在意,继续服用双氯芬酸钠缓释胶囊75 mg,po qd。2014年7月18日再次出现黑便1次,性状同前,量约200g,同时有头晕心悸等不适,遂于2014年7月19
Patient, male, 81 years old, had “chronic obstructive pulmonary disease, chronic cor pulmonale” for 22 years, such as non-alcoholic drinks and other bad habits, denied the history of gastritis, deny the history of food and drug allergy. On July 16, 2014, 75 mg of diclofenac sodium sustained-release capsules (Diefen, Temmler Werke GmbH, size: 7548, lot number: 114836) were orally administered to patients with joint pain. Because patients consciously without any discomfort, so do not care, continue to take diclofenac sodium sustained release capsules 75 mg, po qd. July 18, 2014 once again black stool 1 times, with the former traits, the amount of about 200g, dizziness and palpitations and other discomfort, then in July 2014 19