患者,男,41岁,某公司外籍职员。因撕裂样胸背部剧烈疼痛伴右下肢麻木无力6h急诊入院。既往有高血压与高血脂史,此次发病前正在公司开高层会议,突发胸背部疼痛后站起时右侧下肢麻木无力,同事将其送往附近医院就诊,心电图示窦性心动过速;胸椎X光显示胸椎正常,附见心包积液;血红蛋白120g/L,白细胞计数18×109/L,中性粒细胞87%;肌酸激酶 Patient, male, 41 years old, a company expatriate. Due to tearing like thoracodorsal pain with weak right lower limb numbness 6h emergency admission. Past history of high blood pressure and hyperlipidemia, the company was in the high-level meeting before the onset of sudden thoracodorsal pain after starting standing on the right lower limb numbness, colleagues sent to the nearby hospital for treatment, ECG showed sinus tachycardia ; Thoracic X-ray showed thoracic normal, with pericardial effusion; hemoglobin 120g / L, white blood cell count 18 109 / L, neutrophils 87%; creatine kinase