临床上急性心肌梗死多以持久的胸骨后剧烈疼痛发病常见,我们遇到1例少见的以剧烈头痛为主诉的急性心梗,报道如下。患者,女,76岁。午饭后坐于沙发上看电视,突然感到剧烈头痛,伴头晕、恶心,吐少量粘液,2小时后来医院就诊。病人无胸痛、胸闷,无抽搐,无大小便失禁。以往无冠心病、高血压病、糖尿病史。体检:BP75/45 mmHg,神志清,精神紧张,烦躁,双手抱头, Clinical acute myocardial infarction and more persistent onset of severe pain after the common sternum, we encountered a rare case of acute headache complained of acute myocardial infarction, reported as follows. Patient, female, 76 years old. Sitting on the sofa after lunch watching TV, suddenly felt severe headache, with dizziness, nausea, spit a small amount of mucus, 2 hours later to the hospital. No chest pain, chest tightness, no convulsions, no incontinence. In the past no coronary heart disease, hypertension, diabetes history. Physical examination: BP75 / 45 mmHg, conscious, nervous, irritable, both hands hold your head,