患者男性,53岁,离休干部,患有冠状动脉硬化性心脏病20余年,10年前发生急性下壁心肌梗塞,经抢救恢复。在以后的8年中.仍有多源性期外收缩.频发性房早,阵发性心房纤颤等多种心律紊乱,常感胸闷.气短、乏力;猝死前2年自觉临床症状明显好转,心电图仅见偶发性房性早搏。1995年10月6日晚,在性交过程中突感胸闷、胸痛、大汗淋漓,当即死亡。 讨论:现代医学及心理学认为.适度的性生活可以协调体各种生理机能,促进性激素的正常分泌,是健康心理的需要。有关调查资料表明,老年人对性观念,性兴趣和性能力等方面有明显的个体差异。有的老年人认为只有绝欲,不行房事才能长寿;有的则超越了身心条件,性生活过于勉强和无节制,这些都明显有害于健康。目前一般认为,判定中老年人性生活频率标准有三条:①性欲自然而然激起,要求强烈,任何勉强或应付谓之过度;②全过程自然进行,没有 Male, 53 years old, retired cadres, suffering from coronary heart disease more than 20 years, 10 years ago, acute inferior wall myocardial infarction, the rescue and recovery. In the next 8 years, there are still more sources of extra-systolic .Frequency of atrial premature beats, paroxysmal atrial fibrillation and other heart rhythm disorders, often feel chest tightness. Shortness of breath, fatigue; 2 years before death, consciously obvious clinical symptoms Improvement, ECG only see occasional atrial premature beats. The evening of October 6, 1995, in the process of intercourse suddenly felt chest tightness, chest pain, sweating, immediately died. Discussion: Modern medicine and psychology that moderate sexual life can coordinate a variety of physiological functions, and promote the normal secretion of sex hormones, is the need for healthy psychology. The survey data show that the elderly have significant individual differences in their attitudes toward sexuality, sexual interests and sexual capabilities. Some older people think that only being desperate and wanting nothing can live longer; some go beyond physical and mental conditions, and sexual reluctance and incontinence are clearly harmful to their health. Currently, it is generally believed that there are three criteria for determining the frequency of sexual life among middle-aged and elderly people: ① Sexual arousal arises spontaneously, with strong demands and any reluctance or coping with overexistence. ② The whole process is carried out naturally without