病例摘要患者,男,51岁,1988年10月4日急诊入院。入院前6天无明显诱因突然发生心前区疼痛,胸闷,每次约10分钟。入院前24小时持续胸骨后剧烈绞窄性疼痛,伴大汗、恶心、来急诊,以急性下壁心肌梗塞入院。既往偶有发作性胸闷史2年,否认高血压病史。查体:体温37.5℃,心率60次,律整,Bp 150/10,心界不大,心尖部第一心音明显减弱,各瓣膜区无杂音, Case Summary The patient, male, 51 years old, was admitted to the emergency department on October 4, 1988. Six days before admission, no obvious incentive sudden cardiac area pain, chest tightness, about 10 minutes each time. Twenty-four hours before admission sustained severe strangulation of the chest pain, with sweating, nausea, emergency, admitted to the hospital with acute inferior wall myocardial infarction. Previously occasional episodes of chest pain for 2 years, denied the history of hypertension. Physical examination: body temperature 37.5 ℃, heart rate 60 times, law, Bp 150/10, the heart is not big, the apical first heart sounds significantly weakened, the valve area without noise,