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患者男,47岁,因发作性心前区疼痛伴胸闷月余,于1985年3月13日入院。患者于入院前一月,每日夜间凌晨及睡眠状态突然胸骨后压榨样疼痛,部位固定,并向两肩、两上肢放射,持续3～5分钟自行缓解。嗣后发作频繁,每日3～5次,均在安静,休息或慢步行走时发作,呈周期性。发作前无诱因,发作后常有胸闷。既往无冠心病、心绞痛史。体检:体温36.6℃,呼吸18次,血压120/86,心率80次,律齐,无杂音。肺正常,腹部平软,肝脾未及,下肢无浮肿。化验:血清酶学、血糖、血脂,UCG、及X胸片心肺均正常。EKG示窦性心律。
Male, 47 years old, was admitted to hospital on March 13, 1985 because of episodic pre-anorectal pain with more than 30 days of chest distress. Patients in the hospital before January, every night at night and sleep at night suddenly sternum press-like pain, site fixed, and to both shoulders, upper extremity radiation, sustained 3 to 5 minutes to ease. Subsequent attacks frequently, 3 to 5 times daily, are quiet, rest or walking when walking, was cyclical. No incentive before the attack, chest tightness often occurs after the attack. No previous coronary heart disease, history of angina. Physical examination: body temperature 36.6 ℃, breathing 18 times, blood pressure 120/86, heart rate 80 times, law Qi, no noise. Normal lungs, abdomen flat soft, liver and spleen and lower extremity no edema. Laboratory tests: Serum enzyme, blood glucose, blood lipids, UCG, and X chest X-ray normal. EKG showed sinus rhythm.