病历摘要患者男,67岁,因胸闷、气急、尿少、两下肢浮肿及夜间阵发性呼吸困难3个月,加重1周于1979年2月3日第1次入院。既往有慢性咳嗽史6年,胸闷、阵发性气急2年。无高血压病史。心电图示“完全性左束支传导阻滞”。经抗感染、利尿治疗后病情缓解,住院半月后出院。出院后一股情况尚平稳。于1979年5月7日上午突感左上腹部持续性疼痛,伴昏 Patient, age 67, was admitted to hospital for the first time on February 3, 1979, for an additional 3 weeks due to chest distress, shortness of breath, oliguria, edema of both lower extremities and paroxysmal nocturnal dyspnea. Past history of chronic cough 6 years, chest tightness, paroxysmal urgency 2 years. No history of hypertension. ECG shows “complete left bundle branch block.” After anti-infection, diuretic treatment of remission, hospitalized half a month after discharge. After the discharge of a stock situation is still stable. On the morning of May 7, 1979, sudden sensation of persistent pain in the upper left abdomen, with fainting