青少年患心肌梗塞(M1)合并室壁瘤非常少见。现报道一例。患者(住院号2611718),男性17岁,中学生。因阵发性心前区隐痛10月余,1986年4月入院检查。平素体健,1985年6月25日上午卧床时,无任何诱因突发心前区压榨样疼痛伴大汗,持续半小时后自动缓解,中午再次发作难以忍受的心前区剧痛,去某院经急诊住院二个月。当时体温正常。心界不大,心率 Adolescent myocardial infarction (M1) with aneurysm is very rare. Reported a case now. Patient (hospital number 2611718), male 17 years old, middle school student. Due to paroxysmal anterior area more than 10 months of pain, admitted in April 1986 examination. Normal physical health, June 25, 1985 morning bed rest, without any incentive sudden precordial pressure-like pain with sweating, sustained half an hour after the auto-relief, noon re-onset of unbearable precordial pain, go to a Hospital emergency room hospital for two months. The body temperature was normal. Heart is not big, heart rate