病史摘要 男性、64岁,因胸闷伴心前区隐痛4h于1986年2月13日急症入院。入院前半月常感胸闷及心前区隐痛,休息及服用硝酸甘油和麝香保心丸后症状缓解。入院前1周常有上呼吸道感染症状,4h前因赴宴上楼后即感胸闷、气促及心前区疼痛,休息及服用上述药物无效、遂来院急诊,当时心电图示Ⅰ、Ⅱ、Ⅲ、aVF、V_4～V_6ST段压低,aVRST段抬高,即以“急性下侧壁心内膜下心肌梗塞”收监护室。既往有中风史。 Summary of medical history Male, 64 years old, due to chest distress with anterior area pain 4h in February 13, 1986 emergency admission. Chest tightness and precordial pain were observed in the first half of admission, and symptoms were relieved after resting and taking nitroglycerin and musk pill. 1 week before admission, often have upper respiratory tract infection symptoms, 4h before the feast on the stairs after feeling chest tightness, shortness of breath and precordial pain, rest and taking the above drugs ineffective, then to hospital emergency, then ECG shows Ⅰ, Ⅱ, Ⅲ , AVF, V_4 ~ V_6ST segment depression, aVRST segment elevation, that is, “acute inferior ventricular endocardial infarction,” receive custody room. Past stroke history.