笔者从1985年开始用小剂量心得安加异搏停治疗用硝酸甘油治疗无效之心绞痛34例报道如下。一、病历选择:34例患者均系用硝酸甘油治疗无效而收住院的病人,发作时心电图均有缺血改变和 S—T 段变化,其中男14例,女20例,年龄最小38岁,最大72岁。按临床分型,其中变异型心绞痛22例,伴有 S—T 段抬高的劳力型心绞痛3例,梗塞后早期心绞痛9例,均有冠状动脉痉挛因素存在。二、治疗与观察:①联合用药组:34例患者全部采用口服法,心得安20mg一日三次,异搏停4(?)gm一日三次。服药前和疼痛缓解后均记录心电图。②对照组:选同样条件病人1(?)例,随机8例单服心得安,20mg— The author began in 1985 with a small dose of experience Angarai stroke stop treatment of ineffective angina with nitroglycerin 34 reported as follows. First, the choice of medical records: 34 patients were treated with nitroglycerin ineffective hospitalized patients, the onset of ischemic ECG changes and S-segment changes, including 14 males and 20 females, the youngest 38 years old, Maximum 72 years old. According to clinical classification, there were 22 cases of variant angina pectoris, 3 cases of labor angina pectoris with S-T elevation and 9 cases of early post-infarction angina pectoris. All had coronary artery spasm factors. Second, the treatment and observation: ① combination group: 34 patients all oral therapy, propranolol 20mg three times a day, verapamil stop 4 (?) Gm three times a day. Before medication and pain relief ECG were recorded. ② control group: the same conditions selected patients 1 (?) Cases, randomized 8 cases of convulsions, 20mg-