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患者男,71岁,因发作性胸骨后闷痛三年,加重三天于1993年10月19日入院。查体:BP18/10kPa。心率74次/分,律齐,心尖部 S_1低,A_2>P_2,各瓣膜未闻及病理性杂音。腹软,无压痛及肌紧张。心电图:I、aVL 导联ST 段压低0.1mV,V_2～V_5导联 T 段压低0.15～0.25mV,T 波倒置。X 线胸片:心、肺及大血管影正常。心肌酶学正常。诊为冠心病心绞痛。给静滴硝酸甘油及口服阿斯匹林、硫氮唑酮仍有疼痛频繁发作(10～20次/日),杜冷丁及吗啡缓解不明显。再仔细询问病史及检
Male patient, aged 71, was admitted to hospital on October 19, 1993, three days later due to episodes of suprasternal tenderness. Physical examination: BP18 / 10kPa. Heart rate 74 beats / min, law Qi, apical S_1 low, A_2> P_2, the valve is not known and pathological murmur. Abdomen soft, no tenderness and muscle tension. ECG: I, aVL lead ST segment depression 0.1mV, V_2 ~ V_5 lead T segment depression 0.15 ~ 0.25mV, T wave inversion. X-ray: heart, lung and blood vessels normal. Myocardial enzymes normal. Diagnosis of coronary heart disease angina. To intravenous nitroglycerin and oral aspirin, thiazolidone still has frequent attacks of pain (10 ~ 20 times / day), pethidine and morphine relief was not obvious. Carefully ask history and seized