1对象与方法患者,男性,41岁,山西芮城县人,长期居住于农村。主因“胸痛4 d”入院。患者于4 d前劳累后感心前区绞痛不适,伴有胸闷、全身乏力、大汗,休息后不能缓解,无呕血、头晕、意识丧失等。患者家属立即拨打120急诊入院,入院后胸痛加重,心电图显示为室颤,给予电除颤后转为窦性心律,心电图提示:急性心肌梗死(AMI),见图1。给予溶栓(具体不详)、氯吡格雷600 mg负荷,此后75 mg,口服1次/d,阿司匹林100 mg,口服1次/d等治疗 1 Subjects and methods Patients, male, 41 years old, Shanxi Ruicheng County, long-term living in rural areas. The main reason “” chest pain 4 d "admission. Patients with fatigue in the former 4d before the feeling of angina pectoris, accompanied by chest tightness, generalized fatigue, sweating, rest can not be relieved, no vomiting, dizziness, loss of consciousness and so on. Family members immediately called 120 emergency hospital admission, chest pain after admission, ECG showed ventricular fibrillation, to be converted to sinus rhythm after electrical defibrillation, ECG tips: acute myocardial infarction (AMI), see Figure 1. Thrombolytic (unknown), clopidogrel 600 mg, then 75 mg, orally 1 / d, aspirin 100 mg, and oral once daily