患者 ,男 ,36岁。因发热 1ｄ伴胸痛 6ｈ入院。患者 1ｄ前因受凉后出现发热 ,体温达 38.6℃ ,伴鼻塞、咽痛不适、乏力 ,无咳嗽、咳痰。应用青霉素、病毒唑及退热药物等 ,体温降至正常。于 6ｈ前睡眠中出现心前区疼痛 ,为压榨性疼痛 ,不放射 ,含服硝酸甘油 2片 ,疼痛无缓解 ,随来 Patient, male, 36 years old. 1d with chest pain due to fever 6d admission. Patients 1d before the onset of fever due to cold, body temperature reached 38.6 ℃, with nasal congestion, sore throat discomfort, fatigue, no cough, sputum. Application of penicillin, ribavirin and antipyretics, body temperature dropped to normal. 6h before sleep appeared in precordial area pain, as the press pain, no radiation, containing nitroglycerin 2 tablets, no pain relief, with