目前临床上鉴别心绞痛的最简便方法仍是舌下含服硝酸甘油制剂为首选。自1985年以来我们试用维生素K_1对心绞痛与胆绞痛加以鉴别,报道如下: 1 对象的选择 1.1 心绞痛组:选择1985年2月～1986年11月冠心病心绞痛患者64例,诊断按1979年修订的“冠心病心绞痛诊断参考标准”。男48例、女16例,年龄41～72岁,平均56.5岁。稳定型心绞痛48例占75％,变异型心绞痛6例占9.37％,中间型心绞痛10例占15.63％。心绞痛病史最长15年,最短6个月;38例有高血压,17例有糖尿病,5例有心房纤颤,3例有陈旧性心肌梗塞。 1.2 胆绞痛组:选择同时期胆绞痛患者48例,均经“B”型超声和(或)X线片确诊为胆囊炎胆石症。男17 Currently the most convenient way to identify angina pectoris clinically sublingual nitroglycerin preparations are preferred. Since 1985, we try to identify vitamin K_1 angina pectoris and biliary colic to identify the following: 1 The object of choice 1.1 angina group: Select February 1985 ~ November 1986 64 patients with coronary heart disease angina pectoris, diagnosis according to 1979 revision “Coronary heart disease angina diagnosis reference standard.” 48 males and 16 females, aged 41 to 72 years, an average of 56.5 years old. 48 cases of stable angina accounted for 75%, 6 cases of variant angina accounted for 9.37%, 10 cases of intermediate angina accounted for 15.63%. History of angina up to 15 years, the shortest 6 months; 38 cases of hypertension, 17 cases of diabetes, 5 cases of atrial fibrillation, 3 cases of old myocardial infarction. 1.2 Bile colic group: Select the same period of 48 patients with biliary colic, were “B” type ultrasound and (or) X-ray diagnosis of cholecystitis cholelithiasis. Male 17