1病例报告患者,男,48岁,既往体健。主因突然胸前区憋痛、气促1d入院。胸前区憋痛时伴左肩部放射痛,大汗淋漓。入院时查血压16/11kPa(120/80m m H g)急性痛苦面容,唇稍绀,双肺呼吸音粗,未闻及干湿@音,心律齐,率100次/m in,主动脉瓣区可闻二级舒张期杂音,不传导,双下肢不浮肿。心 1 case report patient, male, 48 years old, past physical health. The main reason for the sudden chest chest pain, shortness of breath 1d admission. Chest area when the pain with left shoulder radiating pain, sweating. Check blood pressure at admission 16 / 11kPa (120 / 80m Hg) acute painful face, lips cyanosis, lung breath sounds thick, unheard and dry and wet @ sound, rhythm Qi, rate 100 times / min, aortic valve District can be heard two diastolic murmur, no conduction, no swelling of both lower extremities. heart