病历摘要患者男性,23岁,干部。于1987年4月7日在散步的途中,无明显诱因感心前区疼痛1小时。疼痛不剧烈,不向其它部位放射,无气促,不出冷汗。16小时后来院就诊,心电图检查示异常 Q 波,疑有“陈旧性广泛前壁心肌梗塞”收住院。患者既往体健,无传染病史,无左侧胸痛病史,无烟酒嗜好。体检:体温37.3℃,脉搏78次/分,呼吸18次/分,血压16/10.7Kpa(120/80mmHg)。发 Medical record Summary Male patient, 23 years old, cadre. On April 7, 1987, on the way to a walk, there was no obvious incentive to feel pain in the anterior area for 1 hour. Not severe pain, no radiation to other parts, no shortness of breath, no cold sweat. 16 hours later to hospital for treatment, ECG showed abnormal Q waves, suspected “old extensive anterior myocardial infarction ” admitted to hospital. Past physical health, no history of infectious disease, no history of left chest pain, no alcoholic drinks and tobacco habits. Physical examination: body temperature 37.3 ℃, pulse 78 beats / min, breathing 18 beats / min, blood pressure 16 / 10.7Kpa (120 / 80mmHg). hair