例1:李某,男性,54岁。体重62kg,身高1.60m。于1985年6月29日凌晨1时20分急诊入院。患者原有风湿性心脏病,主动脉瓣狭窄病史近30年。1985年6月28晚20时,患者在家中肌肉注射“丙种球蛋白”误用了胰岛素。约22点20分,感心忧、胸闷、心前区不适,同时大汗淋漓、面色苍白、四肢颤抖。立即舌下含化硝酸甘油片、心痛定各一片、症状无缓解,继而意识消失。23点30分患某处于浅昏迷状态,血压120/180mmHg,双侧瞳孔等大等圆,对光反射敏感。双肺呼吸音正常,心率80次,心律齐,心音有力,主动脉瓣听诊区可闻及三级收缩期杂音。腹 Example 1: Lee, male, 54 years old. Weight 62kg, height 1.60m. At 1: 20 in the morning of June 29, 1985, emergency admission was performed. Patients with rheumatic heart disease, aortic valve stenosis for nearly 30 years. At 20:00 on June 28, 1985, patients misused insulin by intramuscular “gamma globulin” at home. About 22:20, feel worried, chest tightness, precordial discomfort, sweating at the same time, pale, trembling limbs. Immediate sublingual nitroglycerin tablets, painkillers will be a piece of no relief of symptoms, and then disappear. 23:30 Suffering from a state of shallow coma, blood pressure 120 / 180mmHg, bilateral pupils and other large round, sensitive to light reflex. Breathing sounds of the lungs normal, heart rate 80 times, Qi heart, heart sounds strong, aortic valve auscultation area can be heard and three systolic murmur. belly