例1:男,75岁,长沙市退休工人,因洗澡后突发胸部剧痛1h,于2005年2月4日抬送入院,撕裂样剧痛,不能耐受,拒绝平躺,无明显胸闷,气促,无头痛,无发热咳嗽,体查:血压170/90mmHg,脉搏72次/m in,急性重病容,痛苦状、大声呻吟,心尖区可闻及Ⅱ级收缩期吹风样杂音,双肺呼吸清晰,腹平软,无明 Example 1: Male, 75 years old, retired worker in Changsha City, due to a sudden chest pain after bathing 1h, carried on February 4, 2005 admitted to the hospital, tear-like pain, can not tolerate, refused to lie flat, no obvious Chest tightness, shortness of breath, no headache, no fever, cough, physical examination: blood pressure 170 / 90mmHg, pulse 72 times / m in, acute serious illness, painful, loud moaning, apical area can be heard and Ⅱ grade systolic hair- Breathing clear lungs, abdominal soft, ignorant