[病例236] 患者60岁,女,初诊于1979年9月。病历:26年前有心绞痛嫌疑,常常有发作性的胸内苦闷。30岁时患渗出性肋膜炎,以后患肺结核。从1979年6月起有过3次左胸痛发作,发作时胸全部有压迫性痛感,特别是左背部直到咽部痛。拿重东西时也痛。脉沉细弱,手脚冷,血压低,初诊时为120/80。没有生 [Case 236] The patient was 60 years old and female, and was first diagnosed in September 1979. Medical records: Suspected angina pectoris 26 years ago, often with paroxysmal chest pain. 30 years old suffers from exudative pleurisy, later suffering from tuberculosis. Since June 1979, there have been three episodes of left chest pain, and all of them have oppressive pain during the attack, especially the left back until pain in the pharynx. It hurts when I take things heavy. The veins are thin and weak, hands and feet are cold, and blood pressure is low. The initial diagnosis is 120/80. Not born