男,44岁。于1983年5日27日凌晨1时左右感两肩部酸痛不适、约20分钟后感胸骨后紧闷窒息感,伴出汗,持续约15分钟逐渐缓解。当日以“心绞痛”收入院。过去无类似发作史。体查右侧桡动脉搏动较左侧明显减弱,右上肢血压100/50,左上肢200/70。双下肢足背动脉搏动相等,下肢血压无改变。心界向左下扩大,心律齐,心率52次/分。胸骨左缘3～4肋间可闻舒张期泼水样杂音,胸骨右缘第2肋间有Ⅱ级收缩期吹风性杂音。有水冲脉及股 Male, 44 years old. In 1983 at 5:00 on the 27th January about two shoulder aches and discomfort, about 20 minutes after feeling tight chest tightness suffocation sense, accompanied by sweating, sustained about 15 minutes to ease. The same day “angina” income hospital. In the past no similar history of attack. Physical examination right radial pulse was significantly weaker than the left, right upper limb blood pressure 100/50, left upper limb 200/70. Lower extremity dorsalis pedis artery pulsation equal, lower extremity blood pressure no change. Heart to expand to the left, heart rate Qi, heart rate 52 beats / min. Sternal left intercostal intercostal 3 to 4 may be heard diastolic water-like murmur, the second intercostal sternal second grade Ⅱ systolic hair blowing noise. A water pulse and shares