患者,女性,61岁,因发作性劳累性胸骨后疼痛十年,伴晕厥二次,于1991年8月15日入院,否认颈椎病,脑血管病,咳嗽,排尿晕厥病史。无高血压,糖尿病史。8年前曾诊断为冠心病劳力型心绞痛。一直服用消心痛、冠心苏合丸、阿斯匹林、复方丹参片,病情较稳定。入院前一天,患者先后二次在休息状态下发生胸痛伴短暂意识丧失,均在1～2分钟后自行苏醒,醒来时胸痛亦已缓解。入院查体:神志清,血压19/11.5kpa,两肺呼吸音清晰,心界无扩大。HR80次/分,律齐,无瓣膜杂音,A_2>P_2,双下肢无水肿,心电图示窦性心律,V_1—V_5 S—T 水平降低0.1mv,心脏 X线片示:肺纹清晰,心脏呈主动脉型,无明显 The patient, female, aged 61 years, was admitted for hospitalization on August 15, 1991 due to episodes of recurrent supraternal pain for 10 years with syncope. He denied a history of cervical spondylosis, cerebrovascular disease, cough and micturition. No high blood pressure, diabetes history. 8 years ago was diagnosed with coronary heart disease angina. Has been taking consumer heart pain, Guanxin Su He Wan, aspirin, compound Danshen tablets, the disease is more stable. On the day before admission, the patient developed chest pain twice a second with a brief loss of consciousness in both resting states, both of whom recovered on their own after 1 to 2 minutes. Chest pain was also relieved when they woke up. Admission examination: conscious mind, blood pressure 19 / 11.5kpa, breath sounds clear two lungs, no expansion of the heart. HR80 beats / min, regular Qi, no valve noise, A_2> P_2, no lower extremity edema, ECG showed sinus rhythm, V_1-V_5 S-T decreased by 0.1mv, X-ray showed: Aortic type, no obvious