1病例报告患者男,75岁,离休干部。主因阵发性胸闷3天就诊.以往有高血压病史20余年。查体:体温36.7℃,脉搏88/min,呼吸20次/min,血压135/84mmHg。神清,双肺呼吸间清晰,心界不大,心率88/min,律齐,无杂音,腹平软,肝脏不大,双下肢无水肿。心电图检查:窦性心律,大致正常心电图。患者 A case report Male patient, 75 years old, retired cadres. Main due to paroxysmal chest tightness 3 days treatment. In the past history of hypertension more than 20 years. Physical examination: body temperature 36.7 ℃, pulse 88 / min, breathing 20 times / min, blood pressure 135 / 84mmHg. Clear, breathing clear between the lungs, heart is not big, heart rate 88 / min, law Qi, no noise, abdominal soft, small liver, both lower extremity edema. ECG: sinus rhythm, roughly normal ECG. patient