1病历摘要男,52岁。因突发胸痛1 h急诊入院。患者胸痛为胸骨后持续性疼痛,疼痛剧烈,无放射痛,伴大汗、烦躁,无发热、恶心、呕吐,无肢体麻木及二便失禁。既往体健,长期吸烟,否认有高血压病家族史,平素无头晕不适,未测过血压。查体:BP 136/80 mm Hg,急性病容,双肺呼吸音清,未闻及 1 medical record summary male, 52 years old. Due to sudden chest pain 1 h emergency admission. Chest pain in patients with persistent pain after the sternum, severe pain, no radiating pain, with sweating, irritability, fever, nausea, vomiting, no numbness and incontinence. Past physical health, long-term smoking, denied having a family history of hypertension, usually no dizziness, not measured, not measured blood pressure. Physical examination: BP 136/80 mm Hg, acute illness, lung breath sounds clear, not heard