1病例患者,男性,86岁,因“反复胸闷心悸10年余,加重伴头昏3 d”入院。入院诊断:冠心病,心功能Ⅱ级,Ⅲ级高血压(极高危),皮层下动脉硬化性脑病等。入院第49天出现畏寒、发热,体温最高达39.9℃,伴鼻塞流涕、咳嗽、咳痰,无胸闷、气急,无恶心、呕吐,无腹痛、腹泻。查体:神清,精神萎 A case of patients, male, 86 years old, due to “repeated chest tightness palpitations more than 10 years, aggravated with dizziness 3 d” admission. Admission diagnosis: coronary heart disease, cardiac function grade Ⅱ, Ⅲ hypertension (very high risk), subcortical arteriosclerotic encephalopathy. Admission to the first 49 days of chills, fever, body temperature up to 39.9 ℃, with nasal congestion runny nose, cough, expectoration, no chest tightness, shortness of breath, no nausea, vomiting, no abdominal pain, diarrhea. Examination: God clear, wilted spirit