1病历报告男，57岁。咽部不适、颈部及左肩部疼痛10天，其间曾晕厥1次。于1996年3月14日来我院耳鼻喉科就诊．检查未见异常而请内科会诊，经查心电图以急性心肌梗死收入院。查体；T37．SC，P114／min，BP13／gkPa；咽部无充血，双扁桃体无肿大；双肺未闻及罗音；心浊音界向左侧 1 medical record male, 57 years old. Pharyngeal discomfort, neck and left shoulder pain for 10 days, during which syncope 1 times. March 14, 1996 to our hospital otolaryngology clinic. No abnormalities were detected and medical consultation, the investigation of ECG to acute myocardial infarction income hospital. Physical examination; T37. SC, P114 / min, BP13 / gkPa; throat without congestion, no double tonsil enlargement; lungs did not smell and rales;