患者,女,63岁,因阵发性心前区疼痛2年,加重7小时于1998年6月29日入院。既往无高血压、糖尿病史,疼痛常于劳累后发作,休息后可缓解。入院前7小时劳累后出现心前区剧烈烧灼样疼痛伴濒死感,向左肩部放散,在附近诊所治疗无效而急入我院,查T36.4℃,P70次/分,R18次/分,BP30.6/10.1,急性病容,表情痛苦,口唇无紫绀,颈静脉无 The patient, female, 63 years old, had paroxysmal suprarenal area pain for 2 years and was exacerbated for 7 hours on June 29, 1998. No previous history of hypertension, diabetes history, often after the onset of pain, rest can be alleviated. 7 hours before admission, there was an acute precordial burning pain accompanied with a sense of death, and the left shoulder was extirpated. In the vicinity of the clinic, treatment was ineffective and the hospital was called into an emergency. T36.4 ℃, P70 beats / min, R18 beats / min , BP30.6 / 10.1, acute illness, facial expression pain, lips cyanosis, no jugular vein