患者男性,32岁。因上腹部剧痛48h伴短暂意识丧失急诊入院。患者于入院前48h饮酒约100ml,30min后,突感上腹剧痛,向左肩背部放射,伴恶心、呕吐、大汗。自行用药(药物不祥),症状无明显缓解。入院前8h出现胸闷、气短、窒息感,伴短暂意识丧失,来我院急诊。心电图示:广泛心肌缺血。急 Male patient, 32 years old. 48h due to epigastric pain with short-term loss of consciousness emergency admission. Patients in the pre-admission 48h drinking about 100ml, 30min, sudden sense of upper abdominal pain, left shoulder back radiation, with nausea, vomiting, sweating. Self-medication (drugs ominous), no obvious symptoms. 8h before admission chest tightness, shortness of breath, asphyxia, with a brief loss of consciousness, to our hospital emergency room. ECG shows: extensive myocardial ischemia. anxious