病例报告:患者女,45岁,工人,于1993年2月20日早晨做饭时突然胸部闷痛,并向左颈及左臂部放射,大汗淋漓,四肢厥冷,不敢动弹,不愿讲话,伴有轻度头晕头痛,但无恶心呕吐,历时约3～5分钟而缓解,但间歇数分钟又复发作,1小时后以“心绞痛”急诊入院。患高血压病5年,血压波动21—24/12—13kPa,从无心前区疼痛史。检查神清,体温36℃,呼吸24次/分,脉搏98次/分,血压22.6/12kPa,皮肤粘膜无出血点,心肺未发现异常,肝脾未扪及,眼底动脉硬化Ⅲ°,颈软,神经系统未发现阳性体征,发作时的心电图检查正常,血胆固醇160mg％,尿素氮12mg％。 入院后立即吸氧,硝酸甘油1片舌下含服,潘生丁100mg3次/日,静滴10％葡萄糖500毫升加三磷酸腺苷40毫克及铺酶A100单位,维生素C1克等治疗2 Case report: Patient female, 45 years old, worker, Suddenly chest painful when cooking on the morning of February 20, 1993, Radiation to left and right armpit, Sweating, Extremities cold, Dare not move, No Willing to speak, accompanied by mild dizziness and headache, but no nausea and vomiting, which lasted about 3 to 5 minutes and ease, but intermittent few minutes for recurrent, 1 hour later, “angina” emergency admission. 5 years suffering from hypertension, blood pressure fluctuations 21-24 / 12-13kPa, no history of pain from no prior heart area. Check Shen clear, body temperature 36 ℃, breathing 24 beats / min, pulse 98 beats / min, blood pressure 22.6 / 12kPa, skin and mucous membrane without bleeding, no abnormal heart and lung, liver and spleen not palpable, fundus arteriosclerosis Ⅲ ​​°, , The nervous system found no positive signs, normal electrocardiogram at onset, blood cholesterol 160mg%, urea nitrogen 12mg%. Oxygen immediately after admission, nitroglycerin sublingual 1 tablet, dipyridamole 100mg3 times / day, intravenous infusion of 10% glucose 500 ml plus adenosine triphosphate 40 mg and enzyme A100 units, vitamin C1 grams and other treatment 2