男患,63岁,住院号1293。因阵发性胸骨后刺痛2~+月于1989年2月27日收入院。2~+月来出现阵发性胸骨后针刺样痛,向左肩部放射,伴胸闷,重时大汗淋漓,一般持续3～10分钟,偶达30分钟。多发生于清晨4～5时,经含服硝酸甘油可迅速缓解。查一般情况可,BP 20.8/12 kPa,无颈静脉怒张,双肺无罗音,心界不大,心率74次/分,律整,无杂音,肝脾肋下未触及,下肢无浮肿。胸透正常。EKG示QRS低电压及陈 Male suffering, 63 years old, hospital number 1293. Due to paroxysmal supratentorial sting 2 ~ + on February 27, 1989 income hospital. 2 ~ + months after paroxysmal breast acupuncture pain, left shoulder radiation, with chest tightness, heavy sweating, usually lasts 3 to 10 minutes, even for 30 minutes. Occurred in the early morning 4 to 5 o’clock, the nitroglycerin can be quickly relieved. Check the general situation can be, BP 20.8 / 12kPa, no jugular vein engorgement, lungs without rales, heart is not heart, heart rate 74 beats / min, law, no noise, no contact with the ribs under the ribs, . Thoracotomy normal. EKG shows QRS low voltage and Chan