近年来，笔者遇到特殊表现的急性心肌梗死2例，结合国内文献报道的3例，进行分析如下：1以牙痛为表现【例1】患者，男性，62岁。牙痛伴头昏，四肢乏力1天。牙痛呈阵发性的，初始能自行缓解，但发作频繁，用镇痛药无效，继之疼痛呈持续性的，伴大汗淋漓，来院急诊。查体：血压18 In recent years, I encountered special performance in 2 cases of acute myocardial infarction, combined with the domestic literature reported 3 cases were analyzed as follows: 1 toothache performance [Example 1] patients, male, 62 years old. Toothache with dizziness, weakness in limbs 1 day. Toothache was paroxysmal, the initial self-remission, but episodes of frequent use of analgesics ineffective, followed by pain was persistent, accompanied by sweating, to hospital emergency. Physical examination: blood pressure 18