患者,女,36岁。因剑突下钻顶样痛10小时,于1992年1月25日凌晨1时入院。入院前10小时,无何诱因突发剑突下钻顶样疼痛,呈持续性阵发加剧,无放射。发作时辗转不安,大汗,呕吐4次,无咖啡样物。18岁时曾患胆道蛔虫症,否认胃病及心脏病史。体检:急性痛苦面容。心率88次,律齐,剑突下轻度压痛,其他未见异常。心电图示:ST段V_2至V_6压低0.5～1mV,Tv_1至Tv_4倒置,Tv_5至 Patient, female, 36 years old. Due to the xiphoid pain-like pain 10 hours, January 1, 1992 January 1 admission. 10 hours before admission, no incentive for sudden hypodermic rhinitis under the roof-like pain, sustained a sustained increase in paroxysm, no radiation. Attack was twitched, sweating, vomiting 4 times, no coffee-like material. 18 years old had biliary ascariasis, stomach and heart disease denied history. Physical examination: acute painful face. Heart rate 88 times, law Qi, mild xiphoid tenderness, the other without exception. ECG shows: ST segment V_2 to V_6 down 0.5 ~ 1mV, Tv_1 to Tv_4 inversion, Tv_5 to