1 临床资料患者男,60岁,因突发胸痛、腹痛3 d 入院。既往高血压病史20年。3 d 前因饱餐后出现胸痛,向后背放散伴中上腹痛,恶心呕吐3次,门诊以“冠心病、心绞痛”为诊断收入病房。入院时查体:体温37.5℃,P 96/min,BP 180/110 mm Hg。神志清,双肺呼吸音清,未闻及干、湿啰音。心率96/min,律齐,心尖部可闻及Ⅱ级收缩期 1 clinical data Male patient, 60 years old, due to sudden chest pain, abdominal pain 3 d admission. History of previous hypertension 20 years. 3 days before the full meal after the emergence of chest pain, back to the release with the upper abdominal pain, nausea and vomiting 3 times, out-patient to “coronary heart disease, angina pectoris” for the diagnosis of income wards. Physical examination on admission: body temperature 37.5 ° C, P 96 / min, BP 180/110 mm Hg. Consciousness, lung breath sounds clear, no smell and dry, wet rales. Heart rate 96 / min, law Qi, apex can be heard and Ⅱ grade systolic