男患,65岁。1988年3月12日入院.入院前一天因家务事连续两次上下楼梯,事后全身疲乏无力、头昏、心悸、坐立时加重。数小时后出现全身大汗,面色苍白。既往有高血压病史10年,无贫血史.当地医院检查:血压13.3/8.0k Pa,心电图示S-T段下移,心肌受损。拟诊为心源性休克,心肌梗塞。给予吸氧、强心、升压、输液等治疗.病情无好转,血压进行性下降,转本院诊治.查体:血压12.0/8.0kPa,神清,睑结膜及口唇苍白。心率110次/分,两肺听诊无异常.腹部稍膨隆,无明显压痛点及移动性浊音.肝脾不肿大、肠鸣音存在.血常规:血色素70g/L,红细胞2.8×10~(12)/L,白 Male suffering, 65 years old. Admitted to hospital on March 12, 1988. The day before admission because of housework twice up and down stairs, after the whole body fatigue, dizziness, palpitations, sitting immediately increase. A few hours after the body sweating, pale. Previous history of hypertension 10 years, no history of anemia. Local hospital examination: blood pressure 13.3 / 8.0kPa, ECG S-T segment down, myocardial damage. To be diagnosed as cardiogenic shock, myocardial infarction. Given oxygen, cardiac, blood pressure, infusion and other treatment. Condition did not improve, blood pressure decreased sexually, transferred to the hospital for diagnosis and treatment. Physical examination: blood pressure 12.0 / 8.0kPa, Shen Qing, conjunctiva and pale lips. Heart rate 110 beats / min, both lungs auscultation no abnormal abdomen slightly bulging, no significant tenderness point and mobility dullness. Liver and spleen does not enlarge, bowel sounds exist. Blood: hemoglobin 70g / L, red blood cells 2.8 × 10 ~ ( 12) / L, white