1临床资料患者,男性,52岁,以“间断胸闷、胸痛16 h,加重10 h”为主诉入院。16 h前患者散步时出现胸闷、心前区疼痛,呈阵发性,未诊治。10 h前患者睡眠时突感剧烈心前区疼痛,伴胸闷、气促、恶心呕吐及大汗淋漓,急诊入住外院,诊断为“急性心肌梗死”,并给予溶栓、抗凝、抑制血小板 1 clinical data of patients, male, 52 years old, with “intermittent chest pain, chest pain 16 h, increased 10 h” was admitted to the hospital. Patients with chest distress 16 hours before walking, precordial pain, paroxysmal, not diagnosed. 10 h ago, the patient had sudden severe acute chest pain, chest tightness, shortness of breath, nausea and vomiting, and sweating during emergency sleep. The patient was admitted to the hospital outside the hospital for diagnosis of “acute myocardial infarction” and given thrombolysis, anticoagulation and inhibition of platelets