1临床资料患者为60岁女性,因“畏寒伴呕吐1 d,再发3 h”于2013年9月25日8时入院。入院时行心电图检查示STv1-v3下斜型抬高,存在J波,T波倒置。入院6 h后患者突发胸闷,尿量减少,血压降至67/40 mmH g(1 mmH g=0.133kP a),嗜睡。复查心电图示STv1-v3较前相仿,STv4呈马鞍型抬高(0.2 mV),伴有J波,T波直立。肌钙蛋白0.067μg/L,白细胞2.8×109/L,中性粒细胞比例(N%)0.87,D-二聚体(D-Dimer)9 050μg/L,肌酐289μmol/L,降钙素原>200 1 clinical data of 60-year-old female patient, because of “chills and vomiting 1 d, 3 h re-issued” at 08:00 on September 25, 2013 was admitted. Admission ECG examination showed STv1-v3 oblique type elevation, there J wave, T wave inversion. Six hours after admission, the patient developed chest tightness and decreased urine output. The blood pressure dropped to 67/40 mmHg (1 mmHg = 0.133 kPa) and lethargy. Review ECG STv1-v3 similar to the previous, STv4 saddle elevation (0.2 mV), with J wave, T wave upright. Troponin 0.067 μg / L, WBC 2.8 × 109 / L, neutrophil ratio (N%) 0.87, D-dimer 9050 μg / L, creatinine 289 μmol / L, > 200