病历摘要见1982年11、12期617页。临床讨论本例临床表现比较复杂,主要有下述特点:①60岁男性;②10年高血压史,未予系统治疗;③突然发生心前区剧痛2天,一般止痛药和硝酸甘油片不能缓解;④进行性呼吸困难、发绀、颈静脉怒张、肝大、肝颈静脉回流征(±),两肺有中小水泡音等左右心功能不全之征象;⑤面色苍白,皮肤湿冷呈外周循环 The medical records summary see 1982,11,12 period 617 pages. Clinical discussion The clinical manifestations of this case is more complex, mainly in the following characteristics: ① 60-year-old male; ② 10-year history of hypertension, no systematic treatment; ③ sudden onset of acute precordial pain for 2 days, general painkillers and nitroglycerin tablets can not be alleviated ; ④ progressive dyspnea, cyanosis, jugular vein engorgement, hepatomegaly, and hepatic jugular venous reflux sign (±), both lungs with small and medium blisters and other symptoms of left and right heart failure; ⑤ pale, skin was cold and humid peripheral circulation