[病例简介]男,42岁。主因发作性胸痛伴意识不清约6 h入院。患者6 h前酒后突发胸部疼痛,伴周身大汗,痛呈持续性,向左侧肩胛部放射,休息无缓解。急呼120送诊当地医院,查心电图V_(1~5)导联ST段压低明显,T波倒置。半小时后复查心电图V_(1~4)导联ST段弓背抬高,出现QS图形,提示急性心肌梗死。随后患者突然出现心跳骤停、意识丧失。即刻给予持续心脏按压,静脉 [Case Profile] Male, 42 years old. Mainly due to episodes of chest pain with confusion about 6 h admission. Patients 6 hours before the sudden onset of chest pain, accompanied by sweating, persistent pain, to the left scapular radiation, rest without remission. Emergency 120 sent to the local hospital, check electrocardiogram V_ (1 ~ 5) leads ST segment depression significantly, T wave inversion. Half an hour later review of ECG V_ (1 ~ 4) leads ST segment dorsal raised QS graphics, suggesting that acute myocardial infarction. Sudden cardiac arrest followed by sudden loss of consciousness. Immediately give a sustained heart pressure, vein