患者,男,43岁,矿工。在负重劳动时,突然出现胸部撕裂样疼痛,向背部放射,伴大汗,呼吸急促,肢体末端发凉,并右下肢无力。自服速效救心丸,休息后症状未见缓解,即往当地医院就诊。查体,Bp230/130mmHg(1mmHg=0.133kPa),给予“脉通、心痛定”等药物治疗,胸痛未见明显缓解。于次日送我 Patient, male, 43 years old, miner. During heavy work, a sudden thoracic tear-like pain, back to the radiation, with sweat, shortness of breath, extremity cold, and the right lower limb weakness. Self-service quick rescue heart pills, no symptoms after the relief to ease, that is, to the local hospital. Physical examination, Bp230 / 130mmHg (1mmHg = 0.133kPa), given “pulse-pass, nifedipine” and other drug treatment, no significant relief of chest pain. Send me the next day