男性患者,50岁,干部。间断性发作心前区疼痛三年,向左侧背部放射,发作时诱发因素不明显,起病初持续时间约5～15分钟;症状逐渐加重,持续时间逐渐延长到15分钟～2小时,曾口服“扩张冠状动脉血管”药物,疗效不佳。1990年2月22日因病情加重,发作次数频繁,多达6次/日,不能完全缓解,有夜间阵发性呼吸困难而住院。体检:精神稍差,体胖,Bp23/15kPa,P84次/分,R18次/分。左侧颈部可触及—8×7cm 包块,右侧颈部可触及—3×3cm 包块,质地较软,随吞咽上下移动;双肺可闻干性啰音;心界向左侧增大,HR84次/分,律齐,未闻早搏,各瓣膜听诊区无杂音。EKG 示窦性心律,TI IavF 低平,Tv5倒置;胸片:心脏呈主动脉瓣型,主动脉迂曲延长增宽,心腰凹陷,左室段饱满,心胸比大于0.5;UCG:高血压性心脏病早期改变;眼底检查:动脉硬化Ⅱ°。查基础代谢率正常。入院后口服“心痛定、消心痛、心得安”,静脉滴注“复方丹参液”及体外反搏等综合治疗,仍反复发作上述症 Male patient, 50 years old, cadre. Intermittent onset of pain in the anterior heart area for three years, back to the left radiation, the onset of the trigger was not obvious, the onset of the initial duration of about 5 to 15 minutes; symptoms gradually aggravated, the duration gradually extended to 15 minutes to 2 hours, had Oral “dilation of coronary artery” drugs, poor efficacy. February 22, 1990 because of aggravating illness, frequent seizures, up to 6 times / day, can not be completely relieved, have paroxysmal nocturnal dyspnea and hospitalization. Physical examination: the spirit of a bit poor, fat, Bp23 / 15kPa, P84 times / min, R18 times / min. Left neck can reach -8 × 7cm mass, the right neck can reach -3 × 3cm mass, soft texture, with swallowing up and down; lungs can be heard dry rales; heart to the left by Large, HR84 times / min, law Qi, no premature beat, the valve auscultation area without noise. EKG showed sinus rhythm, TI IavF low flat, Tv5 inverted; chest X-ray: the heart was aortic valve type, aortic tortuous extension and broadening, heart waist depression, left ventricular segment full, cardiothoracic ratio greater than 0.5; UCG: Early changes in heart disease; fundus examination: atherosclerosis Ⅱ °. Check the basal metabolic rate is normal. After admission, oral “heartache set, eliminate heartburn, peace of mind”, intravenous infusion of “compound Danshen solution” and external counterpulsation and other comprehensive treatment, is still repeated attacks of the above symptoms