患者女,59岁。阵发性心前区压榨性疼痛1天,于2001年6月28日入院。患者有高血压病史、冠心病史十余年,糖尿病史7年。入院查体:血压140/75mmHg,双肺呼吸音粗。心前区第3、4、5肋骨有压痛,心界叩诊不大,心率80次/分,律齐,未及病理性杂音。腹部平、软,剑突下有轻压痛,无反跳痛及肌紧张,肝、脾肋下未及。神经系统无阳性体征。人院初步诊断:一、胸痛原因待查:1.冠心病(心绞痛型) ;2.急性 Female patient, 59 years old. Paroxysmal presacral pain for 1 day, on June 28, 2001 admitted. Patients have a history of hypertension, coronary heart disease more than ten years, history of diabetes for seven years. Admission examination: blood pressure 140 / 75mmHg, lung breath sounds coarse. Pre District 3,4,5 ribs have tenderness, perinatal heart palpitation, heart rate 80 beats / min, law Qi, not pathological murmur. Abdomen flat, soft, xiphoid light tenderness, no rebound tenderness and muscle tension, liver, spleen and ribs have not yet. Nervous system no positive signs. Preliminary diagnosis of hospital: First, the cause of chest pain to be investigated: 1. Coronary heart disease (angina); 2. Acute