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例1 男性患者,61岁。因阵发性右下牙痛1周,持续性牙痛、胸闷、大汗淋漓5小时入院。患者1周前左下牙痛,呈发作性,每次持续约10分钟,每天发作5～6次。在口腔科诊为龋齿,用止痛、消炎药无效。入院前5小时饱餐后,突然发作剧烈持续左下牙痛、下颌痛,不敢张口,针炙、口服止痛药无效,同时有胸闷、乏力、大汗淋漓,来我院急诊室查心电图示急性前壁心肌梗塞(AMI)。既往无心绞痛病史。入院后查血清 CPK、AST、LDH 均增高。经积极治疗,住院21天,痊愈出院。例2 男性患者,58岁。因阵发性左下牙痛3天,持续剧烈牙痛8小时入院。3天前无明显诱因出现阵发性左下牙痛,每次持续5～10分钟,可自行缓解,每天发作2～3次,未经治疗。入院前8小时,在骑自行车时突发剧烈持续左侧牙痛,左下颌痛,呕吐胃内容物1次,大汗淋漓,自服止痛片无效。当
Example 1 male patient, 61 years old. Due to paroxysmal right lower back toothache for 1 week, persistent toothache, chest tightness, sweating dripping 5 hours admission. The patient left toothache 1 week ago, was seizures, each lasting about 10 minutes, 5 to 6 episodes per day. In the dental clinic for dental caries, with painkillers, anti-inflammatory drugs ineffective. 5 hours before admission, after a full meal, sudden onset of severe left lower quadrant pain, jaw pain, dare not open mouth, acupuncture, oral painkillers invalid, at the same time chest tightness, fatigue, sweating, to our hospital emergency room check ECG acute anterior wall Myocardial infarction (AMI). Past history of angina pectoris. After admission, check the serum CPK, AST, LDH were increased. After active treatment, hospitalization for 21 days, discharged. Example 2 male patient, 58 years old. Due to paroxysmal lower left toothache for 3 days, sustained intense toothache 8 hours admitted. 3 days ago no obvious incentive to paroxysmal lower left toothache, each lasting 5 to 10 minutes, relieve itself, 2 to 3 times a day episode, untreated. 8 hours before admission, sudden severe left-sided toothache while riding a bicycle, left lower jaw pain, vomit stomach contents 1 times, sweating, self-service painkillers invalid. when