Physical Exam on admission showed the following.The patient appeared restless and mentally cloudy.Her lips were remarkably cyanostic and her extremities cold.Her blood pressure was 100/60 mm Hg，pulse rate 70/min，and respiration rate 36/min.The neck veins on both sides were engorged.Her heart rate was 70/min with a fairly regular rhythm，but with weak heart sounds.There were large amounts of moist rales4audible in the lungs.The liver was enlarged and palpable 3cm below the right costal margin.There was mild pitting edemas5over both legs.
注釋：
1.acute myocardial infarction急性心肌梗塞
2.cardiogenic shock心源性休克
3.ambulance救護車
4.moist rales濕羅音
5.pitting edema凹陷性水腫
譯文
病案報告一
女性，71歲，入院前突發急性心肌梗塞。合並心源性休克，並且有心力衰竭，心律紊亂，頻發房性期前收縮。現場急救八個半小時後，於1980年8月14日夜10時30分由救護車轉送我院，住院繼續治療。
入院時查體：患者煩躁不安，神誌不清，口唇明顯紺紫，四肢冰涼。血壓100/60毫米汞柱，脈搏70次/分，呼吸36次/分心律尚齊，但心音極弱，雙側頸靜脈明顯緊張。肺部大量濕羅音，肝大，右肋緣下3厘米可及，雙下肢輕度凹陷性水腫。
(2)Case ReportⅡ
病案報告二
The ECG1：Done at the spot and also alter admission showed findings supporting the clinical diagnosis of acute my ocardial infarction and arrhythmia2.
At her being hospitalised，she was treated according to a the rapeuticregime3for acute my ocardialinfarction.She was kept on absolute bed rest under close observation with a heart monitoring system，and special nursing care. She was treated with administration of dextrose4，lidocaine5，strophanthin K6，ATP，human seru-malbumen7，etc. condition was extremely critical with frequent fluctuation8 in the first few days after admission.After energetic9 treatment，her shock symptoms gradually subsided.
注釋：
1.Electrocardiograph 心電圖
2.arrhythmia心律失常