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1病例报告患者男,31岁。以急性早幼粒细胞白血病、慢性乙型病毒性肝炎收住我院。既往无高血压病、冠心病、糖尿病等病史,无早发心血管疾病家族史,偶有饮酒,已戒烟4个月余。行维A酸及亚砷酸治疗1个疗程后达到完全缓解(CR),之后给予高三尖杉脂碱+阿糖胞苷(HA)、柔红霉素+阿糖胞苷(DA)、米托蒽醌+阿糖胞苷(MA)等方案巩固化疗。最后1次(第4次)化疗后出院返家途中,无明显诱因突发心前区压榨性疼痛,并伴后背部放散痛1h无缓解,无黑蒙、晕厥、咯血、呼吸困难,无头晕、头痛。遂送我院急诊。心电图检查示Ⅱ、Ⅲ、aVF导联ST段抬高约0.1mV。血生化检查:血肌酸激酶557.0U/L,血肌酸激酶同
1 case report Patient male, 31 years old. To acute promyelocytic leukemia, chronic hepatitis B in our hospital. Previously no hypertension, coronary heart disease, diabetes and other medical history, no early onset of family history of cardiovascular disease, occasional alcohol consumption, has quit smoking more than 4 months. After treatment with vitamin A and arsenious acid for 1 course of treatment, complete remission (CR) was achieved, followed by administration of homoharringtonine plus cytarabine (HA), daunorubicin + cytarabine (DA), and rice Tuen anthraquinone + cytarabine (MA) and other programs to consolidate the chemotherapy. The last time (4th) after discharge from chemotherapy on the way home, there was no obvious incentive burst of precordial pressure pain, and accompanied by back pain 1h without remission, no malaria, syncope, hemoptysis, difficulty breathing, no dizziness ,headache. Then sent to our hospital emergency room. ECG showed Ⅱ, Ⅲ, aVF lead ST segment elevation of about 0.1mV. Blood biochemical tests: blood creatine kinase 557.0U / L, creatine kinase with blood