滥用苯丙胺引起急性心肌梗塞(MI)报道很少,本文描述1例静脉内注射苯丙胺导致MI发作的病人。病例报告患者,男,27岁。在半小时内自己静注苯丙胺1.5 g。1h后感觉不适,4h后剧烈胸痛。胸痛发作2h后心电图示:前外侧壁MI,胸片正常。给予海洛英5mg及普鲁氯哌嗪12.5 mg静脉内给药。不久,心脏停搏,心电监护仪示:室颤。旋即给予电击成功。再给予链激酶。24h心电监护示:频繁室性早搏,几次自动终止室性心动过速,周期性窦性节律。以后逐渐康复,无并发症。血液检查示:谷丙转氨酶224 U/L,乳酸脱氢酶556 U/L,γ-谷氨酰转移酶104 U/L。未发现肝炎病毒和爱滋病病毒抗体。出 Acute myocardial infarction (MI) caused by abuse of amphetamines is rarely reported, and this article describes a case of intravenous injection of amphetamines leading to the onset of MI. Case report patient, male, 27 years old. Within half an hour intravenous amphetamine 1.5 g. 1h after feeling unwell, severe chest pain after 4h. 2h after chest pain ECG: anterolateral wall MI, chest X-ray normal. Give heroin 5 mg and prochlorperazine 12.5 mg intravenously. Soon, cardiac arrest, ECG showed: ventricular fibrillation. Immediately give the electric shock success. Give streptokinase again. 24h ECG shows: frequent ventricular premature beats, several times to terminate ventricular tachycardia, periodic sinus rhythm. After gradual recovery, no complications. Blood tests showed: alanine aminotransferase 224 U / L, lactate dehydrogenase 556 U / L, γ-glutamyl transferase 104 U / L. No hepatitis virus and HIV antibody were found. Out