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患者男性.70岁,因右颈部淋巴结肿大而人院。住院后经检查确诊为霍奇金淋巴瘤(Ⅲ_B期),先后用CHOP(环磷酰胺、阿霉素、强的松、长春新碱)和CHOP+VP16(依托泊甙)方案化疗6疗程。第6疗程结束后次日,患者感乏力、头晕明显。体检:血压14.5/8kPa,体温37.4℃,心率120次/min,律齐。两肺底闻湿啰音。心电图示:窦性心律;前壁心肌梗死(新近期);侧壁供血不足。诊为急性前壁心肌梗死而予以积极治疗。第5日心电图示前壁心肌梗死在演变中,侧壁供血不足好转。1月后出院休养。半年后随访,患者仍生存。
The patient was male, 70 years old, and was hospitalized due to lymphadenopathy of the right neck. After hospitalization, it was diagnosed as Hodgkin’s lymphoma (III_B phase), followed by CHOP (cyclophosphamide, doxorubicin, prednisone, vincristine) and CHOP+VP16 (Etoposide) chemotherapy for 6 courses. The next day after the 6th treatment session, the patient felt weak and dizzy. Physical examination: blood pressure 14.5/8 kPa, body temperature 37.4°C, heart rate 120 beats/min, law. At the bottom of both lungs, we heard wet rales. Electrocardiograms: sinus rhythm; anterior myocardial infarction (new recent); insufficiency of lateral wall blood supply. The patient was actively treated for acute anterior myocardial infarction. On the 5th day, the electrocardiogram showed that the anterior wall myocardial infarction was undergoing evolution and the blood supply to the lateral wall was improved. She was discharged from hospital after January. After half a year follow-up, the patient still survived.