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患者男性,19岁,于1982年2月因头晕、心悸与乏力作骨髓穿刺.证实为急性淋巴细胞性白血病,入院后给予强的松、长春新碱及输血等治疗,2月后病情缓解出院。于4月底出现发热、乏力、厌食及黄疸,测血清转氨酶(GPT)1240u,收治隔离病房。测乙型肝炎表面抗原与核心抗体均阳性,胆固醇304mg％,血糖162mg％,心电图检测无异常,经应用胰岛素、胰高血糖素、能量合剂、血浆及激素等治疗后病情逐步好转,6月22日起肝功能恢复正常,地塞米松减至维持量。于7月6日上午患者因夜眠差稍感不适,当见到邻床病人出院时联想到自己亦即将出院,一时高兴而发笑,瞬间感胸闷不适,行走后即有胸骨后闷痛伴出冷汗及恶心,心电图示Ⅱ、Ⅲ、aVF导联ST段抬高1.5～2mm。次日复
The patient, male, 19 years old, received bone marrow as a result of dizziness, palpitations and fatigue in February 1982. He was proved to be acute lymphoblastic leukemia and given prednisone, vincristine and blood transfusions after admission. The patients were discharged after 2 months . At the end of April, fever, fatigue, anorexia and jaundice were detected. Serum transaminase (GPT) 1240u was measured and treated in isolation ward. Measured hepatitis B surface antigen and core antibodies were positive, cholesterol 304mg%, blood glucose 162mg%, no abnormal ECG test, the application of insulin, glucagon, energy mixture, plasma and hormone therapy gradually improved condition, June 22 Day liver function returned to normal, dexamethasone reduced to maintain volume. On the morning of July 6, the patient felt slightly uncomfortable because of the night-night sleep. When he saw the patient who was discharged from his bed next to him, he was about to be discharged when he was discharged from hospital. He was very happy and laughter at the moment. He had chest tightness and discomfort immediately after walking. Cold sweat and nausea, ECG shows Ⅱ, Ⅲ, aVF lead ST segment elevation 1.5 ~ 2mm. The next day