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作为急性髓性白血病的表现特征,ST升高心肌梗塞

K V Harish¹, Revanth Boddu², Kundan Mishra³

¹Resident (Medicine), Army Hospital (R & R), New Delhi, India.

Medical journal, Armed Forces India

|December 30, 2024

概括

一名患有急性髓性白血病 (AML) 和高白血细胞症的患者经历了心肌梗塞. 化疗导致扩散性膜出血和死亡,突出显示心脏问题AML患者的风险.

科学领域:

血液学血液学血液学
心脏病学心脏病学
在瘤学瘤学.

背景情况:

在急性髓性白血病 (AML) 中,高白血细胞症可能呈现出外骨髓性表现.
心肌梗塞是AML患者罕见但严重的并发症.

研究的目的:

报告一种罕见的急性心肌梗塞病例,该病例发生在患有AML和超白细胞瘤的患者中.
讨论化学疗法的潜在并发症在AML患者与先前存在的心脏病状况.

主要方法:

一个35岁的男性患有AML和超白细胞瘤,呈现急性心肌梗塞的病例报告.
诊断工作包括心电图,冠状动脉血管学,骨髓活检和流细胞计.
治疗涉及血栓溶解,其次是基于cytarabine的诱导化疗.

主要成果:

患者出现了ST升高心肌梗塞 (STEMI),尽管冠状动脉正常.
80%爆发的AML的诊断得到了证实.
开始化疗导致了扩散性膜出血和随后的死亡.

结论:

在AML的超白细胞症可能会导致心脏并发症.
在AML心脏病患者的化疗具有重大风险,包括出血.
管理需要仔细考虑血液和心脏状况.

关键词:

患有急性白血病的人群化疗化疗是一种化学疗法.超级白血球细胞瘤的发生.ST升高心肌梗塞的心脏病发作

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