The article reveals about the clinical accident of myocardial infarction in an adolescent after visiting a night club, where he had been drinking tequila. A "sniper" test was performed at home and showed synthetic marihuana in urine. The uniqueness of this case is the adolescent's difficult premorbid condition (severe diabetes mellitus type 1 and sub-compensated hypothyreosis) and the clinical course of the disease had caused difficulty in diagnosis which led to a belated hospitalization on the third day. Considering pain syndrome, infarction-like findings in ECG (ST elevation), high levels of cardiospecific enzymes (troponin elevated 70 times, aspartate aminotransferase—two times, creatine phosphokinase—4 times, lactate dehydrogenase and alkaline phosphatase—two times) and their slow tendency to normalize—a non-Q myocardial infarction diagnosis was performed. After complex treatment, the general condition of the patient improved; he was discharged from the clinic in satisfactory general condition and was given recommendations for further rehabilitation. Given the potential for premature death and long-term disability with the development of negative individual and social consequences, the correct diagnostic assessment in such cases becomes particularly relevant.

中文翻译：

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十五岁青少年有毒物质致心肌梗死一例。

这篇文章揭示了一名青少年在去一家夜总会喝龙舌兰酒后发生心肌梗塞的临床事故。在家中进行了“狙击手”测试，结果显示尿液中含有合成大麻。该病例的独特之处在于该青少年的病前病情（严重的 1 型糖尿病和亚代偿性甲状腺功能减退症）和疾病的临床过程导致诊断困难，导致第三天住院时间较晚。考虑到疼痛综合征、心电图梗死样发现（ST 抬高）、高水平的心脏特异性酶（肌钙蛋白升高 70 倍，天冬氨酸转氨酶升高 2 倍，肌酸磷酸激酶升高 4 倍，乳酸脱氢酶和碱性磷酸酶 - 两倍）及其缓慢的正常化趋势 - 进行了非 Q 型心肌梗塞诊断。经过综合治疗，患者的一般情况有所改善；他出院时总体情况令人满意，并得到了进一步康复的建议。鉴于可能会导致过早死亡和长期残疾以及对个人和社会造成负面影响，因此在此类情况下进行正确的诊断评估变得尤为重要。