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The chemiluminescence (CL) of peracetic acid (PAA) in alkaline medium is very weak but is strongly enhanced after the addition of dihydralazine sulfate (DHZS). Based on this phenomenon, a simple, rapid and highly sensitive flow-injection CL method for the determination of DHZS was developed. The CL emission was linearly related to the DHZS concentration in the range of 20–4000 ng mL−1 with a detection limit (3σ) of 1.2 ng mL−1. As a preliminary application, the proposed method was successfully applied to the determination of DHZS in pharmaceutical preparations; the recovery of DHZS in human urine was between 96.5% and 102.2%. A detailed CL mechanism was proposed and singlet molecular oxygen (1O2) was suggested to be produced in the CL reaction process.