接受透析治疗的神经性厌食症患者的体重恢复
Weight restoration in a patient with anorexia nervosa on dialysis.
作者信息
Woodside D Blake, Colton Patricia, Staab Randolf, Schreiber Martin, Sutandar-Pinnock Kalam, Poynter Brittany, Sacevich Tegan
机构信息
Program for Eating Disorders, Department of Psychiatry, University of Toronto, Toronto, Canada.
出版信息
Int J Eat Disord. 2005 Dec;38(4):380-2. doi: 10.1002/eat.20191.
OBJECTIVE
We report a case of weight restoration in a patient with anorexia nervosa, end-stage renal disease (ESRD) requiring dialysis, and cardiac insufficiency.
METHOD
The technical challenges and ethical issues involved in her clinical management are reviewed. Renal insufficiency is a common complication of more severe anorexia nervosa.
RESULTS
Progression to renal failure, when it occurs, is most typically a terminal event. There are currently no published guidelines for monitoring the weight gain of patients undergoing dialysis.
CONCLUSION
We present a case of a patient who progressed from renal insufficiency to renal failure while in treatment for anorexia nervosa, and who was ultimately successfully weight restored while on renal dialysis.
目的
我们报告一例神经性厌食症患者的体重恢复情况，该患者患有终末期肾病（ESRD）需要透析，且存在心脏功能不全。
方法
回顾了其临床管理中涉及的技术挑战和伦理问题。肾功能不全是更严重神经性厌食症的常见并发症。
结果
进展至肾衰竭，一旦发生，通常是终末期事件。目前尚无关于监测透析患者体重增加的已发表指南。
结论
我们展示了一例在神经性厌食症治疗期间从肾功能不全进展至肾衰竭的患者病例，该患者最终在肾透析期间成功恢复了体重。
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