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神经性厌食症中的暴食症

[Bulimic disorders in anorexia nervosa].

作者信息

Korkina M V, Tsivil'ko M A, Marilov V V, Kareva M A, Kislova E K

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(5):43-7.

PMID:1654701
Abstract

As many as 108 patients with anorexia nervosa were examined. Of these, 83 patients manifested bulimic symptomatology. In all the examined patients, the formation of bulimic symptomatology was preceded by the typical dynamics of the syndrome of anorexia nervosa in the form of the stage of dysmorphophobia-dysmorphomania, of the stage of looks correction with the aid of different methods of weight reduction, and of the stage of an appreciable body weight decrease with marked secondary ++somato-endocrine abnormalities up to cachexia. Three types of bulimic disorders associated with anorexia nervosa were distinguished: bulimia as a symptom of anorexia nervosa, bulimia s a stage of anorexia nervosa, and the bulimic variety of anorexia nervosa. Each of these types of pathology is depicted clinically.

摘要

共对108例神经性厌食症患者进行了检查。其中,83例患者表现出暴食症状。在所有接受检查的患者中,暴食症状的形成之前都有神经性厌食症综合征的典型动态变化,表现为畸形恐惧症-畸形癖阶段、借助不同减肥方法进行外貌矫正阶段以及体重明显下降并伴有明显继发性++躯体-内分泌异常直至恶病质阶段。区分了与神经性厌食症相关的三种类型的暴食障碍:作为神经性厌食症症状的暴食症、作为神经性厌食症一个阶段的暴食症以及神经性厌食症的暴食型。每种病理类型都进行了临床描述。

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