Bates Tamara, Zlopasa Ozrenka, Gasparović Vladimir
Poliklinika Dr. Bates, Zagreb.
Lijec Vjesn. 2007 Jan-Feb;129(1-2):11-6.
Anorexia nervosa is an eating disorder which, in case of life threating complications, requires admission to the intensive care unit. Our experience shows that danger for these patients does not always stop upon the admission to the intensive care unit. Four young, vitally endangered patients with anorexia nervosa were described. Three of them had severe acute inflammation (2 pneumonias and peritonitis) and severe electrolyte imbalance which in one case resulted in cardiorespiratory arrest and the need for resuscitation. One of them died despite all measures taken in sepsis with multiple organ dysfunction syndrome. Prolonged electrolyte disturbances in anorexia nervosa, catabolism and insufficient immunity are main factors for developing an acute inflammation, as well as some other complications such as cardiorespiratory failure, nosocomial infection, and sepsis with multiple organ failure. Weak and totally exhausted body can not adapt in MODS and sepsis, so our recommendation is urgent admission to the hospital before it is too late.
神经性厌食症是一种进食障碍，在出现危及生命的并发症时，需要入住重症监护病房。我们的经验表明，这些患者面临的危险并不总是在入住重症监护病房后就停止。本文描述了4例生命垂危的神经性厌食症年轻患者。其中3例患有严重的急性炎症（2例肺炎和腹膜炎）以及严重的电解质失衡，其中1例导致心肺骤停并需要进行复苏。其中1例尽管在脓毒症伴多器官功能障碍综合征时采取了所有措施仍死亡。神经性厌食症患者长期的电解质紊乱、分解代谢和免疫力不足是引发急性炎症以及其他一些并发症（如心肺衰竭、医院感染和脓毒症伴多器官衰竭）的主要因素。虚弱和极度疲惫的身体无法适应多器官功能障碍综合征和脓毒症，因此我们的建议是尽早紧急入院，以免为时过晚。
