Norrington Amy, Stanley Ruth, Tremlett Michael, Birrell Ginny
Anaesthetics and Critical Care, James Cook University Hospital, Middlesbrough, UK.
Arch Dis Child Educ Pract Ed. 2012 Apr;97(2):48-54. doi: 10.1136/adc.2010.199885. Epub 2011 Jul 15.
Anorexia nervosa (AN) is a common condition affecting young people. The medical management of AN on a general paediatric ward is challenging. It is important to identify young people who are at risk of medical complications, so early intervention can be instigated. This article aims to review the clinical practice and evidence supporting the current medical management of young people with AN. It provides a system-based approach to potential complications of the disease, guidance on feeding and the management of re-feeding syndrome. Approaches to legal and ethical challenges are also considered. While the importance of psychiatric treatment is recognised, the same is not discussed within this article.
神经性厌食症（AN）是一种影响年轻人的常见病症。在普通儿科病房对神经性厌食症进行药物治疗具有挑战性。识别有发生医学并发症风险的年轻人很重要，这样可以尽早采取干预措施。本文旨在回顾支持当前对患有神经性厌食症的年轻人进行药物治疗的临床实践和证据。它提供了一种基于系统的方法来应对该疾病的潜在并发症、喂养指导以及再喂养综合征的管理。还考虑了应对法律和伦理挑战的方法。虽然认识到精神治疗的重要性，但本文对此不作讨论。
