Department of Pediatrics, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada.
Int J Eat Disord. 2012 Apr;45(3):439-42. doi: 10.1002/eat.20963. Epub 2011 Oct 19.
To review the literature on delirium and refeeding syndrome in patients with anorexia nervosa (AN) and present case examples in an attempt to identify common clinical features and response to therapy.
A comprehensive literature review was completed. In addition to the cases identified in the literature, we present two additional cases of our own.
We identified a total of 10 cases (all female; mean age 19 years old, range 12-29 years); 2/3 of the cases had similar clinical features predating the delirium and during refeeding.
Delirium, albeit rare, can be associated with the refeeding syndrome in low weight patients with AN. During the initial refeeding phase, close monitoring of medical, metabolic, and psychological parameters are important in establishing factors that may elevate risk. Early detection and treatment of delirium using nonpharmacologic and pharmacologic means are also important to help minimize the effects of this potentially deadly condition.
回顾厌食症（AN）患者谵妄和再喂养综合征的文献，并提供病例示例，以试图确定常见的临床特征和治疗反应。
进行了全面的文献回顾。除了文献中确定的病例外，我们还报告了另外两例我们自己的病例。
共发现 10 例（均为女性；平均年龄 19 岁，范围 12-29 岁）；2/3 的病例在谵妄和再喂养期间存在类似的临床特征。
尽管罕见，但谵妄可能与 AN 低体重患者的再喂养综合征有关。在初始再喂养阶段，密切监测医疗、代谢和心理参数对于确定可能增加风险的因素非常重要。早期发现和使用非药物和药物手段治疗谵妄对于帮助减轻这种潜在致命疾病的影响也很重要。
