Weibel M, Ossola N
Abteilung Innere Medizin, Ospedale Regionale Beata Vergine, Mendrisio.
Praxis (Bern 1994). 2012 Jan 4;101(1):55-8. doi: 10.1024/1661-8157/a000810.
A 36-year-old woman with anorexia nervosa and resulting malnutrition decided to change her life and eat properly. One day after the refeeding start, instead of feeling better she felt much worse: fatigue, nausea and leg swelling occurred. She consulted our emergency department. A «refeeding syndrome» has been diagnosed. In this case report we discuss causes, clinical presentation and treatment of this illness. The aim is to make practitians aware about the existing of this disease even with oral refeeding. Warning signs have to be interpreted correctly in order to avoid dramatic consequences.
一名患有神经性厌食症并导致营养不良的36岁女性决定改变生活方式并合理饮食。重新开始进食一天后,她非但没有感觉好转,反而感觉更糟:出现了疲劳、恶心和腿部肿胀。她到我们的急诊科就诊。诊断为“再喂养综合征”。在本病例报告中,我们讨论了这种疾病的病因、临床表现和治疗方法。目的是让从业者意识到即使是通过口服重新进食也可能存在这种疾病。必须正确解读警示信号,以避免严重后果。