Soyama Hiroaki, Miyamoto Morikazu, Natsuyama Takahiro, Takano Masashi, Sasa Hidenori, Furuya Kenichi
Department of Obstetrics and Gynecology, National Defense Medical College, Tokorozawa, Japan.
Obstet Med. 2018 Jun;11(2):95-97. doi: 10.1177/1753495X17726478. Epub 2017 Oct 13.
Refeeding syndrome very rarely develops during pregnancy. A 35-year-old primiparous woman pregnant with twins complained of severe fatigue at 19 weeks' gestation. She was admitted to our hospital in a malnourished condition because of repeated self-induced vomiting due to anorexia nervosa. Just after hospitalization, she voluntarily increased her caloric intake significantly above the recommended prescribed diet, without medical permission. Nine days later, she developed refeeding syndrome. Electrolyte replacement and calorie restriction were started and her condition gradually improved. The healthy twin babies were born by cesarean section at 36 weeks' gestation. Acute increases in caloric intake by previously malnourished pregnant women with anorexia nervosa may induce refeeding syndrome. Women with the binge eating/purging subtype of anorexia nervosa may be at additional risk due to alternating phases of starvation and overeating.
再喂养综合征在孕期极少发生。一名怀有双胞胎的35岁初产妇在妊娠19周时主诉严重疲劳。她因神经性厌食反复自我催吐而营养不良，入住我院。住院后不久，未经医嘱，她自行大幅增加热量摄入，远超推荐的规定饮食量。九天后，她出现了再喂养综合征。开始进行电解质补充和热量限制，她的病情逐渐好转。健康的双胞胎婴儿在妊娠36周时通过剖宫产出生。患有神经性厌食的既往营养不良孕妇热量摄入急剧增加可能诱发再喂养综合征。神经性厌食的暴饮暴食/清除亚型女性可能因饥饿和暴饮暴食交替阶段而面临额外风险。
