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神经性厌食症的医学并发症

Medical Complications of Anorexia Nervosa.

作者信息

Cass Kamila, McGuire Colleen, Bjork Ida, Sobotka Nicole, Walsh Kristine, Mehler Philip S

机构信息

ACUTE Department at Denver Health, Denver, CO.

Denver ACUTE & Department of Psychiatry, University Colorado School of Medicine, Aurora, CO.

出版信息

Psychosomatics. 2020 Nov-Dec;61(6):625-631. doi: 10.1016/j.psym.2020.06.020. Epub 2020 Jul 12.

Abstract

OBJECTIVE

The purpose of this study was to describe the medical complications of anorexia nervosa (AN) to enable a consult-liaison psychiatrist to be familiar with these complications when involved with the care of a hospitalized patient with AN.

METHODS

Comprehensive PubMed search of English language publications of adult patients with AN was carried out using keywords, phrases, and medical subject headings of anorexia nervosa-medical complications, cardiac, osteoporosis, gastrointestinal, hematological, and endocrine. The database search was restricted by time of publication of studies from 2005 to 2020.

RESULTS

Every organ system can be adversely affected by AN. Most are fully reversible with time and informed medical care. A multidisciplinary team is needed to optimally care for patients who are hospitalized as a result of the medical complications of their AN.

CONCLUSIONS

Consult-liaison psychiatrists are asked to help in the care of patients with AN who are admitted to a hospital because of a medical complication of their illness. Being familiar with these complications and their treatments will optimize their hospital stays and the care provided. In addition, involving other relevant ancillary services is an important care consideration.

摘要

目的

本研究旨在描述神经性厌食症(AN)的医学并发症,使会诊联络精神科医生在参与治疗住院的AN患者时熟悉这些并发症。

方法

使用神经性厌食症 - 医学并发症、心脏、骨质疏松症、胃肠道、血液学和内分泌学的关键词、短语和医学主题词,对成年AN患者的英文出版物进行全面的PubMed搜索。数据库搜索受2005年至2020年研究发表时间的限制。

结果

每个器官系统都可能受到AN的不利影响。随着时间的推移和明智的医疗护理,大多数情况是完全可逆的。需要一个多学科团队来为因AN的医学并发症而住院的患者提供最佳护理。

结论

会诊联络精神科医生被要求协助护理因疾病的医学并发症而入院的AN患者。熟悉这些并发症及其治疗方法将优化他们的住院时间和所提供的护理。此外,涉及其他相关辅助服务是重要的护理考虑因素。

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