Humphries L L, Wrobel S
South Med J. 1983 Feb;76(2):181-4.
Bulimia occurs in roughly half of obese and anorexic patients. A recent study found 19% of female and 5% of male college students to be bulimic. Binge eating usually comes to the physician's attention from problems associated with purging measures--diuretics, laxatives, or self-induced postprandial vomiting--used by one out of ten bulimic patients. Continuous vomiting causes parotid enlargement, sore throat, spontaneous regurgitation, and severe electrolyte imbalance. We report a case illustrating the bulimic's distorted body image, review alternative treatment methods, and suggest needed areas of research, particularly those elucidating the relationship between bulimia and affective disorders.
大约一半的肥胖症和厌食症患者会出现暴食症。最近一项研究发现，19%的女大学生和5%的男大学生患有暴食症。暴食行为通常是因为催吐措施（利尿剂、泻药或自我诱导的餐后呕吐）引发的问题而引起医生注意，十分之一的暴食症患者会采用这些催吐措施。持续呕吐会导致腮腺肿大、喉咙疼痛、不由自主的反流以及严重的电解质失衡。我们报告了一个病例，用以说明暴食症患者扭曲的身体形象，回顾替代治疗方法，并提出需要研究的领域，特别是那些阐明暴食症与情感障碍之间关系的领域。
