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神经性厌食症中潜在的危及生命的低磷血症。

Potentially life-threatening hypophosphatemia in anorexia nervosa.

作者信息

Sheridan P H, Collins M

出版信息

J Adolesc Health Care. 1983 Mar;4(1):44-6. doi: 10.1016/s0197-0070(83)80228-9.

DOI:10.1016/s0197-0070(83)80228-9
PMID:6841239
Abstract

An anorexia nervosa patient with hypophosphatemia secondary to starvation and laxative abuse is reported. During the course of refeeding by tube with a high caloric balanced formula, the patient's serum phosphorous dropped from low normal on admission (2.7 mg/dl) to 0.4 mg/dl aggravated by an overdose of laxative she had stolen from the medicine cart. This required ICU monitoring during intravenous phosphorous administration. This case points out the potential hazard of oral realimentation in a severely cachectic anorectic.

摘要

报告了一名神经性厌食症患者,其因饥饿和滥用泻药继发低磷血症。在通过鼻饲高热量平衡配方进行再喂养过程中,患者血清磷从入院时略低于正常水平(2.7mg/dl)降至0.4mg/dl,原因是她从药车上偷来过量泻药。这需要在静脉输注磷时进行重症监护病房监测。该病例指出了在严重恶病质的厌食症患者中进行经口再喂养的潜在风险。

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引用本文的文献

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Outcomes of a rapid refeeding protocol in Adolescent Anorexia Nervosa.青少年神经性厌食症快速喂养方案的结果。
J Eat Disord. 2015 Mar 25;3:8. doi: 10.1186/s40337-015-0047-1. eCollection 2015.
2
Refeeding hypophosphatemia in hospitalized adolescents with anorexia nervosa: a position statement of the Society for Adolescent Health and Medicine.住院神经性厌食青少年再喂养低磷血症:青少年健康与医学协会的立场声明
J Adolesc Health. 2014 Sep;55(3):455-7. doi: 10.1016/j.jadohealth.2014.06.010.
3
Hypophosphataemia in anorexia nervosa.神经性厌食症中的低磷血症。
Postgrad Med J. 2001 May;77(907):305-11. doi: 10.1136/pmj.77.907.305.
4
Severe hypophosphataemia during binge eating in anorexia nervosa.神经性厌食症暴饮暴食期间的严重低磷血症
Arch Dis Child. 1991 Jan;66(1):138-9. doi: 10.1136/adc.66.1.138.