Kinzl J, Biebl W, Herold M
Psychosomatic Outpatient Department, University Clinics at Innsbruck, Austria.
Int J Eat Disord. 1993 Jan;13(1):117-24. doi: 10.1002/1098-108x(199301)13:1<117::aid-eat2260130114>3.0.co;2-8.
The authors investigated the significance of vomiting for hyperamylasemia and sialadenosis in patients with bulimia nervosa. Hyperamylasemia was found in 61% of the bulimics and in 20% of the restrictor anorectics but in no patients with binge-eating syndrome. In more than three fourths of the bulimics there was a close positive correlation between the frequency of vomiting and total serum amylase levels. Both frequency and type of vomiting seem to be relevant to the extent of salivary gland enlargement. The significance of vomiting for the etiopathology of hyperamylasemia and for the diagnosis of eating disorders will be discussed.
作者们研究了神经性贪食症患者呕吐对于高淀粉酶血症和涎腺肿大的意义。61%的贪食症患者以及20%的限制型厌食症患者存在高淀粉酶血症，但在暴饮暴食综合征患者中未发现。超过四分之三的贪食症患者呕吐频率与血清总淀粉酶水平之间存在密切正相关。呕吐的频率和类型似乎都与唾液腺肿大程度有关。将讨论呕吐对于高淀粉酶血症病因病理学以及饮食失调诊断的意义。
