Baker S
Nurse Anesth. 1993 Dec;4(4):172-80.
Anorexia nervosa and bulimia are appearing with increasing frequency in preadolescents and adolescents. Eating disorders lead to significant physical changes related to starvation and/or purging. These patients should be specifically questioned about taking laxatives, diuretics, or amphetamines to lose weight. Subclinical abnormalities, coupled with the patient's denial, emphasize the need for careful physical examination and laboratory assessment. Preexisting electrolyte, cardiovascular, and thermoregulatory alterations must be recognized so that an appropriate anesthesia plan can follow.
神经性厌食症和贪食症在青春期前儿童和青少年中出现的频率越来越高。饮食失调会导致与饥饿和/或催吐相关的显著身体变化。应特别询问这些患者是否服用泻药、利尿剂或安非他明来减肥。亚临床异常加上患者的否认，凸显了仔细体格检查和实验室评估的必要性。必须识别预先存在的电解质、心血管和体温调节改变，以便制定合适的麻醉计划。
