Sharp C W, Freeman C P
Department of Psychiatry, Royal Edinburgh Hospital, University of Edinburgh.
Br J Psychiatry. 1993 Apr;162:452-62. doi: 10.1192/bjp.162.4.452.
The physical complications of anorexia nervosa are common and can be life threatening, but psychiatrists and the increasing number of non-medical therapists involved in treatment programmes often overlook these complications. Cardiovascular complications are the most common, and the most likely to result in fatalities, particularly in those patients who vomit, purge or abuse diuretics, because of the electrolyte abnormalities induced. Osteoporosis is an early and perhaps irreversible consequence of severe weight loss. Further, there are dangers in rapid intravenous hyperalimentation.
神经性厌食症的身体并发症很常见,且可能危及生命,但精神科医生以及参与治疗项目的非医学治疗师数量日益增加,他们常常忽视这些并发症。心血管并发症最为常见,也最有可能导致死亡,尤其是在那些呕吐、催吐或滥用利尿剂的患者中,因为会引发电解质异常。骨质疏松是严重体重减轻的早期且可能不可逆转的后果。此外,快速静脉高营养也存在风险。