Kubátová H, Vecer J, Kvapil M, Charvát J
I. interní klinika FN Motol, Praha.
Vnitr Lek. 1998 Apr;44(4):209-11.
The objective of the work is to find a suitable realimentation procedure for patients with anorexia nervosa and critical malnutrition, whose mortality is round 6%. In a group of 10 patients aged 22.3 +/- 2.33 years during hospitalization for 10.0 +/- 6.11 days a weight increment of 5.0 +/- 1.16 kg was achieved. According to hitherto assembled experience and consistent with data in the literature it is best to start immediately after admission complete parenteral nutrition with a hyperalimentation regime regardless of the amount of food ingested by the patient. Thus within the shortest time maximum weight increments are achieved and the patients can be referred to the care of psychiatrists, which is the only causal treatment. Attempts of realimentation by enteral nutrition or increased oral ingestion in these patients were not successful and led only to a prolonged period of hospitalization.
这项工作的目的是为患有神经性厌食症和严重营养不良、死亡率约为6%的患者找到一种合适的再喂养程序。在一组年龄为22.3±2.33岁、住院10.0±6.11天的10名患者中，体重增加了5.0±1.16千克。根据目前积累的经验并与文献数据一致，无论患者摄入的食物量如何，最好在入院后立即开始采用高营养方案进行完全胃肠外营养。这样可以在最短时间内实现最大程度的体重增加，并且可以将患者转交给精神科医生进行护理，这是唯一的病因治疗方法。在这些患者中尝试通过肠内营养或增加口服摄入量进行再喂养并不成功，只会导致住院时间延长。
