HYPOPHOSPHATEMIA, DELIRIUM AND CARDIAC-ARRHYTHMIA IN ANOREXIA-NERVOSA
HYPOPHOSPHATEMIA, DELIRIUM AND CARDIAC-ARRHYTHMIA IN ANOREXIA-NERVOSA
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DOI：
10.5694/j.1326-5377.1991.tb93887.x
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发表时间：
1991-10-21
影响因子：
11.4
通讯作者：
LARGE, M
中科院分区：
文献类型：
--
作者：
BEUMONT, PJV;LARGE, M
目的：提请注意神经性厌食症的低磷酸盐血症的发生，并建议它可能是一个因素，导致心律失常，一个潜在的致命complication.Design：一项回顾性研究，我们之一的顾问护理下的患者。所有患者均为14 - 31岁的青春期女孩或年轻女性。临床病程：在首次入院期间，3例患者在静脉注射生理盐水和钾纠正低钾血症时发生急性低磷酸盐血症。4名患者随后接受了磷酸盐补充治疗。结论：神经性厌食症患者的低磷血症可能与心律失常和谵妄的发生有关。
Objective: To draw attention to the occurrence of hypophosphataemia in anorexia nervosa and to suggest that it may be a factor contributing to cardiac arrhythmia, a potentially fatal complication.Design: A retrospective study of patients under the consultant care of one of us. All were adolescent girls or young women aged 14 to 31.Clinical course: During the index admission, three became acutely hypophosphataemic while receiving saline and potassium intravenously to correct hypokalaemia. Four patients were subsequently treated with phosphate supplementation. Two patients died, and three recovered.Conclusion: Hypophosphataemia in anorexia nervosa patients may play a role in the development of cardiac arrhythmia and delirium.