Cardiac arrest and delirium: Presentations of the refeeding syndrome in severely malnourished adolescents with anorexia nervosa
Cardiac arrest and delirium: Presentations of the refeeding syndrome in severely malnourished adolescents with anorexia nervosa
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DOI：
10.1016/s1054-139x(97)00163-8
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发表时间：
1998-03-01
影响因子：
7.6
通讯作者：
Shenker, IR
中科院分区：
文献类型：
--
作者：
Kohn, MR;Golden, NH;Shenker, IR
目的：描述再喂养综合征的临床表现，强调在严重营养不良患者中过快进行营养康复的危险性。设计：对因神经性厌食症入院的青少年发生再喂养综合征的病例进行回顾性分析。结果：1993年7月至1994年7月，48名青春期女性中有3人出现再喂养综合征。虽然心脏并发症发生在再喂养的第一周，但这种综合征的妄想特征出现得更晚，而且与低磷血症的关系更具变异性。观察：再喂养营养不良的神经性厌食症患者可能与低磷血症、心律失常和妄想有关。重新喂养患有神经性厌食症的患者
Aim: To describe the clinical presentation of the refeeding syndrome and highlight the dangers of performing nutritional rehabilitation too rapidly in a severely malnourished patient.Design: Retrospective case review of adolescents admitted with anorexia nervosa who developed the refeeding syndrome.Results: Between July 1993 and July 1994, 3 of 48 adolescent females developed the refeeding syndrome. While the cardiac complications occurred in the first week of refeeding, the delirium characteristic of this syndrome occurred later and was more variably related to hypophosphatemia.Observations: Refeeding malnourished patients with anorexia nervosa can be associated with hypophosphatemia, cardiac arrhythmia and delirium. Refeeding patients with anorexia nervosa who are