Assessment of emaciation in relation to threat to life in anorexia nervosa.
Assessment of emaciation in relation to threat to life in anorexia nervosa.
复制标题
评估神经性厌食症患者的消瘦与生命威胁的关系。
作者：
K. Okabe
对20例体重低于标准体重60%的神经性厌食症患者进行了研究。一个饿死了，其他的活了下来。包括死者在内的四名患者严重虚弱，在没有支撑的情况下无法坐起来，另有五名患者只能从侧卧位坐起来。由于脱水，治疗开始时的血清白蛋白或血红蛋白水平不能用于营养评估，而血尿素氮升高与急性疾病相关。目前的研究结果与先前关于致命性厌食症的研究数据一起表明，当体重超过标准的60%时，死亡风险可能相当低。我们认为，除了身高体重外，肌肉无力是评估神经性厌食症严重程度的一个有价值的指标。
Twenty patients with anorexia nervosa and a body weight below 60% of the standard weight were studied. One died of starvation; the others survived. Four patients, including the deceased, had such severe weakness that they could not sit up without support, and another five could sit up only from a lateral position. Serum albumin or hemoglobin levels at the beginning of therapy could not be used for nutritional assessment because of dehydration, while increased blood urea nitrogen was associated with acute illness. The present results together with data from previous studies of fatal anorexia indicate that the risk of mortality may be quite low when body weight is above 60% of the standard. We suggest that gross muscle weakness in addition to body weight for height can be a valuable indicator to assess the criticalness in anorexia nervosa.
神经性厌食症青少年的长期结果。
DOI：
10.1001/archpedi.1989.02150230080027
发表时间：
1989
期刊：
American journal of diseases of children (1960)
影响因子：
--
作者：
Kreipe,RE;Churchill,BH;Strauss,J
通讯作者：
Strauss,J