ELECTROLYTE AND OTHER PHYSIOLOGICAL ABNORMALITIES IN PATIENTS WITH BULIMIA
ELECTROLYTE AND OTHER PHYSIOLOGICAL ABNORMALITIES IN PATIENTS WITH BULIMIA
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DOI：
10.1017/s0033291700050881
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发表时间：
1983-01-01
影响因子：
6.9
通讯作者：
LENTZ, R
中科院分区：
文献类型：
--
作者：
MITCHELL, JE;PYLE, RL;LENTZ, R
报告了一系列非厌食性贪食症患者在进食障碍诊所进行评估时出现的各种形式的进食相关行为（如呕吐和泻药滥用）的频率。这些患者的血清电解质，血糖和其他筛选试验的结果。在168名被诊断为贪食症或非典型进食障碍的患者中，有82名（48.8%）发现电解质异常。最常见的异常为代谢性贫血（27.4%），其次为低血糖（23.8%）和低钾血症（13.7%）。未发现显著血糖异常。发现血清淀粉酶水平升高与频繁暴饮暴食和呕吐行为有关。在这个病人组电解质异常的病理生理学进行了简要回顾。
The frequencies of various forms of eating-related behaviour (such as vomiting and laxative abuse) are reported for a series of non-anorectic bulimia patients seen for evaluation in an eating disorders clinic. The results of serum electrolyte, glucose and other screening tests in these patients are presented. Electrolyte abnormalities were found in 82 of the 168 patients (48·8%) who were diagnosed as having either bulimia or atypical eating disorder. The most common abnormality was metabolic alkalosis (27·4%); hypochloremia (23·8%) and hypokalemia (13·7%) were also commonly seen. No significant blood sugar abnormalities were encountered. An elevated serum amylase level was found to be associated with frequent binge-eating and vomiting behaviour. The pathophysiology of electrolyte abnormalities in this patient group is briefly reviewed.