杨梦雨,张青青,张浩,田淑磊,韩笑峰,王雪贞▲.青少年神经性厌食症1例报道及文献复习[J].中国医药科学,2023,(20):176-179 基金项目:山东省自然科学基金面上项目(ZR2021MH206) |
青少年神经性厌食症1例报道及文献复习 |
A case report and review of the literature on anorexia nervosa in adolescents |
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DOI: |
中文关键词: 神经性厌食症;代谢;精神;治疗 |
英文关键词:Anorexia nervosa; Metabolism; Psychiatry; Treatment |
作者 | 单位 | 杨梦雨,张青青,张浩,田淑磊,韩笑峰,王雪贞▲ | 滨州医学院附属医院神经内科,山东滨州 256603 |
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中文摘要: |
[摘要] 总结并分析1例青少年神经性厌食症(AN)患者的临床表现、辅助检查、诊断及治疗并进行文献分析。该患者主要表现为消瘦、肢体无力、经期失调、焦虑等症状,实验室检查示血红蛋白、雌激素、钾、丙氨酸氨基转移酶等多种代谢指标异常。AN是多种因素导致进食障碍的精神疾病,表现为拒绝进食、极度焦虑、过度运动,可出现内分泌、消化道、生殖、运动等多个系统症状;AN常见于青少年及年轻女性,其发病年龄早、病死率高,需要早期鉴别诊断,早期行营养康复、心理干预等治疗。 |
英文摘要: |
[Abstract] To summarize and analyze the clinical manifestations, auxiliary examinations, diagnosis and treatment of an adolescent patient with anorexia nervosa (AN) and to analyze the literature. This patient mainly presented with symptoms such as marasmus, weakness of the limbs, menstrual disorders and anxiety. Laboratory tests suggested abnormalities in various metabolic indicators such as haemoglobin, oestrogen, potassium and alanine aminotransferase. Anorexia nervosa is a psychiatric disorder in which multiple factors lead to eating disorders, manifested by refusal to eat, extreme anxiety, excessive exercise, and can present with multiple systemic symptoms including those of the endocrine, gastrointestinal, reproductive, and motor systems. Meanwhile, anorexia nervosa is common in adolescents and young women, with an early age of onset and a high mortality rate, requiring early differential diagnosis and early treatment with nutritional rehabilitation and psychological intervention. |
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