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【medical-news】Bulimia may case fatal eating binges
Fri Nov 3, 2006 1:36pm ET
NEW YORK (Reuters Health) - A case report of a 22-year-old woman who died after an eating binge underscores the extremely rare but serious consequences of bulimia nervosa.
Early recognition and treatment could potentially prevent such deaths, Dr. Endre Gyurkovics of Semmelweis University in Budapest, Hungary, and colleagues report.
The woman, who was of normal weight and well-nourished, arrived at the hospital with an extremely painful, distended abdomen, Gyurkovics and his team note in the November issue of the International Journal of Eating Disorders. Ultrasound and CT scans showed that her stomach was so distended it had pushed other abdominal organs out of place, while impairing blood flow in major veins.
Gyurkovics and his team performed emergency surgery to remove 11 liters of material from the woman's stomach. They also identified inflammation in the woman's bowel due to Crohn's disease, which required them to remove some of her intestine.
While the surgery was successful, the patient went into shock and died 36 hours later due to massive bleeding. Her parents told the researchers that the woman had received therapy for her "bulimic attacks," and that over the past several years she had experienced periods of overeating.
The woman's condition, known medically as acute gastric dilation, was first described in 1833, the researchers note, but just 31 cases have been reported in the medical literature since 1966. And there had been no reports, they add, of dilation so severe that it impaired blood flow resulting in damage to the legs and large intestine, as in the current case.
"Clinicians should be aware that abnormal eating habits can cause severe...complications even in patients who are not diagnosed as having an eating disorder," the researchers conclude.
SOURCE: International Journal of Eating Disorders, November 2006.
http://today.reuters.com/news/articlenews.aspx?type=healthNews&storyID=2006-11-03T183537Z_01_COL366645_RTRUKOC_0_US-EATING-BINGES.xml&WTmodLoc=NewsArt-L3-Health+NewsNews-4 本人已经认领这篇，48小时未交稿，请其他战友继续认领 Bulimia may case fatal eating binges
暴饮暴食对暴食症患者可能是致命的
NEW YORK (Reuters Health) - A case report of a 22-year-old woman who died after an eating binge underscores the extremely rare but serious consequences of bulimia nervosa.
纽约 ( 路透社健康报道 )- 据报道，由于极其少见却带来严重后果的暴食症，一位22岁的女子在一次暴饮暴食后死了。
Early recognition and treatment could potentially prevent such deaths, Dr. Endre Gyurkovics of Semmelweis University in Budapest, Hungary, and colleagues report.，
据匈牙利布达佩斯的塞麦尔维斯大学的.Endre Gyurkovics博士和同事们报告，早期识别和治疗可以防止潜在的死亡威胁。
The woman, who was of normal weight and well-nourished, arrived at the hospital with an extremely painful, distended abdomen, Gyurkovics and his team note in the November issue of the International Journal of Eating Disorders. Ultrasound and CT scans showed that her stomach was so distended it had pushed other abdominal organs out of place, while impairing blood flow in major veins.
据Gyurkovics和他的团队在11月份《国际饮食紊乱杂志》描述，该女子，体重正常，营养良好，因为剧痛，腹部肿大到医院。超声和 CT 扫描显示她的胃肿大以致于导致了其它腹部的器官离开了原来的位置，损害了主静脉的血液流动。
Gyurkovics and his team performed emergency surgery to remove 11 liters of material from the woman's stomach. They also identified inflammation in the woman's bowel due to Crohn's disease, which required them to remove some of her intestine.
Gyurkovics 和他的团队施行了紧急手术，从该女子的胃里拿出了 11 公升的物质。同时，他们发现该女子的肠由于克罗恩病发炎了，需要切掉部分的肠。
While the surgery was successful, the patient went into shock and died 36 hours later due to massive bleeding. Her parents told the researchers that the woman had received therapy for her "bulimic attacks," and that over the past several years she had experienced periods of overeating.
尽管外科手术是成功的，但病人处于休克状态， 36 个小时后由于大量的出血而死亡。她的父母告诉研究人员，该女子因为“饥饿病”已经接受了治疗，而且在过去几年里，她已经有过好几个饮食过量的阶段。
The woman's condition, known medically as acute gastric dilation, was first described in 1833, the researchers note, but just 31 cases have been reported in the medical literature since 1966. And there had been no reports, they add, of dilation so severe that it impaired blood flow resulting in damage to the legs and large intestine, as in the current case.
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作者:admin@医学,生命科学 2011-06-09 17:23
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