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A case of refeeding syndrome in pregnancy with anorexia nervosa

机译:厌食症神经系统怀孕综合征的情况

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摘要

Refeeding syndrome very rarely develops during pregnancy. A 35-year-old primiparous woman pregnant with twins complained of severe fatigue at 19 weeks' gestation. She was admitted to our hospital in a malnourished condition because of repeated self-induced vomiting due to anorexia nervosa. Just after hospitalization, she voluntarily increased her caloric intake significantly above the recommended prescribed diet, without medical permission. Nine days later, she developed refeeding syndrome. Electrolyte replacement and calorie restriction were started and her condition gradually improved. The healthy twin babies were born by cesarean section at 36 weeks' gestation. Acute increases in caloric intake by previously malnourished pregnant women with anorexia nervosa may induce refeeding syndrome. Women with the binge eating/purging subtype of anorexia nervosa may be at additional risk due to alternating phases of starvation and overeating.
机译:在怀孕期间再次改善综合症很少发生。 一个35岁的孕妇怀孕,双胞胎抱怨在19周的妊娠中抱怨严重疲劳。 由于厌食症神经系统,她在营养不良的病症中被留在营养不良的病症中。 在住院后,她自愿提高了她的热量摄入量显着高于推荐的规定饮食,没有医疗许可。 九天后,她开发了改进综合征。 开始电解质更换和卡路里限制,并且她的病症逐渐改善。 健康的双胞胎婴儿在36周的妊娠上由剖宫产。 患有厌食症神经系统的先前营养不良的孕妇的热量增加可能会诱导精选综合征。 由于饥饿和暴饮暴食的交替阶段,患有血腥吃/吹饮/吹扫亚型的女性可能存在额外的风险。

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