A case of anorexia nervosa with disseminated intravascular coagulation syndrome

被引：8

作者：

Haruta, Izumi ^{[1
]}

Asakawa, Akihiro ^{[1
]}

Ogiso, Kazuma ^{[1
]}

Amitani, Haruka ^{[1
]}

Amitani, Marie ^{[1
]}

Tsai, Minglun ^{[1
]}

Hamada, Satoshi ^{[1
]}

Inui, Akio ^{[1
]}

机构：

[1] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Psychosomat Internal Med, Kagoshima 8908520, Japan

来源：

INTERNATIONAL JOURNAL OF EATING DISORDERS | 2012年 / 45卷 / 03期

关键词：

anorexia nervosa; disseminated intravascular coagulation; DIC; refeeding syndorome; sinbiotics therapy;

D O I：

10.1002/eat.20954

中图分类号：

B849 [应用心理学];

学科分类号：

040203 [应用心理学];

摘要：

A 36-year-old Japanese woman with anorexia nervosa (AN) was admitted to our department because of severe emaciation. Although we were thorough in her clinical management and were careful to avoid precipitating refeeding syndrome, disseminated intravascular coagulation (DIC) developed 3 weeks after hospitalization. We treated her for DIC with sepsis using anticoagulants, protease inhibitors, antithrombin, and platelet concentrate transfusion. To treat her bacterial infection, we administered antimicrobial drugs and immunoglobulin. We began probiotic and prebiotic (synbiotics) treatment for bacterial translocation. We think that the prevention of sepsis via bacterial translocation is an important aspect of care for patients with severe AN in addition to the prevention of refeeding syndrome. (c) 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2012)

引用

页码：453 / 455

页数：3

共 7 条

[1]

[Anonymous], 2000, DIAGN STAT MAN MENT

[2]

Disseminated intravascular coagulation (DIC) diagnosed based on the Japanese Association for Acute Medicine criteria is a dependent continuum to overt DIC in patients with sepsis [J].