饥饿相关性营养不良20例临床分析  

Analysis of clinical characteristics of 20 hunger-related malnutrition cases

作　　者：邢金平[1] 来春林[1] 刘晓红[1] 杨五晓[1] 

机构地区：[1]山西省人民医院心内科,太原030012

出　　处：《中国药物与临床》2010年第10期1109-1111,共3页Chinese Remedies & Clinics

摘　　要：目的探讨饥饿相关性营养不良的临床特点。方法对我院2010年4月6日收治的矿山透水住院病例的性别、年龄、分布、接触史、症状、体征、实验室检查、影像学特点、并发症、治疗与预后等进行系统分析。结果本组20例患者平均年龄(37±9)岁,全部为男性,入院时主要症状有头晕、饥饿感20例(100%),有乏力18例(90%),咳嗽、咯痰4例(20%),咽部不适2例(10%),发热1例(5%)。实验室检查:白细胞升高1例(5%),白细胞计数低于正常下限者1例(5%),尿液检查酮体阳性20例(100%);肝功能:白蛋白降低15例(75%),肝酶升高4例(20%);高尿酸血症12例(60%),电解质紊乱(低钾、低钠、低氯、低磷)20例(100%);肾功能异常1例(5%),凝血功能异常9例(45%),胆泥形成13例(65%)。治疗期间叶酸降低6例(30%),血清铁降低7例(35%),脂肪酶、淀粉酶升高8例(40%),胆固醇、甘油三酯升高7例(35%),乳酸升高12例(60%),氧分压降低8例(40%)。心电图:窦性心动过缓10例(50%)。抑郁焦虑17例(85%),胰腺炎1例(5%),支气管炎5例(25%),1例(5%)发生肝囊肿合并感染、肺炎、消化道出血。所有病例经过系统治疗和心理治疗后痊愈,平均住院天数为(11.6±1.2)d。结论饥饿相关性营养不良的临床特点主要表现为发热、咳嗽、全身酸痛、白细胞计数偏低,易累及心、肝、肾等脏器,血压一过性降低、窦性心动过缓,经治疗多数病例预后良好,但要注意心理治疗。Objective To investigate the clinical characteristics of patients with hunger-related malnutrition（mine flooding）.Methods Systematic analysis of the demographic features,contacts,symptoms,physical examinations,laboratory tests,imaging features,complications,treatments and prognoses of 20 hunger-related malnutrition patients in Shanxi Provincial People＇s Hospital.Results The average age of 20（20 males） hunger-related malnutrition patients was（37±9） years.The most common symptoms of the hunger-related malnutrition patients are dizziness and hunger（20 cases,100%）,fatigue（18 cases,90%）,cough and sputum（4 cases,20%）,pharyngeal discomfort（2 cases,10%）,fever（1 case,5%）.The patients were diagnosed with elevated leucocyte（1 case,5%）,leucopenia（1 case,5%）,positive urine ketone（20 cases,100%）,albumin decreased（15 cases,75%）;elevated liver enzymes（4 cases,20%）,high serum uric acid（12 cases,60%）,electrolyte imbalance（low potassium and low sodium chloride phosphorus）（20 cases,100%）,renal dysfunction（1 case,5%）,coagulopathy（9 cases,45%）,the formation of biliary sludge（13 cases,65%）.During treatment,the patients were diagnosed with folic acid decreased（6 cases,30%）,serum iron decreased（7 cases,35%）,lipase and amylase increased（8 cases,40%）,cholesterol and triglyceride increased（7 cases,35%）,high lactic acid（12 cases,60%）,oxygen pressure decreased（8 cases,40%）.The patients were diagnosed with sinus bradycardia（10 cases,50%）,depression and anxiety（17 cases,85%）.The patients were diagnosed with pancreatitis（1 case,5%）,bronchitis（5 case,25%）,a case generate hepatic cyst and infection,pneumonia and gastrointestinal bleeding.After systemic treatment and psychological treatment,all patients were cured.The mean leagth of hospitalization was（11.6±1.2） days.Conclusion The main clinical characteristics of the hunger-related of malnutrition were fever,cough,body aches,low white blood cell count,a transient lowering of

关 键 词：营养不良 体征和症状 治疗结果 

分 类 号：R591[医药卫生—内科学]