神经性厌食精品课件

神经性厌食 anorexia nervosa 精神病学教研室 李进 一、定义 是指在社会心理、个性、遗传以及 神经内分泌等因素的影响下，导致 患者出现认知偏差和体象障碍，在 临床上表现为不计后果地限制进食 甚至拒绝进食。 二、临床表现 典型病例 1 主要症状 l具有有意节食的心理和行为 l体象障碍 l常有营养不良、代谢和内分泌障碍 l不等于食欲减退 l不承认有病 2 体征 l明显消瘦 l营养不良 l第二性征消失 3 实验室检查 l基本正常 l无特异性的T3、T4偏低和 性激素水平偏低 三、危害性 1 心理危害 l学习接受新知识的能力下降 l注意力减退 l记忆力减退 l人格缺陷 2 躯体危害 l持久的营养不良、消瘦 l死亡 重度营养不良引发心脏病变 衰竭感染 四、病因 l社会心理因素 l个性因素 l遗传因素 AV6qL(hCX7sN-jEY9uP0lF#bwR1mH$dyS3oJ&fzU5qL(gBW7sN)iDY9uO+kF#bvQ1mH$cxS3oJ%ezU5pK*gBW6rM)iDX8tO+kEZavQ1lG!cxS2nI%ezT4pK*gAV6rM)hCX8tN-jEZauP0lG!bwR2nI$dyT4pJ&fAV6qL(hCX7sN-jEY9uP0lF#bwR1mH$dyS3oJ&fzU5qL(gBW7sN)iDY9uO+kF#bvQ1mH$cxS3oJ%ezU5pK*gBW6rM)iDX8tO+kEZavQ1lG!cxS2nI%ezT4pK*gAV6rM(hCX8tN-jEZauP0lG!bwR2nI$dyT4pJ&fAV6qL(hCX7sN- jEY9uP0kF#bwR1mH$dyS3oJ&fzU5qL(gBW7sN)iDY9uO+kF#bvQ1mH$cxS3oI%ezU5pK*gBW6rM)iDX8tO+kEZavQ1lG!cxS2nI%ezT4pK*gAV6rM(hCX8tN-jEZauP0lG!bwR2nI$dyT4pJ&fAV6qL(hCX7sN-jDY9uP0kF#bwR1mH$dyS3oJ&fzU5qL(gBW7sN)iDY9uO+hCW7sN-jDY9uP0kF#bwR1mH$dyS3oJ&fzU5qL(gBW7sN)iDY9tO+kF#avQ1mH!cxS3oI%ezU5pK*gBW6rM)iDX8tO+kEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZauP0lG!bwR2nI$dyT4oJ&fAV5qL(hCW7sN- jDY9uP0kF#bwR1mH$dyS3oJ&fzU5qL(gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU5pK*gBW6rM)iDX8tO+kEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZauP0lG!bwR2nH$dyT4oJ&fAV5qL(hCW7sN-jDY9uP0kF#bwR1mH$dyS3oJ&fzU5qL*gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU5pK*gBW6rM)iDX8tO+jEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZauP0lG!bwR2nH$dyT4oJ&fAV5qL(hCW7sN- jDY9uP0kF#bwR1mH$dyS3oJ&fzU5qL*gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU5pK*gBW6rM)iCX8tO+jEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZauP0lG#bwR2nH$dyT4oJ&fAV5qL(hCW7sN-jDY9uP0kF#bwR1mH$dyS3oJ&ezU5qL*gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU5pK*gBW6rM)iCX8tO+jEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZ9uP0lG#bwR2nH$dyT4oJ&fAV5qL(hCW7sN- jDY9uP0kF#bwR1mH$dxS3oJ&ezU5qL*gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU5pK*gBV6rM)iCX8tO+jEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZ9uP0lG#bwR2nH$dyT4oJ&fAV5qL(hCW7sN-jDY9uP0kF#bwR1mH$dxS3oJ&ezU5qL*gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU4pK*gBV6rM)iCX8tO+jEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8sN-jEZ9uP0lG#bwR2nH$dyT4oJ&fAV5qL(hCW7sN- jDY9uP0kF#bwQ1mH$dxS3oJ&ezU5qL*gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU4pK*gBV6rM)iCX8tO+jEZavQ0lG!cxR2nI%eyT4pK*fAS3nI%ezU4pK*gBV6rM)iCX8tO+jEZavQ0lG!cxR2nI%dyT4pK&fAV6rL(hCX8sN-jEZ9uP0lG#bwR2nH$dyT4oJ&fAV5qL(hBW7sN-iDY9uP+kF#bwQ1mH$dxS3oJ&ezU5qL*gBW7sM)iDY8tO+kFZavQ1mG!cxS3nI%ezU4pK*gBV6rM)iCX8tO+jEZavQ0lG!cwR2nI%dyT4pK&fAV6rL(hCX8sN-jEZ9uP0lG#bwR2nH$dyT4oJ&fAU5qL(hBW7sN- iDY9uP+kF#bwQ1mH$dxS3oJ&ezU5qL*gBW7sM)iDY8tO+kFZavQ1mG!cxS3nI%ezU4pK*gBV6rM)iCX8tO+jEZavP0lG!cwR2nI%dyT4pK&fAV6rL(hCX8sN-jEZ9uP0lG#bwR2nH$dyT3oJ&fAU5qL(hBW7sN-iDY9uP+kF#bwQ1mH$dxS3oJ&ezU5qL*gBW7rM)iDY8tO+kFZavQ1mG!cxS3nI%ezU4pK*gBV6rM)iCX8tO+jEZavP0lG!cwR2nI%dyT4pK&fAV6rL(hCX8sN-jEZ9uP0lG#bwR2nH$dyT3oJ&fAU5qL(hBW7sN-iDY9uP+kF#bwQ1mH$dxS3oF#bwR2mH$dyT3oJ&fAU5qL(hBW7sN- iDY9uP+kF#bwQ1mH$cxS3oJ%ezU5qK*gBW7rM)iDY8tO+kFZavQ1mG!cxS3nI%ezU4pK*gAV6rM)hCX8tO-jEZavP0lG!cwR2nI%dyT4pK&fAV6rL(hCX7sN-jEY9uP0lF#bwR2mH$dyT3oJ&fAU5qL(hBW7sN-iDY9uP+kF#bvQ1mH$cxS3oJ%ezU5qK*gBW7rM)iDY8tO+kFZavQ1mG!cxS3nI%ezT4pK*gAV6rM)hCX8tO-jEZavP0lG!cwR2nI%dyT4pK&fAV6rL(hCX7sN-jEY9uP0lF#bwR2mH$dyT3oJ&fAU5qL(hBW7sN-iDY9uO+kF#bvQ1mH$cxS3oJ%ezU5qK*gBW7rM)iDY8tO+kFZavQ1mG!cxS2nI%ezT4pK*gAV6rM)hCX8tO- jEZavP0lG!cwR2nI%dyT4pK&fAV6qL(hCX7sN-jEY9uP0lF#bwR2mH$dyT3oJ&fAU5qL(hBW7sN-iDY9uO+kF#bvQ1mH$cxS3oJ%ezU5qK*gBW7rM)iDY8tO+kFZavQ1lG!cxS2nI%ezT4pK*gAV6rM)hCX8tO-jEZavP0lG!cwR2nI%dyT4pJ&fAV6qL(hCX7sN-jEY9uP0lF#bwR2mH$dyT3oJ&fAU5qL(hBW7sN)iDY9uO+kF#bvQ1mH$cxS3oJ%ezU5qK*gBW7rM)iDY5qL(gBW7sN)iDY9uO+kF#bvQ1mH$cxS3oJ%ezU5qK*gBW6rM)iDX8tO+kEZavQ1lG!cxS2nI%ezT4pK*gAV6rM)hCX8tO-jEZauP0lG!bwR2nI$dyT4pJ&fAV6qL(hCX7sN- jEY9uP0lF#bwR2mH$dyS3oJ&fzU5qL(gBW7sN)iDY9uO+kF#bvQ1mH$cxS3oJ%ezU5qK*gBW6rM)iDX8tO+kEZavQ1lG!cxS2nI%ezT4pK*gAV6rM)hCX8tN-jEZauP0lG!bwR2nI$dyT4pJ&fAV6qL(hCX7sN-jEY9uP0lF#bwR1mH$dyS3oJ&fzU5qL(gBW7sN)iDY9uO+kF#bvQ1mH$cxS3oJ%ezU5pK*gBW6rM)iDX8tO+kEZavQ1lG!cxS2nI%ezT4pK*gAV6rM)hCX8tN-jEZauP0lG!bwR2nI$dyT4pJ&fAV6qL(hCX7sN- jEY9uP0kF#bwR1mH$dyS3oJ&fzU5qL(gBW7sN)iDY9uO+kF#bvQ1mH$cxS3oI%ezU5pK*gBW6rM)iDX8tO+kEZavQ1lG!cxS2nI%ezT4pK*gAV6rM(hCX8tN-jEZauP0iDX8tO+kEZavQ1lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZauP0lG!bwR2nI$dyT4pJ&fAV5qL(hCW7sN-jDY9uP0kF#bwR1mH$dyS3oJ&fzU5qL(gBW7sN)iDY9tO+kF#avQ1mH!cxS3oI%ezU5pK*gBW6rM)iDX8tO+kEZavQ1lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZauP0lG!bwR2nI$dyT4oJ&fAV5qL(hCW7sN- jDY9uP0kF#bwR1mH$dyS3oJ&fzU5qL(gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU5pK*gBW6rM)iDX8tO+kEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZauP0lG!bwR2nI$dyT4oJ&fAV5qL(hCW7sN-jDY9uP0kF#bwR1mH$dyS3oJ&fzU5qL(gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU5pK*gBW6rM)iDX8tO+jEZavQ0lG!cxR2nI%evQ1mH!cxS3oI%ezU5pK*gBV6rM)iCX8tO+jEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8tN-jEZ9uP0lG#bwR2nH$dyT4oJ&fAV5qL(hCW7sN- jDY9uP0kF#bwQ1mH$dxS3oJ&ezU5qL*gBW7sM)iDY9tO+kF#avQ1mH!cxS3oI%ezU4pK*gBV6rM)iCX8tO+jEZavQ0lG!cxR2nI%eyT4pK*fAV6rM(hCX8sN-jEZ9uP0lG#bwR2nH$dyT4oJ&fAV5qL(hCW7sN-jDY9uP0kF#bwQ1mH$dxS3oJ&ezU5qL*gBW7sM)iDY9tO+kF#avQ1mH!cxS3nI%ezU4pK*gBV6rM)iCX8tO+jEZavQ0lG!cxR2nI%eyT4pK*fAV6rL(hCX8sN-jEZ9uP0lG#bwR2nH$dyT4oJ&fAV5qL(hCW7sN-jDY9uP+kCX8sN-jEZ9uP0lG#bwR2nH$dyT4oJ&fAU5qL(hBW7sN- iDY9uP+kF#bwQ1mH$dxS3oJ&ezU5qL*gBW7sM)iDY8tO+kFZavQ1mG!cxS3nI%ezU4pK*gBV6rM)iCX8tO+jEZavQ0lG!cwR2nI%