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联系线索,诊断疾病
Making the Connection


Allison R. Schulman ... 其他 • 2017.02.02

        在杂志的这一部分,某真实患者的信息按阶段(粗体)呈现给一名临床专家,后者对这些信息做出回应并和读者分享他的推理(普通字体)。作者随后做出评论。

 

一名体重159 kg,体质指数(BMI,体重[kg]除以身高[m]的平方)49.1的41岁男性因考虑接受减肥手术就诊。他自儿童期就有病态肥胖,除通过自己节食之外,还尝试过几种商业性的减肥计划,但是都没有获得长期的成功。

减肥外科手术是治疗病态肥胖的一种成熟方法,患者可获得持久的体重减轻,以及肥胖相关病症的发生危险降低。我们根据BMI对候选资格进行分层,BMI为40或更高的成人是该手术的潜在候选者。BMI为35.0至39.9的患者如果有至少一种严重共患病,例如阻塞性睡眠呼吸暂停、2型糖尿病或高血压,则通常也被认为是合适的对象。





作者信息

Allison R. Schulman, M.D., Ali Tavakkoli, M.D., Christopher C. Thompson, M.D., Amy L. Miller, M.D., Ph.D., and Joseph Loscalzo, M.D., Ph.D.
From Departments of Medicine (A.R.S., C.C.T., A.L.M., J.L.) and Surgery (A.T.), Brigham and Women’s Hospital, Harvard Medical School, Boston. Address reprint requests to Dr. Miller at the Department of Medicine, Brigham and Women’s Hospital, 75 Francis St., Boston, MA 02115, or at almiller@partners.org.

 

参考文献

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