CAJ | 학술논문

概述：在许多精神障碍中（包括强迫症和精神分裂症），拒食是常见的表现。当突然出现拒食时，这可能需要急诊处理；一旦变成慢性，它就成为一种难以改变的根深蒂固的行为。对拒食患者的诊断可能有难度，尤其是对有共病问题、智力受损或对自身状况缺乏自知力的患者。鼻饲是一种有效的短期干预方法，当患者重新进食时即可中止这一干预。然而，在某些情况下，患者可能变得依赖于鼻饲。我们介绍一个病例，报告一名患有精神分裂症、强迫症、边缘智力以及癫痫的患者由于拒绝进食而由其家庭成员用鼻饲管喂食超过三年。
개술：재허다정신장애중（포괄강박증화정신분렬증），거식시상견적표현。당돌연출현거식시，저가능수요급진처리；일단변성만성，타취성위일충난이개변적근심체고적행위。대거식환자적진단가능유난도，우기시대유공병문제、지력수손혹대자신상황결핍자지력적환자。비사시일충유효적단기간예방법，당환자중신진식시즉가중지저일간예。연이，재모사정황하，환자가능변득의뢰우비사。아문개소일개병례，보고일명환유정신분렬증、강박증、변연지력이급전간적환자유우거절진식이유기가정성원용비사관위식초과삼년。
Summary: Refusal to eat is a common presentation in many psychiatric disorders including obsessive compulsive disorder and schizophrenia. In the acute situation it may be a medical emergency; when it becomes chronic it can become an ingrained behavior that is diffcult to change. The diagnosis of individuals who refuse to eat may be difficult, particularly in persons with comorbid medical problems, impaired intelligence, or lack of insight into their condition. Tube-feeding is an effective short-term intervention that can be disconitnued when the paitent re-starts oral intake. However, in some situaitons paitents may become dependent on the use of tube-feeding. We present a case report of a paitent with schizophrenia, obsessive compulsive disorder, borderline intelligence, and seizure disorder who was tube-fed by his family members for more than three years because he refused to eat orally.