有人认为神经性厌食与情绪障碍关系密切,因此用三环抗忧郁剂治疗有效。本文报导一例神经性厌食患者,体重减轻伴有心律失常。A,25岁,女,已婚。因自觉太胖而限制进食,导致进行性体重减轻年余,由47公斤降为32.5公斤而入院。在此期间无滥用泻下剂及呕吐情况。病前一年内有明显的精神因素——父亲死亡,自己及爱人改换工作等,但否认有呼吸急促、胸痛、心悸、晕厥、风湿热和心脏病史。精神状况无特殊,外观情绪较低落但自觉情感体验正常,否认有抑郁 Some people think that anorexia nervosa and emotional disorders are closely related, so the treatment with tricyclic antidepressants effective. This article reports an example of anorexia nervosa patients with weight loss accompanied by arrhythmia. A, 25 years old, female, married. Due to consciously too fat and restricted food, leading to progressive weight loss more than the remainder, reduced from 47 kg to 32.5 kg and admitted to hospital. During this period no abuse of diarrhea agents and vomiting. During the year before the illness, there were obvious mental factors - the death of his father, his or her lover’s change of job, etc., but denied any shortness of breath, chest pain, palpitations, syncope, rheumatic fever and a history of heart disease. No special mental state, the appearance of emotion is lower but the emotional experience of normal, denied depression