Nasser N J, Israelit S H, Muhammad M, Basis F
Department of Emergency Medicine, Rambam Medical Center, Haifa, Israel.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2008.1070. Epub 2009 May 8.
A 30-year-old nurse presented with abdominal pain and tenderness. Her blood tests, including amylase, were normal. Urinary amylase was extremely high. The source of the increased urinary amylase was found to be the patient's saliva-she had spat into her urine sample. Subsequent investigation showed that she had Munchausen syndrome.
一名30岁的护士出现腹痛和压痛症状。她的血液检查,包括淀粉酶检查,结果均正常。但尿淀粉酶极高。后来发现尿淀粉酶升高的原因是患者将唾液吐进了尿液样本中。后续调查显示她患有孟乔森综合征。