Colletti R B, Wasserman R C
Department of Pediatrics, University of Vermont College of Medicine, Burlington.
J Pediatr Gastroenterol Nutr. 1989 Apr;8(3):394-6. doi: 10.1097/00005176-198904000-00023.
Recurrent vomiting is a common symptom in infancy that, when severe, may prompt an extensive diagnostic evaluation. We report a 1-year-old infant whose recurrent vomiting eluded diagnosis until ipecac syrup was detected in vomitus and urine. Separation of the infant from the mother resulted in complete resolution of the symptoms. In Munchausen syndrome by proxy, a disorder in which a mother fabricates or induces illness in her child, most reported fatalities are due to intentional poisoning. In atypical cases of recurrent vomiting, early screening of body fluids for unexpected drugs, particularly ipecac, may prevent potentially fatal delays in diagnosis.
反复呕吐是婴儿期的常见症状，严重时可能需要进行广泛的诊断评估。我们报告了一名1岁婴儿，其反复呕吐一直未得到诊断，直到在呕吐物和尿液中检测到吐根糖浆。婴儿与母亲分开后症状完全缓解。在代理型孟乔森综合征（一种母亲编造或诱发孩子生病的疾病）中，大多数报告的死亡是由于故意中毒。在反复呕吐的非典型病例中，早期对体液进行意外药物筛查，尤其是吐根，可能会避免潜在的致命诊断延误。
