Chafee-Bahamon C, Lacouture P G, Lovejoy F H
Pediatrics. 1985 Jun;75(6):1105-9.
To determine how frequently parents give ipecac syrup without medical consultation and what complications result from this practice, 8 months of telephone calls to a regional poison center for poisonings of children less than age 6 years (23,790 calls) and 3 years of medical records for children's poisonings from 21 hospitals (516 cases) were studied. The practice of using ipecac syrup without consultation ranged from 0.4% of poison center callers to 6.0% of hospital patients. Of the 137 parents who gave ipecac without consultation, only 4% gave ipecac syrup for a poisoning exposure for which its use was contraindicated. In one of these cases did medical complications such as aspiration, seizures, or gastrointestinal burns result. Hence, the practice of giving children ipecac syrup without medical advice was found to be relatively infrequent and rarely produced complications. The study pointed out the importance of educating parents about products for which ipecac syrup is contraindicated and about occasions when ipecac is unnecessary. In 61% of cases of poisonings, the parent gives ipecac before calling the poison center and learning that the child did not need the Ipecac. The study also suggested that improvements are needed in warning labels of particular products, and revisions and standardization of the labels found on different brands of ipecac syrup are essential for appropriate emergency care.
为了确定家长在未咨询医生的情况下给予吐根糖浆的频率以及这种做法会导致哪些并发症，研究人员对向一个地区中毒控制中心拨打的关于6岁以下儿童中毒的8个月电话记录（23,790个电话）以及21家医院3年的儿童中毒医疗记录（516例）进行了研究。未咨询医生就使用吐根糖浆的情况在中毒控制中心来电者中占0.4%，在医院患者中占6.0%。在137名未咨询医生就给予吐根糖浆的家长中，只有4%是在吐根糖浆使用禁忌的中毒暴露情况下给予的。在其中一个案例中出现了诸如吸入、癫痫发作或胃肠道灼伤等医学并发症。因此，发现家长在未咨询医生的情况下给孩子服用吐根糖浆的情况相对较少，且很少产生并发症。该研究指出了教育家长了解吐根糖浆禁忌使用的产品以及吐根糖浆不必要使用情况的重要性。在61%的中毒案例中，家长在拨打中毒控制中心电话并得知孩子不需要吐根糖浆之前就已经给予了吐根糖浆。该研究还表明，特定产品的警示标签需要改进，不同品牌吐根糖浆上的标签进行修订和标准化对于适当的急救护理至关重要。
