McClung H J, Murray R, Braden N J, Fyda J, Myers R P, Gutches L
Division of Gastroenterology, Columbus Children's Hospital, OH 43205.
Am J Dis Child. 1988 Jun;142(6):637-9. doi: 10.1001/archpedi.1988.02150060071035.
Ipecac (emetine) is a safe emetic for emergency home use. Its ready availability also provides the potential for child abuse and chronic self-induced emesis. The chronic administration of Ipecac can result in unusual symptom complexes such as chronic diarrhea and vomiting, muscle weakness, colitis, cardiomyopathy, fever, edema, or electrolyte disturbances. We describe patients who were intentionally poisoned and who demonstrated these symptoms. Because of the widespread use of ipecac for therapy in acute accidental poisonings, toxicology laboratories may not look for or report the presence of this drug in their routine screens. This may delay the recognition of chronic ipecac poisoning in patients.
吐根（依米丁）是一种用于家庭急救的安全催吐剂。其易于获取也为儿童虐待和长期自我诱导呕吐提供了可能性。长期服用吐根可导致异常症状组合，如慢性腹泻和呕吐、肌肉无力、结肠炎、心肌病、发热、水肿或电解质紊乱。我们描述了故意中毒并出现这些症状的患者。由于吐根在急性意外中毒治疗中的广泛使用，毒理学实验室在常规筛查中可能不会寻找或报告这种药物的存在。这可能会延迟对患者慢性吐根中毒的识别。
