Frisch H, Gassner I, Müller W
Padiatr Padol. 1978;13(1):67-72.
A case of a heroin-withdrawal-syndrome is reported. Diagnostic, therapeutic and social aspects of this syndrome are discussed. Newborn infants delivered from mothers addicted to heroin often develop a deprivation syndrome. 40% of these children are small for date babies. Symptoms of deprivation begin after delivery or between the 1st and 4th week of life. Generally the onset of symptoms lies between the 1st and 3rd day of life with irritability, tremor, restlessness, and shrill cry. The degree of illness depends upon mother's last heroin intake. Treatment for drug addicts are tinctura opii (3--5--10 drops orally following 4 hours) and Chlorpromazine (2,2 mg/kg/25 hours orally or i. m.). The mortality rate increases when treatment is missing.
报告了一例海洛因戒断综合征病例。讨论了该综合征的诊断、治疗及社会方面的问题。海洛因成瘾母亲所生的新生儿常出现戒断综合征。这些婴儿中有40%为小于胎龄儿。戒断症状在出生后或出生后第1至4周出现。一般症状在出生后第1至3天开始，表现为易激惹、震颤、烦躁不安及尖叫。病情严重程度取决于母亲最后一次摄入海洛因的量。对吸毒成瘾者的治疗方法为口服阿片酊（每4小时3 - 5 - 10滴）和氯丙嗪（口服或肌肉注射，2.2毫克/千克/25小时）。若不进行治疗，死亡率会升高。
