Von Burg M M, Hibbard R A
IU Community Child Abuse Projects, Indiana University Medical Center, Indianapolis, USA.
Indiana Med. 1995 Sep-Oct;88(5):378-82.
Munchausen syndrome by proxy (MSBP) continues to mystify health care professionals, law enforcement officials and the judicial system. Even though the first cases were described in 1977, it remains puzzling why a parent would want to induce fictitious symptoms and illnesses in a child. Many professionals do not consider MSBP as a diagnosis because the parent, usually the mother, is so convincing that she is a "good" mother, cares about and wants the best for her child. This article is offered to further educate physicians that MSBP exists, can present in the form of anything and should be considered as a diagnosis in cases that do not make medical sense. Case examples are provided, along with common and not so common presentations. MSBP is a form of severe child abuse that must be reported to Child Protection Service when a child is endangered. Physicians play a critical role in identifying these children and recommending the best course of action to the rest of the system.
代理型孟乔森综合征（MSBP）仍然让医疗保健专业人员、执法官员和司法系统感到困惑。尽管首例病例在1977年就有描述，但为何家长会想要诱发孩子出现虚构的症状和疾病，这仍然令人费解。许多专业人员不将MSBP视为一种诊断，因为家长，通常是母亲，表现得如此令人信服，让人觉得她是一位“好”母亲，关心并希望为自己的孩子提供最好的。本文旨在进一步教育医生，让他们了解MSBP的存在，它可以以任何形式出现，在那些不符合医学常理的病例中应将其视为一种诊断。文中提供了病例示例，以及常见和不太常见的表现形式。MSBP是一种严重的虐待儿童形式，当儿童处于危险之中时，必须向儿童保护服务机构报告。医生在识别这些儿童并向系统中的其他部门推荐最佳行动方案方面发挥着关键作用。
