Chronic ipecac poisoning in infancy: a case report.
Chronic ipecac poisoning in infancy: a case report.
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婴儿期慢性吐根中毒：病例报告。
作者：
Paul Berkner;Ted Kastner;Lawrence Skolnick
吐根糖浆是治疗急性中毒的重要成分。美国儿科学会1建议，吐根糖浆应保留在家中，供清醒的患者在医生建议下用于治疗有毒摄入。然而，吐根的糖浆并非没有毒性，这种增加的可用性为吐根本身的中毒打开了大门。
在成人中观察到的毒性包括对胃肠道系统的直接有害影响2 -4、心肌病2、5、全身性肌病6、7和继发于脱水或电解质紊乱的死亡。8婴儿和儿童中吐根毒性的体征和症状知之甚少。
Syrup of ipecac is an important component in the treatment of acute toxic ingestion. The American Academy of Pediatrics1 recommends that syrup of ipecac be kept in the household to be used for the conscious patient in the treatment of toxic ingestion when advised by a physician. Syrup of ipecac is not without toxicity, however, and this increased availability opens the door to poisoning by ipecac itself.
Toxicity has been observed in adults ranging from direct noxious effects on the gastrointestinal system2-4 to cardiomyopathy,2,5 generalized myopathy,6,7 and fatalities secondary to dehydration or electrolytic distubrances.8 Little is known about the signs and symptoms of ipecac toxicity in infants and children.