儿童代理性孟乔森综合征的临床特征及诊治进展

The clinical features and progress on diagnosis and treatment of Munchausen syndrome by proxy in children

儿童代理性孟乔森综合征(Munchausen syndrome by proxy,MSBP)指照顾者以伪造症状或诱发疾病(加重)等方式诱导医师对儿童进行本不必要的医疗诊治,使之身心健康受到不同程度的损害,并可能导致受害儿童成年后的不良社会心理后果,甚至成为新的“MSBP照顾者”。自1977年MSBP被首次报道后,其在欧美国家引起了广泛关注,并逐渐在全球范围引起重视,但目前我国临床医师对该病认识不足,相关文献报道较少。该文对儿童MSBP临床特征、诊治进展进行综述。

Munchausen syndrome by proxy(MSBP)in children refers to the caregivers who enforce unnecessary medication-seeking on children by falsifying symptoms or inducing disease(exacerbation),resulting in different degrees of physical or mental damage.And it may lead to adverse psychosocial consequences of the victims in adulthood,and even become the new"MSBP caregivers".First reported in 1977,MSBP in children has attracted widespread attention in European and American countries,and gradually attracted attention worldwide.However,Chinese pediatricians have insufficient knowledge of the disease at present,and there are just a few relevant literature reports in China.This article reviews the clinical features and progress on diagnosis and treatment of MSBP in children.