PDF(Pubmed)
Abstract：
Munchausen\'s syndrome by proxy (MSBP) is a rare form of abuse characterized by the fabrication or induction of symptoms of illness in a child by a close relative, typically a parent, leading to multiple consultations and varying degrees of invasive medical interventions. Various clinical presentations are described in the literature, ranging from organic manifestations to psychiatric expressions. This syndrome remains a challenging diagnosis to make and requires increased awareness among healthcare professionals. Prompt recognition is key to preventing potential long-term comorbidities and even fatalities. Here, we are reporting two cases of MSBP manifested by bleeding, with the perpetrator being the mother.
摘要：
Munchausen代理综合征（MSBP）是一种罕见的虐待形式，其特征是近亲在儿童中制造或诱发疾病症状，通常是父母，导致多次咨询和不同程度的侵入性医疗干预。文献中描述了各种临床表现，从器质性表现到精神病学表现。这种综合征仍然是一个具有挑战性的诊断，需要提高医疗保健专业人员的认识。及时识别是防止潜在的长期合并症甚至死亡的关键。这里,我们报告了两例表现为出血的MSBP，肇事者是母亲。
