| 卵巢过度刺激综合征77例临床分析 |
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| 引用本文： | 唐艳,;许晓燕,;徐克惠.卵巢过度刺激综合征77例临床分析[J].华西医学,2009(11):2984-2985. |
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| 作者姓名： | 唐艳 ;许晓燕 ;徐克惠 |
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| 作者单位： | [1]四川大学华西附属二医院妇产科,四川成都610041; [2]山东省单县中心医院妇产科,山东单县274300 |
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| 摘 要： | 目的：探讨多囊卵巢综合征（OHSS）治疗的临床特征和治疗方法。方法：回顾性分析77例OHSS住院患者的临床资料。结果：77例OHSS患者均发生在超促排卵周期的第9～22 d,其中50例患者发生在体外受精胚胎移植（IVF-ET）术后。经过监护、扩容、补液、注射黄体酮及腹腔、胸腔穿刺引流后,患者在6～43d内病情缓解并出院,77例患者妊娠47例,其中一例终止妊娠。结论：OHSS的治疗主要是对症支持治疗,严密监护OHSS的病情发展,扩容是治疗的关键,治疗严重的难以控制的OHSS,终止妊娠是最有效的手段。
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| 关 键 词： | 卵巢过度刺激综合征 促排卵 治疗 |
A Clinical Analysis of Ovarian Hyper-stimulation Syndrome |
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| Institution: | TANG Yan1,XU Xiao-yan2,XU Ke-hui1.1.Department of Obstetrics and Gynecology,West China Second University Hospital,Sichuan University,Chengdu Sichuan 610041,China |
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| Abstract: | Objective：To present management in moderate and severe iatrogenic ovarian hyperstymulation syndrome （OHSS） in clinical material.Methods：The clinical materials of 77 cases with OHSS treated in our hospital were analyzed retrospectively.Results：Patients were treated with rehydration with intravenous crystalloids and colloids and ultrasound-guided paracentesis if symptoms of ascites become severe.Monitoring of fluid intake and output,and daily monitoring of body weight was performed.During treatment controlled laboratory tests were done.77 cases were cured.Conclusion：The management in individual patients varies according to the severity of ovarian hyperstymulation syndrome and its complications.Rehydration is the key of medical treatment.Termination of pregnancy is a most effective management. |
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| Keywords: | ovarian hyper-stimulation syndrome ovulation induction |
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