卵巢过度刺激综合症55例临床分析(1)
摘 要目的:探讨卵巢过度刺激综合症(OHSS)的临床特征及相应的防治方法。方法:回顾性分析55例OHSS患者的临床资料。结果:OHSS大多数发生在应用促排卵药物治疗后,多囊卵巢综合症、年轻体瘦及应用HCG诱发排卵为发生OHSS的高危因素,经住院监护及扩容、利尿、腹腔穿刺引流等治疗后可治愈。结论:防治OHSS的关键在于预防。OHSS的主要治疗方法是严密监护,遵循个体化原则对症支持治疗,对严重的难以控制的OHSS,终止妊娠是最有效的治疗手段。关键词卵巢过度刺激综合症;治疗;辅助生殖技术
AbstractObjective:To investigate the clinical characteristics and treatment of ovarian hyperstimulation syndrome.Methods:Clinical data of 55 OHSS patients were analyzed retrospectively.Results:Most of OHSS occurred after administration of medicine to enhanced ovulation. Polycystic ovary syndrome,thin,and inducton ovulation by HCG administration were high risk factors for OHSS. All patients with OHSS got completely recovery through intensive care,maintaining blood circulation, diuretics,abdominocentesis and drainage.Conclusions:Pivotal of prevention and cure lies in prevention. Intensive care,follow individual treatment principle and therapeutic terminaton of an early pregnancy for severe and refractory OHSS are mainly therapy methods of OHSS. ......
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