重度卵巢过度刺激综合征13例临床分析  

Clinical analysis on the characteristics of 13 cases of severe ovarian hyper-stimulation syndrome

作　　者：郭艺红[1] 孙莹璞[1] 苏迎春[1] 陈秋菊[1] 陈爱军[1] 刘新贵[1] 

机构地区：[1]郑州大学第一附属医院生殖中心,郑州450052

出　　处：《郑州大学学报（医学版）》2002年第1期91-93,共3页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省科技攻关基金资助项目971200714

摘　　要：目的:总结重度卵巢过度刺激综合征(ovarian hy－perstimulation syndrome,OHSS)临床表现、发病机制及相应的治疗方法。方法:回顾性分析13例重度OHSS的临床资料。结果:重度OHSS发生在超排卵治疗后,临床表现为腹胀、恶心、腹水、胸水、少尿、血液浓缩、水电解质及酸碱平衡紊乱、氮质血症。经严密观察,输白蛋白、扩容及放胸腹水等治疗后治愈。移植日已出现OHSS者将胚胎冷冻保存。结论:防治重度OHSS的关键在于预防,一旦发生OHSS,经严密观察和及时治疗可治愈;迟发OHSS与妊娠有关。Aim: To investigate the clinical characteristics, pathogenesis, and treatment of severe ovarian hyperstimulation syndrome (OHSS) .Methods: Clinical data of 13 OHSS patients were analyzed retrospectively. Results: Severe OHSS occurred after control led ovulation hyperstimulation treatment. the major manifestations for OHSS, were Abdominal distension, nausea, aseites, pleural effusion, oliguria, concentrated blood, hypoalbuminemia, electrolyte, acid-base disturbance, and azotemia, which could be controlled by intensive care, supplementation of albumin or plasma, volume expan-sion, and paracentesis. Cryopreserving all embryos on the day of embryos transfer if OHSS has occurred. Conclusion: Preventive measure of OHSS is very important and OHSS can be cured by intensive care and treatment. Late ovarian hyperstimulation syndrome is related to pregancy.

关 键 词：重度卵巢过度刺激综合征 控制性超排卵 并发症 临床分析 OHSS 

分 类 号：R711.75[医药卫生—妇产科学]