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分析12例卵巢过度刺激综合征(OHSS)患者的临床处理情况,轻度OHSS除观察外,无需特殊处理;重度OHSS伴有血液浓缩、血清蛋白减少、腹水或胸水和少尿。对中~重度OHSS患者均住院监测体重、腹围、血清电解质、红细胞压积、肝肾功能和凝血功能、记录出入水量。扩容、及时补充血浆或白蛋白是重要的措施。从胸腔穿刺放液经阴道后穹窿穿刺放腹水和抽卵泡液,对改善呼吸和循环障碍非常有效。全部病例经上述处理后痊愈,对已获得妊娠的重度OHSS者不需终止妊娠。
The clinical data of 12 patients with ovarian hyperstimulation syndrome (OHSS) were analyzed. Mild OHSS were treated without special treatment except for OHSS. Severe OHSS accompanied by blood concentration, decreased serum protein, ascites or hydrothorax and oliguria. The patients with moderate to severe OHSS were hospitalized to monitor body weight, abdominal circumference, serum electrolytes, hematocrit, liver and kidney function and coagulation function. Expansion, timely replenishment of plasma or albumin is an important measure. From the thoracentesis translumenal vaginal vault puncture ascites and follicular fluid, to improve breathing and circulatory disorders is very effective. All cases recovered after the above-mentioned treatment, have no expectant termination of pregnancy in patients with severe OHSS of pregnancy.