严重鼻出血的血管栓塞治疗

CLINICAL ANALYSIS OF 12 CASES OF OVARIAN HYPERSTIMULATION SYNDROME

应用数字减影血管造影术和动脉栓塞术成功治愈４例严重鼻出血病人。作者认为用此方法治疗来自颌内动脉和颈内动脉的严重鼻出血是安全和有效的。

The article analysed 12 patients with ovarian hyperstimulation syndrome.Mild cases generally do not require active therapy except observation.Severe cases accompanied by hemo-concentration,decreasing of the serum albumin,ascites hydrothorax and oliguria.Moderate or severe forms should be hospitalized and carefully monitored including body weight,abdominal circumference,WBC count,serum electrolyte,fluid daily changing,HCT,liver enzyme,creatinine and coagulation profile.Plasma volume expanders such as plasma and human albumin are important in the treatment of ascites and oliguria.Paracentesis through pleural and abdominal or transvaginal follicular aspitation are very effective to improve the respiratory and ciculation distress.All of these cases were recovered.It is unnecessary to terminate the conception in pregnant patients.