卵巢过度刺激综合征70例临床分析

Clinical analysis on the characteristics of 70 ovarian hyperstimulation syndrome

目的:总结卵巢过度刺激综合征(ovarian hypersitimulation syndrome,OHSS)的临床表现和治疗对策。方法:回顾分析70例OHSS临床资料。结果:OHSS绝大多数发生在促排卵治疗后,临床表现主要为腹胀、恶心、腹水、水肿、尿少、血液浓缩、低蛋白血症。经严密监护、输白蛋白或血浆、扩容及放腹水等对症治疗后治愈。结论:在促排卵药物的应用过程中,应注意预防OHSS的发生,对中、重度OHSS患者应住院严密监护治疗。

Objective：To investigate the clinical characteristics and treatment of ovarian hyperstimulation syndrome （OHSS）. Methods：Clinical data of 70 OHSS patients were analyzed retrospectively. Results：OHSS mainly occurred after pro-ovulation treatment. Abdominal distension, nausea, ascites, edema, oligria, concentrated blood, hypoalbuminemia were the major manifestations of OHSS,which could be controlled by intensive care,supplementation of alburmin or plasma,volume expansion,and paracentesis. Conclusion：Great attention should be paid to prevention OHSS when enhancing ovulation. Intensive care is necessary in the treatment of moderate and severe OHSS.