A case of ovarian hyperstimulation syndrome.docVIP

 PAGE \* MERGEFORMAT 7 A case of ovarian hyperstimulation syndrome [Keywords:] ovary, human chorionic gonadotropin Case Introduction Patients, 25 years old, 8 years of secondary amenorrhea, cyclic abdominal distention after induced ovulation, oliguria 11 days hospitalization. The patient was 8 years ago, secondary amenorrhea, 2 years ago outside the hospital before the treatment, diagnosis of polycystic ovary comprehensive sign, for ovulation induction clomiphene and ethinyl estradiol for 7 cycles, basal body temperature measurements for the single-phase type. later to clomiphene citrate and human chorionic gonadotropin (HCG induced ovulation cycle 1, treatment with up to 3 for 35 month and 1 month of oral contraceptive phase, basal body temperature measurement is still single-phase type, medicinal drug withdrawal bleeding during the cycle more than a month before the switch .2 human menopausal gonadotropin (HMG plus HCG ovulation induction, based on measurements temperature was bipolar. HCG 3 days after injection of abdominal distention, abdominal distention after 1 week disappear naturally. 19 days before admission, treatment of the second cycle of the line, I HMG 150 U 6 days. 13 days before admission to the HCG 10000 U ovulation. appears 11 days before admission, abdominal distension, oliguria, urine output per day is only about 100 ml, then gradually increasing symptoms, feeling flustered shortness of breath can not lie horizontally, that is, to our hospital, B-Note: the womb thickness of 0.35 cm, separated by two-like cystic see annex area occupying the left 13.0 9.0 10.0 cm, right 14.0 9.0 11.0 cm, abdominal cavity, see a lot of liquid depth of 6.2 cm, with severe ovarian hyperstimulation comprehensive governing admission charge. admission examination: T 36.5 , P 80 beats / min, R 20 beats / min, BP 110/72 mmHg. abdomen was bulging, tension high, knocking cloud, gynecological examination: no abnormal vaginal vulva, cervix mild erosion, and t