体外受精咛ヒ浦膊⒎⒙诰猜鲴佳例报道并文献复习论文.docVIP

　　体外受精咛ヒ浦膊⒎⒙诰猜鲴佳例报道并文献复习论文 黄学锋，赵军招，李建策，鲍剑虹，陈晓丽，夏君慧 周洁春，孟绿荷 【摘要】 目的：提高体外受精咛ヒ浦玻↖n-vitro fertilization and embryo transfer，IVF-ET）并发颅内血栓形成的诊治水平。方法 ：报告1例IVF-ET并发颅内静脉窦血栓并获得成功治疗病例的临床资料.freelol/L，获卵18个，移植3个胚胎。取卵后第14天出现腹水，妊娠试验阳性，第15天出现头痛和颈痛，第17天突发神志不清和左侧偏瘫。MR和MRV证实左侧额叶及右侧额顶叶和颞叶皮层多发梗死灶，上矢状窦、右侧横窦和乙状窦血栓形成。予以降颅压、终止妊娠和低分子肝素处理。8周后患者除左手背精细感觉异常外余完全恢复。结论 ：IVF-ET并发颅内血栓是一个少见的可能致死或致残的并发症。预防卵巢过度刺激综合征（OHSS）的发生应是避免颅内血栓发生的主要措施。IVF-ET治疗中出现头部和颈部疼痛及任何神经症状，都要详细检查确定是否出现颅内血栓。低分子肝素抗凝可作为其主要的治疗手段。 【关键词】 体外受精咛ヒ浦膊⒎⒙诰猜鲴佳例 文献复习 Abstract: Objective: To improve the diagnosis and treatment of intracranial thrombosis after in-vitro fertilization and embryo transfer (IVF-ET) cycles in clinical practice. Methods: The clinical data regarding a case of intracranial sinus thrombosis in IVF-ET ent of intracranial thrombosis in IVF-ET an ulation. The oestradial concentration ol/L on the day of human chorionic gonadotrophin(hCG). Eighteen oocytes bryos pickup， the patient had ascites and the pregnancy test ore days later， she developed a sudden a and left hemiparesis. Magic resonance image (MRI) shoultiple infarct lesions on the left prefrontal cortex and on the right temporal lobe，and magic resonance venography (MRV) shobosis in the superior sagittal， the right transverse and sigmoid sinus. Pregnancy inated and loolecular heparin (LH) anifestations， relevant causing factors and the methods of prevention and treatment of intracranial thrombosis ulation and IVF-ET. Conclusion: The plication of intracranial thrombosis in IVF-ET is rare and life-threatening，and may cause neurological sequelae after treatment. Prevention of OHSS may reduce its incidence. Any pain in head or neck and neurologic symptoms follobosis. Early diagnosis is important for successful treatment. Anticoagulation therapy ajor therapy. Key ulation syndrome；intracranial thrombosis；in-vitro fertilization and embryo transfer 体外受精咛ヒ浦玻↖n-vitro fertiliza-tion and embryo transfer，IVF-ET）近年来已成为不育症常用的主要治疗方法之一。采用外源性促性腺激素行控制性超促排卵并发血栓形成是IVF-ET治疗中少见的