Roden S, Juvin K, Homasson J P, Israël-Biet D
Centre Hospitalier spécialisé en Pneumologie, Chevilly Larue, Paris, France.
Chest. 2000 Jul;118(1):256-8. doi: 10.1378/chest.118.1.256.
We report three cases of pleural effusion in the context of ovarian stimulation for in vitro fertilization. The ovarian hyperstimulation syndrome usually causes pleural effusion and ascites. When the latter is lacking, an isolated pleural effusion in a pregnant patient can be mistaken for pulmonary embolism. Early recognition of the condition should allow for an appropriate diagnostic and therapeutic management. Except for some rare but life-threatening complications, such as major hypovolemia or respiratory distress syndrome, the spontaneous outcome is usually favorable. The pathogenesis of this condition may involve an increase of capillary permeability due to the release of vasoactive mediators.
我们报告了三例在体外受精的卵巢刺激过程中出现胸腔积液的病例。卵巢过度刺激综合征通常会导致胸腔积液和腹水。当缺乏腹水时，怀孕患者出现的孤立性胸腔积液可能会被误诊为肺栓塞。对该病症的早期识别应有助于进行适当的诊断和治疗管理。除了一些罕见但危及生命的并发症，如严重低血容量或呼吸窘迫综合征外，其自然转归通常是良好的。这种病症的发病机制可能涉及由于血管活性介质的释放导致毛细血管通透性增加。
