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卵巢过度刺激综合征背景下罕见的单纯右侧胸腔积液表现:一例报告

A rare presentation of isolated right-sided pleural effusion in the context of ovarian hyperstimulation syndrome: A case report.

作者信息

Vidal Angela, Wachter Christiane, Kohl Schwartz Alexandra, Dhakal Carolin

机构信息

Division of Gynecological Endocrinology and Reproductive Medicine, Lucerne Cantonal Hospital, Switzerland.

出版信息

Case Rep Womens Health. 2021 Jul 30;32:e00347. doi: 10.1016/j.crwh.2021.e00347. eCollection 2021 Oct.

DOI:10.1016/j.crwh.2021.e00347
PMID:34401398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8350452/
Abstract

An isolated pleural effusion as the sole manifestation of early ovarian hyperstimulation syndrome (OHSS) is rare. A 38-year-old woman who had undergone fertilization presented with OHSS. Six days after transvaginal oocyte pickup, she presented with only an isolated right-sided pleural effusion and restricted respiratory capacity. A thoracentesis was successfull. Clinicians must be aware of unilateral pleural effusion, with a higher incidence on the right side, as a single-symptom presentation of OHSS. The case reported here illustrates the diversity and severity of OHSS.

摘要

孤立性胸腔积液作为早期卵巢过度刺激综合征(OHSS)的唯一表现较为罕见。一名38岁接受过受精的女性出现了OHSS。经阴道取卵6天后,她仅表现为孤立性右侧胸腔积液和呼吸功能受限。胸腔穿刺术成功进行。临床医生必须意识到单侧胸腔积液作为OHSS的单一症状表现,右侧发生率更高。此处报告的病例说明了OHSS的多样性和严重性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f339/8350452/c9c8d62a3c3e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f339/8350452/90c5f34a6bbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f339/8350452/c9c8d62a3c3e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f339/8350452/90c5f34a6bbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f339/8350452/c9c8d62a3c3e/gr2.jpg

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ESHRE guideline: ovarian stimulation for IVF/ICSI.ESHRE指南:体外受精/卵胞浆内单精子注射的卵巢刺激
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Unilateral pleural effusion as the sole clinical presentation of severe ovarian hyperstimulation syndrome: a systematic review.以单侧胸腔积液为严重卵巢过度刺激综合征唯一临床表现:一项系统综述
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Ovarian hyperstimulation syndrome: review and new classification criteria for reporting in clinical trials.卵巢过度刺激综合征:临床试验报告的综述及新分类标准
Hum Reprod. 2016 Sep;31(9):1997-2004. doi: 10.1093/humrep/dew149. Epub 2016 Jun 23.
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Gonadotropin-releasing hormone agonist versus HCG for oocyte triggering in antagonist-assisted reproductive technology.在拮抗剂辅助生殖技术中,促性腺激素释放激素激动剂与绒毛膜促性腺激素用于卵母细胞触发的比较
Cochrane Database Syst Rev. 2014 Oct 31;2014(10):CD008046. doi: 10.1002/14651858.CD008046.pub4.
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New algorithm for OHSS prevention.预防 OHSS 的新算法。
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