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[Intensive care and treatment of severe ovarian hyperstimulation syndrome].

Mingyuan Ma, Wei-biao Wen, Lixin Zhou, Tie-ou Yu, Bin Fang

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Abstract

OBJECTIVE: To investigate the clinical manifestations, pathogenesis and treatment of severe ovarian hyperstimulation syndrome (OHSS). METHODS: The clinical data of 20 OHSS patients were analyzed retrospectively. RESULTS: Severe OHSS occurred after controlled ovarian hyperstimulation for superovulation. The major manifestations of OHSS included abdominal distension, nausea, ascites, hydrothorax, oliguria, concentrated blood, acid-base and electrolytes, disturbance, azotemia, thrombosis etc., which could be controlled by volume expansion with albumin, low-molecular-weight dextran, 6% Haes, abdominal and thoracic drainages or even early pregnancy termination. CONCLUSION: Preventive measure of OHSS is very important, and the patients must be treated timely and correctly once OHSS occurs.

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What this paper is about

OBJECTIVE: To investigate the clinical manifestations, pathogenesis and treatment of severe ovarian hyperstimulation syndrome (OHSS). METHODS: The clinical data of 20 OHSS patients were analyzed retrospectively. RESULTS: Severe OHSS occurred after controlled ovarian hyperstimulation for superovulation. The major manifestations of OHSS included abdominal distension, nausea, ascites, hydrothorax, oliguria, concentrated blood, acid-base and electrolytes, disturbance, azotemia, thrombosis etc., which could be controlled by volume expansion with albumin, low-molecular-weight dextran, 6% Haes, abdominal and thoracic drainages or even early pregnancy termination. CONCLUSION: Preventive measure of OHSS is very important, and the patients must be treated timely and correctly once OHSS occurs.

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Available abstract

OBJECTIVE: To investigate the clinical manifestations, pathogenesis and treatment of severe ovarian hyperstimulation syndrome (OHSS). METHODS: The clinical data of 20 OHSS patients were analyzed retrospectively. RESULTS: Severe OHSS occurred after controlled ovarian hyperstimulation for superovulation. The major manifestations of OHSS included abdominal distension, nausea, ascites, hydrothorax, oliguria, concentrated blood, acid-base and electrolytes, disturbance, azotemia, thrombosis etc., which could be controlled by volume expansion with albumin, low-molecular-weight dextran, 6% Haes, abdominal and thoracic drainages or even early pregnancy termination. CONCLUSION: Preventive measure of OHSS is very important, and the patients must be treated timely and correctly once OHSS occurs.

Key concepts: Ovarian hyperstimulation syndrome, Medicine, Ascites, Abdominal distension, Azotemia, Surgery, Pregnancy, Anesthesia

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