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Ovarian Hyperstimulation Syndrome

机译:卵巢过度刺激综合症

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For 4 days, a 34-year-old pregnant woman had dyspnea and right-sided chest pain. She denied fever, chills, sweats, cough, lower extremity pain, and edema. Surgical and social histories were unremarkable. She was taking progesterone and clomiphene citrate for the past 6 months for assisted reproduction. Vital signs and oxygen saturation were normal. The patient had decreased breath sounds with dullness to percussion bilaterally. The chorionic gonadotropin level was 295 mlU/mL Results of a complete blood cell count, chemistry panel, coagulation studies, arterial blood gas analysis, and urinalysis were within normal limits. A chest x-ray film revealed bilateral pleural effusions, greater on the right.
机译:连续4天,一名34岁的孕妇出现呼吸困难和右侧胸痛。她否认发烧,发冷,出汗,咳嗽,下肢疼痛和浮肿。手术和社会史不多。在过去的六个月中,她一直在服用孕酮和柠檬酸克罗米芬以辅助生殖。生命体征和血氧饱和度正常。病人的呼吸音降低,双侧打击迟钝。绒毛膜促性腺激素水平为295 mlU / mL。全血细胞计数,化学检查,凝血研究,动脉血气分析和尿液分析的结果均在正常范围内。胸部X光片显示双侧胸腔积液,右侧较大。

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