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首页> 外文期刊>Gynecological endocrinology: the official journal of the International Society of Gynecological Endocrinology >Continuous vaginal and bilateral thoracic fluid drainage for management of severe ovarian hyperstimulation syndrome.
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Continuous vaginal and bilateral thoracic fluid drainage for management of severe ovarian hyperstimulation syndrome.

机译：持续进行阴道和双侧胸腔引流，以治疗严重的卵巢过度刺激综合征。

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摘要

Severe ovarian hyperstimulation syndrome (OHSS) is a serious and potentially fatal complication of ovarian stimulation. A 29-year-old nulligravid patient with anovulatory infertility was treated with in vitro fertilization. Six days after embryo transfer, the patient presented with complaint of abdominal bloating, nausea, vomiting and shortness of breath. Severe late-onset OHSS, with massive ascites and pleural effusion, was diagnosed. Posterior colpotomy was performed under general anesthesia, a Foley catheter was inserted into the posterior cul-de-sac, and bilateral chest drainage tubes were left for continuous drainage. In total, 13.2 liters of ascites and 6.1 liters of pleural fluid were drained in 8 days. Continuous drainage of ascites and pleural effusion improved the patient's comfort without need for repeated transvaginal and thoracic aspirations.
机译：严重的卵巢过度刺激综合征（OHSS）是卵巢刺激的严重且可能致命的并发症。一名29岁无排卵性无排卵性不孕患者接受体外受精治疗。胚胎移植六天后，患者出现腹胀，恶心，呕吐和呼吸急促的症状。诊断为严重的晚期OHSS，伴有大量腹水和胸腔积液。在全麻下进行后结肠切开术，将Foley导管插入后死路，并留出双侧胸腔引流管进行连续引流。总共在8天内排出了13.2升腹水和6.1升胸膜液。持续引流腹水和胸腔积液可提高患者的舒适度，而无需重复经阴道和胸腔穿刺。

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