罕見宮內(nèi)四胎妊娠合并輸卵管異位妊娠并卵巢過(guò)度刺激綜合征1例
發(fā)布時(shí)間:2018-07-09 17:46
本文選題:四胎妊娠 + 輸卵管異位妊娠; 參考:《現(xiàn)代婦產(chǎn)科進(jìn)展》2015年05期
【摘要】:正患者,女,24歲,G0P0,因"促排卵后下腹脹痛,四胎妊娠,擬行減胎術(shù)"于2012年6月14日收入院;颊咴陆(jīng)周期6天/30~90天,因原發(fā)性不孕癥、多囊卵巢綜合征于外院給予克羅米芬+HMG促排卵治療,應(yīng)用HCG誘發(fā)排卵后,左下腹脹痛,漸加重,少量陰道流血1次。外院腹部B超示:宮內(nèi)四胎妊娠,雙卵巢增大。入院查體:生命體征平穩(wěn),心肺無(wú)異常,下腹略膨隆,左下腹輕壓痛,無(wú)反跳痛,移動(dòng)性濁音(士);婦科檢查未做;血、尿常規(guī),肝、腎功能及凝血功能無(wú)明顯異常。經(jīng)陰道超聲檢
[Abstract]:The patient, G0P0, 24 years old, was admitted to the hospital on June 14, 2012 because of pain in the lower abdomen after ovulation promotion and pregnancy in four cases. The patient's menstrual cycle was 6 days / 30 ~ 90 days. Because of primary infertility, polycystic ovary syndrome was treated with clomiphene HMG for ovulation promotion. After HCG was used to induce ovulation, the left lower abdomen distended with pain, gradually aggravated, and a little vaginal bleeding occurred once. External hospital abdominal B-ultrasound: intrauterine four pregnancy, biovaries enlarged. Admission examination: stable vital signs, no abnormal heart and lung, slightly distended lower abdomen, mild tenderness in the left lower abdomen, no rebound pain, moving turbid sound (Shi); gynecological examination was not done; blood, urine routine, liver, kidney function and coagulation function were not significantly abnormal. Transvaginal ultrasound examination
【作者單位】: 濰坊醫(yī)學(xué)院附屬醫(yī)院生殖醫(yī)學(xué)科;
【分類號(hào)】:R714.22
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