罕见宫内四胎妊娠合并输卵管异位妊娠并卵巢过度刺激综合征1例

发布时间：2018-07-09 17:46

本文选题：四胎妊娠 + 输卵管异位妊娠　；参考：《现代妇产科进展》2015年05期

【摘要】：正患者,女,24岁,G0P0,因"促排卵后下腹胀痛,四胎妊娠,拟行减胎术"于2012年6月14日收入院。患者月经周期6天/30~90天,因原发性不孕症、多囊卵巢综合征于外院给予克罗米芬+HMG促排卵治疗,应用HCG诱发排卵后,左下腹胀痛,渐加重,少量阴道流血1次。外院腹部B超示:宫内四胎妊娠,双卵巢增大。入院查体:生命体征平稳,心肺无异常,下腹略膨隆,左下腹轻压痛,无反跳痛,移动性浊音(士);妇科检查未做;血、尿常规,肝、肾功能及凝血功能无明显异常。经阴道超声检
[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
【作者单位】：潍坊医学院附属医院生殖医学科;
【分类号】：R714.22

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