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Updated: Sep 11, 2025

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自发性卵巢过度刺激综合征和由于原发性甲状腺功能低下症而导致的超级乳糖血症:一个青少年病例报告
Emel Hatun Aytaç Kaplan1, Nazlı Gülsüm Akyel2, Zümrüt Kocabey Sütçü1
1Basaksehir Cam and Sakura City Hospital, Pediatric Endocrinology, İstanbul, Turkey.
概括
自发性卵巢过度刺激综合征,虽然在儿童中很少见,但可以发生在原发性甲状腺功能低下症. 这个案例突出了腹痛作为年轻患者的关键诊断症状.
科学领域:
- 内分泌学 在内分泌学.
- 生殖医学 生殖医学
- 儿科内分泌学 儿科内分泌学
背景情况:
- 卵巢过度刺激综合征 (OHSS) 涉及卵巢膨胀,囊和流体泄漏,原因是血管透性增加.
- 虽然经常与受控的卵巢刺激有关,但自发的OHSS并不常见.
- 主要的甲状腺功能低下症,特别是自身免疫性甲状腺炎,可能与罕见的自发性OHSS相关.
研究的目的:
- 报告一例罕见的突发性卵巢过度刺激综合征发生在患有原发性甲状腺功能低下症的儿科患者身上.
- 在这种情况下,要强调腹痛和银河的诊断重要性.
主要方法:
- 一个17岁的女性患有自发性OHSS和一次性甲状腺功能低下症的案例介绍.
- 诊断评估包括甲状腺功能测试 (TSH:713 IU/ml),超声波和磁共振成像.
- 治疗包括治疗甲状腺功能低下症的勒沃西和治疗高甲状腺性血症的卡伯戈林.
主要成果:
- 患者出现了严重的腹痛和银河.
- 图像检查显示有多个囊的卵巢扩大.
- 治疗导致卵巢大小和囊减少的显著改善.
结论:
- 在患有原发性甲状腺功能低下症的儿科患者中,应考虑自发性卵巢过度刺激综合征.
- 腹痛是诊断儿童自发性OHSS的一个关键症状.
- 有效的管理包括解决甲状腺功能低下症和相关的高甲状腺素血症.
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