在自发性卵巢过度刺激综合征中与怀孕相关的急性损伤:一个病例报告
Yeshwanth Mohan Yelavarthy1, Somnath Panda2, Jyoti Aggarwal1
1Nephrology, All India Institute of Medical Sciences, Raipur, Raipur, IND.
Cureus
|December 8, 2025
概括
怀孕早期的自发性卵巢过度刺激综合征 (OHSS) 是罕见的,并且难以诊断. 这一案例突出了需要透析的严重急性损伤 (AKI),强调了迅速识别和管理的必要性.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 腎臟病學 (nephrology) 是一種醫學.
- 关键护理医学 关键护理医学
背景情况:
- 自发性卵巢过度刺激综合征 (OHSS) 是一种罕见的疾病,与阳性形式不同.
- 怀孕早期的OHSS带来了诊断挑战,可能导致严重的全身并发症.
- 急性损伤 (AKI) 是OHSS的严重并发症,特别是在孕妇中.
研究的目的:
- 在怀孕早期报告一种不寻常且危及生命的自发性OHSS表现.
- 在这种情况下,要突出严重的AKI需要透析的并发症.
- 强调早期诊断和自发性OHSS管理的重要性.
主要方法:
- 一个27岁的妇女在怀孕10周的案例报告与自发的OHSS.
- 介绍包括一般化,寡尿症,阴道出血和多器官液体封存.
- 治疗包括积极的液体复苏,血液透析和治疗液体排水.
主要成果:
- 患者经历了流产和严重的AKI,需要透析.
- 对于尿血和代谢性酸症,需要进行三次血液透析.
- 实施了积极的流体管理和治疗程序.
结论:
- 临床医生必须保持高怀疑OHSS的指数在早期怀孕中,无法解释的第三间距和功能障碍.
- 及时的流体管理至关重要.
- 在自发性OHSS中对AKI表示时,应考虑脏替代疗法.
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