在卵巢过度刺激综合征后右中脑动脉封闭:一个案例研究
1Obstetrics and Gynaecology, St George Hospital, Sydney, AUS.
Cureus
|January 23, 2026
概括
卵巢过度刺激综合征 (OHSS),人工生殖技术的并发症,可以导致严重的事件,如中风. 这一案例突显了在接受新鲜胚胎移植的患者中OHSS相关的缺血性中风.
科学领域:
- 生殖医学 生殖医学
- 神经学 神经学
- 血管医学 血管医学
背景情况:
- 卵巢过度刺激综合征 (OHSS) 是辅助生殖技术的一个重要并发症.
- 新出现的证据表明OHSS和血栓塞栓事件之间存在相关性.
- 脑血管事件是OHSS的一个罕见但严重的潜在并发症.
研究的目的:
- 在患有OHSS的患者中报告脑动脉封闭后发生的缺血性中风病例.
- 为了强调OHSS和血栓栓塞瘤之间的潜在联系.
- 为了说明一个复杂的案件的成功管理.
主要方法:
- 一个新鲜胚胎移植后的女性患者的案例介绍.
- 诊断成像包括CT腹部,以评估自由液体.
- 副体检以区分OHSS与腹液的其他原因.
- 干预急需的内血管凝块检索的干预.
主要成果:
- 患者出现了暗示中风的症状.
- 脑电图扫描显示了腹部的大量自由液体,最初引起了人们对宫外怀孕的担忧.
- 体检验证实了清晰的液体,支持OHSS的诊断.
- 进行了成功的内血管凝块检索.
- 患者在干预后保持了渐进的怀孕.
结论:
- OHSS可能与严重的血栓栓塞并发症有关,包括缺血性中风.
- 及时诊断和干预,如内血管凝块检索,对于管理这些并发症至关重要.
- 这一案例强调了在OHSS患者中考虑血栓栓塞事件的重要性,即使在辅助生殖的背景下也是如此.
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