Ovarian hyperstimulation syndrome

소개글

난소 과배란증후군에 대한 프레젠테이션입니다. 제가 케이스 리뷰때 직접 작성한 것으로 간단하면서도 핵심만 실려있어서 유용할 것입니다^^

목차

Ovarian hyperstimulation symdrome(OHSS)
Definition
Pathophysiology
Classificaion
Management

본문내용

Management(1) -medical
Mild to moderate OHSS
- not necessary specific therapy
- close observation
2) Ascites or Hct < 45%
- take a rest & sufficient amounts of fluid
3) Hct >45% or WBC >20,000
- start maintenance at crystalloid added NaCl at 1500-3000ml/day
- if not controlled , use plasma expender
- low salt human albumin or Dextran

Management(2) - surgical
Paracentesis
Indication : large volumes of ascites oliguria or hypotension despite medical therapy need reduction of clinical Sx.
under ultrasound guidance
not over 2000 cc at a time

참고 자료

Berek & Novak`s gynecology 14th