典型文献
Ovarian hyperstimulation syndrome following the use of GnRH agonist trigger of final oocyte maturation and freeze-all strategy: A case report and review of the literature
文献摘要：
Rationale: The current literature has a surprising controversy regarding the use of low-dose human chorionic gonadotropin (hCG) for luteal support as an explanation for the development of ovarian hyperstimulation syndrome, and this is because of the gap in the listing of the predisposing factors that put women at an increased risk of ovarian hyperstimulation syndrome.Patient concerns: A case of 25-year-old woman presented with abdominal pain, distention, dyspnea, and nausea with a 6.5 kg increase in weight from baseline. Ultrasonographic examination showed bilaterally enlarged multicystic ovaries after gonadotropin-releasing hormone (GnRH) agonist triggering and cycle segmentation with no hCG rescue administration. Diagnosis: Moderate/severe ovarian hyperstimulation syndrome. Interventions: The woman was admitted to the hospital for medical management of moderate/severe ovarian hyperstimulation syndrome, and pain management was advanced to patient-controlled anesthesia with the start of low molecular weight heparin. On day 2, albumin therapy followed by a furosemide chase was started due to an increase in abdominal girth. On day 1, Cabergoline was maintained, and on day 2 the GnRH antagonist Cetrorelix was started. Outcomes: The woman's clinical condition improved, and a clinical pregnancy was eventually achieved during the first cryo-warmed blastocyst cycle. Lessons: Ovarian hyperstimulation syndrome can still happen even after the use of GnRH agonist and avoidance of hCG support. Segmentation of in vitro fertilization with complete avoidance of hCG for luteal support remains the best approach.
文献关键词：
中图分类号：
作者姓名：
Dalia Khalife;Suleiman Ghunaim;Lina El Taha;Omar Odeh;Natasha Habr;Johnny Awwad
作者机构：
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Haifa Idriss-ART Unit, American University of Beirut,Beirut, Lebanon;School of Medicine, The University of Jordan, Amman, Jordan;Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon
文献出处：
引用格式：
[1]Dalia Khalife;Suleiman Ghunaim;Lina El Taha;Omar Odeh;Natasha Habr;Johnny Awwad-.Ovarian hyperstimulation syndrome following the use of GnRH agonist trigger of final oocyte maturation and freeze-all strategy: A case report and review of the literature)[J].亚太生殖杂志（英文版）,2022(06):292-298
A类：
multicystic,Cabergoline,Cetrorelix
B类：
Ovarian,hyperstimulation,syndrome,following,GnRH,final,oocyte,maturation,freeze,strategy,case,report,review,literature,Rationale,current,surprising,controversy,regarding,dose,human,chorionic,gonadotropin,hCG,luteal,support,explanation,development,ovarian,this,because,gap,listing,predisposing,factors,that,put,women,increased,risk,Patient,concerns,year,old,woman,presented,abdominal,pain,distention,dyspnea,nausea,weight,from,baseline,Ultrasonographic,examination,showed,bilaterally,enlarged,ovaries,after,releasing,hormone,triggering,cycle,segmentation,rescue,administration,Diagnosis,Moderate,severe,Interventions,was,admitted,hospital,medical,management,moderate,advanced,patient,controlled,anesthesia,molecular,heparin,On,day,albumin,therapy,followed,by,furosemide,chase,started,due,girth,maintained,antagonist,Outcomes,clinical,condition,improved,pregnancy,eventually,achieved,during,first,cryo,warmed,blastocyst,Lessons,can,still,happen,avoidance,Segmentation,vitro,fertilization,complete,remains,best,approach
AB值：
0.58058
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