摘要
目的探讨卵巢过度刺激综合征（ovarian hyperstimulation syndrome，OHSS）合并单纯型呼吸性碱中毒患者的处理方法及注意事项，并简述血气分析在OHSS患者中应用的临床意义。方法选取本院2016年1月至9月收治的中重度OHSS患者，入院后均立即行动脉血气分析，50例患者合并有单纯型呼吸性碱中毒，给予患者面罩吸氧及胸腔或腹腔穿刺术，于6h后再次行动脉血气分析，比较患者呼吸频率及pH、PaCO2的值。结果经吸氧及穿刺术等对症治疗，患者呼吸困难、腹胀不适等症状明显好转，呼吸频率减慢，pH值下降、PaCO2升高，穿刺术前后比较差异有统计学意义（P〈0．05）。结论对于OHSS合并单纯型呼吸性碱中毒的患者应尽早给予吸氧及穿刺术等对症治疗，OHSS患者人院后应常规行血气分析。
Objective To investigate the treatment method and the matters needing attention for patients with ovarian hyperstimulation syndrome （OHSS） complicating by simplex respiratory alkalosis, and briefly discuss the clinical significance of blood gas analysis in OHSS patients. Methods Severe OHSS patients in our hospital from January 2016 to September 2016 underwent arterial blood gas analysis immediately after admission, there were 50 patients complicating by simplex respiratory alkalosis, the patients were given oxygen mask and chest or abdominal puncture, underwent arterial blood gas analysis again 6 h later, respiratory frequency, pH, PaCO2 were compared. Results After oxygen and puncture and other symptomatic treatment, dyspnea, abdominal discomfort, and other symptoms of patients improved significantly, the respiratory frequency slowed down, the pH value decreased, PaCO2 increased, with statistically significant differences before and after treatment （P〈0.05）. Conclusion The patients with OHSS complicating by simplex respiratory alkalosis should be treated as early as possible, such as oxygen inhalation, puncture, and other symptomatic treatment. OHSS patients should undergo routine blood gas analysis after admission.
出处
《国际医药卫生导报》
2017年第16期2554-2556,共3页
International Medicine and Health Guidance News
基金
厦门市科技惠民项目（3502z20154044）
关键词
卵巢过度刺激综合征
单纯型呼吸性碱中毒
血气分析
注意事项
Ovarian hyperstimulation syndrome
Simplex respiratory alkalosis
Blood gas analysis
Matters needing attention
