23.08.2015 Views

Cas clinique

LE SYNDROME D'HYPERSTIMULATION OVARIENNE (HSO)

LE SYNDROME D'HYPERSTIMULATION OVARIENNE (HSO)

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• J 5 post ponction: aggravation des douleurs,vomissements• Clinique: tachycardie, hypotension, déshydratation• Echo: ascite importante, ovaires 11 cm• Biologie: Hb 17,1 g/dl, Hte 51 %, Créat 118, K 6,2• Ttt : sérum physiologique 2L, drainage continu de l'ascite(10L en 6j), compensée par sérum physiologique• HNF 5000 UI x 2 /j en SC• Correction de l'hémoconcentration en 24h

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