醫學六：80題 ( 包括麻醉科,眼科,耳鼻喉科,婦產科,復健科等科目及其及相關臨床實例與醫學倫理 )題庫下載題庫

●Ultrasound-guided culdocentesis is often performed (even on an outpatient basis) in women with tense ascites, orthopnea, rapid increase of abdominal fluid, or any other sign that may indicate progression of illness. (See 'Ascites/culdocentesis' above.)

●For women with moderate OHSS, we suggest outpatient management that includes avoidance of physical activity, oral hydration (1 to 2 liters per day), and a baseline transvaginal ultrasound (TVUS) and complete blood count (CBC) (to look for ascites and hemoconcentration, respectively) (Grade 2C). In addition, daily communication with the pati...

●Ultrasound-guided culdocentesis is often performed (even on an outpatient basis) in women with tense ascites, orthopnea, rapid increase of abdominal fluid, or any other sign that may indicate progression of illness. (See 'Ascites/culdocentesis' above.)

●For women with moderate OHSS, we suggest outpatient management that includes avoidance of physical activity, oral hydration (1 to 2 liters per day), and a baseline transvaginal ultrasound (TVUS) and complete blood count (CBC) (to look for ascites and hemoconcentration, respectively) (Grade 2C). In addition, daily communication with the patient is done to monitor daily weights and abdominal circumference and to report any worsening signs and symptoms (oliguria, abdominal distention, shortness of breath, weight increase). Other monitoring for signs of progression should be done every 48 hours (or daily if symptoms are worsening), including physical and ultrasound examinations and laboratory testing (CBC, electrolytes, creatinine, serum albumin, and liver enzymes) (table 1 and algorithm 2). (See 'Moderate OHSS' above.)