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1 病历摘要患者27岁,住院号454925。原发不孕4年,月经稀发9年,逐渐加重,最长停经时间7个月,孕酮撤退阳性,BBT单相,B超及腹腔镜检提示多囊卵巢,输卵管通畅,血PRL 34μg/L。因用克罗米芬无效而入院行hMG诱发排卵治疗。孕酮撤退出血的第5天开始用克罗米芬50mg qd共5天,第9天加用hMG1支肌注,第11天B超监测卵泡发育不好改用hMG2支qd,共用hMG 10支,第15天B超示双卵巢有多个无回声区,右侧最大卵泡2.6cm×1.6cm左侧最大卵泡2.1cm×1.2cm,血雌二醇(F_2)水平
A medical record Summary Patient 27 years old, hospital number 454925. Primary infertility 4 years, menstrual rare 9 years, gradually increased, the longest period of menopause 7 months, positive progesterone withdrawal, BBT single phase, B ultrasound and laparoscopic examination of polycystic ovary, tubal patency, blood PRL 34μg / L. Due to the use of clomiphene citrate and hMG induced ovulation induction. Progesterone withdrawal bleeding started 5 days with clomiphene citrate 50mg qd for 5 days, the first 9 days plus hMG1 intramuscular injection, the first 11 days of monitoring follicular dysplasia switch hmG2 branch qd, hMG 10, the first 15 days of B-ultrasound showed multiple ovary anechoic area, the largest right of the follicle 2.6cm × 1.6cm left the largest follicle 2.1cm × 1.2cm, blood estradiol (F 2) levels