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为了解不育症及易性癖者采用雌激素治疗后导致卒中的危险性,作者对50例45岁以下的卒中患者进行研究,其中2例接受非避孕目的雌激素治疗的患者发生了缺血性脑卒中。 例1,38岁,女性,采用试管生育,胚胎转移而进行卵子诱导,诱导药物包括leuprolide,clomiphene,促卵泡激素、人绒毛膜促性腺激素及黄体酮注射。计划取卵的前1天,患者出现了右侧肢体无力及找词(word-finding)困难,次日在经阴道超声引导下吸取卵泡,2天后命名困难及右侧肢体无力进一步加重。一般体格检查无特殊发现。神经系统检查:自发语言
To understand the risk of infertility and transsexualism leading to stroke after estrogen therapy, the authors studied 50 stroke patients under the age of 45 years, of whom 2 had estrogen-refractory non-contraceptive estrogen Stroke. Cases 1,38 years old, female, using test tube fertility, embryo transfer and egg induction, induction of drugs including leuprolide, clomiphene, follicle stimulating hormone, human chorionic gonadotropin and progesterone injection. One day before planned oophobilization, the patient developed weakness in the right limb and difficulty finding words. The next day, her follicles were aspirated under transvaginal sonography and were difficult to nomenclature after 2 days and further aggravated by weakness in her right limb. No special physical examination found. Neurological examination: spontaneous language