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1979~1992年采用胸腺切除治疗重症肌无力94例,手术有效率为86%,手术死亡2例(2.3%)。手术效果与围手术期处理有密切关系。现对手术前后处理,抗胆碱酯酶药物的应用,血浆交换疗法及手术后气管切开的原则进行了讨论,并强调了合理使用抗胆碱酯酶药物和预防肺部感染是防止肌无力危象的关键。
From 1979 to 1992, 94 cases were treated with thymectomy for myasthenia gravis. The operative efficiency was 86% and the operative death was 2 cases (2.3%). Surgical effect and perioperative management are closely related. Now the preoperative and postoperative management, the application of anticholinesterase drugs, plasma exchange therapy and the principle of tracheotomy after surgery were discussed, and emphasized the rational use of anticholinesterase drugs and prevention of pulmonary infection is to prevent myasthenia gravis The crux of the crisis.