CAJ | 학술논문

目的：探讨针对胸腺瘤合并重症肌无力患者，观察选择有效方法完成围手术期处理后获得的临床效果。方法选择广东省台山市人民医院2012年2月～2014年2月胸腺瘤合并重症肌无力患者30例，对其临床资料进行回顾性分析。结果显示30例患者术后无1例死亡。其中有3例发生了肌无力危象，实施机械通气后抢救成功，抢救成功率为100%；所有患者在术后1个月重症肌无力症状均有缓解，最终痊愈出院，治愈率为100%，效果比较令人满意。结论选择有效方法针对胸腺瘤合并重症肌无力患者加以围手术期处理，临床能够获得显著效果，可以显著提高患者临床抢救成功率。
목적：탐토침대흉선류합병중증기무력환자，관찰선택유효방법완성위수술기처리후획득적림상효과。방법선택광동성태산시인민의원2012년2월～2014년2월흉선류합병중증기무력환자30례，대기림상자료진행회고성분석。결과현시30례환자술후무1례사망。기중유3례발생료기무력위상，실시궤계통기후창구성공，창구성공솔위100%；소유환자재술후1개월중증기무력증상균유완해，최종전유출원，치유솔위100%，효과비교령인만의。결론선택유효방법침대흉선류합병중증기무력환자가이위수술기처리，림상능구획득현저효과，가이현저제고환자림상창구성공솔。
Objective To explore for thymoma with myasthenia gravis patients, observe the choice effective method after completion for the clinical effect of perioperative period.Methods select 30 cases of thymoma with myasthenia gravis February 2012 to February 2014 were treated. thymoma with myasthenia gravis patients, 30 cases of the clinical data were retrospectively analyzed.Results 30 cases patients without postoperative 1 case died. Including 3 cases of myasthenia crisis happens, the implementation of mechanical ventilation after successful rescue, rescue success rate is 100%; All 1 month after surgery in patients with myasthenia gravis symptoms are all in relief and eventually recovered discharge, the cure rate was 100%, the effect is satisfactory.Conclusion Select effective method for thymoma with myasthenia gravis patients perioperative period, clinical can obtain signiifcant effect, can signiifcantly improve the clinical success rate of rescue.