| 重症肌无力的外科治疗 |
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| 引用本文： | 赵晓东,高旭东,邱能庸,陈书山,朱宪明,特木热.重症肌无力的外科治疗[J].内蒙古医学杂志,2001,33(4):318-319. |
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| 作者姓名： | 赵晓东 高旭东 邱能庸 陈书山 朱宪明 特木热 |
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| 作者单位： | 内蒙古医学院附属医院胸心外科,内蒙古,呼和浩特,010050 |
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| 摘 要： | 目的：探索重症肌无力的外科治疗方法。方法：采用胸腺切除及前纵隔淋巴清扫治疗重症肌无力35例。结果：术后早期死亡1例，34例随访2个月至5年，缓解14例，改善16例，无变化2例，死亡3例。结论；胸腺切除及前纵隔淋巴脂肪清扫治疗重症肌无力效果满意。延迟拔管或早期气管切开术，是防止术后重症肌无力危象的有效措施。胸腺肿瘤已侵及包膜或有局限性恶变的术后放疗可以减少复发，延长了生存时间。
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| 关 键 词： | 重症肌无力 胸腺切除术 胸腺瘤 外科治疗 |
| 文章编号： | 1004-0951(2001)04-0318-02 |
| 修稿时间： | 2000年6月1日 |
Surgical treatment of myasthenia gravis |
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| ZHAO Xiao-dong,GAO Xu-dong,QIU Neng-yong,CHEN Shu-shan,ZHU Xian-ming,TE Mu-re.Surgical treatment of myasthenia gravis[J].Inner Mongolia Medical Journal,2001,33(4):318-319. |
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| Authors: | ZHAO Xiao-dong GAO Xu-dong QIU Neng-yong CHEN Shu-shan ZHU Xian-ming TE Mu-re |
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| Abstract: | Objective:To explore curative effect of surgical treatment for myasthenia gravis.Method:Thirty-five patients with myasthenia gravis were treated by extended thymectomy.(inclusion thymoma).Result:There was one patient opertive death.The follow-up was from 2 months to 5 years.3 cases died within 5 years.14 cases were remission,16 cases were improved and 2 cases had no change.Conclusion:Extended thymectomy is excellent operation procedure for patients with myasthenia gravis.Eatly tracheostoy and assisted respiratory support are very important in the management of crisis. |
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| Keywords: | Myasthenia gravis Thymectomy Thymoma |
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