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目的探讨16例胸腺瘤患者围手术期的管理。方法16例全部行气管插管全麻，按改良Osserman分型，用三种不同的诱导方法及管理，评价患者预后。结果患者发生循环抑制与诱导药物有关，与患者的年龄，手术时间，性别均无统计学差异（P＞0.05）。围手术期需要呼吸支持和肌无力危象发生与病型有关与三组诱导用药无统计学差异（P＞0．05）。结论胸腺瘤患者预后与围手术期管理及病型有密切关系。
Objective To investigate the perioperative management of 16 patients with thymoma. Methods Sixteen patients underwent general anesthesia with tracheal intubation. According to the improved Osserman classification, the prognosis was evaluated by three different methods of induction and management. Results There was no significant difference (P>0.05) between patients’ age, operative time and gender. Perioperative respiratory support and myasthenia crisis were associated with the disease type and there was no significant difference between the three groups of induction drugs (P>0.05). Conclusion The prognosis of patients with thymoma is closely related to perioperative management and morbidity.