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在儿童重症肌无力中胸腺切除术只用于那些伴有严重的全身无力而且对药物疗法无效的患儿,但有关儿童胸腺切除术的安全性、有效性以及对免疫可能发生的影响等尚未阐明,通过对成人重症肌无力的前瞻性研究,作者发现不用内科疗法而早期行胸腺切除术以后患者明显改善.术前常常使用血浆交换疗法而不用免疫抑制剂将病人调理到最佳状态作者对6例小儿重症肌无力,年龄在2-14岁,当发生全身无力后尽快地给予治疗.施行了胸骨切开的胸腺切除术,清除了所有的纵膈脂肪和可见的异位病灶.无并发症,6例均获改善.其中5例全身
In children with myasthenia gravis, thymectomy is only used in children with severe generalized infertility and is ineffective in drug therapy. However, the safety and efficacy of thymectomy in children and the possible effects on immunity have not been elucidated Through a prospective study of adult myasthenia gravis, the authors found that patients who underwent early thymectomy without medical therapy had a marked improvement in their condition, and that plasma exchange therapy was often used preoperatively without immunosuppressants to optimize the condition of the patient. Example Pediatric myasthenia gravis, aged 2-14 years, treated as soon as possible after generalized weakness Thyroidectomy underwent sternal dissection to remove all mediastinal fat and visible ectopic lesions Complications , 6 cases were improved, of which 5 cases of systemic