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重症肌无力(myasthenia gravis,MG)病人中80％具有胸腺病理学改变。目前,除抗胆碱酯酶药和免疫抑制剂治疗外,胸腺切除术已成为MG病人治疗的有效手段。鉴于MG特有的病理生理改变,选择合理的麻醉管理是降低术后并发症和死亡率的重要环节。麻醉中肌松药的使用更是关键所在。本文通过对9例MG病人麻醉管理的临床分析谈谈MG病人使用肌松药的体会。1 资料与方法 本组9例MG病人,ASAⅠ～Ⅲ级,男
Eighty percent of myasthenia gravis (MG) patients have thymus pathology. At present, in addition to anticholinesterase drugs and immunosuppressive therapy, thymectomy has become an effective treatment of MG patients. In view of MG unique pathophysiological changes, the choice of reasonable anesthesia management is to reduce postoperative complications and mortality an important part. The use of muscle relaxants anesthesia is the key. In this paper, 9 cases of MG patients with clinical analysis of anesthesia to talk about MG patients with the experience of muscle relaxants. 1 Materials and Methods The group of 9 patients with MG, ASA Ⅰ ~ Ⅲ grade, male