Postoperative Respiratory Management and Complications Prevention after Thymectomy in Patients with Myasthenia Gravis
- VernacularTitle:重症肌无力胸腺切除术后呼吸道管理与并发症的防治
- Author:
yuan, GAO
;
zheng-yu, HE
;
xiang-rui, WANG
- Publication Type:Journal Article
- Keywords:
myasthenia gravis;
thymusectomy;
respiratory management;
respiratory complications
- From:Journal of Shanghai Jiaotong University(Medical Science)
2006;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the methods of postoperative respiratory management and complications prevention of patients with myasthenia gravis who received thymectomy. Methods According to the accumulated scores of myasthenic crisis prediction, the patients with myasthenia gravis who underwent thymectomy in the past 5 years were divided into 2 groups: high risk group(12, n=11). The time of mechanical ventilation, restoration of muscle strength and spontaneously breathing during extubation, results of arterial blood gas analysis, body temperature, chest X-ray examination and sputum culture of each patient were analyzed. Results The time of mechanical ventilation in high risk group (18~30 h, 26 h in average) was longer than that in control group(4~28 h, 14 h in average)(P
