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目的探讨根据胸腺瘤合并重症肌无力的症状分级指导手术及围手术期的处理。方法对２１例病人的外科治疗和围手术期处理的分析和总结。结果显示重症肌无力症状改善８５．７％，降低了重症肌无力危象及胆碱能危象的发生率，减少了呼吸道的并发症。结论胸腺瘤合并重症肌无力通过外科治疗和围手术期恰当处理可以获得较好的疗效及手术安全。
Objective To investigate the treatment of thymomas combined with myasthenia gravis and the perioperative management. Methods Analysis and summary of surgical treatment and perioperative management of 21 patients. The results showed that the myasthenia gravis symptoms improved by 85.7%, reducing the incidence of myasthenia gravis and cholinergic crisis, and reducing respiratory complications. Conclusions Thymomas combined with myasthenia gravis can obtain good curative effect and safe operation through surgical treatment and proper perioperative management.