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重症肌无力３５例行外科治疗。Ⅰ型７例，Ⅱａ型８例，Ⅱｂ型１０例，Ⅲ型６例，Ⅳ型４例。胸腺瘤摘除术１８例，胸腺切除１７例，前纵隔脂肪清除２３例。于术日晨及气管插管拔管前肌注新斯的明，维持术前抗胆碱酯酶的血液浓度，防止术后发生肌无力危象，效果满意。术后随访２５例，因上感高热致肌无力危象死亡１例，单纯眼肌型无效２例，症状改善４例，症状完全缓解１８例，总有效率为８８％，无住院死亡。
35 cases of myasthenia gravis surgical treatment. 7 cases of type I, 8 cases of type IIa, 10 cases of type IIb, 6 cases of type III and 4 cases of type IV. Eighteen cases of thymoma, 17 cases of thymectomy, and 23 cases of anterior mediastinal fat removal. In the morning of surgery and tracheal intubation intramuscular injection of neostigmine before surgery to maintain the blood concentration of anticholinesterase to prevent postoperative myasthenic crisis, with satisfactory results. Twenty-five patients were followed up. One patient died of myasthenia gravis due to hyperpyrexia, two patients with simple ocular myoblasty, four patients with symptomatic improvement and 18 patients with complete remission. The total effective rate was 88%. There was no hospitalization death.