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我科1986~1990年收治重症肌无力危象40人次,其中8人次在综合抢救措施中,因常规抢救效果不佳,行血浆置换疗法(Plasma exchange简称PE)收到较好效果,报告如下。临床资料年龄与性别:17~60岁,平均41岁;男性5例,女性3例。病型与病程:均为全身型,发病至出现危象时间为3~60个月,平均21个月,其中5例在胸腺切除术后。诱发危象原因:感染5例,情绪激动、过劳2例,胸腺癌术后放疗1例;以感染诱发多见。
My department from 1986 to 1990, 40 cases of myasthenia gravis crisis, including 8 people in the comprehensive rescue measures, due to poor performance of conventional rescue, plasma exchange therapy (Plasma exchange referred to as PE) received good results, the report is as follows. Clinical data Age and gender: 17 to 60 years old, average 41 years; 5 males and 3 females. Type and duration of disease: all systemic type, the onset of crisis appears time is 3 to 60 months, an average of 21 months, of which 5 cases after thymectomy. Causes of crisis: infection in 5 cases, agitation, overwork in 2 cases, 1 case of postoperative thymectomy radiotherapy; infection induced more common.