自从1959年 Burnet 发表“纯系选择理论”(Clonal Selection Theory)以来,已报告有许多种自家免疫疾病(见表1),而且还不断试图用自家免疫的概念说明某些不明原因的疾病。为缓解这类疾病的症状,除用免疫抑制治疗外,还采用胸腺切除、脾切除等外科治疗。对这类患者麻醉管理中, Since the publication of Clonal Selection Theory by Burnet in 1959, a number of autoimmune diseases have been reported (see Table 1), and attempts have been made continually to explain certain unexplained diseases using the concept of autoimmunity. To alleviate the symptoms of such diseases, in addition to immunosuppressive therapy, but also the use of thymectomy, splenectomy and other surgical treatment. Anesthetic management of such patients,