报告32例胸腺瘤合并重症肌无力的治疗(包括术前准备、手术方法、术后药物治疗).32例不同分期的胸腺瘤,30例采用胸正中切口或胸正中切口+颈部切口,两例采用后外侧+胸正中切口.除眼肌型外,术前均给予免疫球蛋白及甲泼尼龙冲击治疗.结论:胸正中切口或胸正中切口+颈部切口可以充分切除胸腺组织,术前给予抗胆碱脂酶药物+皮质类固醇类药物及免疫球蛋白能明显降低重症肌无力危象的发生.术后合理应用抗胆碱脂酶药物和及时气管切开是抢救成功的关键. 32 cases of thymoma combined with myasthenia gravis (including preoperative preparation, surgical methods, postoperative drug treatment) .32 cases of thymoma with different stages, 30 cases of median thoracic incision or thoracic incision + neck incision, two Cases of posterior lateral + thoracic incision .In addition to the ocular muscle type, preoperative immunoglobulin and methylprednisolone impact treatment.Conclusion: median thoracic incision or median thoracic incision + neck incision can be fully removed thymus tissue, preoperative Given anticholinesterase drugs + corticosteroids and immunoglobulin can significantly reduce the incidence of myasthenia gravis crisis after rational use of anticholinergic drugs and timely tracheotomy is the key to the success of the rescue.