Anesthesia Management of Thymoma with Myasthenia Gravis
SHEN Hong GE Feng CHEN Jindi Department of Anaesthesiology, Zhongshan Hospital ,Fudan University,Shanghai 200032
Objective: To study the peri-operation anesthesia management of thymoma with myasthenia gravis. Methods:28 patients suffered from thymoma with myasthenia gravis undergoing surgery were enrolled in this study retrospectively. Results: Vital signs of all patients were maintained relatively stable during operation. 25 patients were extubed after operation in a short time and observed for 1-3hrs in PACU(post anesthesia care unit) ,then sent to SICU (surgical intensive care unit) for 1-3days, 3 patients were extubed after sent to SICU within 24 hrs. No patients died and no myasthenia crisis happened. Conclusion patients suffered from thymoma with myasthenia gravis undergoing surgery should be well prepared before operation, carefully manipulated avoiding a large amount of loss blood, used with balanced anesthesia during operation and intensively monitored in SICU after operation with continuous neostigmine and methylprednisolone infusion. Myasthenia crisis can be prevented effectively.
【CateGory Index】： R614