[Postoperative management of crisis of myasthenia gravis: analysis of 20 patients].
From June 1983 to March 1992, 95 patients with of myasthenia gravis were treated with thyrmoma-thymectomy. Among them 90 patients were taken midsternotomy, and others standard lateral thoracotomy. All the patients had postoperative crisis of myathenia except one who had a cholinergic crisis. 12 patients (60%) belonged to type III and IV According to the Osserman's classification. The pathological findings showed that 17 patients had combined thyrmoma. The management for crisis was satisfactory with a success rate of 95%. The mortality rate was 5% (1/20) in early postoperative stage and 35% (7/20) in later stage, respectively. 12 patients survived for 2.5 to 10 years. Tracheotomy, mechanical ventilation adjustment, control of infection of the respiratory tract, and nourishment supports are the key measures for successful postoperative therapy and decrease of mortality.
Wang
L
L
Shanghai First Pulmonology Hospital.
Zou
X
X
Qiu
D
D
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality / Q000628:therapy*; D012306:Risk; D015996:Survival Rate; D013934:Thymectomy / Q000009:adverse effects