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[重症肌无力的电视辅助胸腔镜胸腺切除术。新方法]

[Video-assisted thoracoscopic thymectomy in myasthenia gravis. New approach].

作者信息

Porkhanov V A, Zhikharev V A, Polyakov I S, Danilov V V, Kononenko V B

机构信息

Research Institute - Ochapovsky Regional Clinical Hospital #1, Krasnodar, Russia.

出版信息

Khirurgiia (Mosk). 2018(3. Vyp. 2):15-21. doi: 10.17116/hirurgia20183215-21.

Abstract

AIM

To present possibility and technical aspects of anesthetic management during video-assisted thoracoscopic thymectomy in patients with myasthenia gravis.

MATERIAL AND METHODS

The article describes the proposed modified anesthetic method that is suitable for video-assisted thoracoscopic thymectomy in patients with myasthenia gravis. Nine patients with myasthenia underwent VATS-thymectomy. Anesthesia was performed with artificial airway and auxiliary ventilation without muscle relaxants administration.

摘要

目的

阐述重症肌无力患者行电视辅助胸腔镜胸腺切除术时麻醉管理的可能性及技术要点。

材料与方法

本文描述了一种适用于重症肌无力患者电视辅助胸腔镜胸腺切除术的改良麻醉方法。9例重症肌无力患者接受了电视辅助胸腔镜胸腺切除术。麻醉采用人工气道和辅助通气,未使用肌肉松弛剂。

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