Naganathan N, Nambiar R, Tan N C, Chiang S C
Br J Surg. 1977 Nov;64(11):817-8. doi: 10.1002/bjs.1800641116.
Thyrotoxicosis occurring in conjunction with myasthenia gravis is rare. The usual treatment consists of medical control of the thyrotoxicosis, then thymectomy and later subtotal thyroidectomy. The case reported here concerns a 19-year-old girl who had surgical treatment for both lesions on the same occasion. With proper medical preparation, modern anaesthesia and respiratory care, the surgical treatment of both lesions can be accomplished in one stage.
甲状腺毒症合并重症肌无力的情况较为罕见。通常的治疗方法是先对甲状腺毒症进行药物控制,然后进行胸腺切除术,之后再进行甲状腺次全切除术。本文报道的病例是一名19岁女孩,她在同一时间接受了针对这两种疾病的手术治疗。通过适当的药物准备、现代麻醉和呼吸护理,两种疾病的手术治疗可以在一个阶段完成。