岭南现代临床外科2025，Vol.25Issue(4)：246-249,4.DOI:10.3969/j.issn.1009-976X.2025.04.006
单纯胸腺瘤术后早期新发重症肌无力危象1例并文献复习
New-onset myasthenia gravis crisis in the early postoperative period after simple thymoma:a case report and review of the literature
杨连凯 1宫维勇2
作者信息
- 1. 沧州市中心医院胸外科,河北 沧州 061000
- 2. 河北省沧州中西医结合医院心胸外科,河北 沧州 061000
- 折叠
摘要
Abstract
Objective To investigate the risk factors and preventive measures for new-onset myasthenic crisis(MC)early after thymoma surgery.Methods Retrospective analysis of the clinicopathological data of a case of new MC in the early postoperative period after surgery for simple thymoma in Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,and review of the relevant literature.Results A young patient underwent surgical treatment for a mediastinal tumor,and the postoperative pathology showed type B2 thymoma,and immediately after the operation he had difficulty in lifting his four limbs and head,respiratory weakness,and was unable to be taken off the machine.On the first day after surgery,he was fully conscious but still unable to be taken off the machine.The Neostigmine test(+)diagnosed a new onset of MC after surgery.He was cured by a combination of bromostigmine and intravenous injection of human immunoglobulin(pH4).Conclusion Early new-onset MC in the postop-erative period of simple thymoma is rare,and the key to ensuring the life safety of patients is early diagnosis and rational treatment,and the high-risk factors of postoperative MC in simple thymoma should also be avoided in the perioperative period.关键词
胸腺瘤/重症肌无力危象/术后并发症Key words
thymoma/myasthenic crisis/postoperative complications分类
医药卫生引用本文复制引用
杨连凯,宫维勇..单纯胸腺瘤术后早期新发重症肌无力危象1例并文献复习[J].岭南现代临床外科,2025,25(4):246-249,4.
