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总结了63例重症肌无力行胸腺切除治疗的围术期护理,并观察围术期发生危象的特点。护理重点包括严密病情监测,做好用药指导,适时实施有创无创序贯通气,选择正确的呼吸治疗方式及参数设置,加强感染预防及相关并发症的观察和护理。本组63例患者中19例出现腹痛腹泻不适,5例术后出现肌无力危象,其中1例发生反拗危象,3例因肺部感染而诱发。5例中3例采用面罩、2例采用头罩行无创通气序贯脱机。所有患者均经治疗及良好护理后治愈。
Summarized the 63 cases of myasthenia gravis underwent thyroidectomy perioperative nursing, and observed perioperative crisis characteristics. Nursing priorities include close monitoring of the disease, good medication guidance, promptly invasive and noninvasive sequential ventilation, proper respiratory therapy and parameter settings, and enhanced infection prevention and related complications observation and care. In the group of 63 patients, 19 cases of abdominal pain and diarrhea discomfort, 5 cases of myasthenia gravis crisis occurred, including 1 case of anti-crisis crisis, 3 cases of lung infection induced. In 5 cases, 3 masks were used, and 2 cases were followed up with noninvasive ventilation. All patients were cured after treatment and good care.