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find Author "周方" 2 results
  • 96例重症肌无力患者的外科治疗

    目的 总结重症肌无力(MG)患者的外科治疗和围术期处理经验,以提高手术疗效。 方法 2002年1月至2007年6月,对96例MG患者行胸腺切除加前纵隔脂肪组织清扫术,根据临床相对记分、服药量改变及生活能力于术后3个月评估临床疗效。 结果 无围术期死亡。术后发生MG危象8例(8.3% ),其中术前未服用糖皮质激素6例(18.75%),服用糖皮质激素2例(3.13%),经相应的治疗治愈。术后发生其他并发症9例(9.4%),其中肺部感染7例,切口感染2例,均经相应的治疗治愈。随访96例,随访时间3~18个月,其中32例临床痊愈,30例基本痊愈,15例显效,12例好转,7例无效。 结论 MG患者经内科治疗效果不佳或无效时,均应考虑手术治疗,无论是否有胸腺增生,特别是对合并有胸腺瘤者,应限期手术。若决定行手术治疗,术前除继续服用抗胆碱酯酶药物外,口服糖皮质激素15d左右可增加手术安全性,提高手术疗效。

    Release date:2016-08-30 06:04 Export PDF Favorites Scan
  • How to use GRADEpro GDT to Rate the Quality of Evidence in Systematic Reviews of Intervention Studies: An Introduction

    GRADEpro GDT-Guideline Development Tool, is an online tool for the integration of important data and process of clinical practice guidelines and diagnostic guidelines. It is a new methodology progress of the GRADE system. This paper introduced how to use GRADEpro GDT to rate the quality of evidence in systematic reviews of intervention studies with an example.

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