| Autor: |
Ia B, Iudin, O G, Kogan, Iu D, Prokopenko, I I, Klepikov, G V, Vusik, K K, Fedorov, V V, Ivanov, V A, Diupin, O S, Merzeniuk |
| Rok vydání: |
1989 |
| Předmět: |
|
| Zdroj: |
Khirurgiia. (11) |
| ISSN: |
0023-1207 |
| Popis: |
The article deals with the treatment of myasthenia in 33 children whose ages ranged from 3 to 15 years. Myasthenia of moderate severity was diagnosed in 14, severe in 15, and extremely severe in 2 children. To make a precise diagnosis, loading, neostigmine methylsulfate, cold, and D-tubocurarine tests were conducted. Thymectomy was performed in 32 patients. The operation was carried out through a T-shaped sternotomy approach. Thymogenic myasthenia was verified in 31 patients and thymomogenic only in one patient. There were no fatal outcomes. The late-term results were studied in 12 patients in follow-up periods of 3 to 6 years. Adaptational activity of the patients, anticholinesterase agents and the results of stimulant electric myography served as the criterion in appraising the late-term results. Modern diagnostic methods and surgical intervention ensure a favourable result in 75% of patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
