Expert consensus on perioperative nursing care for myasthenia gravis patients undergoing thymectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

DONG Huimin ¹ , ZHOU Ting ² , ZHONG Yingmei ³ , LI Wei ⁴ , LI Xiaoyan ⁵ ,  ZHANG Chunfang ⁵ ,  QI Guoyan ¹ ,  LIU Yangchun ³ , Myasthenia Gravis Union of China , Committee of Integrated Rehabilitation for Thymic Tumors of China Anti-Cancer Association , Myasthenia Gravis Group of the Thoracic Surgery Committee of the Cross-Strait Medical and Health Exchange Association—Consensus Drafting Expert Panel

1. Myasthenia Gravis Diagnosis and Treatment Center, Shijiazhuang People's Hospital, Shijiazhuang, 050000, P. R. China;
2. Department of Thoracic Surgery, Beijing Hospital, National Center of Gerontology, Beijing, 100730, P. R. China;
3. Department of Thoracic Surgery, Jiangxi Provincial People's Hospital, Nanchang, 330000, P. R. China;
4. Department of Thoracic Surgery, Union Hospital Affiliated to Fujian Medical University, Fuzhou, 350000, P. R. China;
5. Department of Thoracic Surgery, Xiangya Hospital of Central South University, Changsha, 410000, P. R. China;

Corresponding?author：

ZHANG Chunfang, Email: zhcf3801@csu.edu.cn; QI Guoyan, Email: zzjwlsys@163.com; LIU Yangchun, Email: lyc195411@sina.com

Keywords：

Myasthenia gravis; thymectomy; perioperative nursing care; nutritional support; airway management; expert consensus

DOI：

10.7507/1007-4848.202510077

Video：

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Myasthenia gravis is an autoimmune disorder characterized by impaired neuromuscular transmission. Thymectomy is one of the therapeutic options for acetylcholine receptor antibody-positive myasthenia gravis patients. The quality of perioperative care is directly associated with surgical safety and patient outcomes. However, there is currently a lack of specialized nursing consensus or guidelines specifically addressing the care of these patients domestically or internationally. To promote the standardization and normalization of perioperative nursing care for myasthenia gravis patients undergoing thymectomy and to ensure treatment efficacy, a panel of 57 experts from relevant fields was convened. Based on evidence-based medicine and clinical practice experience, discussions were held on various aspects including condition assessment, nutritional support, medication management, and airway care, resulting in a consensus with 18 final recommendations by using the Delphi method through two rounds of expert consultation. This consensus aims to provide a scientific reference for the perioperative nursing care of myasthenia gravis patients undergoing thymectomy.

Citation： DONG Huimin, ZHOU Ting, ZHONG Yingmei, LI Wei, LI Xiaoyan, ZHANG Chunfang, QI Guoyan, LIU Yangchun, Myasthenia Gravis Union of China, Committee of Integrated Rehabilitation for Thymic Tumors of China Anti-Cancer Association, Myasthenia Gravis Group of the Thoracic Surgery Committee of the Cross-Strait Medical and Health Exchange Association—Consensus Drafting Expert Panel. Expert consensus on perioperative nursing care for myasthenia gravis patients undergoing thymectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2026, 33(1): 1-12. doi: 10.7507/1007-4848.202510077 Copy

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