使用中的注意事项硬管内窥镜在手术过程中受到损坏的现象并不多，虽然会与人体的组织如肌肉、黏膜、骨骼等有接触和磕碰，但是这些磕碰是轻微的，不会造成窥镜的损坏，因为它只是起观察的作用，不是其他器械的受力点。但是在使用其他器械时，尤其是咬合力较大的钳、剪类器械应注意镜管的前端不要伸进器械的咬合区内，以免误伤镜管。
Precautions in use: hard tube endoscopes are rarely damaged during operation. Although they will contact and bump with human tissues such as muscles, mucous membranes and bones, these bumps are slight and will not cause damage to the endoscope, because they only play the role of observation and are not the force point of other instruments. However, when using other instruments, especially forceps and scissors with large bite force, it should be noted that the front end of the mirror tube should not extend into the bite area of the instrument, so as to avoid accidental injury to the mirror tube.
在使用这类器械时，有时医生为了看清楚咬合区的组织，把窥镜伸得很靠近组织，器械咬合时窥镜没有退回，误伤了窥镜。手术时如注意让器械的咬合口全部都在窥镜的观察范围内就可以避免此类事故发生。
When using this kind of instrument, sometimes the doctor extends the endoscope very close to the tissue in order to see the tissue in the occlusal area clearly. When the instrument occludes, the endoscope does not return and injures the endoscope by mistake. Such accidents can be avoided if the occlusal mouth of the instrument is within the observation range of the endoscope.

有些手术窥镜是在鞘管内使用，在更
换其他角度窥镜或插拔器械时，应注意动作要轻，不可用力过猛。尤其是插拔窥镜过程中，当遇到阻力拔不动时应仔细查找原因，必要时应连同鞘管一起拔取，不要用蛮力。当窥镜配合激光汽化、高频电切、微波等光电技术进行手术时，应注意窥镜前端与治疗点的距离，保证窥镜前端不被电击或烧灼。
Some surgical endoscopes are used in the sheath. When replacing other angle endoscopes or inserting and unplugging instruments, pay attention to the light action and do not use too much force. Especially in the process of inserting and removing the endoscope, when it cannot be pulled out due to resistance, the reason should be carefully found out. If necessary, it should be pulled out together with the sheath without brute force. When the endoscope is operated with laser vaporization, high-frequency electrotomy, microwave and other photoelectric technologies, pay attention to the distance between the front end of the endoscope and the treatment point to ensure that the front end of the endoscope is not shocked or burned.
当感觉到刨刀工作异常或照度突然降低时，有可能窥镜已经受损，应及时更换，以免造成更大损失。一般重要手术，应有一套备用窥镜和关键器械，在发现问题时可以从容地更换;如果使用角度不合适的窥镜或不配套的器械勉强手术，也容易造成窥镜的损坏。
When you feel that the planer is working abnormally or the illumination suddenly decreases, the endoscope may have been damaged and should be replaced in time to avoid greater losses. For general important operations, there should be a set of spare endoscopes and key instruments, which can be replaced calmly when problems are found; It is also easy to damage the endoscope if it is forced to operate with an inappropriate angle endoscope or mismatched instruments.
怎样维护硬管内窥镜硬管内窥镜应有专人专柜保管，放在专用的包装箱内，内衬柔软的海绵或聚氨酯泡沫。所有窥镜和手术器械都要码放整齐，不得交叉重叠放置，确保箱盖盖好后，内部的窥镜和器械不会在搬运时相互撞击。由于内窥镜的镜管很薄，受到挤压、磕碰、折弯、落地等情况就会弯曲变形，导致镜片破损或光轴偏移而造成图像不清楚或不能使用，所以从包装箱中取出或放入硬管内窥镜时，应双手平托，轻轻地取出或放入，切忌提起一段拽出。窥镜放在托盘等硬质容器内移动时，注意与其他器械分开放置，不要过分颠簸，以免碰撞到窥镜。包装箱内应备有干燥剂保持箱内干燥。
How to maintain the rigid tube endoscope hard tube endoscope should be kept in a special cabinet, placed in a special packing box, lined with soft sponge or polyurethane foam. All endoscopes and surgical instruments shall be stacked neatly without overlapping. After the box cover is covered, the internal endoscopes and instruments will not collide with each other during handling. Because the endoscope tube is very thin, it will be bent and deformed by extrusion, bump, bending, landing and other conditions, resulting in lens damage or optical axis offset, resulting in unclear or unusable image. Therefore, when taking out or putting in the hard tube endoscope from the packing box, you should hold your hands flat and take it out or put it in gently. Do not lift a section out. When the endoscope is moved in a hard container such as a tray, pay attention to placing it separately from other instruments. Do not bump too much to avoid colliding with the endoscope. Desiccant shall be provided in the packing box to keep the box dry.
普通的硬管内窥镜都不耐高温高压，主要是由于封装胶在高温下会变质、变形，窥镜就会开胶进水，所以不可用煮沸和高压蒸汽等高温高压的方法消毒。大多数硬管内窥镜的损坏都是由于不注意保养、磕碰、落地等原因造成的。
Ordinary hard tube endoscopes are not resistant to high temperature and high pressure. The main reason is that the sealing glue will deteriorate and deform at high temperature, and the endoscope will open the glue and water, so it can not be disinfected by high temperature and high pressure methods such as boiling and high pressure steam. Most hard tube endoscopes are damaged due to careless maintenance, bumping, landing and other reasons.
也有个别生产厂的封装胶、封装技术、封装结构有问题，造成窥镜进水、开胶的现象，这些都是可以修复的。硬管内窥镜虽然是娇贵的医疗器械，但是在正常的临床手术或观察中是不容易出现问题的。只要使用得法、精心维护、细心保养，医生们可以放心使用，硬管内窥镜也会发挥最大的效益。
There are also problems with the packaging glue, packaging technology and packaging structure of individual manufacturers, resulting in the phenomenon of water ingress and glue opening of the endoscope, which can be repaired. Although hard tube endoscope is a delicate medical device, it is not easy to have problems in normal clinical operation or observation. As long as it is properly used, carefully maintained and carefully maintained, doctors can use it safely, and the hard tube endoscope will also give full play to its benefits.
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