随着医疗技术的不断发展,医用内窥镜已被广泛的应用于医疗领域,它已经成为临床诊断与中不可缺少的重要医疗仪器。加强内窥镜的感染管理、做好内窥镜的已经成为医院感染管理工作中的重要环节,接下来由内窥镜设备维修的小编给大家科普一下。
With the continuous development of medical technology, medical endoscopy has been widely used in the medical field, it has become an indispensable important medical instrument in clinical diagnosis and treatment. It has become an important link in the hospital infection management to strengthen the infection management of endoscopes and do a good job in the disinfection of endoscopes. Next, the small edition of endoscope equipment maintenance will give you a general introduction.
内窥镜的组成与分类
Composition and classification of endoscope
医用内窥镜由三大部分构成:内窥镜系统,图像显示系统,照明系统,内窥镜按成像构造可分为硬管式内窥镜、光学纤维内窥镜、电子内窥镜;根据其功能又可分为消化道内窥镜、呼吸系统内窥镜、泌尿系统内窥镜等。
Medical endoscope consists of three parts: endoscope system, image display system, lighting system. Endoscope can be divided into hard tube endoscope, optical fiber endoscope and electronic endoscope according to imaging structure; according to its function, it can also be divided into digestive tract endoscope, respiratory system endoscope, urinary system endoscope, etc.
1、纤维内窥镜
1. Fiberscope
2、电子内窥镜
2. Electronic endoscope
3、医院内窥镜系统
3. Hospital endoscopy system
引起内窥镜感染的原因
Causes of endoscopic infection
1.内窥镜通道与附件难以;2.自动清洗剂污染;3.剂使用不当;4.内通道未干燥;5.未知原因。
1. It is difficult to disinfect the endoscope channel and accessories; 2. The automatic cleaning agent is polluted; 3. The disinfectant is not used properly; 4. The internal channel is not dry; 5. Unknown reasons.
引起内窥镜感染原因分析
Causes of endoscopic infection
《学杂志》报道因内窥镜检查引起的377位感染病例,其中上消化道镜占47.75%,下消化道引起的占26.79%,支气管镜引起的占25.46%。
The Chinese Journal of disinfection reported 377 cases of infection caused by endoscopy, of which 47.75% were caused by upper digestive tract, 26.79% by lower digestive tract and 25.46% by bronchoscope.
内窥镜感控方案
Endoscope sensing solution
1、医院内窥镜的清洗分为外部硬件系统和各类内镜两部分,外部硬件系统包括图像处理器、监视器、冷光源等可以采用伽玛无醇卫生湿巾擦拭即可。
1. The cleaning and disinfection of endoscopes in hospital can be divided into two parts: external hardware system and all kinds of endoscopes. The external hardware system including image processor, monitor, cold light source, etc. can be wiped with gamma alcohol free sanitary wipes.
2、 硬镜步骤:1.将硬镜放于容器上,清洗和浸泡时与其他手术器械分开盛装;2.采用微可清多酶清洗剂清洗,使用柔软、干净的小刷子、海绵或者小纱布;3.清洗完后用干净的纱布擦干外表面水分;4.对擦干后的硬件进行高温蒸汽,且术前与其他器械分开摆放。
2、 Steps of hard mirror disinfection: 1. Place the hard mirror on the container and separate it from other surgical instruments when cleaning and soaking; 2. Clean it with micro cleanable multi enzyme full effect cleaner and use soft and clean small brush, sponge or small gauze; 3. Dry the surface water with clean gauze after cleaning; 4. Sterilize the dried hardware with high temperature steam and separate it from other instruments before operation put.
3、软镜定时方法:使用二氧化氯(一扫清,泡腾片)对软镜定时(1)将整条软镜管道注入空气,排掉清水,防止水分稀释液;(2)将软镜放入液中完全浸泡,用一次性注射器把液注入所有管道直到无气泡冒出;(3)将软镜、附件和清洗工具浸泡在液中,直到规范要求的浸泡时间为止;(4)浸泡结束后用注射器注入空气排除多余液,排除多余液,取出内镜。
3. Timing disinfection method of soft mirror: use chlorine dioxide disinfection (one sweep, effervescent tablet) to timing disinfection of soft mirror (1) inject air into the whole soft mirror pipe, drain off the water, prevent water from diluting the disinfectant; (2) put the soft mirror into the disinfectant and soak it completely, inject the disinfectant into all pipes with a disposable syringe until no bubbles emerge; (3) clean the soft mirror, accessories and cleaning Soak the tools in the disinfectant until the immersion time required by the specification; (4) after the immersion, inject air into the syringe to remove the excess disinfectant, remove the excess disinfectant, and take out the endoscope.
The above is the cleaning and disinfection method of endoscopic infection. If you want to know more, please consult the official website of endoscopic equipment maintenance http://www.jiangrenyiliao.cn 。