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  • 哪些因素会让洁净手术室出现感染?
    来源:http://www.sdyhrs.com 浏览: 发布日期:2019-02-13
    医院大家都是了解的,是治病救人的地方。而医院手术室就是一个很重要的地方,给人做手术。现在手术室很多都是洁净手术室,这是为了避免让患者伤口感染,导致手术失败。不过有时候洁净手术室还是会感染,这就需要小心,必须要处理。那哪些因素会让洁净手术室出现感染的情况?
      Hospitals are known to all. They are places where people are treated and saved. The hospital operating room is a very important place to operate on people. Now many operating rooms are clean operating rooms, which is to avoid infection of patients'wounds, leading to the failure of the operation. But sometimes the clean operating room will still be infected, which needs to be handled carefully. What factors can cause infection in a clean operating room?
      1.手术室设计 洁净手术室要求针对不同科室手术进行科学设计和规划,如肛肠外科、妇产科及普通外科手术一般采用万级洁净手术室,而对脑外科、骨外科及泌尿外科等手术采用千级标准洁净手术室,而针对关节置换术、脑外、心脏外科和眼科等手术则需要采用百级特别洁净手术室。
      1. Designing a clean operating room requires scientific design and planning for operations in different departments, such as anorectal surgery, gynecology and obstetrics, general surgery, etc. The 10000-class clean operating room is generally used for brain surgery, orthopaedics and urology, while for joint replacement, extracerebral surgery, cardiac surgery and ophthalmology, 100-class clean operating room is required. Class I special clean operating room.
      2.医护人员 医护人员是手术的重要实施者,会接触到危险的切口等部位,所以医护人员应进行规范的外科刷手和无菌技术操作,防止由于医护人员或手术室环境内的致病菌造成的院内感染。Howard等为优化洁净手术室环境危险因素总结了几个重要的原则来减少整形外科术中感染的发生率。
      2. Medical personnel are the important implementers of the operation, and they will be exposed to dangerous incisions and other parts. Therefore, medical personnel should carry out standardized surgical brushing and aseptic technical operations to prevent nosocomial infection caused by pathogenic bacteria in medical personnel or operating room environment. Howard et al. summarized several important principles for optimizing environmental risk factors in clean operating rooms to reduce the incidence of infection during plastic surgery.
    层流手术室装修
      3.手术患者 患者本身存在糖尿病或感染灶等并发症,且手术部位临近感染灶部位或细菌会经过血液循环或淋巴循环在体内扩散,同时,术者所用的器械可能带有细菌污染,如未及时更换,会造成感染。Lipp等研究利用微生物密封剂减少手术部位感染的概率,取得了一定成果。
      3. Patients with diabetes mellitus or infection have complications such as diabetes mellitus or infection focus, and the surgical site near the infection focus or bacteria will spread through blood circulation or lymphatic circulation in the body. At the same time, the instruments used by the operator may be contaminated by bacteria, if not replaced in time, it will cause infection. Lipp et al. have made some achievements in reducing the probability of surgical site infection by using microbial sealants.
      4.空气污染 手术室的空气质量管理是一个动态过程,除定期进行手术室彻底清洁外,手术前后也应及时清洁保养并测定浮游菌值,据WHO报道空气中浮游菌如果达到1000~1800cfu/m时术后感染率会显著增高。
      4. Air quality management in air-polluted operating rooms is a dynamic process. In addition to regular thorough cleaning of the operating room, it should be cleaned and maintained in time before and after the operation, and the value of planktonic bacteria should be measured. According to WHO reports, the infection rate of air-polluted operating rooms will increase significantly if the number of planktonic bacteria reaches 1000-1800 cfu/m.
      这些因素都会让洁净手术室出现感染的情况,大家一定要注意,毕竟手术室是不能被感染的,轻则手术失败,重则还会让患者的生命受到威胁。
      These factors will make the clean operating room infected, we must pay attention to, after all, the operating room can not be infected, light surgery failure, heavy will also make the lives of patients threatened.

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