在臨床為滿足院感要求，需要保持內(nèi)窺鏡的干凈、衛(wèi)生，防止細(xì)菌、病毒傳播感染，一般都會(huì)進(jìn)行消毒、干燥，而插入管的硬化及老化狀況大多是由于長(zhǎng)時(shí)間的消毒浸泡導(dǎo)致或是消毒藥水濃度稀釋比例不對(duì)或使用酸化水，使插入管表皮變質(zhì)、泛黃、老化，嚴(yán)重的可能產(chǎn)生破裂。下面內(nèi)窺鏡設(shè)備維修廠家為您講解下預(yù)防措施。

In order to meet the requirements of hospital infection in clinic, it is necessary to keep the endoscope clean and sanitary to prevent bacterial and viral infection. Generally, disinfection and drying will be carried out. However, the hardening and aging of the insertion tube are mostly caused by long-term disinfection immersion, or the dilution ratio of the disinfectant solution is incorrect, or the use of acidified water, resulting in deterioration, yellowing and aging of the insertion tube skin, which may cause serious rupture. The endoscope equipment maintenance manufacturer will explain the preventive measures for you.

插入管表皮一旦變質(zhì)、泛黃、老化，就可能產(chǎn)生破裂。禁止用絕緣膠帶包住裂口處，這樣做非但起不到密封作用，長(zhǎng)時(shí)間的浸泡或彎曲裂口都會(huì)導(dǎo)致消毒藥水慢慢滲入鏡體，導(dǎo)光部進(jìn)水就會(huì)浸泡壞PCB板無(wú)圖像，操作部進(jìn)水就會(huì)導(dǎo)致手輪、鋼絲嚴(yán)重銹蝕，插入如進(jìn)水會(huì)導(dǎo)致導(dǎo)光束硬化、CCD損壞。

Once the skin of the insertion tube deteriorates, yellows and ages, it may break. It is forbidden to wrap the crack with insulating tape. This will not only play a sealing role, but also lead to the long-term immersion or bending of the crack will cause the disinfectant to seep into the mirror body slowly, the light guide part will be soaked in water, the PCB board will be damaged without image, the operation part will cause serious rust on the handwheel and steel wire, and the insertion of water will lead to the hardening of the light guide beam and CCD damage.

預(yù)防或解決措施：

Prevention or solution measures:

（1）消毒液體配置嚴(yán)格按照要就進(jìn)行；

(1) The disinfection liquid shall be prepared in strict accordance with the requirements;

（2）關(guān)注患者情況，患者因?yàn)闄z查帶來(lái)的不適感，常常導(dǎo)致多次嘔吐，要密切關(guān)注牙墊是否脫落，對(duì)于不能配合或是淺麻無(wú)意識(shí)患者必要時(shí)可讓一助手協(xié)助固定牙墊，避免患者牙齒對(duì)鏡體損傷。

(2) Pay attention to the patient's condition. The patient often vomits many times because of the discomfort caused by the examination. Pay close attention to whether the dental pad falls off. For patients who cannot cooperate or are unconscious of light anesthesia, an assistant can help fix the dental pad if necessary to avoid the damage of the patient's teeth to the mirror body.

內(nèi)窺鏡在手術(shù)過(guò)程中受到損壞的現(xiàn)象并不多，雖然會(huì)與人體的組織如肌肉、黏膜、骨骼等有接觸和磕碰，但是這些磕碰是輕微的，不會(huì)造成窺鏡的損壞，因?yàn)樗皇瞧鹩^察的作用，不是其他器械的受力點(diǎn)。但是在使用其他器械時(shí)，尤其是咬合力較大的鉗、剪類器械應(yīng)注意鏡管的前端不要伸進(jìn)器械的咬合區(qū)內(nèi)，以免誤傷鏡管。

There are not many damages to the endoscope during the operation. Although it will contact and bump with human tissues such as muscle, mucosa, bone, etc., these bumps are slight and will not cause damage to the endoscope, because it is only for observation, not the force point of other instruments. However, when using other instruments, especially forceps and scissors with large bite force, the front end of the lens tube should not extend into the bite area of the instrument to avoid accidental injury to the lens tube.

在使用這類器械時(shí)，有時(shí)醫(yī)生為了看清楚咬合區(qū)的組織，把窺鏡伸得很靠近組織，器械咬合時(shí)窺鏡沒(méi)有退回，誤傷了窺鏡。手術(shù)時(shí)如注意讓器械的咬合口全部都在窺鏡的觀察范圍內(nèi)就可以避免此類事故發(fā)生。您有怎樣的疑惑或者需求就來(lái)我們網(wǎng)站http://tukouzhao.cn進(jìn)行咨詢吧！

When using this kind of instrument, sometimes doctors stretch the endoscope very close to the tissue in order to see clearly the tissue in the occlusal area. When the instrument occludes, the endoscope does not return, and the endoscope is injured by mistake. During operation, such accidents can be avoided if all the occlusal openings of the instruments are within the scope of observation of the endoscope. Come to our website if you have any doubts or needs http://tukouzhao.cn Consult!