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日常消化内镜的维护与保养知识

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发表于 2020-10-19 23:07:11 | 显示全部楼层 |阅读模式

                    

                    

                    
                    
                    <p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;white-space: normal;background-color: rgb(255, 255, 255);font-family: 微软雅黑;text-align: justify;line-height: 1.75em;letter-spacing: 0.5px;box-sizing: border-box !important;word-wrap: break-word !important;"><img class="__bg_gif" data-ratio="0.10555555555555556" src="http://mmbiz.qpic.cn/mmbiz/M2H0aGBjWUTRia7nqkArYeKZUqEfdmpNibMPiaZk4gvlWk5v5lUKyXhjJP4CENKQeQt5HI8zwcTCWJOkicfWJiatdJQ/0?wx_fmt=gif" data-type="gif" data-w="720" style="line-height: 25.6px;text-align: right;box-sizing: border-box !important;word-wrap: break-word !important;visibility: visible !important;width: auto !important;" width="auto"  /></p><p><span style="color: rgb(62, 62, 62);">维护和保养</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  (1)检查病人后,应立即进行床侧清洗,洗涤间清洗按漏水测试、手工清洗、消毒液侵洗、无菌水洗净、妥善保管的程序进行。 (2)内镜本身不能进行高温高压灭菌(通常能高温高压灭菌会在外观上标有“AUTOCLAVE”或“AUTOCLAVABLE”或涂有绿色标识)。 (3)确认清洗工具没有脏污,防水盖内侧没有水滴,确认清洗工具没有磨损划痕、裂缝、扭曲、金属与刷毛脱落等,劣质清洗工具不但不能有效清洗内镜,反而能造成内镜破损。 (4)在保存内镜之前,请确认内镜表面和所有管道完全干燥,残留水汽有助于空气中的细菌在内镜内外繁殖增生,造成污染。 (5)干净的内镜应该垂直挂放在干燥、温度适中的地方,手提箱不宜用作保存清洗和消毒后的内镜,只可用作运输往来工具。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  常见故障及维修</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  (1)喷嘴堵塞</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 先端部不小心与硬物碰撞,喷嘴变形造成堵塞,在保养内镜时应尽量避免</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  不适当的操作</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 使用内镜后没有立即清洗,赃物凝固在喷嘴里造成堵塞,在使用内镜后应立即清洗。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 消毒</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  前没有用洗涤剂彻底洗净内镜,消毒剂使蛋白质凝固造成堵塞,在内镜消毒前必须彻底洗净。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 擦拭镜面时方向</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  错误,棉纱塞进喷嘴里造成堵塞,在擦拭镜面时应顺着喷嘴的方向。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 喷嘴堵塞后用针挑或将喷嘴自行拆除,喷嘴损坏或导致内部管更易堵塞,在喷嘴堵塞后切勿用针挑或将喷嘴自行拆除。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 消毒清洗时,使用有问题的清洗。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  附件,赃物随灌洗送到内镜中造成堵塞,在清洗内镜前应彻底检查清洗附件是否有毛病。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  (2)送水、送气不畅</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 水瓶接口里的O型环损坏,水灌到送气管里导致送水、送气不畅和送水/送气按钮漏水,在平常操作内镜时要小心。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 水瓶盖里的O型环损坏/遗失/变形/安装不宜,气体从水瓶漏出导致不能送水、送气,在使用水瓶前应认真检查其密封性。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 不适当的清洗保养使内管堵塞或喷嘴导致送水、送气不畅,应严格按照清洗规程清洗内镜。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  n 使用内镜后没有立即清洗,赃物凝固在送水送气管内导致送水送气不畅,在使用内镜后应立即清洗。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  清洗消毒时使用有问题的清洗附件,赃物随灌洗送到内镜中,赃物把送水/送气管堵住导致送水、送气不畅,在清洗内镜前应彻底检查清洗附件是否完好。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  消毒前没有彻底洗净内镜,消毒液使蛋白质凝固导致送水/送气管与喷嘴堵塞,在消毒内镜前必须彻底洗净。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  (3)附件插入的问题</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  内镜打弯的角度太大,治疗附件的柔软性被其先端硬质部分所限制导致产生附件插入的问题,在插入附件时要小心。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  内镜被折,导致钳子管道变形产生附件插入的问题,在插入附件时要养成良好的操作习惯。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  不正确的清洗消毒程序,赃物凝固和结晶形成在管道里导致产生附件插入的问题,必须正确的清洗消毒内镜。</span><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><br style="max-width: 100%;color: rgb(62, 62, 62);"  /><span style="color: rgb(62, 62, 62);">  使用损坏的附件,附件在管道里打结导致产生附件插入的问题,在使用前应认真的检查附件。</span></p><p><span style="color: rgb(62, 62, 62);"><br  /></span></p><p><span style="color: rgb(62, 62, 62);"></span></p><p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;white-space: normal;text-align: center;line-height: 25.6px;font-family: 微软雅黑;background-color: rgb(255, 255, 255);box-sizing: border-box !important;word-wrap: break-word !important;"><strong style="max-width: 100%;letter-spacing: 0.5px;line-height: 28px;box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;box-sizing: border-box !important;word-wrap: break-word !important;"><strong style="max-width: 100%;font-size: 16px;letter-spacing: 1px;line-height: 25.6px;white-space: pre;color: rgb(68, 68, 68);font-family: 宋体;box-sizing: border-box !important;word-wrap: break-word !important;"><strong style="max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important;"><strong style="max-width: 100%;color: rgb(95, 73, 122);font-size: 14px;line-height: 24.381px;text-align: justify;box-sizing: border-box !important;word-wrap: break-word 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normal;font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;background-color: rgb(255, 255, 255);box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">维修咨询:QQ: &nbsp;712638 404</span><br style="max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important;"  /></p><p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-indent: 0em;white-space: normal;font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;background-color: rgb(255, 255, 255);box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">设备咨询: &nbsp; QQ: &nbsp;712638 405</span></p><p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;white-space: normal;font-family: 微软雅黑;line-height: 24.381px;background-color: rgb(255, 255, 255);box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;text-indent: 0em;box-sizing: border-box !important;word-wrap: break-word !important;">软件咨询:QQ: 712638 406</span><br style="max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important;"  /></p><p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-indent: 0em;white-space: normal;font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;background-color: rgb(255, 255, 255);box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">配件咨询:QQ: &nbsp; 712638 407</span></p><p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-indent: 0em;white-space: normal;font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;background-color: rgb(255, 255, 255);box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">交流Q群:1106 11074</span></p><p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-indent: 0em;white-space: normal;font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;background-color: rgb(255, 255, 255);box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important;">阿里店铺网址:</span><span style="max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important;">https://renchengyiliao.1688.com</span></span></p><p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-indent: 0em;white-space: normal;font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;background-color: rgb(255, 255, 255);box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">电子邮箱:service@yiliaoshebeiweixiu.com</span></p><p><span style="color: rgb(62, 62, 62);"><br  /></span><br  /></p>
               
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