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<p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 一个小小的超声探头，因为它的娇贵，其清洁消毒问题愣是让众多的超声科，麻醉科医师和感控人员犯了难。你如此娇贵，我该怎么办？</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 128, 255); 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;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 探头构造</span></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 为什么说超声探头非常娇贵呢？这得从它的构件组成和价格说起。探头一般由声透镜、匹配层、晶片、吸声块、支撑架和声头外壳组成。使用中如果用力摩擦，将会导致声透镜的损坏，影响诊断结果。因为其材料的特殊性，大部分探头不能用普通的消毒方法如紫外线照射、75%<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">酒精、醛类、氧化剂等消毒，如果消毒方法不当，将会影响诊断结果，甚至有可能损坏探头的寿命。探头结构是非水密的，一旦有液体浸入探头内部，有可能造成内部材料的短路，从而造成诊断系统不能正常工作，所以，不允许任何液体浸没探头下方接缝线。还有一点是不能回避的，一般的超声探头价格都在十几万、几十万元以上，如此昂贵且使用频率又这么高，不好好保护，那哪行呢？</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; 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;"><br /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><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); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvd5qSaDDog6wI1SjmTMvh6hVysWxVibHMbxjnTCbKb7Fia0wl1uAGXhtwM9GQvLUDOnoVwBlUblibfAQ/0?wx_fmt=jpeg" data-ratio="0.5625" data-w="1280" /><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 128, 255); 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;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 感染风险</span></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 我们都精心呵护着超声探头，渴望它的使用寿命长一些，再长一些。可是，在文献报道中我们发现这样一个问题：无论是体外探头还是体内探头，都不同程度的携带病原菌，超声探头有引起医源性感染的风险！</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">1<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">、这个问题如何解决呢？清洁消毒是必须要做的，但是对于娇贵的超声探头，我们应该采取哪些消毒方法呢？</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 在谈到消毒的问题时，我觉得应该根据超声诊断操作的感染风险评估分类，将探头分为高、中、低风险3<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">类。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> （1<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">）高风险探头主要指接触无菌组织或者器官腔隙的探头，如介入超声探头、穿刺定位探头。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> （2<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">）中风险探头主要指接触粘膜或者不完整皮肤的探头如阴超探头。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> （3<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">）低风险探头主要指接触完整皮肤的探头如腹部</span>B<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">超探头、心脏探头。针对不同风险程度，探头的清洁消毒也应区别对待。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">高风险探头应采取低温灭菌或探头高水平消毒+<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">无菌保护套</span>/<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">膜包裹。</span>中风险探头应高水平消毒或探头中水平消毒+<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">保护套</span>/<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">膜包裹。</span>低风险探头常规清洁或低水平消毒。当然，这里不能忽视耐药菌感染患者，如果为该类患者检查，建议保护套/<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">膜包裹。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">2<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">、在对探头消毒时有一点特别重要，那就是必须参阅设备厂家提供的使用说明书，选择合适的消毒方法和消毒剂。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 但是我们都知道，厂商提供的消毒方法主要是基于探头材料的化学相容性，而我们感控方面主要考虑的是消毒剂的生物有效性。只有这两方面都满足的情况下，才能既保证消毒效果又能保证探头安全。可是如此满意的方法到底有没有呢？</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 探头高水平消毒某些厂商推荐使用2%<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">戊二醛溶液，但是我们都知道，器械使用戊二醛消毒后在使用前应该用无菌水彻底冲洗干净，那在实际</span>B<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">超检查中，无菌水冲洗环节如何执行或者说执行的依从性有多高呢？再说低温灭菌，我们知道，一个超声探头价格不菲，那么一般医院会经常备用一个甚至多个低温灭菌的探头吗？这些问题都是影响探头消毒灭菌的桎梏。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 中低水平消毒产品繁多，酒精、碘伏、含氯消毒剂、季铵盐等都很常见。但多数超声设备厂家在其说明书上警告酒精浓度必须低于70%<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">，其它常见消毒剂是否适用很多厂家并未提及。可是我们都知道，</span>75%<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">酒精与细菌的渗透压相近，可以在细菌表面蛋白未变性前逐渐不断地向菌体内部渗入，使细菌所有蛋白脱水、变性凝固，最终杀灭细菌。如果酒精浓度低于</span>70%<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">，由于渗透性降低，会影响杀菌能力。那厂家建议的浓度低于</span>70%<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">的酒精到底能不能达到我们理想的消毒效果呢？</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; 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;"><br /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></strong></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvd5qSaDDog6wI1SjmTMvh6hs5NnSIgANWs9IRF1GaoxEPGbiaqiaMlLoXic5qvaR8nH2kLj3Dm3sETAA/0?wx_fmt=jpeg" data-ratio="0.5625" data-w="1280" /><br /></span></strong></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></span></strong></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 128, 255); 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;"><span style="max-width: 100%; font-family: 宋体; 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;">3</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">、在消毒剂选择遇到诸多问题的时候，我们觉得隔膜</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">/</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">保护套的意义似乎更加重要。</span></span></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 探头保护套质量不佳与使用不当，均会导致使用中保护套穿孔，有文献报道穿孔率高达10-80%<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">，因此必须正确使用质量好的保护套。避孕套的品质级数远优于探头保护套，穿孔率仅为</span>1-2%<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">，所以很多超声科医师选择使用避孕套替代探头保护套。尽管避孕套的穿孔率较探头保护套低很多，但一旦穿孔，超声科医师那个心碎呀，你懂的……</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 我们医院超声科的主任想了一个可以替代避孕套的东西——外科手套。外科手套的品质级数似乎更优于避孕套，而且外科手套是经过灭菌处理的，安全性似乎也要优于避孕套。在我们医院使用外科手套替代避孕套的过程中，从未发生过外科手套穿孔的案例。这一创意也被多家医院的同仁认可并进一步推广。不过这里我要提醒您，这种替代主要适用于超声引导下穿刺操作，阴超检查是不适用的。如果您感兴趣，可以让您超声科的同仁试一试。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvd5qSaDDog6wI1SjmTMvh6hnkpvJwQCicXUJfDxAmgcfX4gM1pQZ4aWAJrhqda62EFCclOVnKf4l9A/0?wx_fmt=jpeg" data-ratio="0.5625" data-w="1280" /><br /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 128, 255); 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;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; line-height: 24.8889px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span>4<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">、说到这里，一定有同仁说，那探头安全套是否可以代替探头的清洁消毒呢？答案是：不能！</span></span></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 至于原因至少应该与“戴手套不能替代洗手”同理。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 进行体外超声诊疗的患者多，探头使用频率高，这是不争的事实，同时，每例患者使用后对探头清洁消毒依从性低也是不争的事实。有文献报道，用酒精擦拭超声区皮肤可以明显减少探头污染，由此我们想到，我们是否可以让每例患者进行超声诊疗前先用消毒湿巾对超声区进行清洁消毒，检查后我们再用软纸/<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">软布对探头进行清洁。对超声区清洁消毒这一操作由患者在等待检查的时间段内完成，同时这一操作由患者本人完成，与国内超声诊断业务量大不相矛盾。如此一来，对超声区消毒的依从性会高于对探头消毒的依从性。当然，这是作为最低保障底线的操作程序，不受法规或规范的认可。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 而国卫办医发〔2013<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">〕</span>40<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">号《基层医疗机构医院感染管理基本要求》中规定：超声探头（经皮肤，黏膜或经食管、阴道、直肠等体腔进行超声检查）须做到一人一用一消毒或隔离膜等。每班次检查结束后，须对超声探头等进行彻底清洁和消毒处理，干燥保存。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; 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;"><br /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; 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;"><br /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; 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;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvd5qSaDDog6wI1SjmTMvh6hxJXnZpSrlB7Hib1JhIXaFUBs8BBYVbM81sORngFHnA53HM2dfiaPTKfQ/0?wx_fmt=jpeg" data-ratio="0.5625" data-w="1280" /><br /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; 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;"><br /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 128, 255); 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;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; line-height: 24.8889px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span>结论</span></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 超声探头必须进行清洁消毒，至于采用纸巾清洁还是消毒剂消毒、采用安全套/<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">避孕套还是外科手套做隔膜、探头一用一消毒还是超声区消毒</span>+<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">探头清洁……这些问题还需要我们在实践中不断积累经验和循证。无论是那种消毒剂，它都必须同时满足探头材料的化学相容性和消毒剂的生物有效性，无论是那种消毒方法，它都必须符合价格合适，操作简便的原则，只有这样，这种消毒剂、这种消毒方法才能真正在临床得以推广。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 我们希望更多的感控人员、超声科医师、设备厂家共同关注这个话题。我们期待最适合的消毒方法出现！我们期盼探头“安全又清洁”！</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvd5qSaDDog6wI1SjmTMvh6hxDpj835WfsdfCPib84YkP2O87QuqicGkILKWoHOPk6r8nKYesOyFvvCQ/0?wx_fmt=jpeg" data-ratio="0.5625" data-w="1280" /><br /></span></p><p style="line-height: 18.2857px;"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: Arial, Verdana, sans-serif; font-size: 14px; line-height: 24px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(249, 249, 249);">广州市设备维修有限公司</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">地址：广州市天河区银利街银利茶叶博览中心E栋4楼E4030室 邮编：510507</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电话：(+86)020-8722 8723 8764 5360 8764 2943 传真：020-8722 8623</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; 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发表于 2020-10-19 23:41:43