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.

　　內(nèi)窺鏡的組成與分類

　　Composition and classification of endoscope

　　醫(yī)用內(nèi)窺鏡由三大部分構(gòu)成：內(nèi)窺鏡系統(tǒng)，圖像顯示系統(tǒng)，照明系統(tǒng)，內(nèi)窺鏡按成像構(gòu)造可分為硬管式內(nèi)窺鏡、光學(xué)纖維內(nèi)窺鏡、電子內(nèi)窺鏡；根據(jù)其功能又可分為消化道內(nèi)窺鏡、呼吸系統(tǒng)內(nèi)窺鏡、泌尿系統(tǒng)內(nèi)窺鏡等。

　　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、纖維內(nèi)窺鏡

　　1. Fiberscope

　　2、電子內(nèi)窺鏡

　　2. Electronic endoscope

　　3、醫(yī)院內(nèi)窺鏡系統(tǒng)

　　3. Hospital endoscopy system

　　引起內(nèi)窺鏡感染的原因

　　Causes of endoscopic infection

　　1.內(nèi)窺鏡通道與附件難以消毒；2.自動清洗劑污染；3.消毒劑使用不當(dāng)；4.內(nèi)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.

　　引起內(nèi)窺鏡感染原因分析

　　Causes of endoscopic infection

　　《中國消毒學(xué)雜志》報道因內(nèi)窺鏡檢查引起的377位感染病例，其中上消化道鏡占47.75%，下消化道引起的占26.79%，支氣管鏡引起的占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.

　　內(nèi)窺鏡感控解決方案

　　Endoscope sensing solution

　　1、醫(yī)院內(nèi)窺鏡的清洗消毒分為外部硬件系統(tǒng)和各類內(nèi)鏡兩部分，外部硬件系統(tǒng)包括圖像處理器、監(jiān)視器、冷光源等可以采用伽瑪無醇衛(wèi)生濕巾擦拭即可。

　　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、 硬鏡消毒步驟：1.將硬鏡放于容器上，清洗和浸泡時與其他手術(shù)器械分開盛裝；2.采用微可清多酶全效清洗劑清洗，使用柔軟、干凈的小刷子、海綿或者小紗布；3.清洗完后用干凈的紗布擦干外表面水分；4.對擦干后的硬件進(jìn)行高溫蒸汽消毒，且術(shù)前與其他器械分開擺放。

　　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、軟鏡定時消毒方法：使用二氧化氯消毒（一掃清，泡騰片）對軟鏡定時消毒（1）將整條軟鏡管道注入空氣，排掉清水，防止水分稀釋消毒液；（2）將軟鏡放入消毒液中完全浸泡，用一次性注射器把消毒液注入所有管道直到無氣泡冒出；（3）將軟鏡、附件和清洗工具浸泡在消毒液中，直到規(guī)范要求的浸泡時間為止；（4）浸泡結(jié)束后用注射器注入空氣排除多余消毒液，排除多余消毒液，取出內(nèi)鏡。

　　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.

　　以上是內(nèi)窺鏡感染清潔消毒的方法，想要了解更多歡迎咨詢內(nèi)窺鏡設(shè)備維修官網(wǎng)http://www.rxjhq.cn。

　　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.rxjhq.cn 。