使用中的注意事項(xiàng)硬管內(nèi)窺鏡在手術(shù)過程中受到損壞的現(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。
Precautions in use: hard tube endoscopes are rarely damaged during operation. Although they will contact and bump with human tissues such as muscles, mucous membranes and bones, these bumps are slight and will not cause damage to the endoscope, because they only play the role of observation and are not the force point of other instruments. However, when using other instruments, especially forceps and scissors with large bite force, it should be noted that the front end of the mirror tube should not extend into the bite area of the instrument, so as to avoid accidental injury to the mirror 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。
When using this kind of instrument, sometimes the doctor extends the endoscope very close to the tissue in order to see the tissue in the occlusal area clearly. When the instrument occludes, the endoscope does not return and injures the endoscope by mistake. Such accidents can be avoided if the occlusal mouth of the instrument is within the observation range of the endoscope.

有些手術(shù)窺鏡是在鞘管內(nèi)使用，在更
換其他角度窺鏡或插拔器械時(shí)，應(yīng)注意動(dòng)作要輕，不可用力過猛。尤其是插拔窺鏡過程中，當(dāng)遇到阻力拔不動(dòng)時(shí)應(yīng)仔細(xì)查找原因，必要時(shí)應(yīng)連同鞘管一起拔取，不要用蠻力。當(dāng)窺鏡配合激光汽化、高頻電切、微波等光電技術(shù)進(jìn)行手術(shù)時(shí)，應(yīng)注意窺鏡前端與點(diǎn)的距離，保證窺鏡前端不被電擊或燒灼。
Some surgical endoscopes are used in the sheath. When replacing other angle endoscopes or inserting and unplugging instruments, pay attention to the light action and do not use too much force. Especially in the process of inserting and removing the endoscope, when it cannot be pulled out due to resistance, the reason should be carefully found out. If necessary, it should be pulled out together with the sheath without brute force. When the endoscope is operated with laser vaporization, high-frequency electrotomy, microwave and other photoelectric technologies, pay attention to the distance between the front end of the endoscope and the treatment point to ensure that the front end of the endoscope is not shocked or burned.
當(dāng)感覺到刨刀工作異?；蛘斩韧蝗唤档蜁r(shí)，有可能窺鏡已經(jīng)受損，應(yīng)及時(shí)更換，以免造成更大損失。一般重要手術(shù)，應(yīng)有一套備用窺鏡和關(guān)鍵器械，在發(fā)現(xiàn)問題時(shí)可以從容地更換;如果使用角度不合適的窺鏡或不配套的器械勉強(qiáng)手術(shù)，也容易造成窺鏡的損壞。
When you feel that the planer is working abnormally or the illumination suddenly decreases, the endoscope may have been damaged and should be replaced in time to avoid greater losses. For general important operations, there should be a set of spare endoscopes and key instruments, which can be replaced calmly when problems are found; It is also easy to damage the endoscope if it is forced to operate with an inappropriate angle endoscope or mismatched instruments.
怎樣維護(hù)硬管內(nèi)窺鏡硬管內(nèi)窺鏡應(yīng)有專人專柜保管，放在專用的包裝箱內(nèi)，內(nèi)襯柔軟的海綿或聚氨酯泡沫。所有窺鏡和手術(shù)器械都要碼放整齊，不得交叉重疊放置，確保箱蓋蓋好后，內(nèi)部的窺鏡和器械不會(huì)在搬運(yùn)時(shí)相互撞擊。由于內(nèi)窺鏡的鏡管很薄，受到擠壓、磕碰、折彎、落地等情況就會(huì)彎曲變形，導(dǎo)致鏡片破損或光軸偏移而造成圖像不清楚或不能使用，所以從包裝箱中取出或放入硬管內(nèi)窺鏡時(shí)，應(yīng)雙手平托，輕輕地取出或放入，切忌提起一段拽出。窺鏡放在托盤等硬質(zhì)容器內(nèi)移動(dòng)時(shí)，注意與其他器械分開放置，不要過分顛簸，以免碰撞到窺鏡。包裝箱內(nèi)應(yīng)備有干燥劑保持箱內(nèi)干燥。
How to maintain the rigid tube endoscope hard tube endoscope should be kept in a special cabinet, placed in a special packing box, lined with soft sponge or polyurethane foam. All endoscopes and surgical instruments shall be stacked neatly without overlapping. After the box cover is covered, the internal endoscopes and instruments will not collide with each other during handling. Because the endoscope tube is very thin, it will be bent and deformed by extrusion, bump, bending, landing and other conditions, resulting in lens damage or optical axis offset, resulting in unclear or unusable image. Therefore, when taking out or putting in the hard tube endoscope from the packing box, you should hold your hands flat and take it out or put it in gently. Do not lift a section out. When the endoscope is moved in a hard container such as a tray, pay attention to placing it separately from other instruments. Do not bump too much to avoid colliding with the endoscope. Desiccant shall be provided in the packing box to keep the box dry.
普通的硬管內(nèi)窺鏡都不耐高溫高壓，主要是由于封裝膠在高溫下會(huì)變質(zhì)、變形，窺鏡就會(huì)開膠進(jìn)水，所以不可用煮沸和高壓蒸汽等高溫高壓的方法。大多數(shù)硬管內(nèi)窺鏡的損壞都是由于不注意保養(yǎng)、磕碰、落地等原因造成的。
Ordinary hard tube endoscopes are not resistant to high temperature and high pressure. The main reason is that the sealing glue will deteriorate and deform at high temperature, and the endoscope will open the glue and water, so it can not be disinfected by high temperature and high pressure methods such as boiling and high pressure steam. Most hard tube endoscopes are damaged due to careless maintenance, bumping, landing and other reasons.
也有個(gè)別生產(chǎn)廠的封裝膠、封裝技術(shù)、封裝結(jié)構(gòu)有問題，造成窺鏡進(jìn)水、開膠的現(xiàn)象，這些都是可以修復(fù)的。硬管內(nèi)窺鏡雖然是嬌貴的醫(yī)療器械，但是在正常的臨床手術(shù)或觀察中是不容易出現(xiàn)問題的。只要使用得法、精心維護(hù)、細(xì)心保養(yǎng)，醫(yī)生們可以放心使用，硬管內(nèi)窺鏡也會(huì)發(fā)揮的效益。
There are also problems with the packaging glue, packaging technology and packaging structure of individual manufacturers, resulting in the phenomenon of water ingress and glue opening of the endoscope, which can be repaired. Although hard tube endoscope is a delicate medical device, it is not easy to have problems in normal clinical operation or observation. As long as it is properly used, carefully maintained and carefully maintained, doctors can use it safely, and the hard tube endoscope will also give full play to its benefits.
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