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软式内镜清洗消毒实践操作指南
$40.33
本书采用文、图、视频相结合的复合出版形式,每个操作流程均附有相应的视频,扫二维码即可读取视频,读者可以直观地学习、认识相关规程,本书注重规范与实践相结合,对清洗消毒流程进行细致入微的解析,是一本具有实践指导意义、系统全面的内镜清洗消毒专著。
章 内镜清洗消毒室(中心)环境布局与管理
第二章 内镜清洗消毒物品准备
第三章 内镜清洗消毒人员着装要求
第四章 内镜手工清洗消毒操作流程
第五章 内镜自动清洗消毒机操作流程
第六章 内镜相关附件处理流程
第七章 内镜储存流程
第八章 诊疗结束后的环境、设备及管道处理流程
第九章 内镜清洗、消毒质量监测
前 言
随着软式内镜微创诊疗在国内各大内镜中心(室)的蓬勃发展,各类与内镜诊疗相关的新规范、新理念、新技术层出不穷,对内镜护理工作人员提出了更高的要求。近年来,美国爆发了十二指肠内镜特大耐药菌感染事件,引起了全球对软式内镜诊疗安全的关注,自2015年起,内镜清洗消毒质量也成为影响全球患者安全的十大事件之一。内镜清洗消毒作为防治感染的线,如何高效规范地为内镜诊疗保驾护航,是亘久不变的主题。软式内镜的清洗消毒是内镜护理工作的基础,更是重中之重,相关的著作虽然也不少,但是目前市场上多数都是根据清洗消毒流程和重点环节进行讲解,能够做到覆盖多种内镜类型,每一步都有详细图片配合文字说明的著作更是凤毛麟角。尤其是2016年12月国家卫计委颁发《软式内镜清洗消毒技术规范( WS 507-2016)》,对内镜清洗消毒和内镜室的感染控制管理提出了更高的要求和标准,本书的特点就是严格根据新规范的框架和内容进行详细的讲解,期望能够为广大内镜感染控制从业人员提供一部标准化、系统化、可操作化的专著用于学习及参考。此书在编写的过程中为确保其准确性、规范性,组织了国内多位知名的内镜护理、感控、相关内镜设备的专家,进行了多次的修改和审阅,希望能尽可能的减少认知误区,提高认可度。
本书是在认真研读和理解《WS 507-2016 软式内镜清洗消毒技术规范》,广泛参阅国内外相关文献,总结多家内镜中心临床经验的基础上,众多内镜护理老师的倾心力作,在此期间也得到了中华医学会消化内镜学分会、全军医院感染管理质量控制中心、江西省护理学会消化内镜护理专业委员会专家的积极参与、支持与帮助。本书有3大特点,首先是新,以颁布的《WS 507-2016 软式内镜清洗消毒技术规范》为基础,分为九大章节,包括内镜清洗消毒室(中心)环境布局,内镜清洗消毒物品准备,内镜清洗消毒着装要求,内镜手工清洗消毒操作流程,内镜自动清洗消毒机操作流程,内镜相关附件处理流程,内镜储存流程,诊疗结束后的环境、设备及管道处理流程和内镜清洗、消毒质量监测的内容,在严格遵循规范的基础上,总结了全的各大内镜中心的临床管理经验;第二大特点为:全,形式上每一步均有详细的图片说明,全书共有高清大图290余张; 内容上不仅增加了不同软式内镜的清洗消毒(除了常规的胃镜、肠镜,还有十二指肠镜、双腔镜等),而且对内镜清洗和消毒的质量监测的方法和步骤有细化说明;第三大特点是:实,本书采用了图文结合方式,随书有对应的操作视频光盘,对实际操作有更好的指导效果,对临床应用更加具有实用性,充分阐述了重理论、重实践、重细节的出版理念。
本书内容新颖、图文并茂、资料翔实,旨在指导内镜工作人员掌握规范化的软式内镜清洗消毒技能,提高内镜清洗消毒质量的监控水平,推动《WS 507-2016 软式内镜清洗消毒技术规范》的正确理解和全面落实。促进我国内镜清洗消毒水平的不断提高以及内镜事业的发展,更好地为人民健康服务。与此同时,尽管我们在编写过程中认真讨论和学习了新规范,并参阅了大量的国内外期刊及专著,但由于编者的能力、学识和经验有限,本书在许多方面仍存在诸多不足,谨请读者指正。
对给予全书编写及出版大力支持的中华医学会消化内镜学分会护理协作组、全军医院感染管理质量控制中心、江西省护理学会消化内镜护理专业委员会及全国诸多内镜中心的各位专家和老师,在此深表谢意。特别要感谢张澍田院长、李兆申主任、刘运喜主任对本书的指导和帮助。
学无止境,软式内镜的感染控制,需要内镜人的保驾护航。我们携手并进、扬帆起航!
1996年,笔者关于脑血管覆膜支架的设计获卫生部课题资助。
2004年,上海微创医疗器械公司立项研制、生产脑血管覆膜支架。
2005年,枚脑血管覆膜支架应用于临床,成功治疗颈内动脉C4段假性动脉瘤。
2006年,在Neuroradioiogy首次报道了脑血管覆膜支架临床应用病例。
2009年,由上海交通大学附属上海市第六人民医院、复旦大学附属华山医院、首都医科大学宣武医院共同完成脑血管覆膜架(后正式定名为Willis®覆膜支架)的临床试验。
2013年,Willis®覆膜支架得到中国药监局批复获准临床应用。
至今,在全国范围内,Willis®覆膜支架治疗各种类型颅段颈内动脉、椎动脉病变(主要为动脉瘤、颈动脉海绵窦瘘等)已有1000余例。其中有其他方法难治或不能治的病例获得了治愈,也有看似简单、易治的病例却治疗不成功或结果不理想的。显然,与其他新材料一样,治疗指征的把握、对病变及其相关血管的充分认识、操作者的操作熟练程度等是手术成功与否的关键。此外,尚有不少我们未曾认识,有待深入了解、研究、探索的地方。同时,在应用Willis®覆膜支架时,要求操作者基本技术操作规范,也不排外有经验操作者的个性化创造。本书收集的病例,很多是Willis®覆膜支架早期应用的结果,因此,所涉及的治疗过程、操作技术以及有关评论,只代表作者的观点,不少地方有待商榷。
作为一种新的材料、新的技术,不断改进、发展,以求完善,是我们追求的目标,也是编写本书的目的。我们期待与大家本着实事求是的态度,为治好一种病、看好一个病人的终目的,去关心Willis®覆膜支架的应用和发展。
后,我要感谢上海微创医疗器械公司对Willis®覆膜支架研制的执着和专注,感谢各位参编者提供的精彩图片资料,更要感谢在背后默默关心中国神经介入事业发展、支持Willis®覆膜支架研制、应用的各位同道。
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