一次性使(shi)用(yong)(yong)阴(yin)(yin)道(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi)是(shi)一种(zhong)(zhong)一次性无(wu)菌(jun)阴(yin)(yin)道(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi)，供(gong)妇科查(cha)看(kan)用(yong)(yong)，分推拉式(shi)(shi)、调(diao)理式(shi)(shi)和(he)钩扣(kou)式(shi)(shi)三(san)(san)种(zhong)(zhong)。性能结构：一次性无(wu)菌(jun)阴(yin)(yin)道(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi) 由上(shang)叶、下叶和(he)手柄组成，分推拉式(shi)(shi)、调(diao)理式(shi)(shi)和(he)钩扣(kou)式(shi)(shi)三(san)(san)种(zhong)(zhong)，按尺度不同(tong)分三(san)(san)个规格。一次性无(wu)菌(jun)阴(yin)(yin)道(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi) 应无(wu)菌(jun)；适(shi)用(yong)(yong)范围：供(gong)妇科查(cha)看(kan)用(yong)(yong)；规格型号：大号、中号、小号；一次性照明(ming)阴(yin)(yin)道(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi)在为妇科病人检(jian)查(cha)、治疗时，我们常(chang)会用(yong)(yong)到阴(yin)(yin)道(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi)，现在常(chang)用(yong)(yong)的阴(yin)(yin)道(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi)，在灯光较(jiao)暗的情形下，插入阴(yin)(yin)道(dao)(dao)(dao)后(hou)，无(wu)法看(kan)清阴(yin)(yin)道(dao)(dao)(dao)内的具体情形，以致于(yu)无(wu)法进行有效检(jian)查(cha)和(he)治疗。

一次性使用(yong)导尿(niao)包常用(yong)指南操作要点1.定(ding)时(shi)挤压引(yin)(yin)流(liu)(liu)(liu)(liu)管(guan)，引(yin)(yin)流(liu)(liu)(liu)(liu)液(ye)多或有血块(kuai)则按(an)需正确(que)挤压，捏紧引(yin)(yin)流(liu)(liu)(liu)(liu)管(guan)的(de)远(yuan)端(duan)，向胸(xiong)(xiong)(xiong)腔的(de)方向挤压，再缓慢松开捏紧的(de)引(yin)(yin)流(liu)(liu)(liu)(liu)管(guan)，防止引(yin)(yin)流(liu)(liu)(liu)(liu)瓶(ping)中(zhong)液(ye)体倒吸。如接(jie)有负压装置(zhi)，吸引(yin)(yin)压力适宜，过(guo)大的(de)负压引(yin)(yin)起(qi)(qi)胸(xiong)(xiong)(xiong)腔内出(chu)血及(ji)患者疼痛。一次性使用(yong)导尿(niao)包2.根据病(bing)情尽可能(neng)采取半卧位。3.引(yin)(yin)流(liu)(liu)(liu)(liu)装置(zhi)应(ying)保(bao)持密(mi)闭(bi)和无菌(jun)(jun)，保(bao)持胸(xiong)(xiong)(xiong)壁引(yin)(yin)流(liu)(liu)(liu)(liu)口处(chu)的(de)敷(fu)料清洁干燥，敷(fu)料渗出(chu)液(ye)较多应(ying)及(ji)时(shi)通(tong)知医生(sheng)更换(huan)(huan)。4.根据病(bing)情需要定(ding)时(shi)准确(que)记录引(yin)(yin)流(liu)(liu)(liu)(liu)量。5引(yin)(yin)流(liu)(liu)(liu)(liu)瓶(ping)内无菌(jun)(jun)生(sheng)理盐水每(mei)天(tian)更换(huan)(huan)，引(yin)(yin)流(liu)(liu)(liu)(liu)瓶(ping)每(mei)周更换(huan)(huan)，床旁备血管(guan)钳，更换(huan)(huan)时(shi)必须(xu)夹闭(bi)引(yin)(yin)流(liu)(liu)(liu)(liu)管(guan)，防止空气进入胸(xiong)(xiong)(xiong)膜(mo)腔引(yin)(yin)起(qi)(qi)气qi胸(xiong)(xiong)(xiong)。

使(shi)用(yong)(yong)(yong)(yong)说(shuo)明：1、确认(ren)在灭菌有效期(qi)内(nei)和(he)包装完好后(hou)，撕开启封口，取(qu)出导尿(niao)(niao)(niao)包放置在工作(zuo)台上；2、戴(dai)上薄(bo)膜(mo)手套，用(yong)(yong)(yong)(yong)镊(nie)(nie)子（圆头）镊(nie)(nie)取(qu)碘伏棉球(qiu)(qiu)/或洗必泰棉球(qiu)(qiu)，对患处(chu)消毒处(chu)理(li)3、在换戴(dai)灭菌橡胶外科手套/医用(yong)(yong)(yong)(yong)橡胶检查手套，将治疗巾覆(fu)盖在患处(chu)，中洞(dong)处(chu)露出尿(niao)(niao)(niao)道口4、取(qu)镊(nie)(nie)子（尖头）镊(nie)(nie)取(qu)石蜡棉球(qiu)(qiu)润滑(hua)导尿(niao)(niao)(niao)管，然(ran)(ran)后(hou)双手配合将导尿(niao)(niao)(niao)管插(cha)入尿(niao)(niao)(niao)道，用(yong)(yong)(yong)(yong)液体推注器吸取(qu)定量无(wu)菌水(shui)充入导尿(niao)(niao)(niao)管球(qiu)(qiu)囊，使(shi)球(qiu)(qiu)囊与(yu)导尿(niao)(niao)(niao)壁相接，然(ran)(ran)后(hou)将引(yin)流袋(dai)与(yu)导尿(niao)(niao)(niao)管连接进行导尿(niao)(niao)(niao)； 5、用(yong)(yong)(yong)(yong)取(qu)样管取(qu)样并送检 6、导尿(niao)(niao)(niao)完毕(bi)，用(yong)(yong)(yong)(yong)液体推助器抽出球(qiu)(qiu)囊内(nei)的无(wu)菌水(shui)，拔出导尿(niao)(niao)(niao)管； 7、用(yong)(yong)(yong)(yong)海绵刷子蘸(zhan)取(qu)酒精进行清洁处(chu)理(li)，再用(yong)(yong)(yong)(yong)纱(sha)布叠片或棉球(qiu)(qiu)擦试干净8、按无(wu)菌操作(zuo)规程(cheng)进行，导尿(niao)(niao)(niao)完毕(bi)，丢弃(qi)所有组件。 一(yi)次性使(shi)用(yong)(yong)(yong)(yong)导尿(niao)(niao)(niao)包。注意事项：1、本产(chan)品限一(yi)次性使(shi)用(yong)(yong)(yong)(yong)，用(yong)(yong)(yong)(yong)后(hou)销毁；

一次性使(shi)(shi)用(yong)(yong)(yong)导(dao)尿(niao)(niao)包的(de)(de)(de)(de)使(shi)(shi)用(yong)(yong)(yong)方法(fa)1、导(dao)尿(niao)(niao)包的(de)(de)(de)(de)配(pei)置和包装(zhuang)设(she)(she)计是根据《中(zhong)华护理大全》中(zhong)关(guan)于(yu)(yu)导(dao)尿(niao)(niao)部(bu)分的(de)(de)(de)(de)操(cao)作(zuo)程(cheng)(cheng)序和各医(yi)院(yuan)(yuan)实际导(dao)尿(niao)(niao)操(cao)作(zuo)过(guo)程(cheng)(cheng)中(zhong)的(de)(de)(de)(de)要(yao)求设(she)(she)计制定。2 导(dao)尿(niao)(niao)包的(de)(de)(de)(de)使(shi)(shi)用(yong)(yong)(yong)方法(fa)可(ke)按各医(yi)院(yuan)(yuan)规定的(de)(de)(de)(de)导(dao)尿(niao)(niao)操(cao)作(zuo)规程(cheng)(cheng)进行(xing)操(cao)作(zuo)。3如在(zai)使(shi)(shi)用(yong)(yong)(yong)过(guo)程(cheng)(cheng)中(zhong)导(dao)尿(niao)(niao)包内的(de)(de)(de)(de)配(pei)置和包装(zhuang)顺序与贵医(yi)院(yuan)(yuan)的(de)(de)(de)(de)导(dao)尿(niao)(niao)操(cao)作(zuo)规程(cheng)(cheng)有不相(xiang)符的(de)(de)(de)(de)情况请(qing)(qing)向供应商(shang)提出改进建议。4在(zai)使(shi)(shi)用(yong)(yong)(yong)导(dao)尿(niao)(niao)包前(qian)(qian)请(qing)(qing)确(que)认您(nin)所使(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)(de)导(dao)尿(niao)(niao)包是否是您(nin)选(xuan)用(yong)(yong)(yong)的(de)(de)(de)(de)型号，并确(que)认导(dao)尿(niao)(niao)包包装(zhuang)完好无破损。5 在(zai)操(cao)作(zuo)前(qian)(qian)请(qing)(qing)做好准备工作(zuo)，安排患者正确(que)体位铺好洞巾。并对患者进行(xing)安慰。6、请(qing)(qing)按医(yi)院(yuan)(yuan)的(de)(de)(de)(de)导(dao)尿(niao)(niao)操(cao)作(zuo)规程(cheng)(cheng)进行(xing)外(wai)消毒和内消毒两(liang)次消毒。消毒时不能选(xuan)择对皮(pi)肤有较(jiao)强刺激的(de)(de)(de)(de)消毒剂，建议使(shi)(shi)用(yong)(yong)(yong)0.5％的(de)(de)(de)(de)碘伏(fu)的(de)(de)(de)(de)消毒剂或其他低刺激的(de)(de)(de)(de)消毒剂。7、使(shi)(shi)用(yong)(yong)(yong)前(qian)(qian)请(qing)(qing)将(jiang)导(dao)尿(niao)(niao)管球(qiu)(qiu)(qiu)囊(nang)进行(xing)充水(shui)试(shi)验，确(que)认导(dao)尿(niao)(niao)管球(qiu)(qiu)(qiu)囊(nang)是否正常。充水(shui)后的(de)(de)(de)(de)球(qiu)(qiu)(qiu)囊(nang)应在(zai)球(qiu)(qiu)(qiu)囊(nang)中(zhong)留2－3ml蒸馏(liu)水(shui)，用(yong)(yong)(yong)于(yu)(yu)保障(zhang)球(qiu)(qiu)(qiu)囊(nang)外(wai)表光(guang)滑。

一(yi)次(ci)性使(shi)(shi)用吸(xi)(xi)(xi)痰管(guan)(guan)(guan)操(cao)作方法(1)检查吸(xi)(xi)(xi)引器(qi)(qi)(qi)各(ge)部(bu)(bu)(bu)连接(jie)是否完善，有无(wu)漏气。接(jie)通电源(yuan)，打开(kai)开(kai)关，检查吸(xi)(xi)(xi)引器(qi)(qi)(qi)性能，调节负压(ya)。一(yi)般成(cheng)人吸(xi)(xi)(xi)痰负压(ya)约(yue)40-50 kPa，小(xiao)儿吸(xi)(xi)(xi)痰约(yue)13-30kPa，将(jiang)(jiang)一(yi)次(ci)性使(shi)(shi)用吸(xi)(xi)(xi)痰管(guan)(guan)(guan)置于水(shui)中，试验吸(xi)(xi)(xi)引力(li)，并冲洗皮管(guan)(guan)(guan)。(2)将(jiang)(jiang)病人头部(bu)(bu)(bu)转向护士，铺治疗巾(jin)于颌下。(3)插入一(yi)次(ci)性使(shi)(shi)用吸(xi)(xi)(xi)痰管(guan)(guan)(guan)，其(qi)(qi)顺(shun)序(xu)(xu)是由(you)(you)(you)口(kou)腔(qiang)(qiang)前庭→颊部(bu)(bu)(bu)→咽部(bu)(bu)(bu)，将(jiang)(jiang)各(ge)部(bu)(bu)(bu)吸(xi)(xi)(xi)尽。如口(kou)腔(qiang)(qiang)吸(xi)(xi)(xi)痰有困难时(shi)，可由(you)(you)(you)鼻(bi)(bi)腔(qiang)(qiang)插入(颅底(di)骨(gu)折患者禁(jin)用)，其(qi)(qi)顺(shun)序(xu)(xu)由(you)(you)(you)鼻(bi)(bi)腔(qiang)(qiang)前庭→下鼻(bi)(bi)道(dao)→鼻(bi)(bi)后孔→咽部(bu)(bu)(bu)→气管(guan)(guan)(guan)(约(yue)20-25cm)，将(jiang)(jiang)分(fen)泌物逐(zhu)段吸(xi)(xi)(xi)尽。若有气管(guan)(guan)(guan)插管(guan)(guan)(guan)或(huo)气管(guan)(guan)(guan)切开(kai)时(shi)，可由(you)(you)(you)插管(guan)(guan)(guan)或(huo)套管(guan)(guan)(guan)内插入，将(jiang)(jiang)痰液(ye)吸(xi)(xi)(xi)出。昏迷病人可用压(ya)舌(she)板(ban)或(huo)开(kai)口(kou)器(qi)(qi)(qi)先将(jiang)(jiang)口(kou)启开(kai)，再行(xing)吸(xi)(xi)(xi)引。

2月13日，联合整治“保健”市场乱象百日行动联合工作组在市场监管总局召开工作组会议。推荐无菌塑柄手术刀市场监管总局副局长甘霖同志出席会议并讲话，市场监管总局、工业和信息化部、公安部、民政部、住房和城乡建设部、农业农村部、商务部、文化和旅游部、无菌塑柄手术刀价格卫生健(jian)康委员会、广播电视总(zong)局(ju)(ju)、中(zhong)医药(yao)管(guan)(guan)理(li)(li)局(ju)(ju)、药(yao)品监(jian)(jian)督管(guan)(guan)理(li)(li)局(ju)(ju)、网信(xin)办等13部门成员单位负责同(tong)志及联(lian)(lian)络员和市场监(jian)(jian)管(guan)(guan)总(zong)局(ju)(ju)“百日行(xing)(xing)动(dong)(dong)”工(gong)作组(zu)成员单位负责同(tong)志及联(lian)(lian)络员参(can)加会议。“百日行(xing)(xing)动(dong)(dong)”开(kai)(kai)展(zhan)以来，各部门积极落实(shi)《关于(yu)开(kai)(kai)展(zhan)联(lian)(lian)合(he)整治“保(bao)健(jian)”市场乱象百日行(xing)(xing)动(dong)(dong)的通(tong)知》要求，立(li)(li)足自身职能，迅(xun)速部署落实(shi)，在相关领域和行(xing)(xing)业内开(kai)(kai)展(zhan)行(xing)(xing)动(dong)(dong)。市场监(jian)(jian)管(guan)(guan)总(zong)局(ju)(ju)切(qie)实(shi)履行(xing)(xing)监(jian)(jian)管(guan)(guan)执法、联(lian)(lian)络调度(du)、汇集信(xin)息、服务保(bao)障(zhang)等职责，通(tong)过(guo)建立(li)(li)工(gong)作协调机制(zhi)、建立(li)(li)工(gong)作台账、召开(kai)(kai)调度(du)会议、加强(qiang)新闻宣传等方式，组(zu)织各部门、市场监(jian)(jian)管(guan)(guan)系统迅(xun)速深(shen)入开(kai)(kai)展(zhan)“百日行(xing)(xing)动(dong)(dong)”。