一(yi)次(ci)性(xing)(xing)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)包的(de)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)方(fang)法一(yi)次(ci)性(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)临床患者抽(chou)取气(qi)(qi)管(guan)(guan)(guan)(guan)内痰(tan)(tan)(tan)液或分泌液用(yong)(yong)(yong)(yong)(yong)(yong)。一(yi)次(ci)性(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)动作要轻(qing)、稳。一(yi)次(ci)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)时间不应超(chao)(chao)过15秒，吸(xi)(xi)(xi)(xi)(xi)引器(qi)连续(xu)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)时间不超(chao)(chao)过3分钟。1检查(cha)吸(xi)(xi)(xi)(xi)(xi)引器(qi)各部(bu)连接(jie)是否完善，有无漏(lou)气(qi)(qi)。接(jie)通电源(yuan)，打(da)开(kai)(kai)开(kai)(kai)关(guan)(guan)，检查(cha)吸(xi)(xi)(xi)(xi)(xi)引器(qi)性(xing)(xing)能，调节负压。一(yi)般成人(ren)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)负压约40-50 kPa，小(xiao)儿吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)约13-30kPa，将一(yi)次(ci)性(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)置于(yu)水中，试验吸(xi)(xi)(xi)(xi)(xi)引力，并(bing)冲(chong)洗(xi)皮管(guan)(guan)(guan)(guan)。2将病人(ren)头部(bu)转向护士(shi)，铺治疗巾于(yu)颌下。插入(ru)一(yi)次(ci)性(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)，其顺序(xu)是由口腔(qiang)前庭→颊部(bu)→咽(yan)部(bu)，将各部(bu)吸(xi)(xi)(xi)(xi)(xi)尽。如口腔(qiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)有困难时，可(ke)由鼻腔(qiang)插入(ru)(颅底骨(gu)折(zhe)患者禁用(yong)(yong)(yong)(yong)(yong)(yong))，其顺序(xu)由鼻腔(qiang)前庭→下鼻道→鼻后(hou)孔→咽(yan)部(bu)→气(qi)(qi)管(guan)(guan)(guan)(guan)(约20-25cm)，将分泌物逐段吸(xi)(xi)(xi)(xi)(xi)尽。3气(qi)(qi)管(guan)(guan)(guan)(guan)内吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)，待(dai)病人(ren)吸(xi)(xi)(xi)(xi)(xi)气(qi)(qi)时，快(kuai)速(su)将导(dao)(dao)管(guan)(guan)(guan)(guan)插入(ru)，自(zi)下而上边退边左右旋转导(dao)(dao)管(guan)(guan)(guan)(guan)，消除气(qi)(qi)道分泌物，并(bing)注意观察病人(ren)的(de)呼吸(xi)(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)(xi)引过程中，如病人(ren)咳嗽厉害，应稍等片(pian)刻(ke)后(hou)再行(xing)吸(xi)(xi)(xi)(xi)(xi)出。并(bing)随时冲(chong)洗(xi)吸(xi)(xi)(xi)(xi)(xi)引管(guan)(guan)(guan)(guan)，以免痰(tan)(tan)(tan)液堵塞(sai)。4吸(xi)(xi)(xi)(xi)(xi)毕，关(guan)(guan)闭吸(xi)(xi)(xi)(xi)(xi)引器(qi)开(kai)(kai)关(guan)(guan)，弃吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)导(dao)(dao)管(guan)(guan)(guan)(guan)于(yu)小(xiao)桶内，吸(xi)(xi)(xi)(xi)(xi)引胶管(guan)(guan)(guan)(guan)玻璃(li)接(jie)头插入(ru)床栏(lan)上盛(sheng)有消毒(du)液瓶内备用(yong)(yong)(yong)(yong)(yong)(yong)，将病人(ren)口腔(qiang)周(zhou)围擦净。观察吸(xi)(xi)(xi)(xi)(xi)出液的(de)量、颜色及性(xing)(xing)质(zhi)，必要时做好记录。

这个市场的现状到底怎么样?在国家医疗改革诸如分级诊疗等大的浪潮冲击下，未来的机会和趋势如何?对于一些想在这块市场有所行动的企业来说，优质一次性使用会阴护理包又如何下手呢?带着这些问题，绿豹医疗经过与医械圈、医药圈里多年从事营销工作的同道沟通和交流；同时，也深入部分乡镇卫生院及社区卫生医疗机构，一次性使用会阴护理包价格与相(xiang)关领导了解信息；最终结合(he)笔者自身营(ying)销经验(yan)，经过梳理后，希望抛砖引玉，为部(bu)分企业的(de)低(di)值(zhi)耗(hao)材推广提(ti)供一(yi)(yi)些思路和借鉴(jian)。1、采(cai)购(gou)目前在乡镇卫生(sheng)院及(ji)社(she)区医疗机构，大型医疗器械(xie)(xie)设备由医院提(ti)出需求（如有具体(ti)参数也(ye)要附上），卫计(ji)委(wei)负责采(cai)购(gou)并配(pei)发(fa)给卫生(sheng)院；而小型设备及(ji)一(yi)(yi)次(ci)性使(shi)用的(de)低(di)值(zhi)耗(hao)材类，具有最终端决策(ce)权的(de)就基本上是(shi)院长一(yi)(yi)个人了，当然(ran)一(yi)(yi)般(ban)由化验(yan)室提(ti)出需求，供货商多(duo)数是(shi)多(duo)年与该院合(he)作器械(xie)(xie)经营(ying)或原(yuan)药品营(ying)销关系转行(xing)从(cong)事器械(xie)(xie)耗(hao)材推广的(de)公(gong)司(si)，亦或和卫计(ji)委(wei)有一(yi)(yi)定(ding)的(de)业务关系。

一(yi)(yi)次(ci)性(xing)使用吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)操作(zuo)方法(fa)(1)检查(cha)吸(xi)(xi)(xi)引(yin)(yin)器各(ge)部(bu)连接(jie)是否完(wan)善，有无(wu)漏气(qi)。接(jie)通电源，打开开关，检查(cha)吸(xi)(xi)(xi)引(yin)(yin)器性(xing)能，调(diao)节负压(ya)(ya)。一(yi)(yi)般成人吸(xi)(xi)(xi)痰(tan)(tan)(tan)负压(ya)(ya)约(yue)40-50 kPa，小儿吸(xi)(xi)(xi)痰(tan)(tan)(tan)约(yue)13-30kPa，将(jiang)一(yi)(yi)次(ci)性(xing)使用吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)置于(yu)水(shui)中(zhong)，试验(yan)吸(xi)(xi)(xi)引(yin)(yin)力，并冲洗皮管(guan)。(2)将(jiang)病人头(tou)部(bu)转向护士，铺(pu)治疗(liao)巾于(yu)颌下(xia)(xia)。(3)插(cha)入一(yi)(yi)次(ci)性(xing)使用吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)，其顺序是由口腔(qiang)前(qian)庭→颊部(bu)→咽部(bu)，将(jiang)各(ge)部(bu)吸(xi)(xi)(xi)尽。如口腔(qiang)吸(xi)(xi)(xi)痰(tan)(tan)(tan)有困难时，可由鼻腔(qiang)插(cha)入(颅底骨折(zhe)患者禁用)，其顺序由鼻腔(qiang)前(qian)庭→下(xia)(xia)鼻道→鼻后(hou)孔→咽部(bu)→气(qi)管(guan)(约(yue)20-25cm)，将(jiang)分泌(mi)物逐段(duan)吸(xi)(xi)(xi)尽。若有气(qi)管(guan)插(cha)管(guan)或(huo)气(qi)管(guan)切(qie)开时，可由插(cha)管(guan)或(huo)套管(guan)内(nei)插(cha)入，将(jiang)痰(tan)(tan)(tan)液吸(xi)(xi)(xi)出。昏(hun)迷病人可用压(ya)(ya)舌板(ban)或(huo)开口器先将(jiang)口启开，再行(xing)吸(xi)(xi)(xi)引(yin)(yin)。

2月13日(ri)，联(lian)合整治“保健(jian)”市(shi)场(chang)(chang)乱象百(bai)日(ri)行(xing)(xing)(xing)动(dong)(dong)联(lian)合工(gong)(gong)作组(zu)(zu)(zu)在市(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)局(ju)(ju)召(zhao)(zhao)开(kai)(kai)(kai)工(gong)(gong)作组(zu)(zu)(zu)会议。市(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)局(ju)(ju)副局(ju)(ju)长甘霖同(tong)志(zhi)出席会议并讲话，市(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)局(ju)(ju)、工(gong)(gong)业和(he)(he)(he)信息(xi)化部(bu)(bu)(bu)(bu)、公安部(bu)(bu)(bu)(bu)、民政部(bu)(bu)(bu)(bu)、住房和(he)(he)(he)城乡建设部(bu)(bu)(bu)(bu)、农业农村部(bu)(bu)(bu)(bu)、商务部(bu)(bu)(bu)(bu)、文化和(he)(he)(he)旅游部(bu)(bu)(bu)(bu)、卫生健(jian)康委(wei)员(yuan)(yuan)会、广(guang)播电视总(zong)(zong)局(ju)(ju)、中医药管(guan)(guan)理局(ju)(ju)、药品监(jian)(jian)(jian)(jian)(jian)督管(guan)(guan)理局(ju)(ju)、网信办等(deng)13部(bu)(bu)(bu)(bu)门(men)(men)成员(yuan)(yuan)单位(wei)负(fu)责同(tong)志(zhi)及联(lian)络(luo)员(yuan)(yuan)和(he)(he)(he)市(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)局(ju)(ju)“百(bai)日(ri)行(xing)(xing)(xing)动(dong)(dong)”工(gong)(gong)作组(zu)(zu)(zu)成员(yuan)(yuan)单位(wei)负(fu)责同(tong)志(zhi)及联(lian)络(luo)员(yuan)(yuan)参加会议。“百(bai)日(ri)行(xing)(xing)(xing)动(dong)(dong)”开(kai)(kai)(kai)展(zhan)以来(lai)，各部(bu)(bu)(bu)(bu)门(men)(men)积极落实(shi)《关于(yu)开(kai)(kai)(kai)展(zhan)联(lian)合整治“保健(jian)”市(shi)场(chang)(chang)乱象百(bai)日(ri)行(xing)(xing)(xing)动(dong)(dong)的通(tong)知》要求，立足自(zi)身职(zhi)能(neng)，迅速部(bu)(bu)(bu)(bu)署落实(shi)，在相(xiang)关领域和(he)(he)(he)行(xing)(xing)(xing)业内开(kai)(kai)(kai)展(zhan)行(xing)(xing)(xing)动(dong)(dong)。市(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)局(ju)(ju)切实(shi)履行(xing)(xing)(xing)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)执法、联(lian)络(luo)调度、汇集信息(xi)、服务保障等(deng)职(zhi)责，通(tong)过建立工(gong)(gong)作协调机制、建立工(gong)(gong)作台账、召(zhao)(zhao)开(kai)(kai)(kai)调度会议、加强(qiang)新(xin)闻宣(xuan)传(chuan)等(deng)方式，组(zu)(zu)(zu)织各部(bu)(bu)(bu)(bu)门(men)(men)、市(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)系统迅速深(shen)入开(kai)(kai)(kai)展(zhan)“百(bai)日(ri)行(xing)(xing)(xing)动(dong)(dong)”。

一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)的具(ju)体操作(zuo)(zuo)方(fang)法是(shi)(shi)怎样。温馨提示：为(wei)避免病人吸(xi)(xi)入(ru)的空气干燥(因无鼻腔(qiang)的湿(shi)化作(zuo)(zuo)用(yong)(yong))，可(ke)用(yong)(yong)单(dan)层或(huo)双层盐水浸湿(shi)的纱(sha)布覆盖一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)管(guan)(guan)口(kou)，干后随(sui)时(shi)更换(huan)。那么，一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)的具(ju)体操作(zuo)(zuo)方(fang)法是(shi)(shi)怎样? 一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)为(wei)无菌(jun)产品，经环氧乙烷灭菌(jun)，灭菌(jun)有效期(qi)2年;一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)限一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)，用(yong)(yong)后销毁，禁(jin)止重复(fu)使(shi)(shi)用(yong)(yong);一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)应存放(fang)在通风、干燥、无腐蚀性(xing)(xing)(xing)物(wu)体的室内。 一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)的具(ju)体操作(zuo)(zuo)方(fang)法如下： 吸(xi)(xi)引(yin)(yin)前先检查吸(xi)(xi)引(yin)(yin)器效能(neng)是(shi)(shi)否良(liang)好，吸(xi)(xi)引(yin)(yin)导管(guan)(guan)是(shi)(shi)否通畅。2.备齐用(yong)(yong)物(wu)，置床(chuang)头柜，向患(huan)(huan)(huan)者(zhe)(zhe)解(jie)释。3.将患(huan)(huan)(huan)者(zhe)(zhe)头偏向一(yi)(yi)(yi)侧，并略向后仰。昏迷(mi)患(huan)(huan)(huan)者(zhe)(zhe)可(ke)用(yong)(yong)压舌板将口(kou)启开，夹持吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)由(you)口(kou)腔(qiang)颊部插(cha)(cha)至咽(yan)喉部，乘患(huan)(huan)(huan)者(zhe)(zhe)吸(xi)(xi)气时(shi)将吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)插(cha)(cha)入(ru)气管(guan)(guan)。如口(kou)腔(qiang)吸(xi)(xi)痰(tan)(tan)(tan)有困(kun)难时(shi)，可(ke)由(you)鼻腔(qiang)插(cha)(cha)入(ru)(颅(lu)底(di)骨折患(huan)(huan)(huan)者(zhe)(zhe)禁(jin)用(yong)(yong));气管(guan)(guan)插(cha)(cha)管(guan)(guan)或(huo)气管(guan)(guan)切开患(huan)(huan)(huan)者(zhe)(zhe)，可(ke)由(you)插(cha)(cha)管(guan)(guan)或(huo)套管(guan)(guan)内插(cha)(cha)入(ru)。