2月5日，药(yao)(yao)监局(ju)(ju)接到卫(wei)生健康(kang)委通报，上(shang)(shang)海(hai)新兴医药(yao)(yao)股份有限公(gong)司(si)（以(yi)下简称“上(shang)(shang)海(hai)新兴”）生产(chan)(chan)的(de)一(yi)(yi)批(pi)次(ci)静(jing)注(zhu)人免疫球蛋白（批(pi)号(hao)：20180610Z）艾(ai)滋病(bing)(bing)病(bing)(bing)毒(du)抗(kang)体检测(ce)为(wei)阳(yang)性(xing)。药(yao)(yao)监局(ju)(ju)立即要(yao)求(qiu)上(shang)(shang)海(hai)市药(yao)(yao)监局(ju)(ju)对(dui)(dui)(dui)(dui)上(shang)(shang)海(hai)新兴开(kai)展现(xian)场检查，组织对(dui)(dui)(dui)(dui)同(tong)批(pi)原料血浆(jiang)生产(chan)(chan)的(de)产(chan)(chan)品(pin)和相邻批(pi)次(ci)产(chan)(chan)品(pin)进(jin)行检验，并(bing)派出(chu)督(du)导检查组抵达上(shang)(shang)海(hai)、江西，督(du)促指导地(di)方(fang)药(yao)(yao)监部门开(kai)展调查处置工作(zuo)。药(yao)(yao)监局(ju)(ju)、卫(wei)生健康(kang)委联合下发(fa)通知，要(yao)求(qiu)立即暂停(ting)使(shi)用该企(qi)业生产(chan)(chan)的(de)相关(guan)产(chan)(chan)品(pin)，并(bing)及(ji)时采取封(feng)存等控制措(cuo)施。上(shang)(shang)海(hai)方(fang)面(mian)对(dui)(dui)(dui)(dui)涉(she)事批(pi)次(ci)静(jing)注(zhu)人免疫球蛋白进(jin)行的(de)艾(ai)滋病(bing)(bing)、乙肝(gan)、丙肝(gan)三种(zhong)病(bing)(bing)毒(du)核(he)酸检测(ce)，结果均(jun)为(wei)阴(yin)性(xing)；江西方(fang)面(mian)对(dui)(dui)(dui)(dui)患者的(de)艾(ai)滋病(bing)(bing)病(bing)(bing)毒(du)核(he)酸检测(ce)，结果为(wei)阴(yin)性(xing)。对(dui)(dui)(dui)(dui)企(qi)业现(xian)场核(he)查等有关(guan)工作(zuo)正在进(jin)一(yi)(yi)步进(jin)行中。

本产品主要采血前后对献血者进行护理使用，消毒棉棒采用液棒，使用方便；产品无菌，一次性使用，方便护理人员操作，防止交叉感染。推荐一次性使用吸痰管具体特点如下：1、无菌垫单：防水无纺布2、止血带：进口高弹非乳胶材料，弹力好，防止皮肤过敏。3、消毒棉签：超长碘伏棒设计，确保面积消毒充分，碘伏棒易折，免得头设计合理，不滴不漏；两端面头采用不同颜色区分，使用方便；内装医用碘伏液体，其有效碘含量为0.45-0.55%，消毒效果好。4、采血贴：主要用于采血针眼等小创口的止血与保护，产品止血迅速、创口愈合快，可有效降低针眼感染及皮下淤血的几率，从根本上解决了棉球及普通创可贴无法克服的止血愈合效果差的难题，减轻了献血者的心里负担。一次性使用吸痰管价格改良肤色材(cai)料，强(qiang)(qiang)调人性化设(she)计，粘性强(qiang)(qiang)，易剥落。

一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰管(guan)的(de)具(ju)体操作(zuo)方法(fa)是(shi)(shi)(shi)怎(zen)样。温馨提(ti)示：为避免病人吸(xi)(xi)(xi)(xi)(xi)入的(de)空(kong)气(qi)干燥(因无(wu)鼻腔的(de)湿化作(zuo)用(yong)(yong)(yong)(yong)(yong))，可用(yong)(yong)(yong)(yong)(yong)单(dan)层(ceng)或(huo)双层(ceng)盐水(shui)浸湿的(de)纱布覆盖一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰管(guan)管(guan)口(kou)，干后随时(shi)更换。那(nei)么，一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰管(guan)的(de)具(ju)体操作(zuo)方法(fa)是(shi)(shi)(shi)怎(zen)样? 一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰管(guan)为无(wu)菌产品，经(jing)环氧乙烷灭菌，灭菌有效期2年;一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰管(guan)限一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)，用(yong)(yong)(yong)(yong)(yong)后销毁(hui)，禁止(zhi)重复使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong);一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰管(guan)应存放在通风、干燥、无(wu)腐蚀性(xing)(xing)物(wu)体的(de)室内。 一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰管(guan)的(de)具(ju)体操作(zuo)方法(fa)如(ru)下(xia)： 吸(xi)(xi)(xi)(xi)(xi)引(yin)前(qian)先检查(cha)吸(xi)(xi)(xi)(xi)(xi)引(yin)器效能(neng)是(shi)(shi)(shi)否良好(hao)，吸(xi)(xi)(xi)(xi)(xi)引(yin)导(dao)管(guan)是(shi)(shi)(shi)否通畅。2.备齐用(yong)(yong)(yong)(yong)(yong)物(wu)，置(zhi)床头(tou)柜(ju)，向患者(zhe)(zhe)解释。3.将(jiang)患者(zhe)(zhe)头(tou)偏向一(yi)侧，并略向后仰(yang)。昏(hun)迷患者(zhe)(zhe)可用(yong)(yong)(yong)(yong)(yong)压(ya)舌(she)板将(jiang)口(kou)启开(kai)，夹持吸(xi)(xi)(xi)(xi)(xi)痰管(guan)由(you)(you)口(kou)腔颊(jia)部插(cha)(cha)至咽喉(hou)部，乘(cheng)患者(zhe)(zhe)吸(xi)(xi)(xi)(xi)(xi)气(qi)时(shi)将(jiang)吸(xi)(xi)(xi)(xi)(xi)痰管(guan)插(cha)(cha)入气(qi)管(guan)。如(ru)口(kou)腔吸(xi)(xi)(xi)(xi)(xi)痰有困难时(shi)，可由(you)(you)鼻腔插(cha)(cha)入(颅底骨折患者(zhe)(zhe)禁用(yong)(yong)(yong)(yong)(yong));气(qi)管(guan)插(cha)(cha)管(guan)或(huo)气(qi)管(guan)切开(kai)患者(zhe)(zhe)，可由(you)(you)插(cha)(cha)管(guan)或(huo)套管(guan)内插(cha)(cha)入。

一(yi)次(ci)性(xing)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)包的(de)(de)使(shi)用(yong)方法一(yi)次(ci)性(xing)使(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)用(yong)于(yu)临(lin)床患(huan)者抽取气(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)内痰(tan)(tan)(tan)液或分(fen)(fen)(fen)泌(mi)液用(yong)。一(yi)次(ci)性(xing)使(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)动作要(yao)轻(qing)、稳。一(yi)次(ci)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)时(shi)间(jian)不(bu)应超过(guo)15秒，吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)器连续(xu)使(shi)用(yong)时(shi)间(jian)不(bu)超过(guo)3分(fen)(fen)(fen)钟。1检查吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)器各(ge)部(bu)连接(jie)是(shi)否完善，有(you)无漏气(qi)(qi)(qi)。接(jie)通电(dian)源(yuan)，打开开关(guan)，检查吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)器性(xing)能，调节负压。一(yi)般(ban)成人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)负压约40-50 kPa，小(xiao)儿吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)约13-30kPa，将一(yi)次(ci)性(xing)使(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)置于(yu)水(shui)中，试验吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)力，并冲(chong)洗皮管(guan)(guan)(guan)(guan)(guan)。2将病人(ren)头(tou)部(bu)转向(xiang)护士，铺治疗巾于(yu)颌(he)下(xia)。插入一(yi)次(ci)性(xing)使(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)，其顺序是(shi)由(you)口腔(qiang)前庭→颊部(bu)→咽(yan)部(bu)，将各(ge)部(bu)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)尽。如(ru)口腔(qiang)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)有(you)困难时(shi)，可由(you)鼻(bi)腔(qiang)插入(颅(lu)底骨折患(huan)者禁用(yong))，其顺序由(you)鼻(bi)腔(qiang)前庭→下(xia)鼻(bi)道→鼻(bi)后(hou)孔→咽(yan)部(bu)→气(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)(约20-25cm)，将分(fen)(fen)(fen)泌(mi)物逐段(duan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)尽。3气(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)内吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)，待病人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)气(qi)(qi)(qi)时(shi)，快速将导(dao)管(guan)(guan)(guan)(guan)(guan)插入，自下(xia)而上边(bian)退边(bian)左右旋转导(dao)管(guan)(guan)(guan)(guan)(guan)，消(xiao)除气(qi)(qi)(qi)道分(fen)(fen)(fen)泌(mi)物，并注意观察病人(ren)的(de)(de)呼吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)过(guo)程中，如(ru)病人(ren)咳嗽厉害，应稍等片刻后(hou)再行吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)出。并随时(shi)冲(chong)洗吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)管(guan)(guan)(guan)(guan)(guan)，以免痰(tan)(tan)(tan)液堵(du)塞。4吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)毕，关(guan)闭吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)器开关(guan)，弃吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)导(dao)管(guan)(guan)(guan)(guan)(guan)于(yu)小(xiao)桶内，吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)胶管(guan)(guan)(guan)(guan)(guan)玻璃接(jie)头(tou)插入床栏上盛有(you)消(xiao)毒液瓶内备用(yong)，将病人(ren)口腔(qiang)周围擦(ca)净。观察吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)出液的(de)(de)量、颜色及性(xing)质，必要(yao)时(shi)做(zuo)好记(ji)录。

一次(ci)(ci)性使(shi)(shi)用(yong)导(dao)尿(niao)(niao)(niao)(niao)包(bao)的(de)使(shi)(shi)用(yong)方法(fa)1、导(dao)尿(niao)(niao)(niao)(niao)包(bao)的(de)配置和包(bao)装设(she)计(ji)是根据(ju)《中华护理大(da)全》中关于导(dao)尿(niao)(niao)(niao)(niao)部分的(de)操(cao)(cao)作(zuo)(zuo)(zuo)程(cheng)序和各医院实际导(dao)尿(niao)(niao)(niao)(niao)操(cao)(cao)作(zuo)(zuo)(zuo)过(guo)程(cheng)中的(de)要求设(she)计(ji)制定(ding)。2 导(dao)尿(niao)(niao)(niao)(niao)包(bao)的(de)使(shi)(shi)用(yong)方法(fa)可按各医院规(gui)(gui)定(ding)的(de)导(dao)尿(niao)(niao)(niao)(niao)操(cao)(cao)作(zuo)(zuo)(zuo)规(gui)(gui)程(cheng)进(jin)(jin)(jin)行(xing)(xing)操(cao)(cao)作(zuo)(zuo)(zuo)。3如在使(shi)(shi)用(yong)过(guo)程(cheng)中导(dao)尿(niao)(niao)(niao)(niao)包(bao)内的(de)配置和包(bao)装顺(shun)序与(yu)贵医院的(de)导(dao)尿(niao)(niao)(niao)(niao)操(cao)(cao)作(zuo)(zuo)(zuo)规(gui)(gui)程(cheng)有(you)不(bu)相符的(de)情况(kuang)请(qing)(qing)向供应商提出改进(jin)(jin)(jin)建议(yi)。4在使(shi)(shi)用(yong)导(dao)尿(niao)(niao)(niao)(niao)包(bao)前请(qing)(qing)确(que)认您所使(shi)(shi)用(yong)的(de)导(dao)尿(niao)(niao)(niao)(niao)包(bao)是否是您选用(yong)的(de)型号，并确(que)认导(dao)尿(niao)(niao)(niao)(niao)包(bao)包(bao)装完好(hao)无破损(sun)。5 在操(cao)(cao)作(zuo)(zuo)(zuo)前请(qing)(qing)做好(hao)准备工(gong)作(zuo)(zuo)(zuo)，安排患者正确(que)体位铺好(hao)洞巾。并对患者进(jin)(jin)(jin)行(xing)(xing)安慰。6、请(qing)(qing)按医院的(de)导(dao)尿(niao)(niao)(niao)(niao)操(cao)(cao)作(zuo)(zuo)(zuo)规(gui)(gui)程(cheng)进(jin)(jin)(jin)行(xing)(xing)外消(xiao)毒(du)(du)和内消(xiao)毒(du)(du)两次(ci)(ci)消(xiao)毒(du)(du)。消(xiao)毒(du)(du)时不(bu)能选择对皮肤有(you)较(jiao)强(qiang)刺激(ji)的(de)消(xiao)毒(du)(du)剂(ji)，建议(yi)使(shi)(shi)用(yong)0.5％的(de)碘伏的(de)消(xiao)毒(du)(du)剂(ji)或(huo)其他低(di)刺激(ji)的(de)消(xiao)毒(du)(du)剂(ji)。7、使(shi)(shi)用(yong)前请(qing)(qing)将导(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)球囊(nang)进(jin)(jin)(jin)行(xing)(xing)充水试(shi)验，确(que)认导(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)球囊(nang)是否正常。充水后(hou)的(de)球囊(nang)应在球囊(nang)中留(liu)2－3ml蒸馏(liu)水，用(yong)于保障球囊(nang)外表光滑。

如(ru)何预(yu)(yu)防(fang)插(cha)导尿(niao)(niao)(niao)(niao)包(bao)时出现感(gan)染(ran)现象?全(quan)(quan)科(ke)医(yi)生(sheng)是(shi)经(jing)过(guo)(guo)全(quan)(quan)科(ke)医(yi)学专(zhuan)业培训，临床技能全(quan)(quan)面、医(yi)德高尚的(de)(de)(de)(de)(de)(de)高素质基层医(yi)疗(liao)保健人才,富有(you)(you)独立工作(zuo)能力(li),对(dui)个人家庭及社区提供(gong)便捷、廉(lian)价的(de)(de)(de)(de)(de)(de)防(fang)、 治保康全(quan)(quan)方(fang)位的(de)(de)(de)(de)(de)(de)优质服务(wu)。开展全(quan)(quan)科(ke)医(yi)疗(liao)服务(wu), 如(ru)果没有(you)(you)具(ju)有(you)(you)活力(li)的(de)(de)(de)(de)(de)(de)全(quan)(quan)科(ke)医(yi)生(sheng)做坚实的(de)(de)(de)(de)(de)(de)基础,工作(zuo)将缺乏生(sheng)气和动力(li),那(nei)种以单纯的(de)(de)(de)(de)(de)(de)专(zhuan)科(ke)医(yi)疗(liao)的(de)(de)(de)(de)(de)(de)服务(wu)体系,势必造成(cheng)医(yi)疗(liao)秩序(xu)的(de)(de)(de)(de)(de)(de)混乱(luan),也没有(you)(you)任何国家的(de)(de)(de)(de)(de)(de)经(jing)济能够负担得起。那(nei)么,插(cha)导尿(niao)(niao)(niao)(niao)管(guan)如(ru)何预(yu)(yu)防(fang)感(gan)染(ran)呢?导尿(niao)(niao)(niao)(niao)包(bao)相关尿(niao)(niao)(niao)(niao)路(lu)感(gan)染(ran)预(yu)(yu)防(fang)SOP尿(niao)(niao)(niao)(niao)路(lu)感(gan)染(ran)(UTI)是(shi)二位常(chang)见医(yi)院感(gan)染(ran)类(lei)型, 75% ~ 80%与留(liu)置(zhi)导尿(niao)(niao)(niao)(niao)管(guan)相关。为(wei)有(you)(you)效预(yu)(yu)防(fang)导尿(niao)(niao)(niao)(niao)管(guan)相关尿(niao)(niao)(niao)(niao)路(lu)感(gan)染(ran),特制(zhi)定以下(xia)控(kong)制(zhi)措(cuo)施:插(cha)管(guan)前准备(bei)与插(cha)管(guan)时的(de)(de)(de)(de)(de)(de)措(cuo)施1.尽量避免(mian)不(bu)必要(yao)的(de)(de)(de)(de)(de)(de)留(liu)置(zhi)导尿(niao)(niao)(niao)(niao);2.仔细检查(cha)无菌(jun)导尿(niao)(niao)(niao)(niao)包(bao)，如(ru)过(guo)(guo)期、外(wai)包(bao)装破(po)损(sun)潮湿,不(bu)得使用(yong)(yong);3.根(gen)据年(nian)龄(ling)、性(xing)(xing)(xing)别、尿(niao)(niao)(niao)(niao)道(dao)情况选择合(he)适的(de)(de)(de)(de)(de)(de)导尿(niao)(niao)(niao)(niao)管(guan)口(kou)径、类(lei)型。通(tong)常(chang)成(cheng)年(nian)男性(xing)(xing)(xing)选16F ,女(nv)性(xing)(xing)(xing)选14F ;4.规范手(shou)卫生(sheng)和载手(shou)套的(de)(de)(de)(de)(de)(de)程序(xu);5.常(chang)规的(de)(de)(de)(de)(de)(de)消(xiao)毒方(fang)法:用(yong)(yong)0.1%的(de)(de)(de)(de)(de)(de)新洁尔灭(mie)消(xiao)毒尿(niao)(niao)(niao)(niao)道(dao)口(kou)及其周(zhou)围皮(pi)肤粘(zhan)膜,程序(xu)如(ru)下(xia):男性(xing)(xing)(xing):自尿(niao)(niao)(niao)(niao)道(dao)口(kou)、龟(gui)头向(xiang)外(wai)旋转(zhuan)擦拭消(xiao)毒,注意洗(xi)净包(bao)皮(pi)及冠状沟。女(nv)性(xing)(xing)(xing):先清(qing)(qing)洗(xi)外(wai)阴,其原则由上至下(xia),由内向(xiang)外(wai),然后(hou)清(qing)(qing)洗(xi)尿(niao)(niao)(niao)(niao)道(dao)口(kou)、前庭、两侧大小(xiao)阴唇,后(hou)会阴、肛门,每(mei)一个棉球不(bu)能重复使用(yong)(yong);6.插(cha)管(guan)过(guo)(guo)程严(yan)格执行无菌(jun)操作(zuo),动作(zuo)要(yao)轻(qing)柔,避免(mian)尿(niao)(niao)(niao)(niao)道(dao)粘(zhan)膜损(sun)伤;7.对(dui)留(liu)置(zhi)导尿(niao)(niao)(niao)(niao)患(huan)者,应(ying)采用(yong)(yong)密闭式引(yin)流系统。