导尿(niao)设备(bei)在(zai)医(yi)(yi)疗当(dang)中也(ye)(ye)是(shi)(shi)(shi)经(jing)(jing)常(chang)(chang)(chang)使(shi)用(yong)(yong)(yong)(yong)的(de)(de)(de)(de)一(yi)种(zhong)产(chan)(chan)(chan)品(pin)(pin)(pin),在(zai)泌尿(niao)肛肠等(deng)医(yi)(yi)疗科室经(jing)(jing)常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)到导尿(niao)设备(bei)一(yi)般都是(shi)(shi)(shi)一(yi)次(ci)(ci)性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)的(de)(de)(de)(de)。下面介绍的(de)(de)(de)(de)这(zhei)(zhei)种(zhong)-次(ci)(ci)性(xing)(xing)(xing)的(de)(de)(de)(de)无莹(ying)导尿(niao)产(chan)(chan)(chan)品(pin)(pin)(pin)就是(shi)(shi)(shi)同类产(chan)(chan)(chan)品(pin)(pin)(pin)中性(xing)(xing)(xing)能非常(chang)(chang)(chang)优越的(de)(de)(de)(de)一(yi)种(zhong)。产(chan)(chan)(chan)品(pin)(pin)(pin)的(de)(de)(de)(de)用(yong)(yong)(yong)(yong)途和性(xing)(xing)(xing)能,这(zhei)(zhei)种(zhong)-次(ci)(ci)性(xing)(xing)(xing)的(de)(de)(de)(de)无菌(jun)导尿(niao)包(bao)主要是(shi)(shi)(shi)给临床上的(de)(de)(de)(de)患者导尿(niao)之(zhi)用(yong)(yong)(yong)(yong)，这(zhei)(zhei)种(zhong)产(chan)(chan)(chan)品(pin)(pin)(pin)是(shi)(shi)(shi)经(jing)(jing)过(guo)(guo)了(le)环氧乙烷灭莹(ying),非常(chang)(chang)(chang)的(de)(de)(de)(de)卫生和安全，使(shi)用(yong)(yong)(yong)(yong)起来(lai)(lai)也(ye)(ye)非常(chang)(chang)(chang)方(fang)便(bian)。该产(chan)(chan)(chan)品(pin)(pin)(pin)是(shi)(shi)(shi)由洞巾,布(bu)(bu)和一(yi)次(ci)(ci)性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)的(de)(de)(de)(de)导尿(niao)管、橡胶医(yi)(yi)用(yong)(yong)(yong)(yong)手套(tao)、海绵刷、纱布(bu)(bu)块、石蜡(la)棉(mian)球物品(pin)(pin)(pin)盒和一(yi)次(ci)(ci)性(xing)(xing)(xing)的(de)(de)(de)(de)引流袋等(deng)几(ji)部分组成(cheng)。这(zhei)(zhei)种(zhong)- -次(ci)(ci)性(xing)(xing)(xing)产(chan)(chan)(chan)品(pin)(pin)(pin)使(shi)用(yong)(yong)(yong)(yong)起来(lai)(lai)也(ye)(ye)非常(chang)(chang)(chang)方(fang)便(bian)。这(zhei)(zhei)种(zhong)产(chan)(chan)(chan)品(pin)(pin)(pin)使(shi)用(yong)(yong)(yong)(yong)起来(lai)(lai)也(ye)(ye)比较简(jian)单,首先,在(zai)使(shi)用(yong)(yong)(yong)(yong)前(qian)要检查单包(bao)装(zhuang)是(shi)(shi)(shi)不是(shi)(shi)(shi)没有(you)损坏(huai),灭菌(jun)的(de)(de)(de)(de)有(you)效期(qi)(qi)是(shi)(shi)(shi)不是(shi)(shi)(shi)正常(chang)(chang)(chang);其(qi)次(ci)(ci),在(zai)使(shi)用(yong)(yong)(yong)(yong)的(de)(de)(de)(de)时候,先打开包(bao)装(zhuang),在(zai)将包(bao)布(bu)(bu)打开,再(zai)戴(dai)上手套(tao),然后(hou);按照常(chang)(chang)(chang)规的(de)(de)(de)(de)方(fang)法来(lai)(lai)使(shi)用(yong)(yong)(yong)(yong)导尿(niao)包(bao)里的(de)(de)(de)(de)组件;其(qi)三,-般的(de)(de)(de)(de)产(chan)(chan)(chan)品(pin)(pin)(pin)的(de)(de)(de)(de)有(you)效期(qi)(qi)是(shi)(shi)(shi)两年 ,如果产(chan)(chan)(chan)品(pin)(pin)(pin)已经(jing)(jing)过(guo)(guo)了(le)有(you)效期(qi)(qi),绝对不能使(shi)用(yong)(yong)(yong)(yong);四,如果包(bao)装(zhuang)破损了(le)也(ye)(ye)不能使(shi)用(yong)(yong)(yong)(yong);五,这(zhei)(zhei)是(shi)(shi)(shi)-次(ci)(ci)性(xing)(xing)(xing)的(de)(de)(de)(de)使(shi)用(yong)(yong)(yong)(yong)产(chan)(chan)(chan)品(pin)(pin)(pin)，禁止重复使(shi)用(yong)(yong)(yong)(yong),在(zai)使(shi)用(yong)(yong)(yong)(yong)完后(hou)要销毁,生产(chan)(chan)(chan)日(ri)期(qi)(qi)般在(zai)包(bao)装(zhuang)封口处。

2月5日，药监(jian)(jian)局接到卫(wei)生(sheng)(sheng)健(jian)康委(wei)通报，上(shang)(shang)海(hai)新(xin)(xin)兴医药股份有(you)限公司（以下简称“上(shang)(shang)海(hai)新(xin)(xin)兴”）生(sheng)(sheng)产(chan)的(de)(de)一(yi)批(pi)次(ci)静注人(ren)免疫球蛋白（批(pi)号：20180610Z）艾(ai)(ai)滋病病毒抗体检(jian)(jian)(jian)(jian)(jian)测(ce)为(wei)阳性(xing)。药监(jian)(jian)局立即(ji)要(yao)求上(shang)(shang)海(hai)市药监(jian)(jian)局对(dui)上(shang)(shang)海(hai)新(xin)(xin)兴开展现场检(jian)(jian)(jian)(jian)(jian)查(cha)，组织对(dui)同批(pi)原料血浆生(sheng)(sheng)产(chan)的(de)(de)产(chan)品(pin)和相邻批(pi)次(ci)产(chan)品(pin)进(jin)(jin)行(xing)检(jian)(jian)(jian)(jian)(jian)验，并(bing)派出督导检(jian)(jian)(jian)(jian)(jian)查(cha)组抵达上(shang)(shang)海(hai)、江(jiang)西，督促(cu)指(zhi)导地方药监(jian)(jian)部门开展调查(cha)处(chu)置工(gong)作(zuo)。药监(jian)(jian)局、卫(wei)生(sheng)(sheng)健(jian)康委(wei)联合下发通知，要(yao)求立即(ji)暂停(ting)使用该企业(ye)生(sheng)(sheng)产(chan)的(de)(de)相关(guan)产(chan)品(pin)，并(bing)及时(shi)采取封存(cun)等控制措施。上(shang)(shang)海(hai)方面对(dui)涉事批(pi)次(ci)静注人(ren)免疫球蛋白进(jin)(jin)行(xing)的(de)(de)艾(ai)(ai)滋病、乙肝、丙(bing)肝三种病毒核(he)酸(suan)检(jian)(jian)(jian)(jian)(jian)测(ce)，结果(guo)均为(wei)阴性(xing)；江(jiang)西方面对(dui)患者(zhe)的(de)(de)艾(ai)(ai)滋病病毒核(he)酸(suan)检(jian)(jian)(jian)(jian)(jian)测(ce)，结果(guo)为(wei)阴性(xing)。对(dui)企业(ye)现场核(he)查(cha)等有(you)关(guan)工(gong)作(zuo)正在进(jin)(jin)一(yi)步进(jin)(jin)行(xing)中。

如(ru)何(he)预(yu)防(fang)(fang)插(cha)导尿(niao)包(bao)时出(chu)现感(gan)染(ran)现象?全科(ke)医(yi)(yi)生(sheng)(sheng)是经(jing)过(guo)全科(ke)医(yi)(yi)学(xue)专业培训，临床技(ji)能(neng)(neng)(neng)全面、医(yi)(yi)德高尚(shang)的(de)(de)(de)(de)高素质基层医(yi)(yi)疗(liao)保健人才,富有(you)独立工作(zuo)能(neng)(neng)(neng)力(li),对个人家庭及社区提供便捷、廉价(jia)的(de)(de)(de)(de)防(fang)(fang)、 治(zhi)保康全方位的(de)(de)(de)(de)优质服务。开(kai)展全科(ke)医(yi)(yi)疗(liao)服务, 如(ru)果没(mei)有(you)具有(you)活力(li)的(de)(de)(de)(de)全科(ke)医(yi)(yi)生(sheng)(sheng)做坚实的(de)(de)(de)(de)基础,工作(zuo)将缺乏生(sheng)(sheng)气和(he)(he)动力(li),那(nei)种以单纯的(de)(de)(de)(de)专科(ke)医(yi)(yi)疗(liao)的(de)(de)(de)(de)服务体系,势(shi)必造成医(yi)(yi)疗(liao)秩序(xu)(xu)的(de)(de)(de)(de)混乱,也(ye)没(mei)有(you)任何(he)国家的(de)(de)(de)(de)经(jing)济能(neng)(neng)(neng)够负担得起(qi)。那(nei)么,插(cha)导尿(niao)管(guan)(guan)如(ru)何(he)预(yu)防(fang)(fang)感(gan)染(ran)呢?导尿(niao)包(bao)相关(guan)尿(niao)路感(gan)染(ran)预(yu)防(fang)(fang)SOP尿(niao)路感(gan)染(ran)(UTI)是二(er)位常(chang)见医(yi)(yi)院感(gan)染(ran)类型, 75% ~ 80%与留(liu)(liu)置(zhi)导尿(niao)管(guan)(guan)相关(guan)。为有(you)效(xiao)预(yu)防(fang)(fang)导尿(niao)管(guan)(guan)相关(guan)尿(niao)路感(gan)染(ran),特制(zhi)定(ding)以下控制(zhi)措施(shi)(shi):插(cha)管(guan)(guan)前准(zhun)备与插(cha)管(guan)(guan)时的(de)(de)(de)(de)措施(shi)(shi)1.尽量避(bi)免(mian)不(bu)必要的(de)(de)(de)(de)留(liu)(liu)置(zhi)导尿(niao);2.仔(zi)细检(jian)查(cha)无菌导尿(niao)包(bao)，如(ru)过(guo)期、外包(bao)装破损潮湿,不(bu)得使(shi)用(yong);3.根(gen)据(ju)年龄(ling)、性别、尿(niao)道(dao)情况选(xuan)择合适的(de)(de)(de)(de)导尿(niao)管(guan)(guan)口径、类型。通(tong)常(chang)成年男(nan)性选(xuan)16F ,女性选(xuan)14F ;4.规(gui)范手卫(wei)生(sheng)(sheng)和(he)(he)载手套的(de)(de)(de)(de)程(cheng)序(xu)(xu);5.常(chang)规(gui)的(de)(de)(de)(de)消(xiao)(xiao)毒(du)(du)方法:用(yong)0.1%的(de)(de)(de)(de)新洁尔(er)灭消(xiao)(xiao)毒(du)(du)尿(niao)道(dao)口及其(qi)周围皮肤粘(zhan)膜,程(cheng)序(xu)(xu)如(ru)下:男(nan)性:自尿(niao)道(dao)口、龟头向外旋(xuan)转擦拭消(xiao)(xiao)毒(du)(du),注(zhu)意(yi)洗净包(bao)皮及冠状沟。女性:先清洗外阴(yin),其(qi)原则由上至下,由内向外,然(ran)后清洗尿(niao)道(dao)口、前庭、两侧大小阴(yin)唇(chun),后会阴(yin)、肛门(men),每(mei)一个棉球不(bu)能(neng)(neng)(neng)重复使(shi)用(yong);6.插(cha)管(guan)(guan)过(guo)程(cheng)严格执行(xing)无菌操作(zuo),动作(zuo)要轻(qing)柔,避(bi)免(mian)尿(niao)道(dao)粘(zhan)膜损伤;7.对留(liu)(liu)置(zhi)导尿(niao)患者(zhe),应采用(yong)密闭式引流系统。

指导要点1.告知患者胸腔引流的目的及配合方法。2.鼓励患者咳嗽，深呼吸及变换体位，并告知正确咳嗽、深呼吸、变换体位的方法。（四）注意事项。1.出血量多于100ml／h，呈鲜红色，医用一次性使用吸痰管有血凝块，同时伴有脉搏增快，提示有活动性出血的可能，及时通知医生。2.水封瓶打破或接头滑脱时，要立即夹闭或反折近胸端胸引管。3.引流管自胸壁伤口脱出，立即用手顺皮肤纹理方向捏紧引流口周围皮肤（注意不要直接接触伤口），一次性使用吸痰管价格并立(li)即通知医(yi)生处理(li)。4.患者下床活(huo)动时(shi)，引(yin)(yin)流瓶的位置应低(di)于膝盖且(qie)保持(chi)平稳，保障长管(guan)(guan)(guan)没入(ru)液面(mian)下；外出检查前须将引(yin)(yin)流管(guan)(guan)(guan)夹(jia)闭，漏气(qi)(qi)明显(xian)的患者不可夹(jia)闭胸引(yin)(yin)管(guan)(guan)(guan)。5.拔(ba)管(guan)(guan)(guan)后注(zhu)意观察患者有(you)无胸闷、憋气(qi)(qi)，皮下气(qi)(qi)肿，伤口渗液及出血(xue)等症状，有(you)异常(chang)及时(shi)通知医(yi)生。一次性(xing)使用(yong)导(dao)尿包（三(san)）指导(dao)要(yao)点。1.告知患者心(xin)包、纵(zong)膈(ge)引(yin)(yin)流的目的、配(pei)合方法(fa)。2.告知患者更换体(ti)位时(shi)防(fang)止引(yin)(yin)流管(guan)(guan)(guan)意外脱(tuo)出或打折、受压等措施。

疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理(li)法草案23日首次提(ti)请(qing)十三(san)届人大(da)常委会(hui)第七(qi)次会(hui)议(yi)审(shen)议(yi)。草案就疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理(li)单独(du)立(li)法，突出疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理(li)特(te)点，强(qiang)化疫(yi)(yi)(yi)苗(miao)(miao)的(de)风险管(guan)(guan)理(li)、全程控制(zhi)、严格监管(guan)(guan)和社(she)会(hui)共治，切实疫(yi)(yi)(yi)苗(miao)(miao)安(an)全、有效(xiao)和规(gui)范接(jie)(jie)种(zhong)。党中(zhong)央、国务院(yuan)高度(du)重视疫(yi)(yi)(yi)苗(miao)(miao)监管(guan)(guan)工(gong)作(zuo)，要(yao)求加快(kuai)完善疫(yi)(yi)(yi)苗(miao)(miao)药(yao)品监管(guan)(guan)长(zhang)效(xiao)机制(zhi)。疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理(li)单独(du)立(li)法，有利于(yu)(yu)进(jin)一(yi)步提(ti)高疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理(li)措施的(de)稳定(ding)性(xing)。药(yao)监局政策法规(gui)司有关(guan)负(fu)责人介(jie)绍，2005年(nian)(nian)国务院(yuan)出台了《疫(yi)(yi)(yi)苗(miao)(miao)流(liu)通和预防接(jie)(jie)种(zhong)管(guan)(guan)理(li)条例》，并于(yu)(yu)2016年(nian)(nian)进(jin)行了修订。此次提(ti)交(jiao)审(shen)议(yi)的(de)疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理(li)法草案，对疫(yi)(yi)(yi)苗(miao)(miao)研制(zhi)、生产、流(liu)通、预防接(jie)(jie)种(zhong)、补(bu)偿、赔偿等(deng)以法律(lv)形式进(jin)行明确规(gui)定(ding)，有利于(yu)(yu)建立(li)系(xi)统的(de)、全链(lian)条的(de)疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理(li)制(zhi)度(du)。

2月16日上(shang)午，第十四届(jie)中(zhong)(zhong)(zhong)国(guo)(guo)(guo)·（长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)）医(yi)(yi)(yi)疗(liao)器(qi)(qi)械博(bo)览会(hui)(hui)(hui)在河(he)南(nan)(nan)省(sheng)(sheng)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)县(xian)(xian)会(hui)(hui)(hui)展中(zhong)(zhong)(zhong)心(xin)盛大(da)开幕(mu)。本次医(yi)(yi)(yi)疗(liao)器(qi)(qi)械博(bo)览会(hui)(hui)(hui)由长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)县(xian)(xian)人民(min)政府(fu)主办，驼人控股集团承办。参加展会(hui)(hui)(hui)的领(ling)导有：中(zhong)(zhong)(zhong)国(guo)(guo)(guo)工程(cheng)学(xue)院(yuan)院(yuan)士俞梦(meng)孙，卫健委(wei)(wei)医(yi)(yi)(yi)管中(zhong)(zhong)(zhong)心(xin)处(chu)(chu)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)王强，中(zhong)(zhong)(zhong)国(guo)(guo)(guo)社(she)会(hui)(hui)(hui)科(ke)学(xue)院(yuan)世界社(she)保研究(jiu)中(zhong)(zhong)(zhong)心(xin)主任郑秉文(wen)，中(zhong)(zhong)(zhong)国(guo)(guo)(guo)医(yi)(yi)(yi)学(xue)装备协会(hui)(hui)(hui)秘(mi)书(shu)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)李(li)志勇，商(shang)务部中(zhong)(zhong)(zhong)国(guo)(guo)(guo)医(yi)(yi)(yi)药保健进出口(kou)商(shang)会(hui)(hui)(hui)秘(mi)书(shu)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)蔡天智，河(he)南(nan)(nan)省(sheng)(sheng)卫健委(wei)(wei)医(yi)(yi)(yi)政医(yi)(yi)(yi)管处(chu)(chu)处(chu)(chu)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)董薇，亚洲(zhou)医(yi)(yi)(yi)院(yuan)临(lin)(lin)床医(yi)(yi)(yi)学(xue)管理(li)学(xue)会(hui)(hui)(hui)会(hui)(hui)(hui)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)（韩国(guo)(guo)(guo)）郑熙(xi)昌(chang)，长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)县(xian)(xian)委(wei)(wei)书(shu)记秦保建(jian)，长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)县(xian)(xian)委(wei)(wei)副书(shu)记、代县(xian)(xian)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)赵军伟，长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)县(xian)(xian)委(wei)(wei)副书(shu)记张彤，长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)县(xian)(xian)产(chan)业集聚区管委(wei)(wei)会(hui)(hui)(hui)主任宋太俊，长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)县(xian)(xian)委(wei)(wei)常委(wei)(wei)、县(xian)(xian)委(wei)(wei)办公室主任闫磊(lei)，长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)县(xian)(xian)人民(min)政府(fu)副县(xian)(xian)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)李(li)懿，长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)垣(yuan)(yuan)县(xian)(xian)产(chan)业集聚区管委(wei)(wei)会(hui)(hui)(hui)副主任、南(nan)(nan)蒲街(jie)道党工委(wei)(wei)书(shu)记李(li)联合，河(he)南(nan)(nan)省(sheng)(sheng)医(yi)(yi)(yi)疗(liao)器(qi)(qi)械商(shang)会(hui)(hui)(hui)会(hui)(hui)(hui)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)、驼人集团创始人、总裁王国(guo)(guo)(guo)胜，河(he)南(nan)(nan)省(sheng)(sheng)医(yi)(yi)(yi)疗(liao)器(qi)(qi)械商(shang)会(hui)(hui)(hui)秘(mi)书(shu)长(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)陈敏等(deng)莅(li)临(lin)(lin)开幕(mu)式。