De Silva R, Mall A, Panieri E, Stupart D, Kahn D
Department of Surgery and Medical Research Council Liver Research Centre, University of Cape Town and Groote Schuur Hospital, Cape Town.
S Afr J Surg. 2009 Feb;47(1):7-9.
With the advent of a new infectious era involving the HIV and hepatitis B and C viruses, concern has arisen about transmission of these viruses through ocular blood splashes during surgery. The purpose of the study was to determine the risk of ocular blood splashes to surgeons and their assistants during surgery.
Surgeons and assistants in several surgical disciplines were requested to wear facemasks with a transparent plastic visor. The visors were collected postoperatively and inspected for macroscopic and microscopic blood splashes.
Fifty-nine per cent of the surgeons and assistants refused to wear facemasks with a visor. The incidence of blood splashes in those who participated was 45%. There was a trend for blood splashes to be more common during major surgery and during elective surgery. Surgeons and assistants were subject to similar risk.
This study confirms the significant risk of ocular blood splashes during surgery, while also suggesting that both surgeons and assistants lack appreciation of the risk.
随着涉及人类免疫缺陷病毒（HIV）以及乙型和丙型肝炎病毒的新感染时代的到来，人们开始关注这些病毒在手术过程中通过眼部溅血传播的问题。本研究的目的是确定手术过程中外科医生及其助手眼部溅血的风险。
要求多个外科领域的外科医生和助手佩戴带有透明塑料面罩的口罩。术后收集面罩并检查是否有肉眼可见和微观的溅血。
59%的外科医生和助手拒绝佩戴带面罩的口罩。参与研究的人员中溅血发生率为45%。在大手术和择期手术期间，溅血似乎更常见。外科医生和助手面临的风险相似。
本研究证实了手术期间眼部溅血的重大风险，同时也表明外科医生和助手都未充分认识到这种风险。
