[急诊手术过程中未被发现的手术手套穿孔]
[Undetected surgical glove perforation during emergency procedures].
作者信息
Soldá Silvia Cristine, Assef José Cesar, Parreira Jose Gustavo, Perlingeiro Jacqueline Arantes G, Candelária Paulo de Azeredo Passos, Cury Marcelo P, Manzione Thiago da Silveira
机构信息
Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP.
出版信息
Rev Assoc Med Bras (1992). 2009 Sep-Oct;55(5):597-600. doi: 10.1590/s0104-42302009000500026.
OBJECTIVE
Gloves are the most important barriers that protect hospital personnel and patients. Unfortunately, glove perforation rates reach up to 78% in high risk procedures. The purpose of this prospective study was to evaluate the glove perforation rate in emergency procedures carried out in the Emergency Service of 'Santa Casa de São Paulo', School of Medicine.
METHODS
The study analyzed all gloves used in the emergency room during a 2 months period. Gloves were tested immediately after the surgical procedure using the approved standardized water leak method.
RESULTS
A total of 252 surgical gloves used by residents in 42 surgical procedures and 2361 gloves used in emergency procedures were tested for the presence of punctures by the water insuflation method. Forty one (16.3%) of the gloves tested showed at least one puncture, 18 (33%) in traumatic emergencies. The overall perforation rate in the emergency room was 7,3%.
CONCLUSION
We concluded that the incidence of punctures in gloves during surgical procedures was high, and occurred mostly with surgeons.
目的
手套是保护医院工作人员和患者的最重要屏障。不幸的是，在高风险手术中手套穿孔率高达78%。这项前瞻性研究的目的是评估圣保罗医学院“圣卡塔琳娜之家”急诊服务部门进行的急诊手术中手套的穿孔率。
方法
该研究分析了两个月期间急诊室使用的所有手套。手术结束后立即使用经批准的标准化漏水方法对手套进行测试。
结果
通过注水法对住院医师在42台外科手术中使用的252只手术手套和急诊手术中使用的2361只手套进行了穿刺检测。测试的手套中有41只（16.3%）至少有一处穿刺，在创伤性急诊中有18只（33%）。急诊室的总体穿孔率为7.3%。
结论
我们得出结论，手术过程中手套穿刺的发生率很高，且大多发生在外科医生身上。
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