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皮肤科手术烟雾:其危害与管理

Surgical Smoke in Dermatology: Its Hazards and Management.

作者信息

Katoch Saloni, Mysore Venkataram

机构信息

Consultant Dermatologist, Dr. KN Barua Institute of Dermatological Sciences, Guwahati, Assam, India.

Director and Consultant Dermatologist, Venkat Charmalaya-Center for Advance Dermatology and Post Graduate Training, Bengaluru, Karnataka, India.

出版信息

J Cutan Aesthet Surg. 2019 Jan-Mar;12(1):1-7. doi: 10.4103/JCAS.JCAS_177_18.

DOI:10.4103/JCAS.JCAS_177_18
PMID:31057262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6484569/
Abstract

Surgical plume with vaporized tissue particles, pathogens, and toxic gases emanating during dermatosurgical procedures is an occupational hazard to the dermatosurgeon, and protective measures must be taken to prevent their inhalation. Smoke evacuators are devices that capture and filter the plume generated during electrosurgical procedures or laser procedures, thereby maintaining a safe environment for the surgical team and the patient. A smoke evacuation system should be appropriately selected depending on the need of the facility. The objective of this article is to outline the health hazards of the smoke by-product of electrosurgery and lasers and provide details about safety measures and smoke evacuation systems.

摘要

在皮肤外科手术过程中产生的含有汽化组织颗粒、病原体和有毒气体的手术烟雾,对皮肤外科医生来说是一种职业危害,必须采取保护措施以防止吸入。烟雾抽吸器是一种捕获和过滤电外科手术或激光手术过程中产生的烟雾的设备,从而为手术团队和患者维持一个安全的环境。应根据机构的需求适当选择烟雾抽吸系统。本文的目的是概述电外科手术和激光产生的烟雾副产品对健康的危害,并提供有关安全措施和烟雾抽吸系统的详细信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55fe/6484569/c84cfc7d6703/JCAS-12-1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55fe/6484569/a55f594fc803/JCAS-12-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55fe/6484569/5c235993b211/JCAS-12-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55fe/6484569/2c47cbd43957/JCAS-12-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55fe/6484569/c84cfc7d6703/JCAS-12-1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55fe/6484569/a55f594fc803/JCAS-12-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55fe/6484569/5c235993b211/JCAS-12-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55fe/6484569/2c47cbd43957/JCAS-12-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55fe/6484569/c84cfc7d6703/JCAS-12-1-g004.jpg

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AORN J. 2017 May;105(5):498-500. doi: 10.1016/j.aorn.2017.02.008.
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Guideline Implementation: Surgical Smoke Safety.指南实施:手术烟雾安全
因消融性皮肤科手术存在传播风险而为人乳头瘤病毒(HPV)接种疫苗的医疗服务提供者。
J Clin Aesthet Dermatol. 2023 Sep;16(9):26-27.
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Surgical smoke and occupational health.手术烟雾与职业健康。
Ann Transl Med. 2022 Dec;10(24):1303. doi: 10.21037/atm-22-5631.
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A portable negative pressure unit reduces bone cement fumes in a simulated operating room.一种便携式负压单元可减少模拟手术室中的骨水泥烟雾。
Sci Rep. 2022 Jul 13;12(1):11890. doi: 10.1038/s41598-022-16227-x.
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The Problem with 'Suction Only' Methods to Reduce Surgical Smoke Exposure.仅抽吸法减少手术烟雾暴露存在的问题。
Aesthetic Plast Surg. 2023 Jun;47(Suppl 1):56-57. doi: 10.1007/s00266-022-02917-4. Epub 2022 May 18.
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Characteristics and Determinants of the Presence of Respiratory Symptoms among Sewage Workers in Malaysia.马来西亚污水工人存在呼吸系统症状的特征和决定因素。
J Environ Public Health. 2022 Mar 14;2022:8567594. doi: 10.1155/2022/8567594. eCollection 2022.
8
9 Tips and Pearls for Safer Performance of Dermatological Procedures during Covid-19 Pandemic.新冠疫情期间安全进行皮肤科手术的9个小贴士与要点
Indian Dermatol Online J. 2021 Mar 2;12(2):290-293. doi: 10.4103/idoj.IDOJ_544_20. eCollection 2021 Mar-Apr.
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Lasers Med Sci. 2021 Sep;36(7):1555-1556. doi: 10.1007/s10103-020-03209-6. Epub 2021 Jan 9.
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Int J Womens Dermatol. 2021 Mar;7(2):224-227. doi: 10.1016/j.ijwd.2020.11.002. Epub 2020 Nov 27.
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AORN J. 2017 Feb;105(2):250-251. doi: 10.1016/S0001-2092(16)31044-4.
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[Respiratory protection provided by N95 filtering facepiece respirators and disposable medicine masks against airborne bacteria in different working environments].[不同工作环境下 N95 过滤式面罩呼吸器和一次性医用口罩对空气传播细菌的呼吸防护]
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