Sliney D H
Laser Microwave Division, U.S. Army Environmental Hygiene Agency, Aberdeen Proving Ground, Maryland 21010-5422, USA.
Lasers Surg Med. 1995;16(3):215-25. doi: 10.1002/lsm.1900160303.
Safety has always been an important aspect of any laser application in surgery and medicine. In any review of the laser surgery literature, several issues continue to dominate. These issues include: wearing eye protectors, dealing with the plume of vaporized tissue, and controlling potential fire hazards. No one denies that lasers can pose a serious hazard to the eye, but the decision to wear eye protectors in all procedures has been frequently questioned. The degree of effort needed to minimize the very serious risk from chronic breathing of vaporized tissue also requires judgment. Aside from a few eye injuries from a laser beam exposure, most serious accidental injuries (and even deaths) reported to date from the laser beam itself can be traced to the ignition of surgical drapes and airway tubes.
安全一直是激光在外科手术和医学领域任何应用中的一个重要方面。在对激光手术文献的任何综述中,有几个问题始终占据主导地位。这些问题包括:佩戴护目镜、处理汽化组织的羽流以及控制潜在的火灾隐患。没有人否认激光会对眼睛构成严重危害,但在所有手术过程中都佩戴护目镜这一决定经常受到质疑。将因长期吸入汽化组织而带来的极其严重风险降至最低所需的努力程度也需要进行判断。除了少数因激光束照射导致的眼部损伤外,迄今为止报告的大多数由激光束本身造成的严重意外伤害(甚至死亡)都可追溯到手术巾单和气道导管的着火。