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[手术手套的穿孔与孔隙率。发生率、机制、风险]

[Perforations and porosity of surgical gloves. Frequency, mechanism, risk].

作者信息

Johanet H, Chosidow D, Marmuse J P, Benhamou G

机构信息

Service de Chirurgie Générale et Digestive, Groupe Hospitalier Bichat-Claude-Bernard, Paris.

出版信息

Ann Chir. 1996;50(4):352-5.

PMID:8758527
Abstract

Surgical gloves constitute part of the most exposed barrier material, as one half of accidental exposures to blood in the exposures to blood in the operating room involve the hands. Approximately 15% of gloves tested at the end of the operation were found to be perforated. Double gloving lowers this rate to 5% with apparently acceptable tolerance for surgeons. Although surgical glove are initially impermeable to various viruses, the porosity increases with the duration of use. This porosity is related to hydratation and deformation of latex fibres. The maintenance of a good barrier function of surgical gloves requires regular changing, at least hourly, in the current state of knowledge.

摘要

手术手套是最易暴露的屏障材料的一部分,因为在手术室中,手部占到意外接触血液情况的一半。在手术结束时检测的手套中,约15%被发现有破损。双层手套可将这一比例降至5%,对外科医生而言,这一耐受度显然是可以接受的。尽管手术手套最初对各种病毒是不可渗透的,但随着使用时间的延长,其孔隙率会增加。这种孔隙率与乳胶纤维的水合作用和变形有关。就目前的认知而言,要保持手术手套良好的屏障功能,需要定期更换,至少每小时更换一次。

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