Marasco S, Woods S
Alfred Hospital, Prahran, Victoria, Australia.
Aust N Z J Surg. 1998 Nov;68(11):785-7. doi: 10.1111/j.1445-2197.1998.tb04677.x.
This study arose out of a concern about the transmission of infectious diseases through eye splash injuries in surgery. The purpose of this study was to identify the extent of the risk of eye splash injuries.
A prospective trial was undertaken which examined 160 consecutive eye shields used by surgeons and assistants in operations of 30 min or longer. The shields were inspected for macroscopic splashes and then tested for microscopic splashes using reagent strips.
Of the 160 eye shields used in surgery, 71 tested positive for blood (44%). The surgeon was aware of a spray episode in only 13 cases (8%). The splashes were macroscopically visible in only 26 (16%) cases. The risk of eye splash was higher for the surgeon than for the assistants and increased with the length of the operation.
This study demonstrates that the risk of eye splash injury in surgery is much greater than that perceived by most surgeons and trainees. Eye protection should be mandatory for all personnel in the operating theatre, particularly for those directly involved with the operation.
本研究源于对手术中因眼部溅伤导致传染病传播的担忧。本研究的目的是确定眼部溅伤风险的程度。
进行了一项前瞻性试验，检查了外科医生和助手在30分钟或更长时间的手术中连续使用的160个眼罩。检查眼罩是否有肉眼可见的飞溅物，然后使用试剂条检测是否有微观飞溅物。
在手术中使用的160个眼罩中，71个血液检测呈阳性（44%）。外科医生仅在13例（8%）中意识到有喷雾事件。飞溅物仅在26例（16%）中肉眼可见。外科医生眼部溅伤的风险高于助手，且随着手术时间的延长而增加。
本研究表明，手术中眼部溅伤的风险比大多数外科医生和实习生所认为的要大得多。手术室所有人员都应强制佩戴眼部防护用品，特别是那些直接参与手术的人员。
