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目的:探索临床集中供应中对相关手术器械进行灭菌时发生包湿包的原因及解决方法,以确保临床灭菌操作质量。方法:将敷料及手术器械采用无纺布或棉布进行包装,然后逐个贴上标签,再将其分别称重,最后放入灭菌器中;按脉动真空灭菌器对应的标准操作流程灭菌一个周期。待灭菌结束,仔细观察灭菌包是否出现水渍、水印及水珠现象,然后立即将灭菌包放置10 min、20 min,分别称重,从不同的灭菌批次中各取1个,再重复操作3次。结果:灭菌后立即对灭菌包进行称重,采用无纺布的包装材质在灭菌后当其重量大于2 799.4 g时就发生湿包现象,但是采用纺织棉布的包装材质的在灭菌后当其质量重达到4 501.1 g时,继续增重其仍为发生湿包现象。在灭菌结束后10 min时称重发现,采用无纺布的包装材质在灭菌后当其重量为4 493.7 g时,开始发生湿包现象,而采用纺织棉布的包装材质的在灭菌后当其质量重达到5 003.2 g时,继续增重其仍为发生湿包现象。尽管金属器械包的重量比敷料包的重量低,但前者却极易发生湿包现象。结论:将灭菌包重量减轻,采用棉布包装材质取代无纺布的包装材质能够有效缓解湿包的发生;灭菌包中金属器械含量过多时极易导致湿包现象。
OBJECTIVE: To explore the causes and solutions of the wet bag when the relevant surgical instruments are sterilized in clinical centralized supply to ensure the quality of clinical sterilization. Methods: The dressing and surgical instruments were woven or non-woven fabric packaging, and then one by one labeling, and then were weighed separately, and finally placed in the sterilizer; according to the standard operating procedures pulsation vacuum sterilizer sterilization A cycle. After the sterilization is over, carefully observe the sterilization package for water stains, watermarks and drops of water, and then immediately place the sterilization package for 10 min and 20 min, respectively, and weigh it separately from each of the different sterilization batches , Then repeat the operation 3 times. Results: The sterilization package was weighed immediately after sterilization. The packaging material of the non-woven fabric was wet-packaged when the weight of the package was more than 2 799.4 g after sterilization. However, in the sterilization After its weight reached 4 501.1 g, it continued to gain weight and it was still wet bag phenomenon. Weighing at 10 min after the end of sterilization found that the use of non-woven packaging material after sterilization when its weight is 4 493.7 g, began to occur wet bag phenomenon, and the use of textile packaging material after sterilization When its weight reached 5 003.2 g, it continued to gain weight and it was still wet bag phenomenon. Although the weight of the metal instrument package is lower than the weight of the dressing package, the former is extremely prone to wet bagging. Conclusion: The weight of sterilization package is reduced, and the packaging material of the non-woven fabric is replaced by the cotton packaging material to effectively relieve the occurrence of the wet package. When the content of the metal package in the sterilization package is too much, the wet package phenomenon can be easily caused.