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目的掌握HBSAg阳性病人手术中对手术用品的污染情况。方法对HBSAg阳性病人手术中使用的手术器械、橡胶、棉纱类、玻璃类、麻醉用品类、外环境进行检测,观察被污染情况,用2种消毒剂对以上物品消毒,比较消毒效果。结果手术用品术后阳性率为27.6%,消毒剂消毒后仅棉纱类物品可检出HBSAg。结论 HBSAg阳性病人术后器械被污染严重,可用消毒剂处理,但棉纱类物品上的HBSAg不易被消毒剂灭活,故可焚烧处理。
Objective To master the surgical operation of HBSAg-positive patients during the contamination. Methods Surgical instruments, rubber, cotton yarn, glass, anesthetic articles and external environment were used to detect the contamination of HBSAg-positive patients. The contamination was observed and disinfectants were disinfected with two disinfectants to compare the disinfection effects. Results The postoperative positive rate of surgical products was 27.6%. Only HBSAg was detected in cotton yarn after sterilizing. Conclusion HBSAg-positive patients were severely contaminated with post-operative instruments and could be treated with disinfectant. However, HBSAg on cotton yarn was not easily inactivated by disinfectants and could be incinerated.