县级医院成功完成首例艾滋病病人心脏手术！附手术防艾七大必知！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/hTbianSZiclpX3eTwrD4SIFWrytNYH5kfQwWT7aCTkB1gCRvtxMrVswcSAYAtVrNiaXRmOicPGLWBlBM5MgqcV6egw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/Xx9naaTcfgQyrgd1g5mVskcJrgWqAaRN4o80YqiaHFdDeCYQahpsql1gNnHWHGLuWEp7pZzTDoXvJQqCSa3YVXw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我国县级医院首例艾滋病<span style="color: black;">病人</span>心脏外科手术于日前在高州市人民医院<span style="color: black;">得到</span>成功。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一名经地级市疾控中心确证为HIV感染的33岁女士<span style="color: black;">身患</span>心脏巨大肿瘤，辗转当地和省城求医，皆因防护安全问题而被婉拒手术。怀着一线<span style="color: black;">期盼</span>，叶女士打<span style="color: black;">tel</span>到粤西的高州市人民医院心血管外科一区求医。该科<span style="color: black;">认识</span>病情后，向上<span style="color: black;">报告</span>，经院领导班子<span style="color: black;">谨慎</span><span style="color: black;">评定</span>后，安排该女士入院，并由心脏外科专家、副院长曹勇博士主刀为其手术。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">为了<span style="color: black;">保证</span><span style="color: black;">病人</span>手术安全和医护人员的健康，医院组织心血管外科一区、手术室、心外ICU、感染内科、医务科、医院感染管理科的专家紧密合作，从医院到科室的各个层面制定周密的防控感染手术<span style="color: black;">方法</span>和术后护理<span style="color: black;">方法</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">此前，</span><span style="color: black;">互联网上尚未见全国县级医院有HIV<span style="color: black;">病人</span>成功接受心脏外科手术的<span style="color: black;">资讯</span><span style="color: black;">报告</span>。国内<span style="color: black;">第1</span>例艾滋病人心脏外科手术是2017年初在复旦大学<span style="color: black;">附庸</span>中山医院<span style="color: black;">得到</span>成功。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在<span style="color: black;">有些</span>发达国家，术前是不查艾滋病感染指标的，采取的是默认<span style="color: black;">病人</span>感染原则，统一<span style="color: black;">根据</span>感染级别处理。世界卫生组织<span style="color: black;">亦</span><span style="color: black;">始终</span><span style="color: black;">举荐</span><span style="color: black;">广泛</span>性防护原则，国家<span style="color: black;">亦</span>提倡<span style="color: black;">这般</span>，但<span style="color: black;">实质</span>上<span style="color: black;">日前</span>在国内很难落实。大<span style="color: black;">都数</span>问题从医学上、伦理上确实<span style="color: black;">必须</span><span style="color: black;">处理</span>，但暂时还很难<span style="color: black;">处理</span>。并且，<span style="color: black;">由于</span>医院<span style="color: black;">亦</span><span style="color: black;">通常</span><span style="color: black;">无</span>针对艾滋病专门的培训，医院里除了感染科、内科，其他科<span style="color: black;">大夫</span>对艾滋病的认识并不全面。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">那样</span>，在这种<span style="color: black;">状况</span>下，为艾滋病<span style="color: black;">病人</span>做手术，防止职业暴露，哪几点<span style="color: black;">必要</span>知晓呢？<span style="color: black;"><strong style="color: blue;">做手术除了像面对普通<span style="color: black;">病人</span>那样穿上手术服，戴好帽子、口罩、消毒手、戴上手套以后，做到以下几点非常<span style="color: black;">重要</span>：</strong></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1、穿防护靴子；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2、在口罩外面戴上防护面具（防止血液<span style="color: black;">或</span>体液喷溅到眼中）；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3、手术服外再套一层一次性防护服（防水最佳）；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4、手套带两层（关腹用针缝合是最容易<span style="color: black;">显现</span>职业暴露的环节）；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">5、所有一次性耗材都要投放到专用医疗垃圾桶内处理；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">6、手术器械先单独消毒，再统一消毒；（艾滋病病毒的毒性并不强，<span style="color: black;">通常</span>的84消毒液都能杀灭）</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">7、一旦<span style="color: black;">显现</span>职业暴露，<span style="color: black;">大夫</span><span style="color: black;">必要</span>要<span style="color: black;">吃下</span>抗病毒药来阻断。抗病毒药<span style="color: black;">最少</span>要吃<span style="color: black;">一月</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在传<span style="color: black;">患病</span>专科医院，HIV阳性<span style="color: black;">病人</span>抽血都由有经验的护士来做，坚决杜绝实习生做。<span style="color: black;">有些</span>综合医院的感染内科会对所有新来的医护人员进行艾滋病知识培训，重点是职业暴露或防护，<span style="color: black;">例如</span>讲座、示范以及一整套管理<span style="color: black;">办法</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/Ljib4So7yuWiaHr6xhtA6nca5wZnDicbKXeicOibtk2IYvCzaM7WGS2eWephgIZHY2LUGdNgLuNq7F9QVfpxaI7GvNQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
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