外科烟雾的研究进展  

Research progress of surgical smoke

作　　者：周永志 麻勇[1] Zhou Yongzhi;Ma Yong(Department of Minimal Invasive Hepatic Surgery,the First Affiliated Hospital of Harbin Medical University,Key Laboratory of Liver and Spleen Surgery of Education Ministry,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院肝脏微创外科,省部共建教育部肝脾外科重点实验室,哈尔滨150001

出　　处：《国际外科学杂志》2022年第7期495-499,共5页International Journal of Surgery

基　　金：国家自然科学基金资助项目(81100305, 81470876)。

摘　　要：外科烟雾为电外科设备、激光等能量设备切割组织或凝闭血管时生成的气溶胶副产物, 其主要成分包括非活性颗粒、有机化学物质、病原体、活性细胞等成分。不同类型的组织或使用不同种类的能量设备产生的外科烟雾成分特点不尽相同, 如电灼产生的烟雾颗粒平均直径较小、超声刀产生的烟雾颗粒中活性细胞及病原体存在的可能性大等。根据其组成成分特点可知, 外科烟雾可能成为影响手术室工作人员及患者健康安全的重要危险因素。使用外科口罩、吸引器、便携式排烟设备等可在一定程度上降低该风险, 但大多数手术室工作人员并未积极采取措施加以防护。本文对外科烟雾特点及防护措施的研究作简要综述。Surgical smoke is a by-product of aerosol produced by electrosurgical equipment,laser and other energy equipments when cuting tissue or coagulating blood vessels.It contains non-active particles,organic chemicals,pathogens,viable cells and so on.The characteristics of surgical smoke components produced by different types of tissues or using different kinds of energy devices are different.For example,the average diameter of smoke particles produced by electrocautery is smaller,the possibility of viable cells and pathogens in surgical smoke produced by ultrasonic knife is higher.According to the characteristics of its composition,surgical smoke may be an imporant risk factor to the health and safety of operating room staff and patients.The use of surgical masks,suction devices and portable smoke evacuation systems can reduce the risk to some extent.But the most operating room staff don′t take corresponding measures to protect them.In this paper,the characteristics of surgical smoke and the research progress of protective measures will be briefly reviewed.

关 键 词：外科手术 烟雾 烟雾吸入损伤 电外科手术 手术室 

分 类 号：R197.32[医药卫生—卫生事业管理]