肠胃不舒服，很多人都做过胃镜，让这双“电子眼”进入体内，看看是哪里出了问题。可重复使用的内镜会不会导致交叉感染？12月10日，记者从第一届西部消化内镜清洗消毒技术消毒研讨会上获悉，内镜“洗澡”一般要经过清洗、酶洗等多个环节，才能确保“洗”掉病菌。可实际上，我市多数医院在内镜消洗方面并不乐观。

Intestines and stomach uncomfortable,A lot of people are doing gastroscope,Let this pair of"Electronic eye"inside,Find out what's wrong.Reusable endoscopy can lead to cross infection?On December 10,Reporters from the first western digestive endoscopy cleaning and disinfection disinfection technology seminar on that,endoscopic"bath"Often after cleaning/Enzyme washing, and other links,Can ensure that"wash"Off germs.But in fact,The majority of the hospital in endoscopic wash away is not optimistic.

做个胃镜会不会染上乙肝 Do a gastroscope will not infected with hepatitis b

　　这段时间以来，家住江北区的林晓东总觉得胃烧得慌，担心会胃出血的他来到市内某三甲医院，打算好好检查一番。

This period of time,Live in the jiangbei LinXiaoDong always feel stomach burn like a panic,Worry about the stomach bleeding he came to a hospital in the city,Going to take precautions.

　　12月9日，在医生的建议下，他做了胃镜检查。20多分钟后，林晓东拿到了检查结果，结果显示没什么大问题，只是胃炎，这让他放心了不少。可随后，他又有些担心：这么多人都用过那条内镜，会不会不干净？

On December 9,,In the doctor's suggestion,He made gastroscopy.More than twenty minutes,LinXiaoDong got the inspection result,Results show that no big problem,Just gastritis,This let him rest assured a lot.But then,He and some worry:So many people have used the endoscopy,Would not clean?

　　当他在网上一查，发现由于内镜的身价不菲，不可能是一次性使用，只能重复使用，不过消毒的程度就无法保证了。这令他慌了起来：做个胃镜会不会染上乙肝呀？

When he was in the online check,Find that the endoscopy is worth buying,Can't be disposable,Can reuse,But the degree of disinfection can't guarantee.This makes his panic up:Do a gastroscope will not infected with hepatitis b ah?

　　在网上，网友的疑虑也不少：做胃镜会不会染上乙肝、丙肝？做支气管镜会不会染上肺炎？

On the Internet,The Internet is also a lot of doubts:Do gastroscope will not infected with hepatitis b/c?Do bronchoscopy can got pneumonia?

内镜清洗要过6关 Endoscopic cleaning to 6 off

　　“如果严格消毒，是不可能出现交叉感染的。”大坪医院消化内科主任陈东风说。其实早在2004年，卫生部就颁布了《内镜清洗消毒技术操作规范》，今年8月又出台了《医院感染管理规范》，对内镜的清洗消毒做了相关规定。

"If the strict disinfection,Is not a possibility of cross infection."DaPing hospital digestion head of the medical department ChenDongFeng said.In fact as early as in 2004,The ministry of health is issued[Endoscopic cleaning and disinfection technology operation specifications],August and introduced[Hospital infection management standard],The cleaning and disinfection of endoscopy to the relevant provisions.

　　据介绍，内镜清洗消毒一般要经过6关，包括清洗、酶洗、冲洗、消毒、末洗、烘干等环节，每个环节的时间从2分钟到10分钟不等，对消毒水、场地大小也有严格要求，才能确保“洗”掉病菌。

According to introducing,Endoscopic cleaning and disinfection to want to pass commonly 6 off,Including cleaning/Enzyme washing/flushing/disinfection/Wash at the end of the/Drying and other links,Each link from the time of 2 minutes to ten minutes inequality,To disinfectants/Site size also has the strict request,Can ensure that"wash"Off germs.

　　“到消化科看病的人，一半都需要做内镜，这个数字非常庞大。”陈东风说，仅以大坪、西南、新桥三家医院为例，每年就有超过9万人次做胃镜。可内镜的洗消却不容乐观，“市内只有少数几家三甲医院能达到洗消要求。”

"To see a doctor digestive department people,Half of all need do endoscopy,This number is very large."ChenDongFeng said,Only to DaPing/southwest/Three new bridge hospital as an example,Every year there are more than 90000 people do gastroscope.Can a decontamination endoscopy is not optimistic,"Only a minority of the several 3 armour hospital decontamination can reach the requirement."

　　达不到洗消要求的内镜是很危险的，可能出现感染乙肝、丙肝、幽门螺杆菌甚至艾滋的风险。

Can not reach the requirements of the endoscopic decontamination is very dangerous,Hepatitis b infection may occur/c/Helicobacter pylori and even the risk of AIDS.

　　至于为何难达洗消标准，业内人士表示，这还是与医院缺乏感染控制意识有关，重内镜检查结果，却轻视了内镜洗消。且内镜洗消成本高又费时间，一般来说，医院做一次内镜的利润约为70元，洗消成本约为30—40元，利润就少了一半。做一次内镜只需要5—8分钟，而洗消一次至少要20分钟以上，所以并不讨好。

As for why difficult to reach a decontamination standard,The personage inside course of study says,This is the lack of consciousness and hospital infection control related,Heavy endoscopy results,But despite the decontamination endoscopy.And endoscopic decontamination high cost and the cost in time,Generally speaking,Hospital for a endoscopic profit of about 70 yuan,Decontamination cost about 30 - forty yuan,Profit is less half.Make a endoscopic only need 5 -- 8 minutes,And a decontamination at least more than twenty minutes,So please don't.

看内镜怎么“洗澡” See how endoscopic"bath"

　　针对很多网友关于内镜干不干净的质疑，12月10日，记者来到大坪医院内镜中心，在这里，新建成的我市首个电子追溯内镜洗消系统，为内镜“洗”掉病菌。

According to a lot of net friend about endoscopic do not clean question,On December 10,The reporter comes to DaPing hospital endoscopy center,here,The new built the first electronic trace endoscopic decontamination system,For endoscopic"wash"Off germs.

　　下午2点多，记者来到距离检查室10米远的消毒室，所有人都得凭电子卡进入。

More than 2 PM,The reporter comes to distance examination room ten meters in the disinfection room,All must they enter in.

　　约70平方米的封闭空间里，摆着大大小小的仪器。护士长曹艳说，和其他消毒室不同，电子追溯内镜洗消系统给每条内镜都配上了专属的电子身份证，上面不仅记录着它的出身年月、消毒日期、曾服务过的病人姓名、病史等，接下来的消毒流程也得打卡计时，少洗一秒都不行。

About 70 square meters of enclosed space,Put a large and small instrument.The head nurse CaoYan said,And other disinfection room is different,Electronic trace endoscopic decontamination system to each endoscopic deserves to go up the exclusive electronic id card,It is not only a record of its born days/Disinfection date/We have served for the name of the patients/History, etc,The rest of the disinfection processes have to clock time,Little wash a second all not line.

　　当有病人使用过的胃镜来到消毒室后，消毒员游小霞就忙开了。“清洗前，得刷两次卡，才能启动后面的6个清洁、消毒程序。”游小霞说，一张卡是内镜的电子信息，另一张卡则是消毒员的身份编码。刷卡后，一条编号为“881”的胃镜，便进入了由电脑掌控计时的“洗澡”程序。

When a patient used gastroscope came after disinfection room,Disinfection YouXiaoXia member is made haste."Before cleaning,Must brush two card,To activate the back of the six clean/Disinfection procedure."YouXiaoXia said,A card is endoscopic electronic information,The other card is disinfection member identity code.After credit card,A Numbers for"881"Of gastroscope,Entered by computer control of the time"bath"program.

　　首先是清水清洗，为2分钟；随后，进入3—5分钟的酶液清洗时间，再被逐一放入次洗槽，用水枪清洗内壁。经过这些环节后，内镜内外已经清洁完毕。

The first is clean water,For 2 minutes;then,Into the 3-5 minutes of enzyme liquid cleaning time,Be in time by the wash tank,With nozzle cleaning wall.After the link after,Endoscopic inside and outside clean has finished.

　　接下来就是消毒了，也是最为关键的环节，内镜们会在消毒槽待10分钟。而消毒槽内的消毒水身价也不菲，约为7000元/槽左右，且每天都会用试纸测试，当试纸出现花斑时，则立即更新。

The next step is disinfected,Is also the most key link,The endoscopy in disinfection tank for ten minutes.And disinfection slot of disinfectants status also does not poor,About 7000 yuan/tank or so,Every day and with test paper test,When the test paper appear when tinea,Is update now.

　　消毒后，内镜开始进行末洗，操作人员先用气枪注气到内镜孔道，再对外壁进行擦拭，最后被放入“干燥”环节，有专门的仪器为其烘干。

After disinfection,Endoscopy to wash at the end,Operating personnel to use air gun gas injection to endoscopic channel,To foreign wall to wipe,In the last"dry"link,A special instrument for its drying.

　　20分钟后，这条编号为“881”的胃镜结束清洗，再由无菌车推进胃镜室。

Twenty minutes later,This article Numbers for"881"The end of gastroscope cleaning,Again by sterile vehicle propulsion gastroscope chamber.

　　“如果没有进行20分钟的清洗或偷工减料，电子系统会自动‘报警’,内镜被送上操作台时，也无法刷卡识别出它的身份信息。”曹艳说，内镜中心共有76条内镜，半天重复使用次数不能超过7次。

"If not for twenty minutes clean or cut corners,Electronic system will automatically‘alarm’,Endoscopic into the work station,Can't charge identify its identity information."CaoYan said,Endoscopy center article 76 endoscopy,Half the number of repeated use no more than 7 times.

　　待下午所有内镜全部清洗消毒后，就会进入专门存放内镜的储存柜。这个柜子是量身定做的，温度常年固定在27℃,有紫外线杀毒，以确保次日清晨7点，将它们全部取出时，不带任何细菌地进入人体。(记者 李珩)

For all the cleaning and disinfection of all afternoon after endoscopy,Go into the special deposit endoscopic storage tank.The cabinet is the tailor,Temperature perennial fixed in 27 ℃,With an ultraviolet antivirus,In order to ensure that the next morning 7 o 'clock,All of them will be removed,Don't take any bacteria to enter the human body.(Reporter LiHang)