章雁在为患者做气管镜检查。

ZhangYan for patients do bronchoscope examination.

“每天面临被传染的风险，而这个岗位只有她一人，被称为最危险岗位上的护士。”这段话说的是南京市胸科医院结核科气管镜室唯一的护士章雁。日前网上一则有关章雁工作的微博，把原本鲜有人知的这位12年坚守在胸科医院“最强最高风险区”的护士推进了公众视野。即便是忙年时刻，因为患者病情“不休假”，章雁最近也忙碌依旧。2月5日上午，扬子晚报记者来到南京市胸科医院，戴上3层高隔离口罩、全副武装，现场见证了章雁在最危险岗位上的工作。

"Every face the risk of infection,And the position she was the only person,Known as the most dangerous positions of the nurse."This paragraph of words is nanjing thoracic tuberculosis hospital department bronchoscope room only nurse ZhangYan.Has a ZhangYan work online on the micro bo,That few people know the 12 years hold in thorax hospital"The strongest highest risk area"Nurses promote the public view.Even in busy time,Because the patient's condition"Don't leave",ZhangYan recently busy still.On the morning of February 5,Yangzi evening news reporters came to nanjing thoracic hospital,Put on 3 storey height isolation masks/Armed to the teeth,Witness the ZhangYan in the most dangerous post work.

微博摘录 Micro bo extract

章雁：结核科气管镜室唯一护士 ZhangYan:N/med tuberculosis family bronchoscope room only nurse

@玉香园护士网： 章雁是南京市胸科医院结核科气管镜室的专职护士，这个岗位只有她一个人。

YuXiang @ the nurse net: Nanjing is ZhangYan thoracic tuberculosis hospital department bronchoscope room professional nurse,The position only she a person.

……章护士所在的岗位密集接触各种结核病人，又因为气管检查室并带一些介入手术，纤支镜进入气管时造成病人呕吐反应，浓痰、坏死物喷溅她身上、甚至裸露的皮肤上，成常有的事……

...In the chapter nurse post intensive contact various tuberculosis person,And because the trachea examination room and take some intervention operation,Bronchofiberscope into the trachea in a patient vomiting response,Thick phlegm/Necrotic material splash her body/Even bare skin,As often the case...

记者探访 Reporter visits

进入工作室，她让记者戴上3层口罩 Into the studio,She let reporters wear three layer mask

2月5日上午，南京市胸科医院，记者戴了一层口罩来到章雁所在的气管镜室――她一身隔离服，正在为一名结核病人做穿刺麻醉。

On the morning of February 5,Nanjing thoracic hospital,Reporters wear a layer mask to the ZhangYan bronchoscope room -- she had a isolation clothing,Working for a tuberculosis person do puncture anesthesia.

工作室被隔为两块，外面是操作台，里面是清洗室。章雁忙过后看到记者，马上把记者领到里侧的清洗室，“你这不行，再戴两层吧”，章雁又取来两个另外一种口罩，说这种口罩孔更细密，能更好地隔离结核病菌。随后她又拿出一次性细菌防护隔离服、隔离帽，让记者穿上。

Studio be separated into two pieces,Outside is work station,The inside is clean room.After ZhangYan busy see the reporter,The journalist immediately to the side of the clean room,"You can't,To wear two layer,",ZhangYan took to two another mask,Say the mask hole more close,To better isolation tuberculosis.Then she returned with one-time bacterial protective isolation clothing/Isolation cap,Let the reporter put on.

“你第一次来这里，这个地方的结核菌比医院别的地方高多了，我们可能都有抗体了，隔离服每周还要消毒两次。”章雁说。

"The first time you come here,This place than n/med tuberculosis bacterium hospital somewhere else much higher,We may all have antibody,Isolation clothing weekly and disinfection twice."ZhangYan said.

主动让病人吐出，来不及洗只能擦擦 Active let patients vomit,Too late to wash can wipe

操作台上躺着的是一位气管结核病人，章雁先是拿注射器从病人喉部注射，她解释这是环甲膜穿刺，目的是为了麻醉喉咙部分，以便进行接下来的气管镜检查或治疗。病人不停地咳吐，章雁赶紧用卫生纸擦拭，并帮病人放松，“吐出来，没事的，一会就好了啊”。

Operation table lay a tracheal tuberculosis person,ZhangYan first from the patient's throat with syringe injection,She explain this is ring a membrane puncture,The purpose is to anesthesia throat part,For the rest of the bronchoscope inspection or treatment.The patient kept cough spit,ZhangYan hurriedly use a tissue to wipe,And help the patient to relax,"Spit it out,It's okay,A short while like ah".

章雁解释说，这些患者的气管腔内常常被大量的坏死物和痰液堵塞，检查时，纤支镜对气管粘膜产生刺激，造成咳嗽加剧，俗称“捅了马蜂窝”，涌出的痰液中含有脓、血、坏死物，含大量具有传染性的结核杆菌。章雁通过气管镜取出盥洗液，供病人下一步检测使用。

ZhangYan explained,These patients of airway lumen is often a lot of necrotic material and sputum jam,inspection,Bronchofiberscope to tracheal mucosa stimulates the production of,Cause cough aggravate,Commonly known as"Tong hornet's nest",Gushing sputum contains pus/blood/Necrotic material,Contains large amounts of is contagious mycobacterium tuberculosis.ZhangYan through bronchoscope remove washing lotion,The next step for the patient to use test.

记者在病室的1个多小时中，目睹了4个病人的检查，章雁要不停为他们擦拭痰液，不过她说当天还算好的。有时病人咳吐得厉害，咳吐物会喷出来，“能感觉到喷到眼睛周围，但没时间清理，只能用酒精棉球擦一下，下班再洗脸”。

Reporter in charge of more than one hour,Witnessed four the patient's inspection,To keep ZhangYan for they wipe sputum,But she said the day is also good.Sometimes the patient cough up badly,Cough spit things will spray out,"Can feel to spray around eyes,But don't have time to clean up,Can only use alcohol sponge to wipe,Wash a face to work".

忙完病人忙器械清洗，从没按时下班 Busy busy cleaning equipment patients,Never work on time

章雁在医院被同事唤作气管镜室的“管家婆”，结核科气管镜室固定的工作人员只有她一人，清理维护工作都得她一个人忙。当天上午，在给病人做检查的间隙，她便把使用过的气管镜清洗干净。

ZhangYan in hospital were colleagues called bronchoscope room"housekeeping",N/med tuberculosis family bronchoscope room fixed staff only her a man,Cleaning maintenance work have to her busy.In the morning,In the patient check clearance,She gave the bronchoscope clean.

她每天工作之前的例行功课还有：了解病人是否有糖尿病、是否高龄、是否是菌阴鉴别诊断、是否进行特殊治疗等等，然后根据病人病情，安排好患者的检查顺序，再选择合适类型的纤支镜进行检查。

Her daily work routine work and before:To understand whether the patient have diabetes/- whether/If bacteria Yin differential diagnosis/If special treatment, etc,Then according to the patient,Arrange the inspection with order,To choose the appropriate type of bronchofiberscope for inspection.

每天午休的时候，章雁都要把上午用的仪器全都清洗消毒好备用，不能影响下午的工作；下午她也不能按时下班，还要为第二天的工作做好准备。“章老师站得都有静脉曲张了。每天从8点到12点甚至1点，再到下午6点，这真不是一般人能做到的”，当天的管床医生胡医生说。

Every day when the lunch break,The morning ZhangYan with instrument cleaning and disinfection of all good backup,Can not influence the work this afternoon;In the afternoon she also can't work on time,For the second day's work to prepare."Teacher zhang stood all the varicose veins.Every day from eight to 12 point even 1 point,To 6 PM,It is not the average person can do it",The tube bed doctor hu said the doctor.

同事眼中的她 In the eyes of her colleagues

她一人坚守“危险中心” She stuck to her"Dangerous center"

扬子晚报记者在操作室看到一共有3位医护人员，病人的管床医生、病区护士和章雁护士。

Yangzi evening news reporter in the operating room to see a total of three medical personnel,The patient's tube bed doctor/ZhangYan satate of nurses and nurse.

2001年，根据国家的要求，要为结核病人单独成立检查室，南京胸科医院建立了这间结核科气管镜室。章雁是第一名也是唯一一名专职护士。一开始病人不多，气管镜室每次检查只有病人的主治医师和章护士，建室四五年后，病人明显增加，所以又增加了一名病区护士来协助。记者采访的当天，一共有19例检查，据章护士介绍，最多的一天她做过20多例。

In 2001,,According to the requirements of the country,To tuberculosis person established separately examination room,Nanjing thoracic hospital established the tuberculosis family bronchoscope room.ZhangYan is the first name is the only a professional nurse.A few began to patients,Bronchoscope room every time check only the patient's attending doctor and nurse chapter,Build chamber of five years,Significant increase in patients,So they added a nurse to assist).The reporters,A total of 19 cases of inspection,According to chapter introduced the nurse,Most of the day she did more than twenty cases.

由于全院的传染科病人都来她这里检查，而结核病人只有这一间检查室，气管结核、肺结核等都来这做手术，这一方面加重了章雁的工作量，同时也增加了病室传染的高风险性――气管镜室成了公认的危险中心，而她一直在这里坚守。

Due to the partial ChuanRanKe patient to her check here,And tuberculosis person only the examination room,Tracheal tuberculosis/Tuberculosis, etc to the surgery,On the one hand ZhangYan increased workload,At the same time also increases the charge to high risk of infection - bronchoscope room became an accepted danger center,And she always here to hold.

她总有法让患者不害怕 She always had let patients do not be afraid

章护士已经在气管镜室工作12年了，对于“危险”，她有自己的看法。“已经习惯了，做好防护工作就行了。”事实上，最初家人是有反对的，但章雁说服了他们。而在工作中，这位48岁的护士大姐还要说服那些害怕气管镜检查的患者。

The nurse has chapter in bronchoscope room work for 12 years,for"dangerous",She has her own opinion."Has been used,Well protection work is done."In fact,Original family is against,But ZhangYan persuaded them.And in the work,The and old nurse elder sister also persuade those who fear bronchoscope inspection of the patients.

同事讲了这样一件事，大约在4年前，有位年轻的女患者需要做纤支镜介入治疗，但每次来都是哭哭啼啼，不肯上检查床，管床医生和家属怎么劝说讲道理都没用，章雁知道后就来安慰她，让她平静一下，等等再做。在给另一名比较配合的年轻患者做检查时，章雁特意让她先观摩一下。看着他人很淡定地做完气管镜，这位患者也乖乖地接受检查治疗。因为年轻，她的治疗效果也非常好。前段时间那位女青年结婚了，特地给章雁送来喜糖，科室其他医护人员也沾光，一并被感谢了一番。(记者 陈婧 文/摄)

Colleagues about such a thing,At about 4 years ago,A young female patients need do bronchofiberscope interventional therapy,But each time to is crying,The bed will not check,Tube bed doctors and family members how to persuade reason is useless,After ZhangYan know to comfort her,Let her calm down,Etc to do.In comparison with the other a young patients do inspection,ZhangYan have let her first viewing it.Look at others very weak marked finish bronchoscope,The patient also quietly accept inspection treatment.Because young,Her treatment effect is very good.Some time ago to the young woman get married,Specially to ZhangYan send wedding candies,Department other medical staff also darshan,One and is a thank you.(Reporter ChenJing text/taken)