手术烟雾对暴露人群的危害及防护研究进展

Research progress on harm and protection of surgical smoke on exposed population

手术烟雾含有一氧化碳、苯、甲苯、氰化氢、七氟烷等气态化合物和人乳头瘤病毒、人免疫缺陷病毒、乙型肝炎病毒等病原体以及存活的癌细胞、血液碎片和细菌等多种有害物质,对暴露人群的呼吸系统、循环系统、神经系统等多系统危害极大,但由于危害的隐匿性,大多数手术相关医务人员缺乏相关知识而忽视手术烟雾对健康的危害,本文对手术烟雾暴露人群的健康危害、手术室排烟系统、个人防护情况、减少烟雾产生的措施以及手术室工作人员教育等方面进行综述,为手术相关医务人员和决策者提供参考。

The surgical smoke contains gaseous compounds(such as carbon monoxide,benzene,toluene,hydrogen cyanide,sevoflurane),pathogens(such as human papillomavirus,human immunodeficiency virus,hepatitis B virus),surviving cancer cells,blood debris,bacteria and other harmful substances,which are extremely harmful to the respiratory system,circulatory system,nervous system and other systems of the exposed population.However,due to the hidden nature of the harm,most surgical related medical personnel lack relevant knowledge and ignore the harm of surgical smoke to their health.The paper summarizes the harm of surgical smoke exposed people,smoke exhaust system in operating room,personal protection,smoke reduction,education of operating room staff and other protective measures and protection status,so as to provide reference for surgical related medical personnel and decision-makers.