感染性肝炎风险与手术室麻醉气体风险:对3例慢性肝脏病理的思考

V Somenzi, C A Antioco, G Bolzoni, A M Cirla
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引用次数: 0

摘要

考虑了三个在手术室有专业活动并诊断为慢性病毒性“C”型肝炎的受试者。所有病例(两名外科医生和一名麻醉师)均持续暴露于低水平的空气麻醉化合物(氧化亚氮和卤化化合物)。根据可能但未证实的协同作用,将两例临床表现为活动性慢性肝炎的病例归类为不适合具体工作。第三例患者患有持续性慢性肝炎,每周只允许进行4小时的手术活动,即每周只进行一次手术。在手术室接触者的医学监测中,必须始终监测乙肝和丙肝标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Risk of infectious hepatitis and risk of anesthetic gases in operating rooms: considerations on 3 cases of chronic hepatic pathology].

Three subject with professional activity in operating theatre and with a diagnosis of chronic viral "C" hepatitis are considered. All cases (Two surgeons and an anesthetist) had been continuously exposed to low level of airborne anesthetic compounds (Nitrous oxide and halogenated compounds). According to possible, but not proved, synergic effects, two cases with a clinical picture of active chronic hepatitis were classified as unqualified to specific work. The third case, affected by a persistent chronic hepatitis, was admitted to operating activities only for four hours a week, i.e. only an operating session a week. Hepatitis B and C markers must be always monitored during the medical surveillance in exposed people of operating theatre.

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