| 摘要: |
| 目的：设计研制纤维支气管镜训练箱并初步应用。方法：根据纤维支气管镜光导纤维的长度(500 mm),箱体高度设计为400 mm,其余两边分别为200 mm；纤维支气管镜训练箱包括6层:顶层、A层、B层、C层、D层和底层,均呈正方形(200 mm×200 mm),相邻两层的间隔距离约80 mm。根据光导纤维的直径(5 mm),孔的直径设计为6 mm,除底层外,顶层和A层中央各有1个孔(每层的中央孔均默认为孔0),B层有5个孔(孔0~4)、C层有9个孔(孔0~8)、D层有17个孔(孔0~16)。纤维支气管镜训练箱的四周三面木板固定,一面做成可开关的门。从顶层开始,根据字母层和数字孔形成训练指令,根据训练指令进行操作,完成后打开箱门检查操作结果。结果：成功设计研制出纤维支气管镜训练箱。若指令为A0-B2-C4-D7,则将光导纤维从顶层中央孔开始,经过A层中央孔、B层孔2、C层孔4,最后通过D层孔7,操作完后打开箱门检查是否操作正确。结论：纤维支气管镜训练箱是一种可以用作训练纤维支气管镜操作的简单实用的普及型工具。 |
| 关键词: 纤维支气管镜 训练 工具 |
| DOI：10.3724/SP.J.1008.2008.00691 |
| 投稿时间：2008-03-03修订日期：2008-03-24 |
| 基金项目:第二军医大学长海医院教学改革基金. |
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| Design and application of fiberoptic bronchoscopy training box |
| ZHU Ke-ming1*,BIAN Jin-jun1,HUA Min2 |
| (1.ICU of Department of Anesthesiology,Changhai Hospital,Second Military Medical University,Shanghai 200433,China;2.Department of Out-patient,Branch of First People’s Hospital of Shanghai,Shanghai 200081) |
| Abstract: |
| Objective：To design and prepare a fiberoptic bronchoscopy training box and to study its primary application.Methods: According to the length of optical fiber,the height,the length and the width of the box were set at 400 mm,200 mm and 200 mm.The box contained 6 layers from the top to the bottom:the top-layer,layer-A,layer-B,layer-C,layer-D and the bottom-layer,with the area of each layer being 200 mm×200 mm and the distance between each 2 layers was about 80 mm.According to the diameter of optical fiber,the diameter of the holes was set at 6 mm.Except for the bottom-layer,the other 5 layers had different numbers of holes:the top-layer and layer-A only had a central hole(central hole in every layer was defined as hole-0),layer-B had 5 holes(hole-0 to 4),layer-C had 9 holes(hole-0 to 8),layer-D had 17 holes(hole-0 to 16).The training started from the top-layer.The orders were given according to the layers and the numbers of the holes and the orders were executed,then the box was open to examine the outcome of the execution.Results: We successfully designed a fiberoptic bronchoscopy training box.If the training instruction order was A0-B2-C4-D7,the trainees should manipulate the optical fiber via the central hole in top-layer and layer-A,hole-2 in layer-B,hole-4 in layer-C,and hole-7 in layer-D.The results of manipulation can be examined after opening the door.Conclusion: The fiberoptic bronchoscopy training box is a easy-to-operate and practical tool for training of fiberoptic bronchoscopy manipulation. |
| Key words: bronchofibroscope training implement |
