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工程相关设备

福建快三相关的文章

  一、洁净手术室定义


  SHOUSHUSHI(operatingroomYINGWENJIANCHENGOR)SHIWEIBINGRENTIGONGSHOUSHUJIQIANGJIUDECHANGSUO,SHIYIYUANDEZHONGYAOJISHUBUMEN。JIEJINGSHOUSHUSHIZAIKONGQIJINGHUAGONGCHENGXINGYEYECHENGCENGLIUSHOUSHUSHI,SUOWEICENGLIUSHIZHISHOUSHUSHISONGFENGFANGSHICAIYONGCENGLIUSHISONGFENGXITONG。CENGLIUSHOUSHUSHISHICAIYONGKONGQIJIEJINGJISHUDUIWEISHENGWUWURANCAIQUCHENGDUBUTONGDEKONGZHI,DADAOKONGZHIKONGJIANHUANJINGZHONGKONGQIJIEJINGDUSHIYUGELEISHOUSHUZHIYAOQIU;BINGTIGONGSHIYIDEWEN、SHIDU,CHUANGZAOYIGEJIEJINGSHUSHIDESHOUSHUKONGJIANHUANJING。YOUYUSHOUSHUSHIYAOYANGEKONGZHIDIXIJUNSHUJIDIMAZUIQITINONGDU,SUOYICENGLIUCHAOJINGZHUANGZHIDEWENDINGXINGSHICENGLIUJINGHUASHOUSHUSHIDEZHONGYAOYANSHOUZHIBIAO。

  YANGELAIJIANG,JIEJINGCENGLIUSHOUSHUSHISHUYUSHENGWUJIEJINGSHI,ZHIYINWEISHOUSHUSHIDEYINGYONGYUSHENGWUZHIYAOXINGYEYOUSUOQUBIE,GUBENZHANGJIEZHONGDIANJIANGSHUJIEJINGSHOUSHUSHISHEJIYAOQIUYUSHIGONGZHONGDIAN。

洁净手术室建设
 

  二、洁净层流手术室的应用行业

  JIEJINGCENGLIUSHOUSHUSHIGUANGFANYINGYONGYUYIYUANYILIAOXINGYE,SHIYIYUANZHONGYAOJISHUBUMEN。

  三、洁净层流手术室的组成部分

  详见参考我公司发布的《净化工程介绍》《洁净室介绍》

 

层流洁净手术室
 

  四、洁净层流手术室的要求介绍

  CENGLIUSHOUSHUSHISHICAIYONGKONGQIJIEJINGJISHUDUIWEISHENGWUWURANCAIQUCHENGDUBUTONGDEKONGZHI,DADAOKONGZHIKONGJIANHUANJINGZHONGKONGQIJIEJINGDUSHIYUGELEISHOUSHUZHIYAOQIU;BINGTIGONGSHIYIDEWEN、SHIDU,CHUANGZAOYIGEJIEJINGSHUSHIDESHOUSHUKONGJIANHUANJING。

  lKONGQIcfu/m3:≤10

  lWUTIBIAOMIANcfu/cm3:≤5

  lYIHURENYUANSHOUcfu/cm3:≤5

洁净手术室净化流程图

  SUIZHEXIANDAIYIYUANTIAOJIAN、HUANJINGJIYILIAOZHILIANGDEBUDUANGAISHANYUTIGAO,CENGLIUSHEBEIJIANYIZHUANGBEI、YINGYONGYUSHOUSHUSHI。CENGLIUSHOUSHUSHIBUJINYAOQIUGAODUJIEJINGDEKONGQI(JINRUSHOUSHUSHIDEKONGQISHOUXIANXUJINGGAOXIAOGUOLVQIJINGHUA),ERQIEYAOQIUNENGKONGZHIQILIUDELIUTONGFANGXIANG(JICAIYONGCENGLIUCHAOJINGZHUANGZHI),SHIQILIUCONGJIEJINGDUGAODESHOUSHUQUYULIUXIANGJIEJINGDUDIDEQUYU,BINGDAIZOUHEPAICHUQILIUZHONGDECHENAIKELI(CHENLI)HEXIJUN;CENGLIUSHIYIGUXIXIAO、BOCENGDEQILIU,YIJUNYUNDELIUSUXIANGTONGYIFANGXIANGSHUSONG;JINGHUAQILIUDEFANGXIANGFENWEICHUIZHICENGLIUSHIHESHUIPINGCENGLIUSHILIANGZHONG。

  CHUIZHICENGLIUSHI(Supplyairceilingforoperatingtheatre)GAOXIAOGUOLVQIZHUANGZAISHOUSHUBINGCHUANGDEZHENGSHANGFANG,QILIUCHUIZHICHUISONG,HUIFENGKOUSHEZAIQIANGMIANDESIJIAO,QUEBAOSHOUSHUTAIJIEJINGDUDABIAO,YIBANDUOCAIYONGCHUIZHICENGLIUSHIXIAOGUOJIAOHAOCENGLIUSHOUSHUSHISHIYIGE"ZHENGYA"HUANJING,QIKONGQIYALIGENJUQIBUTONGQUYU(RUSHOUSHUJIAN、WUJUNZHUNBEIJIAN、SHUASHOUJIAN、MAZUIJIANHEZHOUWEIGANJINGQUYUDENG)JIEJINGDUBUTONGYAOQIUERBUTONG。

  BUTONGJIBIEDECENGLIUSHOUSHUSHIQIKONGQIJIEJINGDUBIAOZHUNBUTONG,LIRUMEIGUOLIANBANGBIAOZHUN100JICENGLIUSHOUSHUSHIDEBIAOZHUNWEIMEILIFANGCHIKONGQIZHONG≥0.5μmDECHENLISHU,≤100KEHUOMEISHENGKONGQIZHONG≤3.5KE。1000JIWEIMEILIFANGCHIKONGQIZHONG≥0.5μmDECHENLISHU,≤1000KEHUOMEISHENGKONGQIZHONG≤35KE。YICILEITUI。

  BUTONGJIBIEDECENGLIUXITONG,QIKONGZHIKONGJIANHUANJINGZHONGDEKONGQIZHIHUANLVYEBUTONG,JIEJINGDUJIBIEYUEGAO,ZHIHUANLVYUEKUAI,FANZHIYIRAN。

  CENGLIUSHOUSHUSHIQIANGBIYINGYONGJUYOUYIJUNZUOYONGDETESHUTULIAOFENSHUA,GUANGXIANMINGLIANG,SECAIROUHEQIEBUXUYONGSHUIQINGJIECHONGXI。

  五、洁净层流手术的等级:
 


  洁净手术部用房分级

  JIEJINGSHOUSHUBUYONGFANGFENWEISIJI,BINGYIKONGQIJIEJINGDUJIBIEZUOWEIBIYAOBAOZHANGTIAOJIAN。ZAIKONGTAIHUOJINGTAITIAOJIANXIA,XIJUNNONGDU(CHENJIANGJUNFANONGDUHUOFUYOUJUNFANONGDU)HEKONGQIJIEJINGDUJIBIEDOUBIXUFUHEHUAJIBIAOZHUN。

  表3.0.2-1  洁净手术室分级

等级

手术室名称

手术切口类别

适用手术提示

特别洁净手术室

关节置换手术、器官移植手术及脑外科、心脏外科和眼科等手术中的无菌手术

标准洁净手术室

胸外科、整形外科、泌尿外科、肝胆胰外科、骨外科和普通外科中的一类切口无菌手术

一般洁净手术室

普通外科(除去一类切口手术)、妇产科等手术

准洁净手术室

肛肠外科及污染类等手术

  表3.0.2-2  主要洁净辅助用房分级

等级

用房名称

需要无菌操作的特殊实验室

体外循环灌注准备室

刷手间;消毒准备室;预麻室;一次性物品、无菌敷料及器械与精密仪器的存放室;护士站;洁净走廊;重症护理单元(ICU)

恢复(麻醉苏醒)室与更衣室(二更);清洁走廊

  3.0.3JIEJINGSHOUSHUSHIDEDENGJIBIAOZHUNDEZHIBIAOYINGFUHEBIAO3.0.3-1DEYAOQIU,ZHUYAOJIEJINGFUZHUYONGFANGDEDENGJIBIAOZHUNDEZHIBIAOYINGFUHEBIAO3.0.3-2DEYAOQIU。

 

  表3.0.3-1   洁净手术室的等级标准(空态或静态)

等级

手术室名称

沉降法(浮游法)细菌最大平均浓度

表面最大染菌密度(个/cm2)

空气洁净度级别

手术区

周边区

手术区

周边区

特别洁净手术室

0.2个/30min·φ90皿(5个/m3)

0.4个/30min·φ90皿(10个/m3)

5

100级

1000级

标准洁净手术室

0.75个/30min·φ90皿(25个/m3)

1.5个/30min·φ90皿(50个/m3)

5

1000级

10000级

一般洁净手术室

2个/30min·φ90皿(75个/m3)

4个/30min·φ90皿(150个/m3)

5

10000级

100000级

准洁净手术室

5个/30min·φ90皿(175个/m3)

5

300000级

  注:1.浮游法的细菌最大平均浓度采用括号内数值。细菌浓度是直接所测的结果,不是沉降法和浮游法互相换算的结果。2.Ⅰ级眼科专用手术室周边区按10000级要求。

表3.0.3-2  洁净辅助用房的等级标准(空态或静态)

等级

沉降法(浮游法)细菌最大平均浓度

表面最大染菌密度(个/cm2)

空气洁净度级别

局部:0.2个/30min·φ90皿(5个/m3)
其他区域0.4个/30min·φ90皿(10个/m3)

5

局部100级
其他区域1000级

1.5个/30min·φ90皿(50个/m3)

5

10000级

4个/30min·φ90皿(150个/m3)

5

100000级

5个/30min·φ90皿(175个/m3)

5

300000级

    六、洁净层流手术室的功能特点

  1、SHOUSHUSHIDIXIJUNSHUJIDIMAZUIQITINONGDU。

  2、KEGONGSHUSHIDEQILIU(SHINEIWENDUKEZAI15-25℃,SHIDUKEZAI50-65%ZHIJIANDIAOJIE)。

  3、SHOUSHUSHIZHENGYAQILIU(+23-25Pa)FANGZHIWAILAIWURANDEJINRU。

  4、SHOUSHUSHINEIKONGQIQINGXIN、SHUANGJIE,GONGZUOHUANJINGSHUSHI。

  5、JIEJINGCENGLIUSHOUSHUSHI,YIBANQINGKUANGXIAWUXUSHIYONGWULIHUOHUAXUEFANGFAJINXINGXIAODU,JIJIESHENGLAODONG,YOUMIANCHULEBULIANGQIYINGXIANG。

  6、YUANNEIGANRANLV(YOUQISHISHOUSHUHESHAOSHANGGANRANLV)DADAJIANGDI。

  7、ZAOYIN:YOUYUCENGLIUSHOUSHUSHICAIYONGSONGFENGTIANHUA,ZAOYINLAIYUANZHUYAOWEIHUIFENGKOUGUODAJIPAIFENGDESHEJIBUHELI。SUOXINGDESHISHOUSHUSHINEIYINLIANGWEI42dB,KEWUBUSHI;JIAODADEZAOYINLAIYUANQISHIWEISHEBEIJIYIYONGQIXIE,HELIDEBUJUYUZHUANGSHISHIKEYIBIMIANDE。

  8、CENGLIUSHOUSHUSHIHUANJINGDEGUANLI

  JIEJINGCENGLIUSHOUSHUSHISHIYIZHONGHUANJINGXITONGZHUANGZHI,WULUNTADUOMEXIANJIN,DANYIFEI"WANNENG";YINCENGLIUXITONGBINGWUXIAODUMIEJUNZHIGONGXIAO,CENGLIUSHOUSHUSHIQI"WUJUN"HUANJINGZHUYAOSHITONGGUOKONGQIDE"GUOLV"、"CENGLIU"YIJISHINEIWEICHI"ZHENGYA"ZHUANGTAILAIWEICHIDE。

  ZONGZHI,SHIYONGJIEJINGCENGLIUSHOUSHUSHI,QIANGHUAWUJUNGUANNIANHEZHENGGUIHUAGUANLIRENGRANSHIYILIAOCHENGANQUANDEGENBENBAOZHENGYUYAOQIU,RENGRANSHISHOUSHUSHIGONGZUOZHIGENBEN、ZHIZHONGDIAN,ZHIYOUDANGLIANGZHEJINMIJIEHEQILAICAISHIQUYUWANMEIDE。

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