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  • 洁净手术室设计施工中应注意的问题
    来源:http://www.moptuan.com 浏览: 发布日期:2018-01-19
    在国内洁净手术部建设的热潮中,很多医院对洁净手术部的内涵不是十分清楚,往往偏重于考虑的是设备的选择、材料的档次、装修的外观,手术室的级别及手术室数量多少与手术室面积大小等问题;而工程公司又是良莠不齐,有的连洁净手术室是属于生物洁净室范畴都不清楚,用工业洁净室的设计和配置来承揽洁净手术室工程,有的又是明知“故犯”,为了偷工减料、降低工程造价,不按生物洁净室的要求去设计和施工,使一些医院的洁净手术室工程竣工后,不是真正意义上的洁净手术室。
    In the clean operating department construction upsurge, the connotation of the clean operating department in many hospitals are not very clear, tend to consider is the choice of equipment, materials, decoration grade appearance, quantity level and operation room and operation room, many problems such as the size of the operation room; and the engineering company is uneven in quality, and some even clean operation room is the biological clean room categories are not clear, with the design and configuration of the industrial clean room to do clean operation room project, some is that "willful violations", in order to cut corners and reduce the project cost, not according to the biological clean room requirements to design and construction, the clean operation room hospital after the completion of some projects, not really the meaning of clean operation room.
    洁净手术部不像工业洁净室那样大面积、大体量,功能区域相对集中、简明,只区分为洁净区、缓冲区、普通区即可。洁净手术部的各控制室相对为分散的小面积、小体量、功能繁杂,流程对人与人,物与物的洁污分明要求严格,各相关功能区域要求齐全并布置合理,同时还要符合医疗卫生部门感染控制管理的要求。它往往分为超净区、洁净区、清洁区、缓冲区、普通区、污染区、辅助功能区等区域。
    The clean operation Department is not as large and large as the industrial cleanroom. The functional area is relatively concentrated and concise, and it can only be divided into clean area, buffer zone and ordinary area. The control room of the clean operating department is relatively small, scattered small volume, complicated functions, flow of people, clean and dirty things clear and strict, each functional area requirements are complete and reasonable arrangement, but also in line with the health department of infection control management requirements. It is often divided into areas such as ultra clean area, clean area, clean area, buffer zone, common area, polluted area, auxiliary function area and so on.
    工业洁净室人员从普通区进入洁净区设有更衣室和风淋室。而洁净手术部医务人员通道从普通区进入洁净区设有一更室、淋浴室、二更室。患者通道应宽大、便捷,经过换床间、缓冲区进入洁净区。物品通道洁污必须分明。较大的手术部还应设快速消毒处理间、清洗间、血液室、石膏室、标本室等辅助间。  生物洁净室的新风好设计为集中处理。新风机组应设粗效、中效、亚三级过滤器。 新风机组的各个功能段应为粗效过滤段、电预热段、风机段、均流段、中效过滤、表冷段(含挡水板和冷凝水排放托盘、防倒吸装置、托盘快干装置)、缓冲段、加热段、亚过滤段、加湿段、出风段等。
    The workers in the industrial clean room have the dressing rooms and the wind drenching rooms from the ordinary area to the clean area. And the clean operating department medical personnel channel from the ordinary area into the clean area has a more room, shower bath, two more room. The patient's passage should be wide and convenient, through the changing bed and the buffer zone into the clean area. The cleaning of the passage must be clear. The larger operating department should also set up a rapid disinfection room, a cleaning room, a blood laboratory, a plaster room, a specimen room and other auxiliary rooms. The new wind in the biological clean room is best designed to be centralized. Air units should set up crude efficiency, in effect, sub high efficiency filter. Each function should be fresh air unit is coarse filter section, a preheating section, electric fan section, section, in effect, the surface cooling section (including water retaining plate and the condensed water discharge tray, inverse suction prevention device, tray drying device), buffer section, heating section, sub section, high efficiency filter humidifying section, air outlet section etc..
    一级洁净手术室往往都是大型、超大型手术室,需做一些高难度的大型手术,需用的仪器、设备多,有些仪器、设备又有较多的环境要求,所以需要一些专门的配置。还有送风天花系统也不一样,一级洁净手术室可以称作局部层流手术室,送风的风量必须满足一级手术室洁净度的要求和各种参数的要求外,风速的均匀度也有要求,送风天花的开孔率不应超过18%。而有些单位的送风天花只在表面上做了一层金属孔板,根本就没有做静压箱,只在金属孔板后设了几个小型的送风口来冒充送风天花。
    The first grade clean operation room is usually large and super large. It needs to do some difficult and large-scale operations. There are many instruments and equipment, and some instruments and equipment have more environmental requirements. So there are some special configurations. There is air ceiling system is not the same, a clean operation room can be called local laminar flow operation room, air volume must meet the level of cleanliness operation room requirements and the requirements of the various parameters, the uniformity of wind speed is also required, opening rate of air supply ceiling should not exceed 18%. But the wind sent some units only in the ceiling on the surface of a layer of metal plate, did not do a static pressure box, only in the metal orifice set up several small HEPA air posing as smallpox.

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