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医院手术室设计解决方案

JINNIANLAI,GUONEIYIYUANZHUJIANCAIYONGJIEJINGSHOUSHUSHIZHEIZHONGXINGSHI。CIZHONGSHOUSHUSHISHEZHIJINGHUAKONGDIAOXITONG,DUIKONGQIZHONGDEFEISHENGWULIZIHESHENGWULIZIJUNJIAYIKONGZHI,NENGDADAOYIDINGDESHENGWUJIEJINGBIAOZHUN。CHAOJINGHUATIXISHIZHIYONGCHAOGAOXINGNENGKONGQIGUOLVQILVGUODEKONGQI,ZAISHINEIXINGCHENGSHUIPINGHUOCHUIZHIDECENGLIUZAISHINEILIUDONG,ZAOCHENGWUCHENWUWEISHENGWUDEQINGJIEKONGJIAN,YIDADAOFANGZHIGANRANDEMUDE。

AIPURUIJITUANZHUANZHUYUCHUANGXINXINGDUOGONGNENGSHOUSHUSHIKONGJIANLINIAN,CHENGJIEGUOJIHUAYIMEIZHENGXINGYIYUAN、ZHENGXINGJIGOU、SANJIAYIYUAN、GUANGDIANZHONGXIN、XIUJIANZHONGXIN、MENZHENDALOU、SIRENYIYUANDENGDAXINGJIGOUSHOUSHUSHIGONGCHENG,CONGSHEJIDAOSHIGONGDAOJIANLIJIZHUANGSHIRUANPEIZHENGTIFUWU。

医院手术室设计解决方案
美容医院手术室装修设计

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

SHOUSHUSHISHIYIYUANZHONGWUJUNJIEJINGYAOQIUZUIYANGEDEDIFANGZHIYI,SHOUSHUSHIDEJIANSHE、BUJU、GONGZUOLIUCHENGHEGUANLIDOUSHIWEIRAOWUJUNYAOQIUSHEJIDE。

1、手术室的位置要求

SHOUSHUSHIYINGSHEZAIANJING、QINGJIE、BIANYUHEXIANGGUANKESHILIANLUODEWEIZHI。YIDIPINGJIANZHUWEIZHUDEYIYUAN,YINGXUANZEZAICEYI,YIGAOCENGJIANZHUWEIZHUTIDEYIYUAN,YIXUANZEZHULOUDEZHONGJIANCENG。SHOUSHUSHIHEQITAKESHI、BUMENDEWEIZHIPEIZHIYUANZESHI,KAOJINSHOUSHUKESHI、XUEKU、YINGXIANGZHENDUANKE、SHIYANZHENDUANKE、BINGLIZHENDUANKEDENG,BIANYUGONGZUOLIANXI,YIYUANLIGUOLUFANG、XIULISHI、WUSHUIWUWUCHULIZHANDENG,YIBIMIANWURAN,JIANSHAOZAOSHENG。SHOUSHUJIANYINGJINLIANGBIMIANYANGGUANGZHIJIEZHAOSHE,YICHAOBEIWEIYI,YEKECAIYONGYOUSEBOLIZHEDANG,YILIYURENGONGZHAOMING。SHOUSHUSHIDECHAOXIANGYINGBIKAIFENGKOU,YIJIANSHAOSHINEICHENAIMIDUHEKONGQIWURAN。TONGCHANGSHIJIZHONGBUZHI,GOUCHENGYIGEXIANGDUIDULIDEYILIAOQU,BAOKUOSHOUSHUBUFENHEGONGYINGBUFEN。

2、手术室房间数量的确定

GUSUANYONGFANGSHULIANGDEFANGFAYOULIANGZHONG:YISHIGENJUSHOUSHUKESHIDECHUANGWEISHU,AN20~25:1DEBILIQUEDINGSHOUSHUYONGFANGSHU,RANHOUGENJUSHOUSHUYONGFANGSHU,QUEDINGSHOUSHUFUZHUYONGFANG、XIAODUGONGYINGYONGFANGJIQITAYONGFANGSHU。ERSHIGENJUSHOUSHUDECISHULAIQUEDINGSHOUSHUJIANDESHULIANG。

3、手术室应设哪些房间

YIGEWANZHENGDESHOUSHUSHIBAOKUOYIXIAJIBUFEN:

①卫生通过用房:包括换鞋处、更衣室、淋浴间、风淋室等;
②手术用房:包括普通手术间、无菌手术间、层流净化手术间等;
③手术辅助用房:包括洗手间、麻醉间、复苏间、清创间、石膏间等;
④消毒供应用房:包括消毒问、供应问、器械间、敷料问等;
⑤实验诊断用房:包括X线、内窥镜、病理、超声等检查室;
⑥教学用房:包括手术观察台、闭路电视示教室等;
⑦办公用房:包括医护办公室、医护值班室等。

4、手术室怎样分区

SHOUSHUSHIXUYANGEHUAFENWEIXIANZHIQU(WUJUNSHOUSHUJIAN)、BANXIANZHIQU(WURANSHOUSHUJIAN)HEFEIXIANZHIQU。SANQUFENGEKAIDESHEJIYOUER:YIWEIJIANGXIANZHIQUYUBANXIANZHIQUFENSHEZAIBUTONGLOUCENGDELIANGBUFEN,ZHEIZHONGSHEJIKECHEDIJINXINGWEISHENGXUEGELI,DANXUERTAOSHESHI,ZENGJIAGONGZUORENYUAN,GUANLIBUBIAN;ERWEIZAITONGYILOUCENGDEBUTONGDUANSHEXIANZHIQUHEFEIXIANZHIQU,ZHONGJIANYOUBANXIANZHIQUGUODU,SHEBEIGONGYONG,ZHEIZHONGSHEJIGUANLIJIAOFANGBIAN。

XIANZHIQUBAOKUOWUJUNSHOUSHUJIAN、XISHOUJIAN、WUJUNSHI、ZHUYAOSHIDENG。BANXIANZHIQUBAOKUOJIZHENSHOUSHUJIANHUOWURANSHOUSHUJIAN、QIXIEFULIAOZHUNBEISHI、MAZUIZHUNBEISHI、XIAODUSHI。FEIXIANZHIQUSHEGENGYISHI、SHIGAOSHI、BIAOBENJIAN、WUWUCHULIJIAN、MAZUIFUSUSHIHEHUSHIBANGONGSHI、YIHURENYUANXIUXISHI、CANTING、SHOUSHUBINGRENJIASHUXIUXISHIDENG。ZHIBANSHIHEHUSHIBANGONGSHI,YINGSHEZAIRUKOUJINCHU。

5、手术室各部分的设计要求如下:

(1)QIANGMIANHETIANHUABANCAIYONGKEGEYIN、JIANSHI、GUANGHUA、WUKONGXI、FANGHUO、FANGSHI、YIQINGJIEDECAILIAO。YANSECAIYONGDANLAN、DANLVWEIYI。QIANGJIAOCHENGYUANXING,FANGZHIJIHUI。GUANPIANDENGJIYAOPINJU、CAOZUOTAIDENGYINGSHEZAIQIANGNEI。

(2)MENYINGKUANDA、WUMENJIAN,BIANYUPINGCHECHUJIN,YINGBIMIANSHIYONGYIBAIDONGDEDANHUANGMEN,YIFANGQILIUSHICHENTUJIXIJUNFEIYANG。CHUANGYINGSHUANGCENG,ZUIHAOYONGLVHEJINCHUANGKUANG,YOULIFANGCHENBAOWEN。CHUANGBOLIYICHASEWEIYI。

(3)ZOULANGKUANDUYINGBUSHAOYU2.5m,BIANYUPINGCHEYUNZHUANJIBIMIANLAIWANGRENYUANPENGZHUANG。

(4)DIYINGCAIYONGJIANYING、GUANGHUAYISHUAXIDECAILIAOJIANZAO。DIMIANSHAOQINGXIEXIANGYIJIAO,DICHUSHEDILOU,LIYUPAICHUWUSHUI,PAISHUIKONGJIAGAI,YIMIANWURANKONGQIJINRUSHINEIHUOBEIYIWUDUSAI。

(5)DIANYUAN:YINGYOUSHUANGXIANGGONGDIANSHESHI,YIBAOZHENGANQUANYUNZHUAN。GESHOUSHUJIANYINGYOUZUGOUDEDIANCHAZUO,BIANYUGEZHONGYIQISHEBEIDEGONGDIAN。CHAZUOYINGYOUFANGHUOHUAZHUANGZHI,SHOUSHUJIANDIMIANYOUDAODIANSHEBEI,YIFANGHUOHUAYINQIBAOZHA。DIANCHAZUOYINGJIAGAIMIFENG,FANGZHIJINSHUI,BIMIANDIANLUFASHENGGUZHANGYINGXIANGSHOUSHU。ZONGDIANYUANXIANJIZHONGSHEZAIQIANGNEI,ZHONGYANGXIYINJIYANGQIGUANDAOZHUANGZHIDOUYINGSHEZAIQIANGNEI。

(6)ZHAOMINGSHESHI:PUTONGZHAOMINGDENGYINGANZHUANGZAIQIANGBIHUOFANGDING。SHOUSHUZHAOMINGDENGYINGANZHUANGZIMUWUYINGDENG,BINGBEIYONGSHENGJIANGZHAOMINGDENG。

(7)SHUIYUANHEFANGHUOSHESHI:GEGONGZUOJIANYINGANZHUANGZILAISHUILONGTOU,BIANYUCHONGXI。ZOULANGJIFUZHUJIANYINGZHUANGZHIMIEHUOQI,BAOZHENGANQUAN。LENGRESHUIJIGAOYAZHENGQIYINGYOUCHONGFENBAOZHENG。

(8)TONGFENGGUOLVCHUJUNZHUANGZHI:XIANDAISHOUSHUSHIYINGJIANLIWANSHANDETONGFENGGUOLVCHUJUNZHUANGZHI,SHIKONGQIJINGHUA。QITONGFENGFANGSHIYOUTUANLIUSHI、CENGLIUSHI、CHUIZHISHI,KEZHUOQINGXUANYONG。

(9) SHOUSHUSHICHURULUXIANBUJU: CHURULUXIANDEBUJUSHEJIXUFUHEGONGNENGLIUCHENGYUJIEWUFENQUYAOQIU,YINGSHESANTIAOCHURULUXIAN,YIWEIGONGZUORENYUANCHURULUXIAN,ERWEISHANGBINGRENCHURULUXIAN,SANWEIQIXIEFULIAODENGXUNHUANGONGYINGLUXIAN,JINLIANGZUODAOGELI,BIMIANJIAOCHAGANRAN。

SHOUSHUJIANDEWENDUDIAOJIEFEICHANGZHONGYAO,YINGYOULENGNUANQIDIAOJIESHEBEI。KONGDIAOJIYINGSHEZAISHANGCENGWUDINGNEI,SHIWENBAOCHIZAI 24~26oC,XIANGDUISHIDUYI50%ZUOYOUWEIYI。YIBANSHOUSHUJIANWEI 35~45m2,TESHUFANGJIANYUE 60m2,SHIYONGYUTIWAIXUNHUANSHOUSHU、QIGUANYIZHISHOUSHUDENG;XIAOSHOUSHUJIANMIANJIZAI20~30m2 .

6、手术间怎样分类

ANSHOUSHUYOUJUNHUOWUJUNDECHENGDU,SHOUSHUJIANKEHUAFENCHENGYIXIA5LEI:

(1)ILEISHOUSHUJIAN:JIWUJUNJINGHUASHOUSHUJIAN,ZHUYAOJIESHOULUNAO、XINZANG、ZANGQIYIZHIDENGSHOUSHU。

(2)ⅡLEISHOUSHUJIAN:JIWUJUNSHOUSHUJIAN,ZHUYAOJIESHOUPIQIECHUSHOUSHU、BIHEXINGGUZHEQIEKAIFUWEISHU、YANNEISHOUSHU、JIAZHUANGXIANQIECHUSHUDENGWUJUNSHOUSHU。

(3)ⅢLEISHOUSHUJIAN:JIYOUJUNSHOUSHUJIAN,JIESHOUWEI、DANNANG、GAN、LANWEI、SHEN、FEIDENGBUWEIDESHOUSHU。

(4)ⅣLEISHOUSHUJIAN:JIGANRANSHOUSHUJIAN,ZHUYAOJIESHOULANWEICHUANKONGFUMOYANSHOUSHU、JIEHEXINGNONGZHONG、NONGZHONGQIEKAIYINLIUDENGSHOUSHU。

(5)VLEISHOUSHUJIAN:JITESHUGANRANSHOUSHUJIAN,ZHUYAOJIESHOULVNONGGANJUN、QIXINGHUAIJUGANJUN、POSHANGFENGGANJUNDENGGANRANDESHOUSHU。

ANBUTONGZHUANKE,SHOUSHUJIANYOUKEFENWEIPUWAI、GUKE、FUCHANKE、NAOWAIKE、XINXIONGWAIKE、MINIAOWAIKE。SHAOSHANGKE、WUGUANKEDENGSHOUSHUWEN。YOUYUGEZHUANKEDESHOUSHUWANGWANGXUYAOPEIZHIZHUANMENDESHEBEIJIQIXIE,YINCI,ZHUANKESHOUSHUDESHOUSHUJIANYIXIANGDUIGUDING。

7、手术间的基本配备:

SHIZHISHOUSHUJIANNEIZUIJIBENDE、BIBEIDESHESHIPEIBEI。RUSHOUSHUTAI、WUYINGDENG(DIAOSHIHELUODISHIDANTOU)、MAZUIJI、JIANHUYIQITAI、GAOPINDIANDAO、XGUANGGUANPIANDENG、GUDINGZIWAIXIANDENGGUAN(HUODIANZIXIAODUMIEJUNDENG)、QIXIEZHUO、TUOPAN、BANGONGZHUO、CAOZUOTAI、FANGDENG、SHENGJIANGYUANDENG。JIAOTADENG、FULIAOTONG、DIANZHONG、WENSHIDUJIDENG,YOUTIAOJIANZHEKEANZHUANGCHUANHUXITONG。

8、安装手术照明灯应注意以下事项:

(1)ZHAOMINGDENGDEDENGTOUZHISHAOGAODIMIAN2m.

(2)SUOYOUGUDINGZAIDINGPENGSHANGDESHESHIJUNYINGHELIANZHI,BAOZHENGZAIGONGNENGSHANGHUBUFANGAI。DINGPENGYINGZUGOULAOGU,YIBIANYUDENGTOUZHUANDONG。

(3)ZHAOMINGDENGDEDENGTOUYINGBIANYUKUAISUGENGHUAN,YIYUQINGJIE。

(4)ZHAOMINGDENGDEDENGGUANGYINGSHEFANGREZHUANGZHI,YIJIANSHAOFUSHEREDUISHOUSHUZUZHIDEYINGXIANG。ZHAOMINGDENGSUOJIECHUJINSHUTIDEBIAOMIANWENDUBUDECHAOGUO60oC,SUOJIECHUFEIJINSHUTIDEBIAOMIANWENDUBUDECHAOGUO70oC,JINSHUSHOUBINGDEZUIDAYUNXUWENDUSHI55oC.

(5)GEZHONGZHAOMINGDENGDEKONGZHIKAIGUANYINGDANDUSHEZHI,YIBIANGENJUSHIYONGYAOQIUDANDUKONGZHI。

此外,照明灯的使用时间,存积在照明灯表面及墙壁表面的尘埃等因素都会影响照明灯的照明强度,应引起重视并及时调整和处理。
附:净化手术室的管理与运行

(一) 入室要求

DUIJINRUJIEJINGQUYUDERENYUANYAOYANGEZHEZHUANG,CHUANZHEYANGEXIAODUGUODEZHUANYONGYIKUHEXIE,JIANLIYANGEDERUSHIRENYUANDENGJIZHIDU,BINGXIANZHISHOUSHUJIANCANGUANRENSHU,MEIJIANSHOUSHUJIANCANGUANRENSHUBUDEDUOYU4REN。

(二) 设置严格的工作流程

1. JIEJINGSHOUSHUSHINEIDEREN、WULIUSHIYINGXIANGSHINEIKONGQIJIEJINGDUDEZHONGYAOYINSU。YINCISHEZHIYANGEGONGZUOLIUCHENG,MINGQUEQUFENJIEWULIUXIANSHIJIEJINGSHOUSHUSHIPINGMIANZUHEDEZHONGYAOYUANZEZHIYI。

2.GENJUGEBANZHIZEZHIDINGCHUYANGEDEGONGZUOLIUCHENG,BAOKUO:XUNHUIHUSHIGONGZUOLIUCHENG、XISHOUHUSHIGONGZUOLIUCHENG、ZHUANBANHUSHIGONGZUOLIUCHENG、ZHIBANHUSHIGONGZUOLIUCHENG、LIANTAISHOUSHUGONGZUOLIUCHENG、WURANSHOUSHUSHUBICHULILIUCHENG、GONGYOUGONGZUOLIUCHENGDENG。SHIDAJIAGONGZUOQILAIYOUZHANGKEXUN、YOUXUKECHA,TIGAOLEGONGZUOXIAOLV,TONGSHIBAOZHENGLEGONGZUOZHILIANG。

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