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麻醉机维护和保养

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发表于 2020-10-20 11:43:00 | 显示全部楼层 |阅读模式

                    

                    

                    
                    
                    <p style="text-align: center;"><span style="font-size: 18px;"><strong><span style="color: rgb(0, 128, 255);">麻醉机可能发生的危险</span></strong></span></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;在使用过程中,由于各种原因,可能在以下3个部位出现故障,并导致严重危害。<br  /></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1、<span style="line-height: 28.4444px;">呼吸回路</span></p><p><span style="line-height: 28.4444px;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;2、折叠囊</span></p><p><span style="line-height: 28.4444px;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;3、控制系统</span></p><p><br  /></p><p><span style="color: rgb(64, 118, 0);"><strong>一、呼吸回路故障</strong></span></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1、回路脱落或者漏气:<br  /></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1.1在Y形部位最易出现。有3项监测指标:<br  /></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;①气道压力</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;②分钟通气量</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;③呼气末CO2浓度</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;若都过低则漏气或回路脱落。<br  /></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1.2呼吸回路阻力增高。<span style="line-height: 28.4444px;">有2项监测指标:</span><span style="line-height: 28.4444px;">&nbsp; &nbsp; </span><span style="line-height: 28.4444px;">&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style="line-height: 28.4444px; white-space: normal;">&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;①气管导管折曲</p><p style="line-height: 28.4444px; white-space: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;②螺纹管受压阻断</p><p style="line-height: 28.4444px; white-space: normal;"><br  /></p><p style="line-height: 28.4444px; white-space: normal;"><span style="color: rgb(64, 118, 0);"><strong>二、折叠囊故障</strong></span></p><p style="line-height: 28.4444px; white-space: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;折叠囊外的透明密封罩子与密封圈之间,较易发生漏气现象。<br  /></p><p style="line-height: 28.4444px; white-space: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;折叠囊为橡胶制品,会因老化而出现细小裂纹,此时容易引起严重危害:高压的驱动气经过裂纹口而直接进行患者肺脏,诱发肺泡过胀性气压伤。<br  /></p><p><span style="line-height: 28.4444px;"><br  /></span></p><p><span style="color: rgb(64, 118, 0);"><strong><span style="line-height: 28.4444px;">三、控制系统故障</span></strong></span></p><p><span style="line-height: 28.4444px;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;呼吸机内部的活瓣和逸气阀会因破裂和水汽凝结发生故障</span></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;压力和流量传感器会因老化或意外损坏而发生故障<br  /></p><p><span style="color: rgb(255, 41, 65);"><strong>因此使用前的检查和定期维护十分重要。</strong></span></p><p><span style="color: rgb(255, 41, 65);"><strong><br  /></strong></span></p><p style="text-align: center;"><span style="font-size: 18px; color: rgb(0, 128, 255);"><strong>日常维护中的必检项目</strong></span></p><p style="text-align: left;"><span style="color: rgb(0, 0, 0); font-size: 16px;">1、紧急通气装置</span><span style="font-size: 18px; color: rgb(0, 128, 255);"><strong><br  /></strong></span></p><p>2、电源</p><p>3、气源<span style="line-height: 28.4444px;">:气源压力0.4Mpa左右</span></p><p>4、低压测试:低流量供氧测试,流量表测试</p><p>5、蒸发罐:开关、麻醉药添加</p><p>6、呼吸回路</p><p>7、呼吸机:手动/自动切换,各通气模式,快速充氧,呼吸活瓣,逸气阀,折叠囊,压力表。或者根据开机自检提示进行自检。</p><p>8、残气清除装置:连接、负压吸引</p><p>9、监测部分:标定各种探头、传感器,设置报警上下限</p><p><img data-s="300,640" data-type="png" src="http://mmbiz.qpic.cn/mmbiz_png/LKgI6UN8ElaGf6jqbdHkicZYZfVInCBrbT1Q3Yic5K4I0ibQRpFuQth0zMl0Va4yBxBv7L9gsItzeVwtfyaHD8c8Q/0?wx_fmt=png" class="" data-ratio="0.3572327044025157" data-w="795"  /></p><p><br  /></p><p><br  /></p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></p><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><hr style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"></span><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"></span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; line-height: 25.6px; color: rgb(0, 128, 255); box-sizing: border-box !important; word-wrap: break-word !important;">请扫描下面二维码,关注该微信公众号,获取更多</span><span style="max-width: 100%; line-height: 25.6px; color: rgb(255, 41, 65); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">生物医学工程</strong>专业及<strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">医工</strong><span style="max-width: 100%; line-height: 25.6px; color: rgb(0, 128, 255); box-sizing: border-box !important; word-wrap: break-word !important;">学习笔记</span>:</span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; line-height: 25.6px; color: rgb(255, 41, 65); box-sizing: border-box !important; word-wrap: break-word !important;"></span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img class="" data-ratio="1" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/LKgI6UN8ElZnh0jXF3PjbBz7BBPnYH7wbDgfc3E2r7REMuN2lQqfuVM38HZO8Zx0rN0OLKywrjoH3P7QqDY44Q/640?wx_fmt=jpeg" data-type="jpeg" data-w="430" style="box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important; width: auto !important;" width="auto"  /></p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p><br  /></p>
               
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