常见透析机故障及处理

admin · 发表于 2020-10-21 12:20:16

1. 机器浓度不准<ul class=" list-paddingleft-2" style="list-style-type: disc;"><li>测试透析液生化值，判断显示浓度和实际浓度的情况。如果显示浓度不准，则调整机器显示值。如果实际浓度不准，寻找导致实际浓度不准的原因，比如透析液品质，机器故障等，之后重新调整实际浓度。</li></ul>2. 操作导致的浓度不稳<ul class=" list-paddingleft-2" style="list-style-type: disc;"><li>透析过程中跟换透析液，导致机器报警。规范操作，尽量选择高品质透析液，尽量做到透析过程中不更换或者添加透析液。如果必须更换或者添加，则应该打开“回收”“旁通”功能，保证透析患者的治疗安全。</li></ul>3. 机器水路堵塞<ul class=" list-paddingleft-2" style="list-style-type: disc;"><li>检查堵塞的管路，处理。</li></ul>4. 机器水路泄漏<ul class=" list-paddingleft-2" style="list-style-type: disc;"><li>检查泄漏管路，处理。</li></ul>5. 电路板故障1）保证透析机的供电安全2）使用原厂配件3）做好机器风扇过滤网的清理工作4）由专业人员点检维修6. 操作方面操作不熟练或者不规范导致的机器报警。1）需要由专业人员对于机器做系统的培训2）规范操作流程3）准备紧急情况的处理预案7. 医院科室规划方面1）血透室场地规划应合理，并且应有前瞻性2）机器安装环境要合适3）供水，供电需严格要求<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">英文中文简单处理方法<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"> <p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Air in system 水路内有空气请等待<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　alarm limte menu 报警范围菜单动脉，静脉，TMP压力，回血键，调针程序。<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Bibag cover opened Bibag 盖打开了将盖向里推Bibag口将其合上<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Bic line not conn 连接A/B液吸管透析液吸管没有插回机器<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　BLD – dimness -warning 假漏血报警水路监测到空气或结晶等被排出后报警自动消除。<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Bld leak ovrride 忽略漏血<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Blood leak alarm 漏血报警水路监测到血细胞，透析器膜有可能破裂<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Blood sensed by OD 光学探测器探测到了血液<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Bp – stop - alarm 血泵停止报警(一)<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　BRAM XXXX 存储器重新开关机器后面的黑色开关/ 回血并联系维修部门<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　By pass valve failed 旁路阀坏重新开关机器后面的黑色开关/ 回血并联系维修部门<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Cleaning 消毒清洗<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　cleaning (font supplied) 11 ||次氯酸钠消毒(A,B管吸入)还有11次低温消毒细菌过滤器次氯酸消毒不超过11次||<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　conductivity alarm 电导率报警<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　conf 确认<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Connect conc. line 没有连接A液吸管<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　connect disinfection 选择了错误的消毒程序重新启动机器，重新消毒<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　continue profile 曲线治疗继续<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Dialines not conn 透析器接头没有连接到位检查旁路接头<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　dialysate menu 透析参数设定菜单<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　dialysis represetation 透析描述透析界面显示内容设定，UF,OCM,BPM等曲线在主屏上显示<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Disinfection empty 消毒液吸空报警消毒液用完/吸管折住/过滤网堵塞<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Emergency Operation 紧急操作(停电) 按消音或透析键，确认血泵运转正常，等待5分钟后如果仍然在紧急状态则停止透析，执行回血操作。<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Empty bibag? select with conf key 排空干粉袋吗压conf键<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　empty filter 排空细菌过滤器<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　end cleaning pgm press (conf) to stop 强行结束消毒程序,压确认键终止<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　filling filter 细菌过滤器注水(填充过滤器) 注水结束自动跳入消毒程序<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Filling program 填充程序机器自动将水路中的空气排出/检查旁路漏气<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Filling program end 空气已经排出，填充程序结束。<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　filter change 细菌过滤器更换<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　filter change/T1-test failed 细菌过滤器更换，T1测试失败<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　filter changed? 可以更换细菌过滤器更换后压conf确认键<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Flow alarm 透析液流量报警消毒脱钙/检查AB液配比<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Flow off 透析液流量开关关闭<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Heparin Start/Stop 肝素泵启动/停止<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Heparin pump alarm 肝素泵报警检查肝素管路管夹是否被打开，检查注射器及连接管路是否通畅<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Heparin pump not on 没有开肝素泵<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Heparin pump not on 肝素泵没有开<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　High temperature 高温报警按消音键，等待5分钟后水温下降报警自行解除<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Hot disinfection 热C液消毒水温85度同时伴有C液消毒液。<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Hot disinfection+hot rinse 热C液消毒加单独热消毒大热消毒<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Internal Error xxx 内部错误重新开关机器后面的黑色开关/ 回血并联系维修部门<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　ISO values 单超数据<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　ISO-UF start 单超开始<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　lower art. Alarm 动脉低报警<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　mandatory rinse completed 强制冲洗完成冲洗消毒的最后一步。<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　max filter life exceeded 细菌过滤器到期，必须更换压conf确认更换<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　No UF 没有打开超滤<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　only 1days continue with press[conf]key 仅剩1天，继续压确认键细菌滤器12周达到了必须更换滤器<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　only 2 treatment(s)continue with press[conf]key 仅剩2次完整治疗，继续压确认键细菌滤器可以做2次完整治疗，第3次消毒前必须更换滤器<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Power failure 电源失败重新开关机器后面的黑色开关/ 回血并联系维修部门<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Preparation end 准备结束<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　prime 预冲<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　prime end 预冲结束<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　profile paused 曲线治疗暂停<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　reinfusion? select with conf key 回血吗压conf键<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Rinse 冲洗低温冲洗机器内部管路<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Shunt cover open 旁路盖被打开将旁路盖合上<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　Start/Reset 启动/复位<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　stop both profiles 停止所有的治疗曲线<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　stop uf profile 停止超滤曲线<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　systerm parameters 系统参数治疗历史清除，亮度调整，自动消毒设置，日期时间设置<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　T1 Test successfully completed T1 测试成功完成<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　The optical Detector senses clear fluid 光学感应器检测到透明液体静脉血路管没有血液/无法治疗联系维修部门<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　The optical Detector senses dark fluid 光学感应器检测到不透明液体静脉血路管可能有血液/消毒自检联系维修部门<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　too many treatments 细菌过滤器次数达到了100次必须更换<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　treatment mode 治疗模式<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　UF Goal reached 超滤总量达到<p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 16px;line-height: 25.6px;white-space: normal;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);">　　uf profile 超滤曲线<h3 style="margin-top: 5px;font-size: 20px;font-family: 'microsoft yahei';font-weight: 600;color: rgb(204, 51, 51);line-height: 28px;white-space: normal;margin-bottom: 20px;">关于细菌内毒素的取样步骤</h3>1. 机器进行消毒1小时以上2. 对于机器快速接头消毒。热水或者次氯酸钠。消毒完后用反渗水冲洗干净。3. 机器准备，使用新鲜的AB液4. 准备完成后，按旁通键，取下快速接头蓝端。5. 蓝端出口向下，用带针头的注射器探如快速接头内部，密封圈之后。6. 按旁通键，抽取透析液。7. 存档化验。<section class="pEditor " style="line-height: 25.6px;white-space: normal;"><section data-css="background-color: rgb(239, 239, 239);border-radius: 5px;border: 1px solid rgb(153, 153, 152);margin: 0px;padding: 5px" style="padding: 5px;border-radius: 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