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<p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"> 尿毒症患者的安全治疗一直是血液透析的重中之重！ 血液透析治疗离不开设备，今天就来聊聊血透机的维护保养。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">血透机和其它医疗器械一样，从最早不做任何保养，到现在每半年要进行安全性检查，血透机保养已经成为了大家的“共识”。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">先看看定期保养包括哪些内容，我就引用日本的「医療機器安全管理指針」第１版中的原话：</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.29375" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/eiaSx3munMTCYdt46LoMnicibQX755Dj5cU9tZJ8UYBPtbgZiawNmrf4Sy13Mdicz5SPWTyLPshusiaCjEibGsoqMb06A/640?wx_fmt=jpeg" data-type="jpeg" data-w="640" style="box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">血透机为什么要保养？为了治疗安全！为了应付检查？为了省钱！！！前两点大家都可以理解，但第三点为了省钱可能很多人会有疑惑。大家仔细看看日本的「医療機器安全管理指針」，你就会发现国内的保养和日本的差距，我们漏了最关键的易损件更换！</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">在国内我们的保养确实做的很“省钱”，因为把保养内容中的消耗品交换这一部分的钱给省了！大部分医院的血透机还是等机器出了故障了再进行维修的，其实这样做不但会让你花更多的钱，关键会影响治疗。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">很多时候，血透机的故障是可以预见的，特别是当血透机的使用时间大于10000小时，为什么呢？因为设备周期的故障率一般满足bath-tub曲线：</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.5294117647058824" src="http://mmbiz.qpic.cn/mmbiz_png/eiaSx3munMTCYdt46LoMnicibQX755Dj5cU2xKvPsryCtWYBZmFUxpBjictkqaY0iagdTMoCiblWv9M5AwV28r78pqQg/0?wx_fmt=gif" data-type="gif" data-w="527" style="box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" />一般分为三个阶段：</p><blockquote><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="color: rgb(136, 136, 136);">初期故障期：一般故障率较高，但随着设备使用时间的延续，故障率将明显降低，此阶段称初期故障期，又称磨合期。这段时期的时间长短与设计和制造质量有关。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="color: rgb(136, 136, 136);"> 偶发故障期：故障率大致趋于稳定状态，趋于一个较低的定值，设备进入稳定的使用阶段。在此期间，故障发生一般是随机突发的，并无一定规律。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="color: rgb(136, 136, 136);"> 损耗故障期：经过长期使用，故障率再一次上升，且故障带有普遍性和规模性，设备的使用寿命接近终了，此阶段称损耗故障期。在此期间，设备零部件经长时间的频繁使用，逐渐出现老化、磨损以及疲劳现象，设备寿命逐渐衰竭，因而处于故障频发状态。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p></blockquote><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">对于一般血透机来说，从10000小时开始就已经进入第三阶段损耗故障期了，而且这是在你透析用水好，透析液好，消毒液好，没有暴力操作下的情况。这就是为什么我前面说大于10000小时透析机的故障可以预见的。血透机水路的主要零件都是由阀和泵组成，由于长时间使用造成了磨损，在不进行更换的情况下，这些故障是无法避免的。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">现在大多数厂家免费保修一年，一般情况下，第一年的故障率是很低的。也有部分给力的厂家提供免费三年的保养套件更换。其实他们这样做的目的还是希望大家能有定期更换易损件的理念。定期更换易损件不仅能减少设备故障率的发生，还能省钱！</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/A1DicCH9Vl6OnqjgL9QibibWeoo7l5WHbiccrHIy4WtfnGCd3Lr46Cng0SiaVq0GvSDXcApHdWba3FL5AZYYJFyBmLA/0?wx_fmt=jpeg" style="color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; white-space: pre-wrap;" data-ratio="0.32091097308488614" data-w="483" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">易损件包括哪些呢？主要包括一些O型圈还有滤网之类的，如下图：</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.7468671679197995" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/eiaSx3munMTCYdt46LoMnicibQX755Dj5cUF4PfS8HEyyP3Ln0slKUSYhUYicibKtxPicIMmzdeNBPhfmiapTQJhbwBGw/640?wx_fmt=jpeg" data-type="jpeg" data-w="399" height="185" style="box-sizing: border-box !important; word-wrap: break-word !important; width: 263px !important; visibility: visible !important;" width="380"><img data-ratio="0.75" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/eiaSx3munMTCYdt46LoMnicibQX755Dj5cUsMELgKm6pWKreoyUsLt7Dr9ia2zjCicx7Ew7ibgKvUucr5x4DiakDoZFqg/640?wx_fmt=jpeg" data-type="jpeg" data-w="640" height="158" style="box-sizing: border-box !important; word-wrap: break-word !important; width: 261px !important; visibility: visible !important;" width="527"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">不同品牌血透机的易损件种类不同，更换时间也不同，有每年进行更换的，也有3000，6000，9000小时进行更换的。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">为什么说定期更换易损件能省钱呢？</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">举个例子，可能开始只是小小的泄漏，定期更换O型圈就能解决的，但是很多医院是根据到了机器无法使用了再进行维修的原则，那就不是换O型圈能解决的！因为当发生问题的时，报警通常是比较复杂的水路压力报警，当你打开机盖时，你会发现机器内有结晶，还有可能液体会漏到电磁阀上，也有可能是漏到电机上，这时就是要换阀或泵才能解决了。一般一个泵的价格都超过5位数，而保养套件一般不超过3千，你自己想想就知道了。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">定期更换易损件还能减少故障率延长设备使用寿命！如下图：</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="0.35625" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/eiaSx3munMTCYdt46LoMnicibQX755Dj5cUardtDO7sokibeLTR15pcxFjmNZtFAgECwsd14843yRXHtd9bNoV6dTg/640?wx_fmt=jpeg" data-type="jpeg" data-w="640" style="box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">你想想你平时开的车都需要定期做保养更换易损件，那血透机为什么不是呢？！</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">今天就说这些了，血透机保养还是要把钱用在刀刃上，不然保养又有什么意义呢？！</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 28.4444px; box-sizing: border-box !important; word-wrap: break-word !important; 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box-sizing: border-box; word-break: break-all; word-wrap: break-word; max-width: 100%; font-family: 'Helvetica Neue', Helvetica, 'Microsoft YaHei', Arial, sans-serif; font-size: 14px; line-height: 22.4px;"><section style="margin-top: 10px; margin-right: auto; margin-left: auto; padding: 5px 10px; box-sizing: border-box; word-break: break-all; word-wrap: break-word; max-width: 100%; border-radius: 0.3em; border: 1px solid rgb(204, 204, 204); color: rgb(51, 51, 51); text-align: center; background-color: rgb(238, 238, 238);"><span style="font-size: 16px;"><strong>点击下方 “<span style="box-sizing: border-box; word-break: break-all; word-wrap: break-word; max-width: 100%; color: rgb(0, 112, 192);">阅读原文</span>” 加入 <span style="color: rgb(0, 82, 255);">中国医疗器械行业通讯录</span> </strong></span></section></section><p></p>
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发表于 2020-10-21 12:41:02