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连续性血液净化装置CRRT

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发表于 2020-10-19 22:17:51 | 显示全部楼层 |阅读模式

                    

                    

                    
                    
                    <section style="box-sizing: border-box;font-size: 16px;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="margin-top: 10px;margin-right: 0%;margin-left: 0%;box-sizing: border-box;"><section style="display: inline-block;width: 100%;vertical-align: top;overflow-x: auto;box-sizing: border-box;"><section style="overflow: hidden;width: 360%;max-width: 360% !important;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: 25%;box-sizing: border-box;" powered-by="gulangu"><section style="display: inline-block;width: 100%;vertical-align: top;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="display: flex;flex-flow: row nowrap;margin-right: 0%;margin-bottom: -10px;margin-left: 0%;opacity: 0.99;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;flex: 0 0 auto;align-self: center;min-width: 10%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="text-align: center;box-sizing: border-box;" powered-by="gulangu"><section style="display: inline-block;vertical-align: top;overflow: hidden;height: 33px;width: auto;min-width: 10%;max-width: 100%;background-color: rgba(37, 206, 199, 0.92);box-sizing: border-box;"><section style="text-align: justify;color: rgb(255, 255, 255);padding-right: 10px;padding-left: 10px;font-size: 20px;box-sizing: border-box;" powered-by="gulangu"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;">01</strong></p></section></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;flex: 100 100 0%;height: auto;align-self: center;box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;" powered-by="gulangu"><section style="background-image: linear-gradient(to right, rgb(85, 167, 255), rgb(122, 104, 255));height: 1px;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="text-align: left;margin-right: 0%;margin-left: 0%;justify-content: flex-start;box-sizing: border-box;" powered-by="gulangu"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 97%;height: auto;box-sizing: border-box;"><img data-ratio="1.3333333" src="http://mmbiz.qpic.cn/mmbiz_jpg/qO8ibk5yXWXK3x7YiatUpBlAURgbq5A1BQTvJww7kyUYArrXvAuFbY1RnW7yI1Mw930hato99zW1fLJjkwJhf7jQ/640?wx_fmt=jpeg" data-type="jpeg" data-w="600" style="vertical-align: middle;width: 100%;box-sizing: border-box;"  /></section></section></section></section><section style="display: inline-block;vertical-align: top;width: 25%;box-sizing: border-box;" powered-by="gulangu"><section style="display: inline-block;width: 100%;vertical-align: top;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="display: flex;flex-flow: row nowrap;margin-right: 0%;margin-bottom: -10px;margin-left: 0%;opacity: 0.99;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;flex: 0 0 auto;align-self: center;min-width: 10%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="text-align: center;box-sizing: border-box;" powered-by="gulangu"><section style="display: inline-block;vertical-align: top;overflow: hidden;height: 33px;width: auto;min-width: 10%;max-width: 100%;background-color: rgba(37, 206, 199, 0.92);box-sizing: border-box;"><section style="text-align: justify;color: rgb(255, 255, 255);padding-right: 10px;padding-left: 10px;font-size: 20px;box-sizing: border-box;" powered-by="gulangu"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;">02</strong></p></section></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;flex: 100 100 0%;height: auto;align-self: center;box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;" powered-by="gulangu"><section style="height: 1px;background-color: rgb(36, 224, 235);box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="text-align: left;margin-right: 0%;margin-left: 0%;justify-content: flex-start;box-sizing: border-box;" powered-by="gulangu"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 97%;height: auto;box-sizing: border-box;"><img data-ratio="1.3333333" src="http://mmbiz.qpic.cn/mmbiz_jpg/qO8ibk5yXWXK3x7YiatUpBlAURgbq5A1BQX2LJqXWVO3PibhZeUickJ2bsicOJTPoibptxaMwYgVCmKpHOUicnZIs5UuQ/640?wx_fmt=jpeg" data-type="jpeg" data-w="600" style="vertical-align: middle;width: 100%;box-sizing: border-box;"  /></section></section></section></section><section style="display: inline-block;vertical-align: top;width: 25%;box-sizing: border-box;" powered-by="gulangu"><section style="display: inline-block;width: 100%;vertical-align: top;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="display: flex;flex-flow: row nowrap;margin-right: 0%;margin-bottom: -10px;margin-left: 0%;opacity: 0.99;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;flex: 0 0 auto;align-self: center;min-width: 10%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="text-align: center;box-sizing: border-box;" powered-by="gulangu"><section style="display: inline-block;vertical-align: top;overflow: hidden;height: 33px;width: auto;min-width: 10%;max-width: 100%;background-color: rgba(37, 206, 199, 0.92);box-sizing: border-box;"><section style="text-align: justify;color: rgb(255, 255, 255);padding-right: 10px;padding-left: 10px;font-size: 20px;box-sizing: border-box;" powered-by="gulangu"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;">03</strong></p></section></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;flex: 100 100 0%;height: auto;align-self: center;box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;" powered-by="gulangu"><section style="background-image: linear-gradient(to right, rgb(85, 167, 255), rgb(122, 104, 255));height: 1px;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="text-align: left;margin-right: 0%;margin-left: 0%;justify-content: flex-start;box-sizing: border-box;" powered-by="gulangu"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 97%;height: auto;box-sizing: border-box;"><img data-ratio="1.3333333" src="http://mmbiz.qpic.cn/mmbiz_jpg/qO8ibk5yXWXK3x7YiatUpBlAURgbq5A1BQdAZyKzicyM1fYYbYiaFgQeIcQS8VWr6w3LpG1e7vSMydwS6lDvXuqtag/640?wx_fmt=jpeg" data-type="jpeg" data-w="600" style="vertical-align: middle;width: 100%;box-sizing: border-box;"  /></section></section></section></section><section style="display: inline-block;vertical-align: top;width: 25%;box-sizing: border-box;" powered-by="gulangu"><section style="display: inline-block;width: 100%;vertical-align: top;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="display: flex;flex-flow: row nowrap;margin-right: 0%;margin-bottom: -10px;margin-left: 0%;opacity: 0.99;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;flex: 0 0 auto;align-self: center;min-width: 10%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="text-align: center;box-sizing: border-box;" powered-by="gulangu"><section style="display: inline-block;vertical-align: top;overflow: hidden;height: 33px;width: auto;min-width: 10%;max-width: 100%;background-color: rgba(37, 206, 199, 0.92);box-sizing: border-box;"><section style="text-align: justify;color: rgb(255, 255, 255);padding-right: 10px;padding-left: 10px;font-size: 20px;box-sizing: border-box;" powered-by="gulangu"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;">04</strong></p></section></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;flex: 100 100 0%;height: auto;align-self: center;box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;" powered-by="gulangu"><section style="background-image: linear-gradient(to right, rgb(85, 167, 255), rgb(122, 104, 255));height: 1px;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="text-align: left;margin-right: 0%;margin-left: 0%;justify-content: flex-start;box-sizing: border-box;" powered-by="gulangu"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 97%;height: auto;box-sizing: border-box;"><img data-ratio="1.3075" src="http://mmbiz.qpic.cn/mmbiz_jpg/qO8ibk5yXWXK3x7YiatUpBlAURgbq5A1BQib042wpWVA4kHZPKP6pqsxCz6ulBoMTkZxwichpMGTCK0cw1g8AGZA3Q/640?wx_fmt=jpeg" data-type="jpeg" data-w="400" style="vertical-align: middle;width: 100%;box-sizing: border-box;"  /></section></section></section></section></section></section></section></section><section style="box-sizing: border-box;" powered-by="gulangu"><section style="text-align: right;justify-content: flex-end;font-size: 0px;margin-right: 0%;margin-left: 0%;box-sizing: border-box;"><section style="display: inline-block;width: 100%;vertical-align: top;height: auto;box-sizing: border-box;"><section style="margin-right: 0%;margin-bottom: 3px;margin-left: 0%;box-sizing: border-box;" powered-by="gulangu"><section style="background-image: linear-gradient(to right, rgb(85, 167, 255), rgb(122, 104, 255));height: 2px;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="box-sizing: border-box;" powered-by="gulangu"><section style="text-align: center;margin-right: 0%;margin-bottom: 10px;margin-left: 0%;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: 10%;line-height: 0;box-sizing: border-box;"><section style="margin-right: 0%;margin-left: 0%;box-sizing: border-box;" powered-by="gulangu"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 30%;height: auto;box-sizing: border-box;"><svg xmlns="http://www.w3.org/2000/svg" x="0px" y="0px" viewbox="0 0 81.5 81.5" style="vertical-align: middle;max-width: 100%;width: 100%;box-sizing: border-box;" width="100%"><path d="M40.7,0C18.2,0,0,18.2,0,40.7s18.2,40.7,40.7,40.7c22.5,0,40.7-18.2,40.7-40.7S63.2,0,40.7,0z   M54.3,45.6h-17l5.6,5.6c2,2,2,5.4,0,7.4v0c-2,2-5.4,2-7.4,0L21.2,44.4c-2-2-2-5.4,0-7.4l14.1-14.1c2-2,5.4-2,7.4,0c2,2,2,5.4,0,7.4  l-5.9,5.9h17.4c2.6,0,4.7,2.1,4.7,4.7C59,43.4,56.9,45.6,54.3,45.6z" fill="rgba(37,206,199,0.92)" style="box-sizing: border-box;"></path></svg></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;min-width: 10%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="color: rgb(111, 128, 255);line-height: 1;font-size: 12px;box-sizing: border-box;" powered-by="gulangu"><p style="box-sizing: border-box;">滑动查看更多</p></section></section><section style="display: inline-block;vertical-align: middle;width: 10%;line-height: 0;box-sizing: border-box;"><section style="margin-right: 0%;margin-left: 0%;transform: rotateY(180deg);box-sizing: border-box;" powered-by="gulangu"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 30%;height: auto;box-sizing: border-box;"><svg xmlns="http://www.w3.org/2000/svg" x="0px" y="0px" viewbox="0 0 81.5 81.5" style="vertical-align: middle;max-width: 100%;width: 100%;box-sizing: border-box;" width="100%"><path d="M40.7,0C18.2,0,0,18.2,0,40.7s18.2,40.7,40.7,40.7c22.5,0,40.7-18.2,40.7-40.7S63.2,0,40.7,0z   M54.3,45.6h-17l5.6,5.6c2,2,2,5.4,0,7.4v0c-2,2-5.4,2-7.4,0L21.2,44.4c-2-2-2-5.4,0-7.4l14.1-14.1c2-2,5.4-2,7.4,0c2,2,2,5.4,0,7.4  l-5.9,5.9h17.4c2.6,0,4.7,2.1,4.7,4.7C59,43.4,56.9,45.6,54.3,45.6z" fill="rgba(37,206,199,0.92)" style="box-sizing: border-box;"></path></svg></section></section></section></section></section><section style="box-sizing: border-box;" powered-by="gulangu"><section style="display: flex;flex-flow: row nowrap;margin: 20px 0% 10px;box-sizing: border-box;"><section style="display: inline-block;width: auto;vertical-align: top;border-width: 1px;border-radius: 0px;border-style: solid;border-color: rgba(153, 164, 118, 0.43);flex: 100 100 0%;align-self: flex-start;height: auto;padding: 10px 20px;box-sizing: border-box;"><section style="font-size: 15px;color: rgb(75, 86, 59);letter-spacing: 1px;line-height: 2;padding-right: 16px;padding-left: 16px;box-sizing: border-box;" powered-by="gulangu"><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;box-sizing: border-box;">一、故障现象描述或服务原因</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;box-sizing: border-box;">科室主任反馈连续性血液净化装置(CRRT)在运行状态下发生异响。因仪器所在科室为重症医学科,比较着急,声响大影响科室使用,故前往查看。</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;box-sizing: border-box;">&nbsp;</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;box-sizing: border-box;">二、故障分析</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;box-sizing: border-box;">要求:故障分析应有理论依据,思路清晰,既有论点又有论据,一丝不苟。</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;box-sizing: border-box;">连续性血液净化装置运行时有异响,现场开机测试发现声音由血泵发出。因科室急需使用,故现场拆机,排除齿轮转动发出的机械磨损声音。初步设想为内部电机因时间久轴承锈死转动发出声响。因现场无工具,把整个泵体带下维修组拆开,发现电机齿轮的轴承都已破损。再使用可调直流接上电机使用,发现电机转动过慢,拆开电机发现内部已经磨损严重。初步判断异响为电机转动卡死和轴承破损导致。</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;box-sizing: border-box;">&nbsp;</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;box-sizing: border-box;">三、故障修复</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;box-sizing: border-box;">要求:必须详细描述故障修复全过程,关键节点上应作详细描述。需经相关检测验证。</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;text-indent: 2em;">轴承</span><span style="font-size: 16px;text-indent: 2em;">破</span><span style="font-size: 16px;text-indent: 2em;">损,转动过慢,给其滴加黄油,装上测试,发现现象依</span><span style="font-size: 16px;text-indent: 2em;">然存</span><span style="font-size: 16px;text-indent: 2em;">在。</span><span style="font-size: 16px;text-indent: 2em;">怀疑轴承无法使用,拆下后发现轴承内环已经破裂,准备购买轴承换上。</span><span style="font-size: 16px;text-indent: 2em;">后发现微泵上的电机轴承与之匹配,拆下报废机器的轴承换上,发现异响变小但电机转动依然过慢,后发现有报废的电机,拿回对照发现型号一致,换上接电测试,异响消失。</span><span style="font-size: 16px;text-indent: 2em;">把血泵带回科室,血泵依初始位置装回。</span><span style="font-size: 16px;text-indent: 2em;">开机,声响消失。</span></p><p style="text-indent: 2em;white-space: normal;box-sizing: border-box;"><span style="font-size: 16px;text-indent: 2em;"></span></p></section></section></section></section><section style="margin-right: 0%;margin-bottom: 10px;margin-left: 0%;box-sizing: border-box;" powered-by="gulangu"><section style="text-align: center;color: rgb(163, 163, 163);font-size: 12px;box-sizing: border-box;"><p style="box-sizing: border-box;"><br style="box-sizing: border-box;"  /></p></section></section></section><section style="box-sizing: border-box;font-size: 16px;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="display: flex;flex-flow: row nowrap;margin: 10px 0%;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;flex: 0 0 0%;align-self: center;height: auto;box-sizing: border-box;"><section style="text-align: center;box-sizing: border-box;" powered-by="gulangu"><section style="display: inline-block;width: 90px;height: 150px;vertical-align: top;overflow: hidden;border-style: solid;border-width: 4px;border-radius: 0px;border-color: rgb(15, 76, 129);box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;flex: 89.2857 89.2857 0%;align-self: center;height: auto;background-color: rgb(255, 255, 255);margin-left: -65px;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="display: flex;flex-flow: row nowrap;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;padding-right: 5px;flex: 0 0 0%;height: auto;align-self: center;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="display: flex;flex-flow: row nowrap;box-sizing: border-box;"><section style="display: inline-block;width: 120px;vertical-align: top;flex: 0 0 auto;height: auto;align-self: flex-start;box-sizing: border-box;"><section style="text-align: center;margin-right: 0%;margin-left: 0%;box-sizing: border-box;" powered-by="gulangu"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 100%;border-color: rgba(118, 178, 124, 0);border-width: 5px;border-radius: 0px;border-style: solid;box-shadow: rgb(0, 0, 0) 0px 0px 0px;box-sizing: border-box;"><img data-ratio="1" src="http://mmbiz.qpic.cn/mmbiz_jpg/qO8ibk5yXWXK3x7YiatUpBlAURgbq5A1BQ8jRxXFFtCtdxnsLo9y1qJKlxjX9nnMApNcIictPU4OOczObiafIibXJ6Q/640?wx_fmt=jpeg" data-type="jpeg" data-w="258" style="vertical-align: middle;width: 100%;box-sizing: border-box;"  /></section></section></section></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;padding-left: 5px;flex: 100 100 0%;height: auto;align-self: center;box-sizing: border-box;"><section style="margin-right: 0%;margin-left: 0%;box-sizing: border-box;" powered-by="gulangu"><section style="color: rgb(189, 195, 199);font-size: 15px;box-sizing: border-box;"><p style="color: rgb(68, 68, 68);white-space: normal;letter-spacing: 1px;box-sizing: border-box;">扫码关注,</p><p style="color: rgb(68, 68, 68);white-space: normal;letter-spacing: 1px;box-sizing: border-box;">更多信息在这里<br style="box-sizing: border-box;"  /></p><p style="color: rgb(68, 68, 68);white-space: normal;letter-spacing: 1px;box-sizing: border-box;"><br style="box-sizing: border-box;"  /></p><p style="white-space: normal;box-sizing: border-box;"><span style="font-size: 14px;color: rgb(7, 12, 28);box-sizing: border-box;"><em style="box-sizing: border-box;"><strong style="box-sizing: border-box;">南华百川</strong></em></span></p><p style="white-space: normal;box-sizing: border-box;"><span style="font-size: 14px;color: rgb(7, 12, 28);box-sizing: border-box;"><em style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: rgb(241, 73, 56);box-sizing: border-box;">设备搬迁、调试</span></strong></em></span></p><p style="white-space: normal;box-sizing: border-box;"><span style="font-size: 14px;color: rgb(7, 12, 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style="box-sizing: border-box;"><span style="color: rgb(241, 73, 56);box-sizing: border-box;">报修热线:13330074829</span></strong></em></span></p></section></section></section></section></section></section></section></section></section><p><br  /></p>
               
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