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<p><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">手术设备品种繁多，外、儿、妇、五官等科室都在手术室中拥有各自不同的手术设备，再加上麻醉、监护、消毒等，手术室设备在医院</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">医疗设备</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">中占有相当比例。手术设备的完好率、稳定可靠性及安全性对手术的顺利进行起着重要的保障作用。因此，手术室一直是医院医疗设备维修中的重点保障科室。下面就如何做好手术室设备维修工作谈一点粗浅的体会供参考。 </span></p><p><br style="color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">一、大量收集资料，力求一专多能 </span></p><p><br style="color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">手术室中既有电子设备，又有机械设备；结构上不仅有电路，还有光路、气路等，设备品种之多是其它科室难以比拟的。这一特点决定了手术设备维修人员应力求一专多能，在精通一类的基础上触类旁通。这一方面需要刻苦学习业务，掌握必备的基础知识，另一方面需要平时大量收集资料，研究资料，熟悉各类设备的基本原理、结构及主要故障排除方法，使自己具备维修各种手术设备的基本技能。</span></p><p><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></span></p><p><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">维修资料可按设备类别保管，也可按设备使用科室保管，以便随时取用。一定要坚持做维修记录，真实记录维修过程中出现的故障现象、测量数据、波形等，既可积累资料，建立维修保养档案，掌握所修设备的故障史；又可不断总结经验，提高业务水平，有利于今后手术设备维修工作。 </span></p><p><br style="color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">二、配备必要的工具和设备附件 </span></p><p><br style="color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">手术设备维修人员除基本工具外，还应配备一些特殊工具，如全套钟表起子、公制和英制的内螺</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">扳手</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">等，这在修理</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">手术显微镜</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">、进口</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">麻醉机</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">等设备时是必要的。手术设备通常外部故障较多，所以最好能在手术室设立一间工作室或维修台，配备一些常用配件、零件以及各种规格的保险管等，以提高维修效率。因许多时候修理工作需直接在手术间内进行，为防止污染正在使用中的手术设备，还应配备一些附件以检测、判断设备是否正常，如</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">高频电刀</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">、</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">电凝器</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">的输出手控线、监护设备的</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">导联线</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">等。 </span></p><p><br style="color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">三、掌握和使用代换法 </span></p><p><br style="color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">手术室设备发生故障的时间多为手术进行过程中，如不能及时恢复设备的性能，就会影响手术正常进行，有时甚至会引起更严重的后果。因此，快速及时是对手术设备维修的特别要求，有时必须采取一些超常维修方法。为了提高维修速度，掌握和使用代换法是非常必要的，在能够代换的场合应尽量使用。在配件、附件不足的情况下，可以充分利用手术室各类设备之间的兼容性予以代换。</span></p><p><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></span></p><p><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">以附件为例，许多型号不同的高频</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">电刀</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">，其</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">负极板</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">和手控线是通用的；一些手术</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">显微镜</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">和</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">冷光源</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">所使用的卤素灯是相同的；不少配属</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">腹腔镜</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">、电凝器、手术电钻的脚踏开关可以互相代用；有些外型迥异的</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">监护仪</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">，其导联线却可以互换。这些手术设备间的兼容特性可以帮助我们大大提高维修速度或解燃眉之急，故要求维修人员在平时应对各类手术设备的功能、附件、插头插孔、接口及数量等情况有一个全面详细的了解，一旦某台设备发生故障而手头一时又没有配件或附件时，就可以根据设备之间的兼容性和其它设备当时的使用情况，应急调配，临时代换，用最快的速度保证手术顺利进行。 </span></p><p><br style="color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">四、大型手术设备实行预防性维修 </span></p><p><br style="color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">手术室中有一些大型手术设备，如床边</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">X光机</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">、人工心肺机、麻醉机、腹</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">腔镜</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">、显微</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">摄像系统</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">等，这些设备若在手术过程中发生故障，在短时间内予以修复的概率是很低的。因此，对手术室中的一些大型手术设备应实行预防性维修，定期检修维护，及时排除隐患。大型手术设备在使用前，最好先进行一次通电性能试用检查，确认正常后方再使用，力求将故障排除在上</span><span style="color: rgb(51, 51, 51); font-family: Arial, 'Microsoft YaHei'; font-size: 14px; line-height: 26.04px; background-color: rgb(255, 255, 255);">手术台</span><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">之前。</span></p><p><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"> </span><br style="color: rgb(51, 51, 51); white-space: normal; font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">五、严格遵守无菌技术规程 </span></p><p><br style="color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">当必须进入手术间内修理时一定要严格遵守无菌技术规程，既要快速恢复机器，又不能影响正常的手术进行，所以要注意修理的条理性，修理工具不要随意放置，不要触及消毒区域的物品，有些涉及手术台上器件又必须做的设备检测程序，可请手术台上的医务人员配合，防止污染手术台器械。另外，手术间内仪器设备多，人员多，一定要注意用电安全。</span></p><p><span style="max-width: 100%; color: rgb(51, 51, 51); font-family: 'Microsoft YaHei', 宋体, Arial; font-size: 16px; text-indent: 30px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></span></p><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: 5px; border: 1px solid rgb(131, 147, 209); text-align: center; background-color: rgb(239, 239, 239);"><section data-css="color: inherit;display: inline-block;margin: 1px" style="margin: 1px; color: inherit; display: inline-block;"><span style="padding: 2px 10px; border-color: rgb(204, 204, 204); border-radius: 2px; color: rgb(1, 1, 3); font-weight: bold; font-size: 18px; background-color: rgb(109, 205, 25);">推荐阅读</span></section><section data-css="color: inherit;margin: 0px;padding: 10px"><p style="line-height: 1.75em; text-align: left;"></p><ul class=" list-paddingleft-2" style="width: 516.797px;"><li><p style="line-height: 1.75em; 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发表于 2020-10-21 12:41:49