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费森尤斯血透机结构、原理及常见故障维修处理

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发表于 2020-10-19 23:28:08 | 显示全部楼层 |阅读模式

                    

                    

                    
                    
                    <p><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvcqy1kHIwLOC54akiaIHRlqwkQuyRMAferZM1ydKpkOyuqlb1iaXVG0okdgA28fs5cyaVzKUj205h5A/0?wx_fmt=jpeg" data-ratio="0.7954220314735336" data-w="699"  /></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">一、费森尤斯血透机的结构与工作原理</strong></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">血透机指的是采用透析器对肾脏功能进行重构型模拟,利用血透机所独具的对流、弥散、超滤以及渗透等作用,进而在临床当中达到排毒、排水、平衡电解质及酸碱的效果,是治疗急、慢性肾功能衰竭方面的有效体外循环设备[1]。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">费森尤斯血透机的组成部分包括电路、血路以及水路:电路包括电源与通讯两个方面,在启动时能够将传感器检测到的所有信号进行处理与传输,最终在监视器上进行呈现;</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">血路指的是包括血泵、肝素泵、动静脉压监测以及空气检测等,在临床使用当中采用血泵将患者的血液从体内抽出,再采用肝素泵注入适量肝素,而血液则会与透析器以及透析液法神作用后进行空气检测,最终返回到患者体内;</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">水路是由温控、配液、除气、电导率、漏血监测等系统组合而成,在应用当中,反渗水与浓缩液通过加温、过滤以后按照一定的比例进行混合配置成满足需要的透析液,与血液及透析器产生作用后进行漏血监测,最终作为废弃液进行排除[2]。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">在血透机整个运行治疗的过程当中,由于工作环境具有强酸、强碱等多重属性[3],因此血透机很容易发生一系列的故障,其中常见故障主要包括了四个方面,在文章当中进行一一分析与处理。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">二、费森尤斯血透机的故障报警和处理</strong></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">1、 Flow alarm报警</strong></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">该故障为流量报警,绝大多数情况下均是由于排水不顺畅所致。在检查的过程当中首先要对血透机的供、排水系统进行检查,确保水路通畅,其次要对水路的压力进行检查,确保压力值在正常范围之内。通常情况下I/O水通过进水减压阀以及过滤器以后的压力正常值为0.9-1.4bar,平衡腔装卸压的正常值为1.4-1.5bar,流量泵卸载压的正常值为2.15-2.25bar,除气压(负压)正常值为-0.83bar左右[4]。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">2、 Blood leak报警</strong></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">该故障为漏血报警,通常是发生在T1的检测过程当中,而漏血又分为真漏血与假漏血两种可能性,因此有可能造成破膜现象,导致血液直接进入到透析液的回路当中。发生漏血报警时应当对传感器的参考电压进行检查,正常情况下的电压应为CALIBRATION-</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">CALIBRATEBLD-A djustBLOOD-LEAK-Volt.bll=5.0V与CALIBRATION-CALIBRATEBLD-AdjusDIMNESS-Volt.dinm=5.0V</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">3、 膜压TMP报警</strong></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">血透机在使用的过程当中跨膜压TMP产生较大幅度的波动,这种现象即被成为膜压TMP报警。跨膜压TMP的计算公式为Pb0-Pd0+补偿值[5],其中任何一个数值发生变化均有可能导致跨膜压TMP发生变化。因此在检修的过程当中,首先要对血路系统进行检查,采用医用注射器与静脉压检测口形成通路,将压力增加到患者静脉压值进行模拟,如果TMP波动仍然较为明显,可判断故障并不在血路当中。对水路进行检查时要先进行自检,如果屏幕显示</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">Negative pressure负压、positive pressure正压均出现了提示错误,即可判定故障发生在水路当中,这是由于压力与各电磁阀均具有一定程度上的相关性,因此要采用先外后内、先易后难的原则进行故障判定。在维修当中要先判断故障是否与透析液过滤器相关,可将透析液过滤器拆卸后,采用短路管进行替代,如果故障依然存在,可以将压力传感器采用替换法进行更换,如果TMP仍然存在不稳定的现象,要对回路当中的各个阀门进行一一排查,当发现阀门口出出现漏液现象时,将取样阀修复后进行密封安装,通过透析压自行操作进行校正。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">4、 Conducticity报警</strong></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">该故障称为电导度报警,费森尤斯血透机进行反渗水操作是在66b水箱当中与A液进行充分混合后再进入到88C水箱当中与B液进行充分混合,但66水箱与88水箱之间存在着明显的差异,这种差别在于66水箱的a口、b口以及c口是相互连通的,而88当中的a口、b口以及c口是相互独立的,因此在这种报警故障发生时存在以下几种情况:</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">(1)更换浓缩液时出现失误,A液与B液之间发生了混淆现象;</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">(2)A/B泵并未正常运作或出现卡顿现象,可以在血透机关闭的情况下用手转动A/B检查是否能够正常运行;</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">(3)血透机流量出现错误,可以在CALIBRATION校正程序的状态下,选择CAL.FLOW 300/500/800ml/min对血透机流量进行检测;</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">(4)通常情况下,血透机在长期运转后温度会有所上升,但是并不足以造成故障,因此如果发生故障时可以对66b水箱当中加热器是否损坏的情况进行检查。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">5、消毒冲洗失败</strong></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">费森尤斯血透机的清洗消毒流程为先冲洗、再消毒、最终进行脱钙,如果发生消毒冲洗失败的情况时与以下几个方面相关:</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">(1)浮子开关出现故障,导致66水箱水位失常,进而造成水位报警;</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">(2)流量泵或除气泵有时会出现运作失常的情况,进而导致流量报警;</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">(3)水路系统当中包括多个电磁阀,其中某个电磁阀出现故障时将会导致压力报警,尤其是在血透机平衡腔处的电磁阀经常会发生吸合不到位的现象。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">在对这种故障维修时,先将血透机外壳进行拆卸,对66水箱当中的浮子开关进行清洗,同时将血透机转为维修模式,采用诊断菜单对浮子开关的运作情况进行检查,如果测试结果正常则可以排除浮子开关故障的情况。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">随后对水路当中A、B、C、D四点的压力进行检测,如果压力正常的情况下对流量进行检测,若流量出现不稳现象可对电磁阀的工作情况进行检查。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">进入到诊断菜单后对各个电磁阀的运转情况进行检测,0000表示电磁阀关闭,1111表示电磁阀打开,在检测到某个电磁阀运转失常时可预先采用反复冲洗消毒对具体故障点进行确定,最终可通过消毒温度、消毒流量等方面进行综合评估,对具体故障电磁阀进行进一步确定后,进行更换,排除故障。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">6、 小结</strong></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">血透机与其他医疗电子设备存在着明显的差异,在对患者进行透析操作的过程当中,如果血透机其中一个单元发生了故障将会马上停机,进而影响到患者的临床治疗以及生命安全,因此要通过各种措施确保机器能够正常运转,其中就包括定期的严格维护保养与检测维修。</span></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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></p><p style="max-width: 100%; min-height: 1em; white-space: normal; widows: 1; font-size: 12px; font-family: &#39;microsoft yahei&#39;, arial, simsun; line-height: 24px; text-align: justify; color: rgb(46, 46, 46); background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">透析机的日常维护以及保养应当参照机器说明书进行操作,同时要确保在关机的状态下进行操作,对血透机进行勤擦拭、除尘、除渍等,必要时采用柔性清洁剂对机身进行清理,在消毒净脉夹、光学传感器、血液监测、气泡检测、空气监测处保持清洁,避免产生误报警的情况,确保血透机在临床当中的正常运行,提供可靠有效的治疗能力。</span></p><p><br  /></p><p><br  /></p><p style="white-space: normal;"><span style="color: rgb(62, 62, 62); font-family: Arial, Verdana, sans-serif; line-height: 1.75em; text-indent: 0em; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">地址:广州市天河区银利街银利茶叶博览中心E栋4楼E4030室 &nbsp;&nbsp;</span><span style="color: rgb(62, 62, 62); font-family: Arial, Verdana, sans-serif; text-indent: 0em; max-width: 100%; font-size: 14px; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important;">&nbsp; &nbsp;&nbsp;</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important;">邮编:510507</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电话:(+86)020-8722 8723 &nbsp; &nbsp;8764 5360 &nbsp; &nbsp;8764 2943 &nbsp; &nbsp;&nbsp;</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">传真:020-8722 8623</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">全国统一免费服务热线:400-020-6788</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">微信公众帐号:</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-ratio="1" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvfCZvZq5PcthnDKlnnq3AalhbichW77J3B70osicTickklZybNKUZqc44DZ0oaWaHm2p0TaA9478icwPg/640?wx_fmt=jpeg" data-type="jpeg" data-w="120" width="auto" style="box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important; width: auto !important;"  /></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">维修咨询:QQ: &nbsp;712638 404</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">设备咨询: &nbsp; QQ: &nbsp;712638 405</span></p><p style="font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 24.381px; text-align: justify; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; text-indent: 0em;">软件咨询:QQ: 712638 406</span><br  /></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">配件咨询:QQ: &nbsp; 712638 407</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">交流Q群:1106 11074</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">网址:http://www.yiliaoshebeiweixiu.com</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; background-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电子邮箱:service@yiliaoshebeiweixiu.com</span></p><p><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></span></p><p><br  /></p>
               
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