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从医工视角看呼吸系统传染病防控措施及成效 被引量:2

Prevention Measures and Effect of the Respiratory Infectious Diseases From the Perspective of Clinical Engineer
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摘要 目的在呼吸道传染病疫情防控工作中,直面防护物资紧缺、临床应用培训及特殊专业设备消毒等难点,从临床工程师视角出发,集思广益,为临床一线做好保障服务工作。方法通过自制改进一些紧缺防护物资,添加温控器使得额温计处于正常工作环境温度,增加特殊区域设备巡检保养频次,制作一体式氧气减压阀氧呼吸机接口,通过多媒体强化快速培训,增加快速操作流程随机配挂等多种举措,试图改善和突破现有特殊疫情时期的难点。结果自制的一些防护用品投入使用前,经专业检定部门检测,检定合格,而且临床医护的反馈很好,非常实用,一定程度上缓解了物资紧缺压力。在一体式氧气减压阀呼吸机接口使用实践中,对比之前报修记录(漏气、接口不匹配等相关报警),报修频次有效降低,成效明显。结论医工视角下直面疫情防控存在的困难,通过与临床的紧密配合、加强联系,发挥医工结合优势,通过自制改造创新、提高巡检保养频次、强化安全培训等做法,做好临床支撑保障服务。 Objective In the prevention and control of respiratory infectious diseases,there were difficulties such as shortage of protective materials,clinical application training and disinfection of special professional equipment.This paper aimed to pool the wisdom from the perspective of clinical engineer,and to do a good job in the field of clinical security service.Methods A variety of initiatives were implemented to try to improve and break through the difficulties of the existing special epidemic period,which including making homemade improvements to some of the scarce protective materials,adding a thermostat to keep the forehead thermometer at the normal operating ambient temperature,increasing the inspection and maintenance frequency of special area equipment,making an integrated oxygen pressure reducing valve oxygen ventilator interface and increasing the rapid operation process of random distribution through multimedia intensive rapid training.Results Before some self-made protective equipment putting into use,it was checked and approved by the professional testing department,and the feedback from the clinical medical staff was very good.It was very practical,which alleviated the pressure of material shortage to some extent.In the use practice of ventilator interface of integrated oxygen pressure-reducing valve,compared with previous repair report records(air leakage,interface mismatch and other related alarms),the repair report frequency is effectively reduced,with obvious results.Conclusion From the perspective of medical workers,we should face the difficulties in epidemic prevention and control,make full use of the advantages of combining medical workers through close cooperation and strengthened contact with clinical practice,and do a good job in clinical support and guarantee service through self-made reform and innovation,increasing the frequency of patrol inspection and maintenance,and strengthening safety training.
作者 侍伟伟 李斌 季智勇 王音 刘婉荣 庄陆军 殷昱宁 SHI Weiwei;LI Bin;JI Zhiyong;WANG Yin;LIU Wanrong;ZHUANG Lujun;YIN Yuning(Department of Medical Engineering,Shanghai Sixth People’s Hospital East Affiliated to Shanghai University of Medicine&Health Sciences,Shanghai 201306,China;Operating Room,Shanghai Sixth People’s Hospital East Affiliated to Shanghai University of Medicine&Health Sciences,Shanghai 201306,China)
出处 《中国医疗设备》 2020年第6期105-107,116,共4页 China Medical Devices
基金 上海健康医学院种子基金(SFP-18-21-14-001)。
关键词 隔离病房 疫情防控 医工结合 防护物资 isolation ward prevention and control measures clinical and engineering integration protective materials
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