CN110075380A - A method of with haemodialysis vehicle building Vehicular blood dialysis center - Google Patents

A method of with haemodialysis vehicle building Vehicular blood dialysis center Download PDF

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Publication number
CN110075380A
CN110075380A CN201910445276.3A CN201910445276A CN110075380A CN 110075380 A CN110075380 A CN 110075380A CN 201910445276 A CN201910445276 A CN 201910445276A CN 110075380 A CN110075380 A CN 110075380A
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haemodialysis
vehicle
water
medical
air
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Inventor
刘章锁
华琼
王沛
刘东伟
李英
梁献慧
唐春戈
韩思远
陈塞北
柳桃
李大治
李思思
任予生
高华
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G3/00Ambulance aspects of vehicles; Vehicles with special provisions for transporting patients or disabled persons, or their personal conveyances, e.g. for facilitating access of, or for loading, wheelchairs
    • A61G3/001Vehicles provided with medical equipment to perform operations or examinations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G3/00Ambulance aspects of vehicles; Vehicles with special provisions for transporting patients or disabled persons, or their personal conveyances, e.g. for facilitating access of, or for loading, wheelchairs
    • A61G3/001Vehicles provided with medical equipment to perform operations or examinations
    • A61G3/003Supplementary seats, e.g. for doctors to take care of a patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1621Constructional aspects thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1654Dialysates therefor
    • A61M1/1656Apparatus for preparing dialysates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1654Dialysates therefor
    • A61M1/1656Apparatus for preparing dialysates
    • A61M1/1657Apparatus for preparing dialysates with centralised supply of dialysate or constituent thereof for more than one dialysis unit
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/168Sterilisation or cleaning before or after use
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B60VEHICLES IN GENERAL
    • B60PVEHICLES ADAPTED FOR LOAD TRANSPORTATION OR TO TRANSPORT, TO CARRY, OR TO COMPRISE SPECIAL LOADS OR OBJECTS
    • B60P3/00Vehicles adapted to transport, to carry or to comprise special loads or objects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/20Devices for specific treatment or diagnosis for dialysis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/84General characteristics of the apparatus for treating several patients simultaneously

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Emergency Medicine (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Nursing (AREA)
  • Transportation (AREA)
  • Mechanical Engineering (AREA)
  • External Artificial Organs (AREA)

Abstract

The present invention relates to using haemodialysis vehicle building lock Blood Dialyzing Center.This is one kind using haemodialysis vehicle as core, the technical method of the novel chain Blood Dialyzing Center of one kind of mating ambulance, detection vehicle and water tender building under the information system management of technology of Internet of things.

Description

A method of with haemodialysis vehicle building Vehicular blood dialysis center
Technical field
Field of the present invention is to construct chain Blood Dialyzing Center using haemodialysis vehicle.This is a kind of saturating with blood Analysis vehicle is core, and mating ambulance, detection vehicle and water tender construct one kind under the information system management of technology of Internet of things The technical method of novel chain Blood Dialyzing Center.
Background technique
" hemodialysis " or " haemodialysis " treatment includes that (english abbreviation is for haemodialysis (english abbreviation HD) and blood filtering HF) two kinds of basic clinical treatment technologies.Individually LFHD can be derived with combination with the two medical technology, and (small throughput is saturating Analysis), HFHD (high flux hemodialysis), HDF (hemodiafiltration), HP (blood perfusion), the differences such as CBP (continuous blood purification) The hemodialysis of mode.With the development of clinical medicine technology, more hemodialysis modes can also be derived. It is convenient for statement, above-mentioned treatment means are generally referred to as " hemodialysis " or " haemodialysis " treatment.This specification is also following State the basic conception of above-mentioned haemodialysis in statement indirectly using " hemodialysis " or " haemodialysis ".
Shown according to the data that " Civilian Hospital blue book: Private Hospitals in China development report (2017) " is revealed, at present I State has used number about 540,000 people of hemodialysis or more.With popularizing blood with national for hemodialysis technology Liquid dialysis treatment is included in the scope of basic medical reimbursement, will be surpassed quickly within nearly one or two years using the number of hemodialysis Cross 1,000,000 people.According to announcement " China's chronic kidney disease epidemiological survey " number in 2012 it was predicted that China's Adult chronic's nephrosis is sent out Sick rate is up to 10.8%, and in 10 years following, chronic kidney disease growth rate will be more than 17%.In this ratio, present China is about There are 1.5 hundred million people to have different degrees of renal function problem, End-stage Renal Disease Patients (ESRD) are more than 2,000,000 people.
For this purpose, former national health and Family Planning Committee have promulgated that " Blood Dialyzing Center is basic in December, 2016 The notice (state defends doctor's hair (2016) 67) of standard and management regulation ", " Blood Dialyzing Center belongs to individually to be set notice clear stipulaties The medical institutions set are independent legal person's unit, independently undertake corresponding legal liabilities ... ... and encourage Blood Dialyzing Center to chain Change, Extensive Development, establishes the management and service mode of regulation and standardization." this is just in foreign advanced country, China The chain Blood Dialyzing Center mode generallyd use opens feasible green light.
Building Blood Dialyzing Center, which is usually used building and fit up, makes it have the doctor for meeting hemodialysis Learn the hardware environment after requiring as Blood Dialyzing Center.It is exactly in fact that haemodialysis vehicle is used to construct blood there are also a kind of thinking The mode at dialysis center.The advantage of this Blood Dialyzing Center using the building of haemodialysis vehicle is its flexibility.In at present There is haemodialysis vehicle to begin to use except state continent, such as in the Taiwan Province of China, but has still belonged to blank in China's Mainland.
China lacks the ambulance with dialysis function in ambulance field at present.However it is led in many medical aids Domain requires the ambulance with dialysis function, such as the first aid of poisoning patient, because wound and other diseases cause internal organ more The first aid etc. of functional failure.There is haemodialysis vehicle to be applied to clinic at present external, however China is in this respect still In blank, so being based on above-mentioned factor, to meet clinical needs, this has been not to China's urgent need exploitation haemodialysis vehicle The fact that strive.
Inventor retrieves a kind of cross-sectional view of haemodialysis vehicle on network, as depicted in figs. 1 and 2.Fig. 1 is a kind of The interior design three-dimensional figure of haemodialysis vehicle, 1 in Fig. 1 can significantly find out be automotive interior toilet, in Fig. 1 2 can also significantly find out the step ladder for being into and out compartment.Comparative diagram 2 can further be confirmed, and 1 in Fig. 2 is toilet, 2 are into and out the step ladder in compartment.As the technical staff in professional domain as it can be seen that in the compartment of the design of this haemodialysis vehicle Medical area directly pass through the access door in compartment and compartment external environment is circulated, while not seeing having in compartment yet and being enough to realize Environment meets the special equipment of medical air cleaning requirement in compartment.Haemodialysis vehicle is absolutely not simply in automobile bodies Installing several dialysis seats and laying out several haemodialysis vehicles can finish, and the technology for first having to solve is haemodialysis car The air cleaning problem of portion's Medical space.It is required that the reason of air cleaning of internal Medical space is that dialysis patient to be provides one A better purifying space for meeting medicine and not infecting, this is the basic medical requirement for protecting patient from external microorganism infection.Secondly Technical requirements there are also medical the mating of sterile purification water, inner air disinfection the excretion of mating, internal dirt before purification at Manage it is mating, etc..Although these may belong to the technology and business secret of the not external publicity of product, up to this point, this Inventor does not retrieve the case for having haemodialysis vehicle product to be applied to physical therapy practice in the region of China's Mainland, therefore blood yet Dialysis vehicle still belongs to blank in China's Mainland at present.Based on this, inventors believe that, simple design is that it is impossible to meet strong Medical market high level demand, China medical market urgent need can satisfy haemodialysis medical environment and basis dress The haemodialysis vehicle of standby technical requirements.
It it is not immediately clear the manufacturing technology of external haemodialysis vehicle.But the research group that this patent is declared is special 201410239416.9,201420280521.2 and patent application 201710645813.X of benefit, 201710645811.0, 201710645814.4,201811351181.7,201821841311.0,201821841313.X, 201821841314.4 institutes In the patented technology of statement, air cleaning, vehicle-mounted medical water purifier inside medical automobile bodies have the collecting and distributing control of two-stage The field of the dual-layered information management framework system of molding formula (Distributed control system) has accumulated relevant skill The microorganism inspection that art, especially patent application 201811351181.7,201821841311.0,201821841313.X are declared Measuring car can be convenient Conventional blood biochemistry detection field obtain using.These technologies are that the blood purification vehicle in exploitation China is established Proprietary technology basis is determined.The research group of the present inventor uses under the above-mentioned patented technology and patented technology formed thus Product develop the haemodialysis vehicle and use that present patent application is stated according to particularity required for haemodialysis vehicle Haemodialysis vehicle constructs the technical solution of chain Dialysis center.Since above-mentioned patents and patent applications are that the present inventor studies group The patented technology of team, thus the present patent application is also the continuity application of above-mentioned patented technology.
Summary of the invention
Technical characteristic of the invention its (1) is the compact car of automobile or length 6m-10m using length 10m or more Or length 6m automobile below (for gasoline automobile or diesel car) repacks haemodialysis vehicle into.Wherein more than length 10m Setting is greater than 4 or more hemodialysis sites in automobile, and 2-6 haemodialysis is arranged in the compact car of length 6m-10m 1-2 hemodialysis site is arranged in position in length 6m light-duty vehicle below.Each dialysis position is equipped with a dialysis Machine can be single pump dialysis machine, be also possible to double pump dialysis machine.The automobile that this section is stated can be car, be also possible to Cargo.
Technical characteristic of the invention its (2) is equipped with air cleaning system in haemodialysis Che Shangying to ensure haemodialysis Environment in the compartment of vehicle meets the Group III environmental requirement regulation of GB15982-2012 " hospital's disinfecting standard ".For The automobile of length 10m or more and the compact car of length 6m-10m, Ying Caiyong partition wall set up in compartment medical purifying area and The non-purifying area of medical treatment, the air pressure of medical purifying area should be slightly larger than the air pressure of the non-purifying area of medical treatment, since medical treatment is non- Purifying area identical as the external world is normal atmosphere (An), so the ambient pressure of medical purifying area should be slightly larger than normal atmosphere in compartment Pressure;Length is that 6m automobile main function below is the function of emergency treatment for increasing haemodialysis in existing ambulance function, by In length be 6m automobile below interior space it is smaller, and dialyse emergency patients must use prostrate state, so can not install additional Separate to divide medical purifying area and the non-purifying area of medical treatment.But since dialysis treatment needs surrounding enviroment clean, in order to solve This contradiction carries out interior internal air circulation quickly certainly using the matched air cleaning system of institute after compartment door termination The purification requirement that net mode makes the air cleaning in compartment meet haemodialysis to environment, that is, meet GB15982-2012 The Group III environmental requirement of " hospital's disinfecting standard " provides.The time of interior Quick air auto purification should be limited to Within 10min, the time is unfavorable for very much carrying out haemodialysis emergency treatment long.
Technical characteristic of the invention its (3), which are to design on every haemodialysis vehicle to be equipped with ozone-air and recycle, to disappear Malicious deodorizing device (device).Ozone-air circulation disinfecting, deodorizing equipment (device) should be mounted on the top of dialysis vehicle interior, smelly Oxygen air circulation disinfecting, deodorizing device must not generate nitrogen oxidation gas at work.It is light source that the present invention, which should select xenon chloride excimer lamp, Air cycle disinfector, the central wavelength for the light that xenon chloride excimer lamp is emitted here should be the narrow frequency light of 172nm.It is former Reason is that the xenon chloride excimer lamp that wavelength is 172nm is placed in rectangle (or other shapes) channel, is configured one small Type blower (recommends vortex fan), and when xenon chloride excimer lamp is lighted, indoor air is aspirated and blown into channel by blower, When the air of flowing flows through around luminous xenon chloride excimer lamp, the narrow frequency of the 172nm of xenon chloride excimer lamp transmitting is short Length ultraviolet light will excite oxygen in air to generate ozone, while can also decompose and can degrade under 172nm wavelength Organic matter particle (such as bacterium, virus etc.).So the sterilizing mechanisms of this air cycle disinfector are two o'clocks, one is carefully The harmful microorganisms such as bacterium and virus are decomposed after direct irradiation to lose activity;The second is the bacterium and virus in air are certain dense It is lost activity under the ozone environment of degree by ozone decomposition.There is many nitrogen in air, nitrogen is shorter than the ultraviolet light of 120nm Oxynitrides can be generated after irradiation excitation, since oxynitrides belongs to pernicious gas, so having to selection without shorter than The xenon chloride excimer lamp of 120nm wavelength is the air cycle disinfector of light source.Use the central wavelength of transmitting light for 172nm's The xenon chloride excimer lamp of narrow frequency ultraviolet light is because spectrum of this light source without 120nm or so, will not excite air In nitrogen, therefore would not also generate the oxynitrides being harmful to the human body.Inventor's emphasis is to be different from that this elaboration Kind is using mercury lamp as the air cycle disinfector of light source, and the central wavelength of the light of mercury lamp emission is 254nm wavelength, due to the frequency spectrum of light Too wide, so containing the ultraviolet light of 172nm that can excite oxygen or so in shortwave length direction, nitrogen can be excited by also containing The ultraviolet light of the 120nm of gas or so.So if using this air circulation sterilizing equipment decontaminating apparatus, open use when personnel be cannot Sterilising zone is enough stayed in, and there are patient and medical staff in the purifying sterilizing region of haemodialysis vehicle, so the sky used It is the narrow frequency light source of xenon chloride excimer of 172nm that the light source of gas circulation sterilizer, which must select launch wavelength,.
Technical characteristic of the invention its (4) are to design equipped with double-stage reverse osmosis R/O sterile water water-producing apparatus.Twin-stage reverse osmosis Saturating R/O sterile water water-producing apparatus can be designed to the mating double-stage reverse osmosis R/O sterile water water-producing apparatus of every haemodialysis control unit, Can two or three or four or five or six share a double-stage reverse osmosis R/O sterile water water-producing apparatus, be most preferably one The mating double-stage reverse osmosis R/O sterile water water-producing apparatus of haemodialysis control unit.The twin-stage of double-stage reverse osmosis R/O sterile water water-producing apparatus is anti- The water yield of infiltration water purification should meet the water consumption of matching dialysis machine, water temperature, dialysis machine water inlet hydraulic pressure Demand.The water outlet of double-stage reverse osmosis R/O sterile water water-producing apparatus should facilitate mating with the water inlet of haemodialysis control unit, can be used The fast connection interface of waterpipe.
Technical characteristic of the invention its (5) are in double-stage reverse osmosis R/O sterile water water-producing apparatus Front-end Design equipped with water Pre-column is handled, the type of pre-column there are three classes, and one kind is silt Filter column, can use quartz sand, PP cotton (poly- the third of 1um-5um Alkene fabric filter element) etc. filter cores, one kind be activated carbon column, one kind is resin column, and resin column can be cationic resin column, can also To be resin anion (R.A.) column, can also be zwitterion mixed bed resin column or the combination of these three resin columns.
Technical characteristic of the invention its (6), which are to design, is configured with water tank and external water supply pipe.The volume of water tank Meet water consumption required for the matched haemodialysis control unit darg of institute.Water tank has that pipeline pump is matched, pipeline pump Effect is that the water that will be laid in water tank is supplied to double-stage reverse osmosis R/O sterile water water-producing apparatus front end and is configured with water process pre-column. It is reported that the technical requirements of the water consumption of haemodialysis control unit are 900ml/min or so at present, the water consumption of haemodialysis control unit is main Sterilizing part is concentrated on, sterilizing part needs to be used continuously water in 40min-60min, so a haemodialysis control unit sterilizes every time Required water consumption is assessed according to 90L for the sake of assurance in 60L or so.Every dialysis machine is used conventionally generally small 8 When the interior general hemodialysis that can carry out 2 person-times, so being used required for one haemodialysis control unit of a work shift Water is in 180L or so.
Technical characteristic of the invention its (7), which are to design, is configured with ozonated water generator.Caused by ozonated water generator Ozone concentration in Ozone Water should be controlled in 0.4ppm~1.5ppm, and it is mating that the water supply of ozonated water generator should meet institute Haemodialysis control unit pipeline sterilize required for ozone water, best Ozone Water water supply should meet 1m3/ h (per hour 1 Cubic meter) more than, or provide not less than the ozone gas more than 0.9g/h (providing 0.9g per hour).Under normal circumstances using symbol It is the purpose that can reach killing bacterium and virus that the ozone-containing sterilizing water for closing concentration requirement, which is more than 1min to dialysis machine flushing of pipeline, but It is, when working out quality control standard, periodically to be determined and be used using the method for microculture detection to ensure to sterilize thoroughly The effective time that Ozone Water sterilizes dialysis machine internal duct;Special emphasis is that ozonated water generator must not generate at work Oxynitrides, because oxynitrides is a kind of harmful gas, the undesirable ozonated water generator of quality can produce at work Raw oxynitrides, this kind of ozonated water generator are not allow to be used in dialysis vehicle.Ensure that ozonated water generator does not produce The technology essential factor of raw oxynitrides gas is that the prepared oxygen purity of used oxygen molecule sieve is greater than 99.9% or more, The oxygen of this purity after being excited generated ozone concentration it is also high, nitrogen oxidation gas entrained by the Ozone Water of generation soluble in water The concentration of body is very low, well below can produce the concentration of harm, so being regarded as not carrying the nitrogen being harmful to the human body Oxidizing gas.
Technical characteristic of the invention its (8), which are to design, is configured with foul water tank, and foul water tank is connected with the toilet seat of lavatory, Water-dialyzing can be discharged into foul water tank by the toilet seat of lavatory, and the disinfected wastewater of dialysis machine can also be by discharge of pipes into dirt Water tank.Ozone Water caused by ozone generator can also be connect by pipeline with foul water tank.Ozone Water thus can be used Generator to the dialysis waste liquid in foul water tank provide Ozone Water or ozone gas carry out disinfection to the medical sewage in foul water tank, oxygen Change degradation, make these medical sewages become can satisfy sewage as defined in GB18466-2005 " medical institutions' sewage drainage standard " It is discharged again after discharge standard.The water inlet of foul water tank should facilitate with the wastewater discharge mouth of dialysis machine to be docked, and water can be used The fast connection interface of pipeline.Every haemodialysis vehicle must be equipped with the closed container of storage medical dirt.
Technical characteristic of the invention its (9) are that every haemodialysis vehicle must design and are configured with hand washing sink, hand washing sink Drain line is connect with vehicle-mounted drain tank.
Technical characteristic of the invention its (10) are that dialysis seat is less than 80cm using width, and most preferably 65cm, length is not Two shaft multifunctionals of shorter than 170cm, most preferably 200cm are nursing hospital bed;So-called two axis refers to when patient lies low on nursing bed, It can gapless rotation standing on the top (one section of part of patient back and head) for the waist location nursing bed for being equivalent to patient Any position between 70 °~90 °, at the position (one section of part of patient's shank and foot) for being equivalent to thigh and calf joint Hospital bed can rotate down any position between 70 °~90 °, and patient can thus be changed by the 180 ° of states to lie low Sitting posture state;Dialysis nursing bed used will have patient's weight weighing function, and the maximum weight of weighing is 200kg, minimum weight Amount is 1g, and the data of weighing will record and have the function of data transmission.This is because dialysis patient Before and after dialysis will have weight Change the important reference as dialysis treatment dialysis amount, so increasing patient's weight weighing function in dialysis nursing bed used It can be necessary.
Technical characteristic of the invention its (11) are that every haemodialysis vehicle must be designed equipped with locker, and locker is answered This has inner space air-cleaning function (or being air self-purification function), cannot be the dead volume section of air trapping, with Ensure the storage of medical treatment consumptive materials articles.Avoided inside locker dead volume technical measures be outputed on the wall of locker it is small Small-sized vortex fan is installed in hole on aperture, and starting vortex fan can be continuous in a steady stream the pure air in medical purifying area The inside for being blown into locker, so that the air of air inside locker and medical purifying area is mutually flowed to reach storage Air cleaning inside object cabinet, to avoid occurring dead volume product space inside locker.
Technical characteristic of the invention its (12) are to need to be equipped with doctor on haemodialysis vehicle of the length equal to or more than 10m Special medical small handcart is protected, small handcart there should be dedicated latched position when not in use, vehicle is avoided to slide in traveling.
Technical characteristic of the invention its (13) are that each dialysis position is needed equipped with apparatus of oxygen supply, every haemodialysis Vehicle must be equipped with one or more ventilator, and the type of ventilator is not limited, selected according to needs of medical treatment.
Technical characteristic of the invention its (14) are that every haemodialysis vehicle is equipped with or takes the circumstances into consideration to be equipped with one or one or more Negative suction system, the type of negative suction system is unlimited, main application first is that suction sputum, can be selected according to needs of medical treatment It selects.
Technical characteristic of the invention its (15) are that every haemodialysis vehicle is equipped with or takes the circumstances into consideration to be equipped with one or one or more ECG monitor and a defibrillation device (device).
Technical characteristic of the invention its (16) are that every haemodialysis vehicle can according to need outfit or take the circumstances into consideration to be equipped with one Platform pocket color diasonograph (Color B-Type Ultrasonic) is made for carrying out Autogenous arteriovenous internal fistula plasty and grafting vessel bridging Fistula art.
Technical characteristic of the invention its (17) are that every haemodialysis vehicle must design outfit battery pack and exchange with external Feed cable and power supply automatically switch the numerical control system of management.The power supply capacity of battery pack is not it should be ensured that outer In the state of connecing AC power source, the dialysis vehicle matched dialysis machine of institute and relevant device can work on 15min or more, longer Better.It can certainly mating small gasoline or diesel-driven generator.
Technical characteristic of the invention its (18) are all to design on every haemodialysis vehicle and are equipped with equipment operation management Information system (EOIMS, Equipment Operation Information Management System), as shown in Figure 3 Information frame composition.
Technical characteristic of the invention its (19) are that each Blood Dialyzing Center designs and is equipped with medical information system (MIS, Medical information system), information frame composition as shown in Figure 4.
Technical characteristic of the invention its (20) are to merge EOIMS with HIS, just constitute hospital information management system (HIMS, Hospital Information Management System) this be that one kind is easiest to realize medical Internet of Things management Information system.Information frame composition as shown in Figure 5, Fig. 6 are that another of Fig. 5 shows the HIMS architecture diagram of mode.By scheming 3,4 as it can be seen that this is a kind of different collecting and distributing control of two-stage with single-layer information management system used in many medical institutions at present The dual-layered information management framework system of mode (Distributed control system).This dual-layered information management framework body The advantages of being is the interaction by digital information and information management system and the friendship of text category information and network information management system Mutually separate, form modularization information management system, big-pot is transformed into specialo mess, be conducive to the programming of software systems it is succinct, Software upgrading, system maintenance and system expanded application later.If hardware environment and complement, using this double-deck letter The managing medical information realized under technology of Internet of things that breath management framework system can be convenient, and accomplish subsequent supervision pipe in thing Reason.
Technical characteristic of the invention its (21) are that the HIMS merged with the EOIMS on haemodialysis vehicle with HIS can be with Framework haemodialysis medical supervision information management system module (MSIMS, Medical Supervision as shown in Figure 7 Information Management System)) by the information exchange of network progress text class, by setting for haemodialysis vehicle Standby operating condition and medical care precess situation are placed in the thing of medical supervision mechanism as shown in Figure 8 under subsequent supervision management.This It is that " Blood Dialyzing Center is uniformly included in local doctor by health family planning administrative departments at different levels with (state defends doctor's hair (2016) 67) Quality control system is treated, conscientiously organizes medical quality managent and control work, it is ensured that quality of medical care and medical safety.…… Establish the management and service mode of regulation and standardization " requirement fit like a glove.
Technical characteristic of the invention its (22) are constructing blood using the haemodialysis vehicle with above-mentioned technical characteristic It needs to be equipped with biochemistry detection vehicle when dialysis center.Biochemistry detection car portion must have P2 grades or P3 grades of Biohazard Safety Equipments.For right Dialysis patient carries out the detection of infectious disease sex pheromone.To carry infectious disease sex pheromone dialysis patient should with it is normal thoroughly Analysis patient carries out isolation haemodialysis.As shown in Figure 9.Biochemistry detection vehicle shown in Fig. 9 is the patent Shen that the present inventor is declared Please 201811351181.7,201821841311.0, the microorganism detection vehicle stated of 201821841313.X is in this patent table State the application in technology.Because the hardware environment for Microbiological detection of foods is wanted with the hardware environment for carrying out blood biochemical detection Ask almost the same, except that specific detecting instrument, reagent and operating instruction difference.It will be submitted based on this applicant Patent application 201811351181.7,201821841311.0, the microorganism detection vehicle stated of 201821841313.X makees The dialysis vehicle stated by biochemistry detection vehicle with this project is matched.
Technical characteristic of the invention its (23) are constructing blood using the haemodialysis vehicle with above-mentioned technical characteristic When dialysis center, need to be equipped with water tender far from base.Although the water tank of dialysis vehicle has all been laid in and can have been mentioned For haemodialysis control unit one day deposit water.But for some occasions, for example, dialysis vehicle be After Hours not intended to come back to the base with Convenient for the occasion that second day continues to use, since the price of water tender is not expensive, so being very easily with platform water tender.It needs The technical treatment to be done is can to increase the front pillar of water process, such as filter sand column, activated-charcoal column, resin column in the feed water inlet of water tender And salt cellar.Increase these water process front pillars, advantageously reduces the burden of water process front pillar on dialysis vehicle.A water tender simultaneously Water source can be provided to more dialysis vehicles.Figure 10 is the picture of a water tender, is here only to show.
The purpose that the present invention declares file is to describe a kind of side with haemodialysis vehicle building Vehicular blood dialysis center Method is technically characterized in that the haemodialysis vehicle building Blood Dialyzing Center used with above-mentioned 1-21 technical characteristic, The quantity of middle haemodialysis vehicle should be equal to and be greater than 2 or more, and can according to circumstances mating biochemistry detection vehicle and water supply Vehicle, this is a kind of novel Blood Dialyzing Center design method and constructing plan.
In conclusion the dialysis vehicle that the present invention is stated has above-mentioned 1-21 technical characteristic.Using with above-mentioned technology The water supply that the biochemistry detection vehicle and technical characteristic 23 that haemodialysis vehicle manufactured by feature and technical characteristic 22 are stated are stated Vehicle carries out mating, so that it may be built into (or the statement are as follows: using constructed by dialysis vehicle in blood purification of Vehicular blood dialysis center The heart).This Vehicular blood dialysis center it is mating as shown in figure 11.Be shown in Figure 11 have 11 bed dialysis vehicle and 66 The basic situation at the Vehicular blood dialysis center for sharing 37 beds of the dialysis vehicle building of bed.In this Vehicular blood dialysis The haemodialysis vehicle of the heart can according to need layout in 6 different place (such as transport hub, conference and exhibition center, office building, houses Cell, school, factory, farm etc.);1 water tender can be equipped with as needed for each dialysis place, because saturating It generally should be according to water consumption required for guarantee one working day of dialysis machine twice dialysis treatment when analysing the water tank design of vehicle It is designed.The dialysis vehicle that entire dialysis center is equipped with 11 bed both can be used as dialysis treatment as ambulance, can also To transfer from one hospital to another treatment as burst critical patient to hospital.This dialysis center is equipped with 1 biochemistry detection vehicle for dialysis patient Routine biochemistry detection.A mooring basin is needed using the Vehicular blood dialysis center of dialysis vehicle building, is used for parked vehicle, simultaneously It is also scheduling and the logistics support center at Vehicular blood dialysis center.
In Figure 11,1,2,3,4,5,6 illustrate the layout of the blood analysis vehicle of six different locations.7 be the blood of 6 beds Dialysis vehicle, 8 be the emergency tender containing haemodialysis function of 1 bed, and 9 be biochemistry detection vehicle, and 10 be water-tank lorry, and 11 be vehicle-mounted blood The mooring basin building at liquid dialysis center.It is the area being assembled using steel construction assembly building block shown by Figure 11-11 In 378m2Building, this interior of building have control room, medical supplies warehouse, medicinal water pre-treatment column regeneration Room, medical care and the office of staff, recreating facility etc..It is using the advantages of steel construction assembly building block assembly building Building block can dismantle resettlement, and (building is the building block composition with 21 6m long, can using lorry after simple fractionation To transport elsewhere), it there is no loss.The vehicle-mounted blood of the mode construction using land lease that thus can be convenient The mooring basin at liquid dialysis center and logistics support base.
This Vehicular blood dialysis center using dialysis vehicle building and the current conventional blood constructed using ward are saturating The advantages of analysis center projects compare is: (1) high quality haemodialysis vehicle is that brought up high performance-price ratio is produced in batch production in batches Hardware environment standardize haemodialysis place, it is possible to readily realize " Internet of Things+Dialysis center " operation and supervision, it is real Existing real-time oversight " subsequent in thing ", is conducive to supervise, is conducive to the chain good management of scale, Quality Control level is easily Surmount the Dialysis center of existing any mode and the hemodialysis department of hospital internal.It is (2) high-efficient to be laid out with relatively fixed movement, So that bed layout is matched with hemodialysis patients flow of personnel, the new mould of Dialysis center multiple spot bed layout can be shown Formula, so that improving Bed utilization rate obtains optimal hemodialysis medical economics income.This is that fixed hospital bed Dialysis center can not go out Existing layout advantage.(3) layout fastly since there is no land acquisition, house lease, environmental protection examination & approval (environmental issue is in hemodialysis vehicle system Solved in making, every trolley can accomplish the discharge standard of " zero " pollution of common sanitary wastewater rank) the problems such as, so The Regional Distribution for building independent Dialysis center using hemodialysis vehicle is fast, can quickly form ultra-large chain Dialysis center cloth Office, and the disadvantage that management difficulty improves, quality control level is low will not occur greatly because of fast, chain scale is laid out.
Detailed description of the invention
Fig. 1 and Fig. 2 is the haemodialysis in-car decorations figure of retrieval;Fig. 3 is medical equipment operation management system architecture diagram;Figure 4 be Blood Dialyzing Center information management system architecture diagram;Fig. 5, Fig. 6 are medical information management system architecture diagrams;Fig. 7 is medical prison Superintend and direct information management system architecture diagram;Fig. 8 is to supervise framework display diagram to the Internet of Things of Blood Dialyzing Center;Fig. 9 is biochemistry detection The 3D display diagram of vehicle;Figure 10 is the 3D display diagram of water tender;Figure 11 is the Vehicular blood dialysis center constructed with haemodialysis vehicle Framework display diagram;Figure 12 is the haemodialysis vehicle right side view of motor bus repacking;Figure 13 is the vertical view of the A-A section of Figure 12 Figure;Figure 14 is the top view of the B-B section of Figure 12;Figure 15 is at the matched water in double-stage reverse osmosis R/O sterile water water-producing apparatus front end Manage the 3D figure of pre-column;Figure 16 is the flow path schematic diagram of haemodialysis vehicle;Figure 17 is haemodialysis vehicle purification air wind pipe cloth Office's figure;Figure 18 is purification air schematic diagram;Figure 19 is the design 3D display diagram of purification air-conditioning section;Figure 20,21,22,23 are 13m long The 3D design drawing of four different angles of blood purification vehicle;Figure 24 is shorter than the right side view of the haemodialysis vehicle of 6m;Figure 25 is The top view of Figure 24 C-C section;Figure 26 is the top view of Figure 24 B-B section;Figure 27 is the side view on the right side of Figure 24 A-A section, Figure 28 is the side view on the left of Figure 24 A-A section;Figure 29 is the seat of haemodialysis vehicle and the 3D figure of body feed tank;Figure 30,31,32 It is shorter than the 3D design drawing of three different angles of the haemodialysis vehicle of 6m.
Specific embodiment
The present invention is described in further detail presently in connection with embodiment or embodiment, it is clear that embodiment is only in no way limiting of for explanation.
Embodiment 1: the automobile (for gasoline automobile and diesel car) of length 10m or more is used to repack haemodialysis vehicle into Example.
The present embodiment has selected a length to become the haemodialysis vehicle for having 6 dialysis beds for the car repacking of 13m.
Figure 12 is the side sectional view of the haemodialysis vehicle.1 is six haemodialysis control units in Figure 12;2 be six dialysis Bed;3 be water tank;4 be the water outlet pretreatment column module case of water tank;5 be preceding closing partition and partition sliding door;6 are Rear enclosed partition and partition sliding door, are medical air cleaning region for dialysis treatment between the two partition, two every It is non-air cleaning region except disconnected;7 be toilet;8 be air conditioner with air purification section;9 be foul water tank (waste water tank), water tank Internal volume is 4.5m3, the internal volume of foul water tank is 1.5m3.The daily water consumption of 6 haemodialysis control units is 1100L=1.1m3, so Water tank and the internal volume of foul water tank can satisfy 6 haemodialysis control units 8 hours (two classes) common dialysis treatment with water and row Dirty demand.Otherwise just there must be water tender mating.10,11 be single medical cleaning sterile water water-producing apparatus, the medicinal water water Device is that 2 grades of R/O membrane reverse osmosis supply water, which is patent 201410239416.9,201420280521.2 and patent application 201821841314.4 concrete application of the technical products stated in the art of this patent scheme;12 be the doctor of medical purifying area Workbench is protected, 13 be the locker of medical purifying area;14 be accumulator box.
Figure 13 is the top view of the A-A section of Figure 12, which is equivalent to raise the top cover of haemodialysis vehicle and pry through Internal structure.In Figure 13,1 is 6 haemodialysis control units;2 and 3 be dialysis bed, wherein 2 be shape of the bed in tiling of dialysing State, dialysis patient, which can lie low, receives treatment, and 3 be that dialysis bed is in seat state, and dialysis patient can receive dialysis with sitting posture and control It treats;4,5 be 6 medical cleaning sterile water water-producing apparatus;6 be the locker of medical purifying area;7 be preceding closing partition and sliding door, 8 It is rear enclosed partition and sliding door;9 be the toilet seat of toilet, and 10 be partition and the sliding door of toilet;11 be ozonization Water generator, the consistency of ozone water of the ozonization water generator is between 0.4-1.5ppm, and water yield is in 1m3/ h or more leads to It crosses pipeline to connect with haemodialysis control unit, hand washing sink, foul water tank, the disinfection that can satisfy haemodialysis control unit and hand washing sink is needed with water It asks, also can satisfy the demand that the disinfection of sewage and organic matter decompose in foul water tank.12 be additional air conditioner with air purification section, should Air-conditioning section can be conveyed through the purification cold and heat air of high efficiency particulate air filter filtering to medical purifying area.13 be medical small handcart, this A position is fixation position of the small handcart in vehicle travel process, and medical small handcart can push away in compartment after a stop of the vehicle It is dynamic to use, for placing medical article, such as alcohol, gauze, adhesive tape, B ultrasound, defibrillation machine etc..14 be hand washing sink, the hand washing sink It is connected equipped with ozonizer water, medical aseptic clean water, row's formula pipeline is connected with foul water tank;15 be medical purifying area Medical and nursing work platform;16 be car door, and 17 be cockpit, for succinct drawing, is not drawn into the seat of driver here, but this is normal The property known.
Figure 14 is the top view of the B-B section of Figure 12, in order to illustrate the configuration state of the haemodialysis vehicle bottom. In Figure 14,1 is water tank, and 2 be the water outlet pretreatment column module case of water tank;3 be battery group case;Fig. 4 is foul water tank.
Figure 15 is the water outlet pretreatment column module case of water tank.This is by the pretreatment column component group of 3 groups of water process At.In Figure 15,1,2,3 show respectively 3 pre-column groups.This 3 pre-column groups can be respectively sand filtration column, activated carbon column and Resin filter column is transported to each medical cleaning sterile water water-producing apparatus by the water that pre-column group filters, by medical cleaning sterile The water of water water-producing apparatus purification can reach the technical requirements of medical aseptic water.There are 8 pretreatment columns respectively in each group, 4 are tandem compounds in every group of pre-column, can be used in parallel after 4 pre-column tandem compounds, can also be used in series again, can be with It is adjusted according to the water quality of water tank.
The flow circuit diagram of haemodialysis vehicle is as shown in figure 16.Fig. 1 is external water source in Figure 16;2 be water tank;3 be water pump (water pump can choose pipeline water pump or other water pumps);4 be to filter pre-column with the level-one water that PP cotton is filter core;5 be to use active carbon For the two-stage water filtering pre-column of filter core;6 be that (resin can be pre-processed according to water quality with the tertiary effluent filtering pre-column that resin is filter core Need to select resin anion (R.A.) for filter core, also can choose hybrid resin bed be filter core);7 be medical cleaning sterile water water Device, 7-2 are the level-one R/O film water outlets of medical cleaning sterile water water-producing apparatus, and 7-1 is the second level of medical cleaning sterile water water-producing apparatus R/O film water outlet;8 be ozonated water generator;9 be dialysis machine;10 be hand washing sink;11 be urinal;12 be foul water tank;13 be sewage Discharge outlet;A is pipe electromagnetic valve.
In upper figure, mainly there are three application directions for the Ozone Water that ozonated water generator generates, one is to dialysis machine Decontamination duct delivery of ozone water is used to sterilize the internal duct of dialysis machine, since the Ozone Water yield of ozonated water generator has Limit, it is possible to sequentially provide ozone-containing sterilizing water to dialysis machine respectively by solenoid valve A and carry out pipeline disinfection.Use Ozone Water pair The effective time of dialysis machine internal duct disinfection should adhere to disappearing using the regular method for carrying out microculture detection to determine The time of poison;The second is to hand washing sink delivery of ozone water, for wash one's hands or cleaning and sterilizing rag (purposes of rag is to be stained with Ozone Water Cleaning disinfection is carried out to the wall outside Medical Devices, inside medical vessels and apparatus and dialysis box body, ground);Thirdly It is to foul water tank delivery of ozone water, carry out oxidation sterilizing environmental protection treatment to the dirt in foul water tank (can also occur from Ozone Water Ozone gas is extracted in device, and ozone gas is passed directly into progress oxidation sterilizing environmental protection treatment in the sewage in foul water tank), only The sewage for reaching discharge standard after environmental protection treatment can just be drained to sewage conduct.
It is the layout of the purification airflow pipe of blood purification vehicle shown in Figure 17.In Figure 17 1 be for blood it is saturating 2 purification air-conditioning sections that vehicle is equipped with are analysed, 2,4,7 be that automobile designed matched ventilation shaft originally, is transformed and is divided into 2,4,7 three A paragraph, 5 be air disinfector, 3 be after separate, 6 be preceding partition, and the area B between 3 and 6 two compartments is medical purifying area Domain, the corresponding area A, C and D are non-purification regions, and wherein D is toilet.
Automobile was designed originally and is the reason of matched ventilation shaft transformation is divided into 2,4,7 three paragraphs, at 2 and 7 sections Not design air high efficiency particulate air filter is equipped with high-efficiency air filter in 4 sections of designs.By the 1 purification air-conditioning section output in Figure 17 Purification air be sent into 4 paragraph of channel in Figure 17, it is empty that purification is conveyed into medical purifying area by the air outlet of 4 paragraph of channel Gas in the hope of achieve the purpose that purify Medical Treatment Area air.
The inside basic structure of the air conditioner with air purification section of haemodialysis vehicle and the air cleaning schematic diagram of purifying area are as schemed Shown in 18.A is the purification region illustrated in haemodialysis vehicle in Figure 18, and Figure 17 is corresponded in Figure 18 and also uses letter b table Show the medical purifying area in compartment, the non-purifying area in compartment is indicated with alphabetical A/C/D.1 is located at outside compartment in Figure 18 The fresh air supply port of air cleaning and conditioning system, 2 be the middle effect air filter of fresh air supply port, and 3 be purification air-conditioning section, and 3-1 is net Change the evaporation tube of the refrigeration system in air-conditioning section, 3-2 is the vortex fan in purification air-conditioning section, and 3-3 is in purification air-conditioning section Electric heating tube, 3-4 are the air outlet pipelines of purification air-conditioning section, and 3-5 is the medium effeciency filter of the return air inlet of purification air-conditioning section, 3-6 It is the high efficiency particulate air filter air outlet of B purifying area pipeline 3-4,3-7 is the air outlet of non-purifying area A/C/D, and 4 be air disinfector, 5 It is the exhaust outlet of B purifying area.Arrow in Figure 18 illustrates the dynamic flow tendency of purifying gas flow in purifying area.
Light source used in air disinfector (4 in Figure 18) used in Figure 18 is that the central wavelength of transmitting light is The xenon chloride excimer lamp of 172nm is the air disinfector of light source, and the arrow of left and right illustrates that air disinfector passes in and out air-flow Recycle the state of disinfection.The air disinfector also has the function of eliminating haemodialysis vehicle purification section peculiar smell.Control the air The working clearance of sterilizer will control purification in someone and obtain ozone concentration within the scope of safety, can be with when nobody The ozone concentration that working time by increasing air disinfector promotes haemodialysis vehicle purifying area reaches the good of indoor sterilizing Effect.
Figure 19 is the design three-dimensional figure for the purification air-conditioning section (3 in Figure 18) that Figure 18 is stated, and the purification air-conditioning section is Detailed statement is carried out in patent application 201811351181.7,201821841311.0,201821841313.X, the present invention It is the expanded application by the purification air-conditioning section of the patent application in haemodialysis vehicle of the invention.In the specifically used of dialysis vehicle It is middle adaptability reform to be carried out to the air inlet and air outlet of the purification air-conditioning section according to the vehicle and internal structure of dialysis vehicle, but It is that internal structure will not change.1 is fresh air air inlet in Figure 19, and 2 be return air inlet, and 3 be air outlet, and 4 be the steaming of refrigeration system Device is sent out, 5 be vortex fan, and 6 be electric heater.The purification air-conditioning section is equipped with the compressor of air conditioner of 3P power, can stop It is compressor of air conditioner, electric heater and the vortex fan of the air-conditioning section that external power supply is used under the idle state of automobile engine Electric energy is provided to ensure the normal air purification of interior medical treatment purifying area under dead ship condition, to ensure that normal haemodialysis is controlled It treats, because hemodialysis under normal circumstances is all dialysed, vehicle, which is under dead ship condition, carries out, and can start vapour at this time Vehicle is powered using automobile current generator for medical treatment, the use of external power supply can also be interior medical treatment power supply by cable.
Figure 20,21,22,23 are to illustrate to use length designed by the present invention for 13 meters of visitor from three different angles The haemodialysis vehicle 3D design drawing example for 6 treatment positions that vehicle repacks into, and thus further show technical characteristic of the invention. Wherein Figure 20 be designed dialysis vehicle the right side before low level top view, Figure 21 is that the left back low level of designed dialysis vehicle is overlooked Figure, Figure 22 be designed dialysis vehicle the right side before high-order top view, Figure 23 is the left back high-order top view of designed dialysis vehicle. This four figures are compared with Figure 12,13,14,17, so that it may readily be further appreciated that technical characteristic of the invention.
Embodiment 2: length 6m automobile below (for gasoline automobile and diesel car) is used to repack haemodialysis vehicle into Example.
Figure 24,25,26,27,28,30,31,32 are that length is used to repack into for the pickup truck of 5.98m with 1 blood The display diagram of the haemodialysis vehicle of dialysis treatment position.This is actually that the function of haemodialysis is increased on ambulance, be for Fill up the blank that China lacks the ambulance with haemodialysis function.
Figure 24 is the side view of this haemodialysis vehicle.1-1 and 1-2 is warning lamp and 360 ° of cameras in Figure 24, and 2 be vehicle The outstanding cabinet of internal upper part, 10 be the vortex fan in outstanding cabinet door, and the effect of vortex fan is that the purification air sucking in compartment is outstanding Make the air in outstanding cabinet carry out flowing acquisition purification in cabinet to avoid becoming dead volume product space.3 in Figure 24 be that dialysis vehicle purification is empty The condenser of the cooling system of adjusting system, 6 be matched compressor of air conditioner.Automobile itself has compressor of air conditioner, but needs It to run when the engine is working.The compressor of air conditioner is to make up automobile under the idle state of automobile engine, uses vehicle Carry battery or external power supply work.The cooling of the compressor and automobile air conditioner compressor dependent on the cooling system of purification air-conditioning Electromagnetism Vavle switching on liquid pipe road is realized.4 in Figure 24 be haemodialysis control unit, and 5 be double-stage reverse osmosis R/O sterile water water-producing apparatus Water process pre-column, the pre-column by PP cotton (the polypropylene fibre filter core of 1um-5um) be the silt filter column of filter core, activated carbon column, Resin filter column three-level is constituted;7 be double-stage reverse osmosis R/O sterile water water-producing apparatus;8 be water tank, and 9 be foul water tank, water tank and dirt The internal volume of water tank is all 100L, can satisfy 90L required for the haemodialysis of a haemodialysis control unit water consumption and Corresponding blowdown flow rate;10 be emergency cot, is the emergency cot from the point of view of first aid herein using emergency cot as dialysis bed Stretcher can quickly be become and cart transports patient.The 11 of Figure 24 are the high efficiency particulate air filter discharge pipes in the compartment of dialysis vehicle Road.
Figure 25 is the top view of the dialysis vehicle of section at the B-B of Figure 24, and the effect of the top view is further displaying blood The design point for front of the host of dialysing.1 it is ozonated water generator in Figure 25,2 is operating seat, 3 is compressor of air conditioner, and 4 are Double-stage reverse osmosis R/O sterile water water-producing apparatus, 5 be water tank, and 6 be foul water tank.
Figure 26 is the sectional view at the C-C of Figure 24.1 in Figure 26 is haemodialysis control unit, and 2 be purification air-conditioning section, and 3 be smelly Oxygen water generator, 4 be double-stage reverse osmosis R/O sterile water water-producing apparatus, 5 be seat on the right side of haemodialysis vehicle have both body feed tank ( Individually shown in Figure 29), 6 be the emergency cot for having both dialysis bed.
Figure 27 is the side view of the right side section at the A-A section of Figure 24.1-1,1-2 in Figure 27 are the vehicles of dialysis vehicle Two sides high efficiency particulate air filter wind pipe in compartment, 2 be the condenser of the refrigeration system of purification air-conditioning section, and 3 be 360 ° in compartment Camera, 4-1,4-2 are that the material of haemodialysis car portion two sides hangs cabinet, and 5,6 be double-stage reverse osmosis R/O sterile water water-producing apparatus, Wherein 5 be three pre-columns, and 6 be double-stage reverse osmosis R/O sterile water water-producing apparatus host;7 be ozonated water generator, and 8 be purification air-conditioning Section, 9 are placed on the notebook type B ultrasound on purification air-conditioning section table top, and 10 are suspended from the ECG monitor in compartment front side wall, and 11 The ozone-air circulation disinfecting, deodorizing device being suspended from compartment front side wall.
Figure 28 is the side view of the left side section at the A-A section of Figure 24.1-1,1-2 in Figure 28 are haemodialysis vehicles The material of internal two sides hangs cabinet, and 2 be the condenser of the refrigeration system of purification air-conditioning section, and 3 be haemodialysis control unit, and 4 be to have both dialysis The emergency cot of bed, 5 be water tank, and 6 be that seat on the right side of haemodialysis vehicle has both body feed tank (individually showing in Figure 29), and 7 are The two sides high efficiency particulate air filter wind pipe dialysed in the compartment of vehicle.
Figure 29 is the further displaying that seat on the right side of haemodialysis vehicle has both body feed tank, and 1 in Figure 29 is body feed tank Side walls, 2 be the small vortex fan being fixed in body feed tank side walls, and the effect of vortex fan is by the purification air in compartment Sucking body feed tank makes the air inside body feed tank flow to avoid occurring dead volume inside body feed tank;3 be the upper cover of body feed tank, Upper cover can raise one, and remaining three case lids can horizontally slip, and facilitate body feed tank internal storage article, while case lid is simultaneous Have seat face, people can be sat, 4-1,4-2 are the handles at seat.
Internal flow path schematic diagram and air cleaning the schematic diagram original as shown in Figure 16,18 of the haemodialysis vehicle of embodiment 2 Reason figure is consistent, and used purification air-conditioning section is just no longer superfluous herein to save space as the purification air-conditioning section that Figure 19 is shown It states.
By the displaying of Figure 24~29, the emergency tender (ambulance) with haemodialysis function of the technology of the present invention is illustrated Specific design, embodiment in order to further illustrate the present invention, Figure 30,31,32 illustrate the present embodiment from different angles The 3D design drawing on the designed emergency tender (ambulance) with haemodialysis function.By the displaying of these three 3D design drawings, Technical characteristic of the invention can be further appreciated that in conjunction with the explanation of Figure 24-29.
It needs to be emphasized that the haemodialysis of only one hemodialysis site of the embodiment 2 that inventor is stated Vehicle is actually to increase haemodialysis function on the basis of ambulance (emergency tender), and there is no the basic use for changing emergency tender On the way, make the medical life-saving functions on emergency tender more powerful instead.Rescue ambulance has different types, and cardiovascular disease is rescued Shield, trauma nursing, poisoning rescue, the rescue of disease of old people multiple organ failure and rescue of military field etc. are the main of ambulance Purposes.These different ambulances can be equipped with different rescue equipment and rescue equipment according to rescue object and rescue occasion, but It is electrocardiograph, ventilator, defibrillator, oxygen supply, negative pressure sputum aspiration device, first-aid dressing etc. is basic outfit.The present invention What is stated is to increase haemodialysis control unit on the ambulance that there is basis to be equipped with for these and maintain haemodialysis control unit work Air cleaning facilities, the sterile water-producing apparatus of medical treatment, water tank, foul water tank etc., be to add blood on the basis of basic ambulance The emergency treatment means of liquid dialysis have filled up China emergency tender and have lacked blood so as to form the more powerful emergency tender of function The blank for function of dialysing.

Claims (8)

1. a kind of method with haemodialysis vehicle building Vehicular blood dialysis center, it is characterized in that using the quantity of haemodialysis vehicle Equal to and more than 2 or more, and can be with mating biochemistry detection vehicle and water tender.
2. a kind of method with haemodialysis vehicle building Vehicular blood dialysis center according to claim 1, it is characterized in that The internal equipment and structure of used haemodialysis vehicle have 1 or more haemodialysis control unit, have and haemodialysis control unit quantity pair Deng width be less than 80cm, length be shorter than 170cm nursing bed, have ozone-air circulation disinfecting, deodorizing device, have with the face PP Silt filter column, activated carbon column, resin filter column double-stage reverse osmosis R/O sterile water water-producing apparatus, can satisfy haemodialysis control unit The water tank and foul water tank of demand have ozonated water generator, there is hand washing sink, having that locker with air self-cleaning, medical treatment is small pushes away Vehicle and apparatus of oxygen supply, ventilator, and/or pocket color diasonograph, and/or negative suction system, and/or heart Defibrillator, equipped with battery pack and external AC power source cable, and/or gasoline/diesel generator, and equipped with equipment operation Management information system, medical information system, and it should be configured with haemodialysis medical supervision information management system module, and pass through net Network realizes the information exchange between them.
3. a kind of method with haemodialysis vehicle building Vehicular blood dialysis center according to claim 1, it is characterized in that There are two types of the length of haemodialysis vehicle, and one is positions of with the automobile repacking for being longer than 6m, dialysing to be greater than 2, and one is with short In the automobile repacking of 6m, position of dialysing only has 1.
4. a kind of method with haemodialysis vehicle building Vehicular blood dialysis center according to claim 1, it is characterized in that With the automobile repacking haemodialysis vehicle for being longer than 6m, it must be laid out medical purifying area and the non-purifying area of medical treatment in interior, shorter than The automobile repacking haemodialysis vehicle of 6m, after closing of the door by the way of circulation air self-cleaning in 10min to interior Air cleaning is carried out, the purification requirement of medical purifying area and air self-cleaning mode should comply with GB15982-2012, and " hospital defends Raw disinfection standard " Group III environmental requirement regulation.
5. a kind of method with haemodialysis vehicle building Vehicular blood dialysis center according to claim 1, it is characterized in that Disinfecting, deodorizing device is recycled using ozone-air in automobile bodies, ozone-air recycles the light source of disinfecting, deodorizing device using the light that shines The central wavelength of spectrum is the xenon chloride excimer lamp of 172nm.
6. a kind of method with haemodialysis vehicle building Vehicular blood dialysis center according to claim 1, it is characterized in that Purposes with the haemodialysis vehicle of the shorter than automobile repacking of 6m is that the doctor of haemodialysis is increased in the function of common ambulance Treat function.
7. a kind of method with haemodialysis vehicle building Vehicular blood dialysis center according to claim 1, it is characterized in that Provisioned biochemistry detection vehicle should meet the technical requirements of P2 biology laboratory.
8. a kind of method with haemodialysis vehicle building Vehicular blood dialysis center according to claim 1, it is characterized in that Pass through matched haemodialysis medical supervision information management system module between haemodialysis vehicle and Medical Supervision administrative department Medical Supervision department can be made to realize " thing in thing to the equipment operation conditions at Vehicular blood dialysis center and medical functioning condition Internet of Things supervision afterwards ".
CN201910445276.3A 2019-05-17 2019-05-17 A method of with haemodialysis vehicle building Vehicular blood dialysis center Pending CN110075380A (en)

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CN111643282A (en) * 2020-06-12 2020-09-11 君策环境科技湖北有限公司 Negative pressure disinfection protection ambulance
CN111959372A (en) * 2020-08-12 2020-11-20 中南大学 Hemodialysis shelter based on edge server
IT202000025099A1 (en) * 2020-10-22 2022-04-22 Baxter Int MOBILE SYSTEM FOR THE GENERATION OF A MEDICAL FLUID
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CN115281971A (en) * 2022-06-14 2022-11-04 国信网安(上海)大数据科技有限公司 Blood purification platform and method based on mobile carrier
WO2023046461A1 (en) * 2021-09-24 2023-03-30 Baxter International Inc. Dialysis fluid generation system using recirculation

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CN111643282A (en) * 2020-06-12 2020-09-11 君策环境科技湖北有限公司 Negative pressure disinfection protection ambulance
CN111959372A (en) * 2020-08-12 2020-11-20 中南大学 Hemodialysis shelter based on edge server
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IT202000025099A1 (en) * 2020-10-22 2022-04-22 Baxter Int MOBILE SYSTEM FOR THE GENERATION OF A MEDICAL FLUID
WO2022084424A1 (en) * 2020-10-22 2022-04-28 Baxter Healthcare Sa Mobile medical fluid generation system
WO2022084422A3 (en) * 2020-10-22 2022-06-09 Baxter Healthcare Sa Mobile medical fluid generation system
WO2023046461A1 (en) * 2021-09-24 2023-03-30 Baxter International Inc. Dialysis fluid generation system using recirculation
CN115281971A (en) * 2022-06-14 2022-11-04 国信网安(上海)大数据科技有限公司 Blood purification platform and method based on mobile carrier

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