CN203220510U - CT shelter for shelter medical system - Google Patents
CT shelter for shelter medical system Download PDFInfo
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- CN203220510U CN203220510U CN 201220598709 CN201220598709U CN203220510U CN 203220510 U CN203220510 U CN 203220510U CN 201220598709 CN201220598709 CN 201220598709 CN 201220598709 U CN201220598709 U CN 201220598709U CN 203220510 U CN203220510 U CN 203220510U
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Abstract
The utility model discloses a CT shelter for a shelter medical system, comprising a chassis having high strength mechanical performance, a CT inspection cabin body which is disposed above the chassis and is used for conducting CT inspection, a cab disposed in front of the chassis, and wheels disposed below the chassis. An air-conditioning outdoor unit, a cold start-up apparatus and an independent heater are disposed at the top of the cab. The CT inspection cabin body is provided with a ray-proof layer, a vehicle-mounted CT device, a balance rod which enables the ground where the CT inspection cabin body lies to be adjusted to be horizontal based on different geological environment, and a power supply system providing power for the vehicle-mounted CT device. The CT shelter for a shelter medical system is advantageous in that problems of the prior art that emergency capability is weak, safety and reliability are poor, environment adaptability and stability are bad can be overcome; the advantages of strong emergency capability, good safety and reliability, strong environment adaptability and good stability can be achieved.
Description
Technical field
This utility model relates to open-air armarium technical field, particularly, relates to a kind of CT shelter for the shelter medical system.
Background technology
China is a country that multiple disaster takes place frequently, and instantaneous the causing a tremendous loss of lives of natural disasters such as earthquake, mud-rock flow meeting constitutes a serious threat for the development of the national economy and people's property safety.In the face of the burst major natural disasters, existing health first-aid equipment does not reach that medical aid is integrated, the requirement of scale and architecture, and shelter hospital has brought into play important effect in disaster assistance.
Shelter hospital is different from traditional tent hospital, want long-term (more than half a year) to carry out the medical treatment guarantee at rescue site, except the basic medical that satisfies the wounded is given treatment to (as field first aid, wrapping is fixing, check checks, stay and see treatment) outside the demand, carry out a large amount of, complicated surgical operation (as is opened cranium, open breast, abdominal), aspect auxiliary diagnosis, a variety of diseases, as craniocerebral injury, spinal injury and internal organs damage etc., need that the critical illness wounded are carried out large-scale surgical operation and (as open cranium, open breast, abdominal) and the diagnosis of other diseases, the treatment ability is equivalent to the first-class hospital of secondary, be can't satisfy rescue site to the needs (more accurate and comprehensive diagnosis) of trauma diagnosis only according to X line image and ultrasonic device, certainly will need can be to the cranium brain, internal organs, spinal injury is made the professional medical equipment of accurate diagnosis.For the diagnosis of these diseases, have effect preferably if carry out auxiliary diagnosis with CT.
But because vehicular CT equipment has strict requirement to temperature, humidity, electric power, condition such as shockproof, add technical reason, the entire PLA does not develop vehicle-mounted CT shelter as yet.Therefore, be badly in need of developing a kind of safe and reliable in the disaster assistance process, stable performance, strong, the flat war of environmental suitability are suitable for, meet the CT shelter of the general requirement of People's Armed Police's shelter hospital design.Characteristics such as therefore, the development of CT shelter has become an urgent demand of rescue site medical treatment, and the CT shelter requires to have safe and reliable, and stable performance, environmental suitability are strong, mobility strong, flat war are suitable for.The successful development of CT shelter will play a significant role in the field condition treatment of various burst fire-disasters, improve the ability of the on-the-spot medical rescue of disaster, reduce disability rate.
In realizing process of the present utility model, defectives such as the inventor finds to exist at least in the prior art that emergency capability is weak, security reliability is poor, environmental suitability difference and poor stability.
The utility model content
The purpose of this utility model is, at the problems referred to above, proposes a kind of CT shelter for the shelter medical system, to realize that emergency capability is strong, security reliability good, environmental suitability is strong and the advantage of good stability.
For achieving the above object, the technical solution adopted in the utility model is: a kind of CT shelter for the shelter medical system, comprise the chassis with high-strength mechanical performance, be equipped with above described chassis and be used for carrying out the CT examination cabin body of CT examination, be equipped with the driver's cabin in described chassis the place ahead, and be equipped with the wheel below described chassis; At the top of described driver's cabin, cooperate air-conditioner outdoor unit, cold-starting device and independent heater are installed; After in the body of described CT examination cabin, radiation protective layer being set, vehicular CT equipment is installed, also is equipped with and makes ground, body place, CT examination cabin be adjusted to the gimbal lever of level according to different geographical environments, also be equipped with for the electric power system to vehicular CT power devices.
Further, the above vehicular CT equipment, comprise the CT frame that is arranged on main cabin body front end in the body of described CT examination cabin, be located at the scanning bed of body middle part, main cabin, be located in the body of described CT examination cabin in the extended cabin of left side and run through when launching between the scan operation of left side extended cabin and main cabin body, and the passageway that is located in the body of described CT examination cabin in the extended cabin of right side and is convenient to pass through during expansion.
Further, on the roof of described main cabin body, illuminating lamp, germicidal lamp, illuminating lamp band and panoramic shooting head are installed; And/or, in the junction of described left side extended cabin and right side extended cabin and main cabin body, be respectively arranged with an expansion end plate; And/or, in the rear end of described right side extended cabin, be provided with the car body door.
Further, on the bulkhead between described scan operation, away from the position of described scanning gantry, be provided with the operation room access door; On the bulkhead between described scan operation, near the position of described scanning gantry, be provided with observation window; This observation window adopts protective lead-glass.
Further, inner between described scan operation, the warm braw return air inlet that also be provided with folding seat, the indoor apparatus of air conditioner that is communicated with the air-conditioner outdoor unit at driver's cabin top, is communicated with the independent heater at driver's cabin top.
Further, inner between described scan operation, also be provided with workbench, above workbench, be provided with the medical science display that is equipped with the CT frame, below the workbench left side, be provided with the image acquisition work station that is connected with the CT frame, the image that is connected with image acquisition work station work for the treatment of station, above the workbench left side, be provided with can.
Further, be provided with the image film printer that is equipped with can at described left side extended cabin; And/or the inside between described scan operation also is provided with information boxes, telephone set, mates the distribution box that arranges and the warm braw return air inlet that is communicated with the cold-starting device at driver's cabin top with electric power system.
Further, in the body of described CT examination cabin, each equipment all is fixed in body ground, cabin with foundation bolt; By device bottom screwhole position is installed girder steel and steel plate are set in diapire, vehicular CT equipment and floor adopt bolt directly to connect, and peripheral clearance is obturaged with rigid foam strip glue; Between vehicular CT equipment and base plate, be provided with for the adjusting play and play in the cabin of cushioning effect and use the floor.
Further, each sidewall in the body of described CT examination cabin is equipped with stereotype.
Further, described electric power system comprises the accumulator and the power transfer module that are connected to vehicular CT equipment successively, and the interchange input module that is connected with described power transfer module and power protection module; Described accumulator comprises solar storage battery, maintenance-free lead accumulator and colloid storage battery.
The CT shelter that is used for the shelter medical system of each embodiment of this utility model, owing to comprise the chassis with high-strength mechanical performance, be equipped with above chassis and be used for carrying out the CT examination cabin body of CT examination, be equipped with the driver's cabin in chassis the place ahead, and be equipped with the wheel below chassis; At the top of driver's cabin, cooperate air-conditioner outdoor unit, cold-starting device and independent heater are installed; After in the body of CT examination cabin, radiation protective layer being set, vehicular CT equipment is installed, also is equipped with and makes ground, body place, CT examination cabin be adjusted to the gimbal lever of level according to different geographical environments, also be equipped with for the electric power system to vehicular CT power devices; Vehicular CT equipment is installed in the body of CT examination cabin; Can in the field condition treatment of various burst fire-disasters, play a significant role, improve the ability of the on-the-spot medical rescue of disaster, reduce disability rate; Emergency capability is weak in the prior art, security reliability is poor, environmental suitability is weak and the defective of poor stability thereby can overcome, to realize that emergency capability is strong, security reliability good, environmental suitability is strong and the advantage of good stability.
Other features and advantages of the utility model will be set forth in the following description, and, partly from description, become apparent, perhaps understand by implementing this utility model.
Below by drawings and Examples, the technical solution of the utility model is described in further detail.
Description of drawings
Accompanying drawing is used to provide further understanding of the present utility model, and constitutes the part of description, is used from explanation this utility model with embodiment one of the present utility model, does not constitute restriction of the present utility model.In the accompanying drawings:
Fig. 1 is the integral layout sketch map that comprises for the shelter medical system of the CT shelter of shelter medical system;
Fig. 2 is the expansion schematic layout pattern that is used for the CT shelter of shelter medical system;
Fig. 3 a-Fig. 3 d is the structural representation that is used for the CT shelter of shelter medical system;
Fig. 4 a-Fig. 4 b is the digital dip sweeping image that is used for the CT shelter vehicular CT equipment of shelter medical system;
Fig. 5 is horizontal plane dose distribution (nGy/mAs) figure of Brivo325CT when 140kV.
By reference to the accompanying drawings, Reference numeral is as follows among this utility model embodiment:
1-surgical operation shelter; 2-serious symptom treatment shelter; 3-special medical treatment check shelter; 4-X ray image check shelter; 5-is used for the CT shelter of shelter medical system; 6-sterilization shelter; 7-emergency case shelter; The 8-command car; 9-oxygen processed and generator car; 10-pharmacy shelter; 11-car body door; 12-operation room access door; 13-warm braw return air inlet; The 14-indoor apparatus of air conditioner; The 15-folding seat; The 16-germicidal lamp; 17-illuminating lamp band; 18-panoramic shooting head; 19-gantry (CT frame); 20-is scanning bed; The 21-observation window; 22-expands end plate (travel position); Between 23-control; 24-image film printer; The 25-crystal clock; The 26-can; 27-image work for the treatment of station; 28-image acquisition work station; The 29-workbench; The 30-information boxes; The 31-telephone set; The 32-distribution box; The 33-supply fan.
The specific embodiment
Below in conjunction with accompanying drawing preferred embodiment of the present utility model is described, should be appreciated that preferred embodiment described herein only is used for description and interpretation this utility model, and be not used in restriction this utility model.
According to this utility model embodiment, provide a kind of CT shelter for the shelter medical system.As Fig. 2-shown in Figure 5, present embodiment comprises the chassis with high-strength mechanical performance, be equipped with above chassis and be used for carrying out the CT examination cabin body of CT examination, be equipped with the driver's cabin in chassis the place ahead, and be equipped with the wheel below chassis; At the top of driver's cabin, cooperate air-conditioner outdoor unit, cold-starting device and independent heater are installed; After in the body of CT examination cabin, radiation protective layer being set, vehicular CT equipment is installed, also is equipped with and makes ground, body place, CT examination cabin be adjusted to the gimbal lever of level according to different geographical environments, also be equipped with for the electric power system to vehicular CT power devices.
For example, this electric power system can comprise the accumulator and the power transfer module that are connected to vehicular CT equipment successively, and the interchange input module that is connected with described power transfer module and power protection module; Accumulator comprises solar storage battery, maintenance-free lead accumulator and colloid storage battery.
Above-mentioned vehicular CT equipment, comprise the CT frame (as CT frame 19) that is arranged on main cabin body front end in the body of CT examination cabin, be located at scanning bed (as scanning bed 20) at body middle part, main cabin, be located in the body of CT examination cabin in the extended cabin of left side and run through between the scan operation of left side extended cabin and main cabin body (between control 23) when launching, and the passageway that is located in the body of CT examination cabin in the extended cabin of right side and is convenient to pass through during expansion.Here, be folding between scan operation, have only with the expansion end plate (as the expansion end plate 22) open after, just can use by the expanded sweep operation room.
On the roof of above-mentioned main cabin body, illuminating lamp, germicidal lamp (as germicidal lamp 16), illuminating lamp band (as illuminating lamp band 17) and panoramic shooting head (as panoramic shooting head 18) are installed; And/or, in the junction of left side extended cabin and right side extended cabin and main cabin body, be respectively arranged with an expansion end plate; And/or, in the rear end of right side extended cabin, be provided with car body door (as car body door 11).On the bulkhead between scan operation, away from the position of scanning gantry, be provided with operation room access door (as operation room access door 12); On the bulkhead between scan operation, near the position of scanning gantry, be provided with observation window (as observation window 22); This observation window adopts protective lead-glass.Inner between scan operation, the indoor apparatus of air conditioner (as indoor apparatus of air conditioner 14) that also be provided with folding seat (as folding seat 15), is communicated with the air-conditioner outdoor unit at driver's cabin top, the warm braw return air inlet (as warm braw return air inlet 13) that is communicated with the independent heater at driver's cabin top.Inner between scan operation, also be provided with workbench (as workbench 29), above workbench, be provided with the medical science display that is equipped with CT frame (as CT frame 19), below the workbench left side, be provided with the image acquisition work station (as image acquisition work station 28) that is connected with the CT frame, the image that is connected with image acquisition work station work for the treatment of station (as image work for the treatment of station 27), above the workbench left side, be provided with can (as can 26), clock (as crystal clock 25) can also be set above can.Be provided with the image film printer (as image film printer 24) that is equipped with can at the left side extended cabin; And/or, inside between scan operation also is provided with information boxes (as information boxes 30), telephone set (as telephone set 31), mates the distribution box (as distribution box 32) that arranges and the warm braw return air inlet (as supply fan 32) that is communicated with the cold-starting device at driver's cabin top with electric power system.In the body of CT examination cabin, each equipment all is fixed in body ground, cabin with foundation bolt; By device bottom screwhole position is installed girder steel and steel plate are set in diapire, vehicular CT equipment and floor adopt bolt directly to connect, and peripheral clearance is obturaged with rigid foam strip glue; Between vehicular CT equipment and base plate, be provided with for the adjusting play and play in the cabin of cushioning effect and use the floor.
Each sidewall in the body of above-mentioned CT examination cabin is equipped with stereotype, also can radiation protective layer all be set at the inside and outside wall of the CT examination cabin of whole vehicular CT equipment body.According to the radiation protection requirement, each sidewall is laid stereotype in the CT examination shelter, adopts integrated protection measures such as protective lead-glass in the control room.Can cabin body wall radiological safety protection material thickness suitably be increased and decreased according to the difference of the radiation power of zones of different in the body of cabin, to reach the gross mass that under the prerequisite that guarantees effectively protection, alleviates radiation protection material.
In above-mentioned CT examination shelter, be equipped with vehicle-mounted CT diagnostic system, CT image processing system, see lamp sheet, medical science display and warm air air-conditioning system.Be provided with radiation protective layer in whole C T detects shelter, the operation room of vehicle-mounted CT diagnostic system is folding, have only expansion after, could launch.CT examination shelter space is arranged mainly based on vehicular CT equipment, all are principle to satisfy vehicular CT equipment, the cabin body is 27 ° from loading and unloading inclination maximum, and expansion tank arranges the gimbal lever can make body ground, cabin be adjusted to level according to different geographical environments, satisfies the CT job demand.The CT examination shelter is born the sick and wounded's CT diagnostic task.
Particularly, double spiral CT is set as vehicular CT equipment in CT examination shelter inside, though the clear picture degree is low slightly, all not as good as 16 row's spiral CTs, it has adopted intelligent calibration and digital inclination angle technology to scanning speed, and cost performance height, maintenance cost are low, meet the general requirement of People's Armed Police's shelter medical system, can satisfy and defend diligent function and tactical and technical norms requirement, be convenient to install and fix, vibration damping and operation, easy to maintenance, the spare and accessory parts source is sufficient.Therefore, the CT examination shelter is matched double spiral CT.Vehicular CT equipment mainly is made of frame, examinating couch, operating console, liquid crystal display and distribution system.
Vehicular CT equipment normal working voltage 380V, maximum deviation must not surpass ± 10%, and a day voltage pulsation is no more than+and 10% to-5%.Frequency 50Hz, maximum deviation must not surpass ± 2Hz.Maximum deviation between voltage between phases must not surpass 3% of minimum phase voltage.Persistent period less than the transient voltage peak of 100ns (except what produce because of the CT system) less than 1000V.For satisfying power reguirements, adopted the electromotor of special line.The special line electromotor can prolong the service life of CT greatly.Earth resistance requires: after periphery is accomplished fluently pile at the scene, imbed friction reducer earlier, imbed ground wire again.Can significantly reduce resistance sizes like this.
In addition, for preventing that variations in temperature is fast in the body of cabin, the military air-conditioning of configuration is opened air-conditioning and is got final product in the body of cabin when needs freeze.Consider the psychro-environment in northeast, northwest, area, Qinghai-Tibet Platean, can not satisfy the demand far away with the air-conditioning heating, design links to each other with driving cabin anterior wallboard with the software passage, warm braw in the driving cabin directly can be delivered in the body of CT cabin like this, be guaranteed the normally operation in various adverse circumstances of vehicular CT equipment.
At the CT shelter that is used for the shelter medical system of above-described embodiment, vehicular CT equipment can adopt double spiral CT.Though double spiral CT clear picture degree is low slightly, scanning speed is all not as good as 16 row's spiral CTs, but it has adopted intelligent calibration and digital inclination angle technology, and cost performance height, maintenance cost are low, meet the CT shelter general requirement that the People's Armed Police is used for the shelter medical system, can satisfy and defend diligent function and tactical and technical norms requirement, be convenient to install and fix, vibration damping and operation, easy to maintenance, the spare and accessory parts source is sufficient.The CT frame can adopt digital inclination technology to replace the rack inclining of traditional vehicular CT equipment, in normal scan bits, just frame scans with scanning bed vertical position, obtains on the basis of a series of scanograms, the recycling interpolation calculation obtains needed dip sweeping image.
Shown in Fig. 4 a and Fig. 4 b, left-hand broken line partly is the image of 8 normal axis bit scan gained, 4 tilted images by the interpolation calculation gained of right side solid line part.The more traditional rack inclining of numeral inclination The Application of Technology is compared, and following clear superiority is arranged: 1. scan more accurate positioning, avoided because the error of the positioning accuracy that mechanical reasons such as electrical control error cause; 2. selectable angle of inclination is more, can realize continuous stepping, and the angle step of no longer being fixed is (such as mechanical tilt minimum step unit 0.Restriction 5o); 3. single pass, rebuild behind the variable angle of inclination, once the raw projections data that obtain of digital dip sweeping sampling can be used for the back and rebuild, and imaging is carried out at the angle of inclination in the time of can selecting some to be different from original scanning imagery as required, provides imaging more flexibly to select.
Numeral inclination angle technology has also been brought very big help to improving system stability, owing to cancelled the frame for movement of rack inclining, makes the stability of whole C T rack section improve 29% more in the past.In addition, when frame is in heeling condition, the bulb of high speed rotating can be subjected to the effect from power on the different directions, this moment, the bearing of bulb very easily ruptured, according to data statistics, 43% bulb damages because bearing breaking causes, when equipment does not adopt rack inclining scanning fully, the ratio regular meeting of bulb bearing breaking fault drops to 18%, therefore, the employing of numeral inclination technology not only can improve the precision of location and scanning, can also significantly reduce the physical damnification that bulb may be subjected to, and prolongs the service life of bulb.
The distribution system of above-mentioned vehicular CT equipment adopts the power supply of generating set special line, and developing machine, illumination and supply socket separate with vehicular CT power devices, has guaranteed the stability that vehicular CT equipment voltage, electric current are imported.The power supply that this distribution system provides adopts the power supply system that meets national regulation.Voltage 380V, maximum deviation must not surpass ± 10%, and voltage pulsation is no more than+and 10% to-5%.Frequency 50Hz, maximum deviation must not surpass ± 2Hz.Maximum deviation between voltage between phases must not surpass 3% of minimum phase voltage.Persistent period less than the transient voltage peak of 100ns (except what produce because of the CT system) less than 1000V.The peak power of vehicular CT equipment is 50KVA, continuous power 15KVA, power factor 0.9; Equipment maximum instantaneous peak point current is 76A, and continuous current is 23A, recommends to use the rated current of minimum overcurrent protective device to be 90A.The power supply of vehicular CT equipment requirements special line.Recommend to use dedicated transformer, capacity is 50KVA.Three-phase conducting wire is introduced power distribution cabinet in the lump with center line, PE line after indicating phase sequence.The inlet wire cable must adopt the multiply copper core, and inserting the interior rated current of cabinet is the chopper of 90A, and the regulation of cable color and the necessary electric installation manual of conformance with standard of compliant fuser.Power distribution cabinet must possess the anti-lock function of uncapping, to guarantee the need of electrical safety operation.Power distribution cabinet emergency power off button need be installed on the wall on operating board side in the operation room, is convenient to operator and cuts off system power supply when emergency takes place.
The software system of vehicular CT equipment, have advanced unique post processing of image function and abundant pseudo-shadow and eliminate function, can carry out retrospective reconstruction at an arbitrary position, three-dimensional reconstruction, CT CTVEs etc. have been used: 1. senior noise reduction software: each position scanning of whole body, can reduce 25%X line dosage and reach same picture quality, thereby improve the spiral ability; 2. bone artifact correction software: can reduce the pseudo-shadow of posterior cranial fossa, remove to blur between the above cerebral tissue of midbrain and skull and be with pseudo-shadow; 3. motion artifact correction software: can reduce the abdominal aorta fluctuation, the liquid living pseudo-shadow of showing no increases in output in pseudo-shadow and the gastrointestinal under the rib; 4. sections is rebuild: piece image is cut apart the image that reconstructs 6 width of cloth outs of phase by the time, can be used for the patient of emergency treatment cerebral trauma, can obtain not having the image of motion artifacts.Even solved a great problem that the scanning of this kind patient repeated multiple times still can not obtain not having radiation circle of pseudo-image; 5. lung marking strengthens software: this software is that very effectively lung marking strengthens software, improves spatial resolution, is used for the lung high resolution scanning; 6. the senior correction software of strip artifact: can reduce because the strip artifact that bone (scapula/humerus etc.) produces, patient does not need to praise upper arm and carries out pulmonary or epigastrium scanning, for the patient of breast carcinoma postoperative has brought Gospel; 7. multiple algorithm for reconstructing: comprise soft tissue, standard, standard+, meticulous, the breast tissue, osseous tissue, high-resolution, best result is distinguished 8 kinds of algorithm for reconstructing such as algorithm, for the clinical high quality images that obtains provides assurance; 8. three-dimensional reconstruction software: biliary tract CT radiography/colon C T radiography/stomach CT radiography/femoral head free/special three-dimensional reconstructions such as middle ear semicircular duct have unique technique.
The CT shelter that is used for the shelter medical system of above-described embodiment, inside mainly contain between gantry, scanning bed, control, control appliance, distribution system, indoor apparatus of air conditioner, printer etc.The consideration personnel are convenient from rear portion expansion end wall access door, and the gantry layout forwardly, scanning bed layout is at the rear portion during design.Because bulk restriction in the cabin, being arranged on scanning bed left side between control, being divided into activity and fixing two parts between control, removing the time receiving movable part is taken apart, to both sides expansion board slot milling during design.
Vehicular CT equipment is installed, is fixed:
Because vehicular CT equipment volume is bigger, side expansion railway carriage or compartment plate is kept somewhere, wouldn't install, so that vehicular CT equipment enters in the cabin; Scanning gantry deadweight 948kg, scanning bed deadweight 180kg all is fixed in body ground, cabin with foundation bolt; By device bottom screwhole position is installed girder steel and steel plate are set in diapire, vehicular CT equipment and floor adopt bolt directly to connect, and peripheral clearance is obturaged with rigid foam strip glue, avoid scanning pseudo-shadow and occur; Be arranged between vehicular CT equipment and the floor with the adjusting play with the floor in the cabin and play cushioning effect; Avoid field operations to transport and damage.
Vehicular CT equipment protection:
Each sidewall lays 1 in the cabin.The 5mm stereotype adopts the thick protective lead-glass of 12mm and movable rear wall in the control room, make things convenient for personnel operation, and minimizing equipment is to personnel's radiation; To reach the purpose of X-ray protection.
Set up data transmission system: be equipped with complete medical information and communication data transmission system in the shelter, by image system (Picture Archiving and CommunicationSystems, PACS), each function shelter can be had access to patient's image at any time.
Trial assembly and the performance test of above-mentioned CT shelter for the shelter medical system:
(1) selects and appoints veteran driver, the CT shelter is carried out loading and unloading, the expansion in original place and remove the receipts functional test.Cabin body and equipment were removed between the time receiving 30 minutes, met design objective [5].
(2) with motor-driven 5000 kilometers of CT shelter, the receipts function is removed in loading and unloading, the expansion of vehicle chassis road worthiness energy, motor-driven rear deck body test.Delivery back section structure is intact, and instrument and equipment is intact, during expansion, and CT (comprise different the throwing according to position, angle of vehicular CT equipment tested) working properly.
(3) the interior vehicular CT equipment of shelter and hospital's vehicular CT equipment of the same type compare the image definition of same diseased region, clear picture, and the resolution height, respond well, the diagnostic accordance rate height.
(4) radiation protection detects: the standard that meets ICRP.
(5) in-service operational trial: on probation through Shanxi hospital of army unit and 187 teachers, show: the sick and wounded that can finish specified quantity check; Can satisfy the clinical instructions for use of CT diagnosis.
The natural environmental condition adaptability of above-mentioned CT shelter for the shelter medical system:
Operating temperature :-41 ℃～46 ℃ (allowing to increase auxiliary attemperating unit); Store limiting temperature :-55 ℃～70 ℃ (being-35 ℃～50 ℃ when not having the attemperating unit of assisting).
The safety of above-mentioned CT shelter for the shelter medical system: the employee exposed to radiation accept irradiation dose should≤20mSv/a, close on public personnel accept irradiation dose should≤5mSv/a.
The specification requirement of above-mentioned CT shelter for the shelter medical system:
Vibrations: the work on the spot vibrations require less than 0.2G (3-60Hz; Temperature and storage temperature: 0 ℃-30 ℃; Operating temperature: 20 ℃-28 ℃; Electric power: require voltage 380V, peak power is 50KVA, and equipment maximum instantaneous peak point current is 76A; Earth resistance: require maximum to be no more than 2 Ω
Vehicular CT equipment is a kind of to ambient temperature, the high equipment of humidity requirement.For preventing that variations in temperature is fast in the body of cabin, the military air-conditioning of configuration is opened air-conditioning and is got final product in the body of cabin when needs freeze.Consider the psychro-environment in northeast, northwest, area, Qinghai-Tibet Platean, can not satisfy the demand far away with the air-conditioning heating, design links to each other with driving cabin anterior wallboard with the software passage, warm braw in the driving cabin directly can be delivered in the body of CT cabin like this, be guaranteed the normally operation in various adverse circumstances of vehicular CT equipment;
Vehicular CT equipment normal working voltage 380V, maximum deviation must not surpass ± 10%, and a day voltage pulsation is no more than+and 10% to-5%.Frequency 50Hz, maximum deviation must not surpass ± 2Hz.Maximum deviation between voltage between phases must not surpass 3% of minimum phase voltage.Persistent period less than the transient voltage peak of 100ns (except what produce because of the CT system) less than 1000V.For satisfying power reguirements, adopted the electromotor of special line.The special line electromotor can prolong the service life of CT greatly.
In order to make CT be unlikely at work to go wrong because of power issue, equipment must have good earth resistance, as requested, earth resistance should be less than 2 Ω, but in reality processing, can only accomplish 10 Ω, army's standard does not reach this precision yet, considers the geological problem on rescue site ground again, the more bad assurance of resistance sizes.Through comprehensive discussion, plan will imbed friction reducer earlier after periphery is accomplished fluently pile at the scene, imbed ground wire again.Can significantly reduce resistance sizes like this.
Because CT shelter and existing CT installation environment also have huge difference, therefore, its radiation protection are also had new requirement.Need design again.The Brivo325CT machine limit condition of operation tube voltage that adopts is 140KV, and tube current is 160mA, and its radiation dose distribution curve is butterfly and distributes (as shown in Figure 5).Hence one can see that, can cabin body wall radiological safety protection material thickness suitably be increased and decreased according to the difference of the radiation power of zones of different in the body of cabin, to reach the gross mass that alleviates radiation protection material under the prerequisite that guarantees effectively protection.
Strictly observing under the prerequisite of relevant national standard, according to scattering radiation dose distribution curve and the environmental condition of CT machine, calculating the radiation transmission ratio, be multiplied by the oblique fire modifying factor after, utilize look-up method, can estimate the thickness of required shielding material.
Wherein, radiation transmission is than (B) evaluation method
In the formula
The d-personnel are to the distance of scanning center;
D
0, d
0-apart from the d of scanning center
0The radiation dose of place's Single Slice Mode is D
0/ layer;
W-is to provide D
0The condition of scanning of value is all normalizing workloads under the reference conditions;
The personnel at external distance scanning center d place, the T-CT scanning room factor of persistencing;
θ-radiant flux with perpendicular to the angle of shield normal to a surface.
The informatization of above-mentioned CT shelter for the shelter medical system:
The CT shelter is the part of People's Armed Police's shelter hospital, need be in information system configuration dock with whole shelter hospital, in the design of cabin body communication system, reserve according to shelter hospital unified cloth line standard and information port, insert the storage of PACS system of shelter hospital and transmission medical image information in the use.
At above-mentioned CT shelter for the shelter medical system, need to solve the extraneous factor interference problem:
Vehicular CT equipment is a kind of precision instrument, the CT shelter in use, because factors such as different regions, different temperatures, Different Altitude, more or less can the imaging of vehicular CT equipment be impacted, GE CT adopts unique post processing of image and pseudo-shadow technology for eliminating, can effectively solve the image imaging offset issue.The measure of specifically taking can be as follows:
(1) senior noise reduction software (ANR): the scanning of each position of whole body, can reduce 25%X line dosage and reach same picture quality, thereby improve the spiral ability.
(2) bone artifact correction software (IBO): can reduce the pseudo-shadow of posterior cranial fossa, remove to blur between the above cerebral tissue of midbrain and skull and be with pseudo-shadow.
(3) motion artifact correction software (MC)
MC can reduce abdominal aorta fluctuation, the liquid living pseudo-shadow of showing no increases in output in pseudo-shadow and the gastrointestinal under the rib.
(4) sections is rebuild (Segment Reconstruction)
Piece image is cut apart the image that reconstructs 6 width of cloth outs of phase by the time, can be used for the moving patient of emergency treatment cerebral trauma hysteria, can obtain not having the image of motion artifacts.Even solved a great problem that the scanning of this kind patient repeated multiple times still can not obtain not having radiation circle of pseudo-image.
(5) lung marking strengthens software (Lung)
This software is that very effectively lung marking strengthens software, improves spatial resolution.Be used for the lung high resolution scanning.
(6) the senior correction software of strip artifact (AAR)
Can reduce because the strip artifact that bone (scapula/humerus etc.) produces, patient does not need to praise upper arm and carries out pulmonary or epigastrium scanning, for the patient of breast carcinoma postoperative has brought Gospel.
(7) multiple algorithm for reconstructing
Brivo CT has 8 kinds of algorithm for reconstructing: comprise soft tissue, standard, standard+, meticulous, breast tissue, osseous tissue, high-resolution, best result distinguish algorithm, for the clinical high quality images that obtains provides assurance.And can be observed the image that obtains with 8 kinds of different Fliter at any time in the scanning.
(8) three-dimensional reconstruction software: convenient is the characteristic of Brivo CT three-dimensional reconstruction fast.
The data handling system that Brivo CT is brand-new is the basis of its ultrahigh speed three-dimensional reconstruction, 100 tomographic images reconstruct 3-D view and only need 3～5 seconds, and have SSD/MIP minimax density projection/Raysum CT digital X-ray technology/reconstruction modes such as Transparents four-dimensional reconstruction/Rendering, simple to operate, the Remove Object software of GE original creation can be removed non-region of interest fast, and aforesaid way is for once rebuilding, and interactive the demonstration, MIP only needs 2 second time from the SSD conversion.And biliary tract CT radiography/colon C T radiography/stomach CT radiography/femoral head free/special three-dimensional reconstructions such as middle ear semicircular duct have unique technique.
In addition, because the space is limited in the cabin, circuit is intensive, for avoiding the phase mutual interference, adopts electromagnetic shielding and anti-interference safeguard procedures in the cabling design, avoids equipment is produced electromagnetic interference.
(9) space is arranged and the levelness problem: CT shelter space is arranged mainly based on vehicular CT equipment, all are principle to satisfy vehicular CT equipment, the cabin body is 27 ° from loading and unloading inclination maximum, expansion tank arranges the gimbal lever can make body ground, cabin be adjusted to level according to different geographical environments, satisfies the CT job demand.
During concrete enforcement, the CT shelter that is used for the shelter medical system of above-described embodiment can be used in the shelter medical system as shown in Figure 1.In Fig. 1, comprise the shelter medical system for the CT shelter of shelter medical system, comprise 8 medical shelters that the slitless connection formula connects, the 8 medical tent in top and 3 passage tents, independently be arranged on command car (as command car 8) and oxygen processed and the power supply car (as oxygen processed and power supply car 9) of 8 medical shelter one sides, be used for 8 medical shelters, the medical tent in 8 tops, 3 passage tents, the wireless communication system that command car and oxygen processed and power supply car are communicated by letter each other, and be used for mobile 8 medical shelters when needed, many dutys of the 8 medical tents in top and 3 passage tents are defended motor vehicles.
Here, 8 shelters are the side plate, turnover panel and the end plate that adopt import lead-covering and the compound big plate of polyurethane sandwich to make and combine, and the bilateral expanded shelter that adopts manual push-and-pull turnover panel to expand based on the parallel rod motion principle; For example, corresponding shelter can be big plate square cabinet type structure, and big plate is by metallic framework, and RPUF plate, thermal insulation board, the bonding compacting of interior exterior skin constitute.During use, by operating the side plate of push-and-pull bilateral expanded shelter successively, make the side top board drive the side base plate and carry out expansion or the gathering of linkage, open end plate and can use; Side plate comprises side top board and the side base plate that interlock arranges.In the bottom of bilateral expanded shelter, also be provided with for launching the balladeur train that the back is adjusted bilateral expanded shelter balance automatically in the side cabin of bilateral expanded shelter.
For example, the bilateral expanded shelter all adopts import lead-covering, the compound large panel structure of polyurethane sandwich.The bilateral expanded shelter is standard 6m bilateral expanded shelter, and the rounding state overall dimensions meets GJB5469-2006 " expanded shelter general specification " requirement.The bilateral expanded shelter adopts the extended mode of manual push-and-pull turnover panel, its principle is to design according to the parallel rod motion principle, by the side plate of personnel's once-through operation push-and-pull shelter, make the side top board drive the side base plate and carry out expansion or the gathering of linkage, open end plate and can use.Manually push-and-pull turnover panel expanded shelter bottom is provided with balladeur train in addition, need not to carry out the leveling in side cabin after the expansion.Manually push-and-pull turnover panel expanded shelter cabin body have that extension mechanism is simple relatively, characteristics such as weak point, good airproof performance between the exhibition time receiving.General two operator can realize expansion or the gathering of shelter in 2 minutes.Shelter side top board and side base plate link, and seam crossing seals by special sealing joint strip, need not carry out the external pressurized sealing, and the quantity expansion tank of the same type relatively of expansion back seam is few, have improved the whole air-tightness of shelter.
For satisfying the requirement of loading and unloading certainly of each function shelter, be provided with H type frame, bottom installation underframe formula sled and directive wheel in each function shelter front portion.H type frame lower end and bilge sled are hinged, and top is connected with the very useful pin in cabin.Directive wheel is installed in the posterior end, cabin.Underframe formula sled is connected with base plate.During the shelter entrucking, hook by the chassis links to each other with the link of H type frame, hook drags shelter with about its front end pull-up to 27 °, shelter rear end directive wheel lands, directive wheel rolls on the ground or is mobile, after shelter sled and chassis contact with platform, continue to drag and lock after shelter moves to assigned address.Shelter is unloaded and the entrucking reversed in order, and after H type frame upper pin was pulled up, H type frame can be rotated down around the lower hinge point, and it highly is not higher than plane on the sled after landing.H type frame deadweight 175kg, the arm rest operating physical force was 109kg to the maximum when it overturn downwards.Two people operate everyone stressed maximum 54.5kg, but two people's safety operations.H type frame is the shelter critical component of loading and unloading certainly, and two side bars and crossbeam adopt the rectangular steel pipe welding fabrication.Underframe formula sled is steel skeleton construction, all is welded by shaped steel.
Above-mentioned 8 medical shelters, the 8 medical tent in top and 3 passage tents specifically comprise:
Gapless docks the 1st to the 3 passage tent that arranges successively, the slitless connection formula is arranged on surgical operation shelter (as surgical operation shelter 1) and the CT examination shelter (as CT examination shelter 5) of both sides, the 1st passage tent front and back symmetrically, the slitless connection formula is arranged on serious symptom treatment shelter (as serious symptom treatment shelter 2) and the sterilization shelter (as sterilization shelter 6) of both sides, the 2nd passage tent front and back symmetrically, is arranged on special medical treatment check shelter (checking shelter 3 as special medical treatment) and the emergency case shelter (as emergency case shelter 7) of both sides, the 3rd passage tent front and back symmetrically; And right-to-left slitless connection formula successively is arranged on outpatient service emergency treatment tent and the Outpatient Dispensary tent in the 1st passage tent left side, and the slitless connection formula is arranged on outpatient service tent and the emergency treatment tent of Outpatient Dispensary tent rear side successively from left to right; Be positioned at the centre position of outpatient service emergency treatment tent, Outpatient Dispensary tent, outpatient service tent and emergency treatment tent, and the X ray image that arranges with outpatient service emergency treatment tent, Outpatient Dispensary tent, outpatient service tent and emergency treatment tent slitless connection formula respectively checks shelter (checking shelter 4 as X ray image); And, the slitless connection formula is arranged on the 1st of the 3rd passage tent right side and reserves surgery tent and the 2nd and reserve the surgery tent successively from left to right, and right-to-left slitless connection formula successively is arranged on the 2nd and reserves the 2nd of surgery tent rear side and reserve internal medicine tent and the 1st and reserve the internal medicine tent; Be positioned at the 1st and reserve the centre position that surgery tent, the 2nd is reserved surgery tent, the 2nd reservation internal medicine tent and the 1st reservation internal medicine tent, and reserve the pharmacy shelter (as pharmacy shelter 10) that surgery tent, the 2nd is reserved internal medicine tent and the 1st reservation internal medicine tent slitless connection formula setting with the 1st reservation surgery tent, the 2nd respectively; Command car and oxygen processed and the car of powering independently are arranged on the rear side of CT examination shelter, sterilization and shelter and emergency case shelter respectively.
Above-mentioned shelter medical system, after the surgical operation shelter launches when work, 2 operation tables with vertical layout, be fixed on the inboard roof of surgical operation shelter and can adjust the operating lamp of lamp holder position according to operative site, and mobile medical equipment such as instrument table, folding cart, high frequency electric knife, monitor, debridement platform, humidifier, suction pump; Every operation table all has the isolation facility that meets aseptic sursery sterile working, anti-cross infection requirement.The surgical operation shelter can be implemented chest drainage to the critical sick and wounded, urgent help operations such as cranium decompression are detected, opened to abdominal part.Armarium such as instrument table, folding cart, high frequency electric knife, monitor, debridement platform, humidifier, suction pump are mobile unit, can put arbitrarily according to medical personnel's different needs.
After above-mentioned serious symptom treatment shelter launches when working, mainly comprise: respectively arrange 2 emergency cots at the inner left and right sides of serious symptom treatment shelter, head of a bed place at the corresponding emergency cot in serious symptom treatment shelter inside center position is provided with 2 groups of tower cranes, between 4 emergency cots, be provided with every curtain mechanism, this curtain mechanism specifically comprises: at the default horizontal hook of wallboard of serious symptom treatment shelter, every curtain top link, lanyard are set and are connected with the wallboard hook, lanyard has be used to the tight rope mechanism that prevents that lanyard from relaxing.Serious symptom treatment shelter has implements the function that urgent help such as shock, cardio-pulmonary resuscitation, ventilation is disposed to the critical sick and wounded.Every shelter is equipped with 4 emergency cots, can implement first aid process such as transfusion, blood transfusion, oxygen supply, monitoring, defibrillation pace-making, tracheal intubation, tracheotomy to the critical sick and wounded.
Above-mentioned special medical treatment check shelter mainly comprises the special medical treatment chamber that is arranged on the left side and the control laboratory that is arranged on the right side after launching when working; During work, the diagnosis and treatment bed is launched in the special medical treatment chamber, takes out electrocardiograph in the front console, by drawing curtain B ultrasonic and electrocardio detection is divided into two unit, connects the relevant device power supply, namely possesses duty; Control laboratory, set up folding instrument table after, centrifuge and microscope are taken out from the working cabined bottom, according to location of personnel, put folding seat, connect the device power supply (DPS) work of can testing.Can satisfy the routine inspection project, for example: routine blood test, routine urinalysis, hepatic function test and electrocardiogram, ultrasound diagnosis etc.; And can fast provide the related check data.
After launching during the work of above-mentioned X line image check shelter, mainly comprise the plant compartment that is positioned at foremost, be positioned at the X ray examination district in left side and be positioned at rearmost end and get the working area; During work, the patient is in X ray examination district, and the guidance according to the staff checks diagnosis and treatment; The staff, observes the patient by lead glass in the working area.The basic function of X line image check shelter: mainly be that the patient is carried out the x-ray fluoroscopy inspection, be convenient to assign a cause for an illness, can help further treatment.
After launching when above-mentioned sterilization shelter is worked, mainly comprise the plant compartment that is arranged on foremost, be arranged on the sterilization district in left side, and the medicine storage area that is arranged on the right side; During work, the sterilization district in left side after the folding table/chair expansion, is placed on the position of being convenient to staff's operation; Sterilization and Disinfection Equipment, treat power supply opening after, can operate normally; The medicine storage area on right side is put moving goods rack to the zone of appointment, and folding table/chair is expanded to the state that the staff uses of being convenient to; Place, the back door of expansion is provided with the Turning board folding table that uses when providing medicine for the staff.The basic function of sterilization shelter: mainly be that apparatus is cleaned, sterilization, dries then.In addition, medicine is deposited.
Be complementary with above-mentioned door emergency treatment Passage square cabin, be provided with the inspection of draping over one's shoulders plug-in tent structure form in the employing and hinder classification tent, first aid tent, 2 top sickness room tents and air-conditioning and warm-air drier; In the classification tent is hindered in inspection, be provided with 2 diagnosis and treatment beds, 2 cover medical kit groups, 2 cover folding tables and 2 cover folding seat; In the first aid tent, be provided with 6 folding sick beds, 4 monitors, 4 first-aid respirators, 4 infusion pump, 4 suction pumps, 1 cardio-pulmonary resuscitation machine, 3 groups of oxygen terminals and folding instrument carriage.
Be complementary with the above-mentioned sight treatment Passage square cabin that stays, be provided with the ward module; This ward module is combined by 3 ward tents, 1 pharmacy tent and 1 guarantee shelter, drapes over one's shoulders plug-in version in 3 ward tents and 1 pharmacy tent all adopt; In each ward tent, dispose 8 folding sick beds, two groups of oxygen terminals and folding instrument table; The ward module is by ensureing that shelter is for providing air-conditioning and warm braw guarantee in the tent of ward; Each ward tent is made up of tent unit, 2 groups of wards, wherein 4 ward tents and 1 fixedly shelter form tent unit, 1 ward; In each ward tent, adopt the gas rib as tent frames.
Above-mentioned command car mainly comprises:
Be no less than floor manager and the working space at 7 commander seats, be equipped with corresponding desk-top organizer;
Net meeting system is used for realizing Remote Video Conference;
Voice scheduling, traffic module: the wireless communications telephone net, satisfy the scheduling of shelter hospital internal 30 call gate traffics; Be connected with public telephone by external local telephone or the public mobile network of GSM;
The shelter hospital information network makes up module: adopt wireless and wired networking structure combining, based on wireless network, cable network is the LAN of backup;
Audio frequency and video and ambient condition parameter monitoring module: to the inner audio-video monitoring of each shelter; Be used for the direct long-range base hospital that passes to via satellite of image scene;
Remote medical consultation with specialists module: be used for realizing remote medical consultation with specialists with the base hospital;
Off-premises station and warm-air drier install an air-conditioner in the anterior separation in duty is defended the compartment of motor vehicles; An anterior workbench, installation conference table in middle part in the compartment, rear portion installation cupboard, a LED screen, 42 cun display screens and two 21 cun display screens in the compartment installed in the compartment.
Above-mentioned oxygen processed and generator car are mainly used in utilizing surrounding air, adopt molecular sieve pressure swing adsorption method scene to produce medical oxygen, and can press oxygen to fill bottle, for system provides mobile bottle oxygen, with centralizedly supply medical oxygen and power supply, provide field lighting;
Air compressor machine, air accumulator, oxygenerator, oxygen container, oxygen compressor, bus-bar and oxygen cylinder mainly be equipped with in oxygen processed and generator car; Also be provided with the electromotor compartment in oxygen processed and generator car, electromotor is furnished with the cold-starting heater; The electromotor compartment carries out noise reduction to be handled, and with compartment be divided between air intake, between unit and between air draft.
In addition, in the various embodiments described above, also be provided with the passage pedal; The passage pedal adopts and mounts form, is provided with pull-type link below telescopic backboard, during use draw ring is extracted out, pedal ladder is hung on the link can use again.The pedal angle of inclination is about 15 °, meets the angle requirement of human engineering regulation.The overall dimensions of pedal ladder is long * wide * thick be 1500mm * 1100mm * 42mm.The pedal ladder agent structure adopts aluminium section bar to be welded into skeleton, and the top laying depth is 1.The aluminium checkered plate of 5mm, and adopt self-plugging rivet to be connected with the skeleton staking.Pedal ladder weight is about 16kg, and weight is lighter, is convenient to carrying.
In the above-described embodiments, for controlling temperature in each cabin, each shelter is equipped with air conditioner, warm-air drier respectively to the control of system implementation temperature and adjusting.Wherein shelter is selected 2 FKBD-50B/C separate type air conditioners and 2 7kw fuel heaters for use.According to the like product analogy, can satisfy under the environment provided condition needs of personnel's and vehicular CT equipment operate as normal in the cabin.Consider vehicular CT equipment to the requirement of temperature, under travel position, adopt the imitative type protection of high-density foam CT scan frame, namely play insulation and play antihunt action again, shortcoming is to produce friction easily in transportation, causes appearances of wear.In addition, go back the convenient warm braw that car steering is indoor of spare interface and guide in the cabin by flexible pipe, look actual operating position and implement again.
When air conditioner is installed, mainly consider the reliability that indoor set and off-premises station are installed.Indoor apparatus of air conditioner and off-premises station are installed by carriage and shelter body wall crab bolt, and according to installation experience in the past, this kind structure is installed reliable.Trachea, liquid pipe, power line, holding wire adopt flange to clamp and the fluid sealant filling technique by the sealing at shelter place, satisfy the requirement of system sealing.
When warm-air drier was installed, expanded shelter was installed 2 7KW warm-air driers, and warm-air drier is internal-circulation type.Emphasis considers that the air flow direction of heat insulation, the inner outlet of shelter of warm-air drier air inlet and bulkhead, attractive in appearance, warm-air drier exhaust emissions and fresh wind port avoid laying dust etc. in the design.Air inlet, return air inlet and the outlet of bulkhead warm-air drier adopt the phenolic aldehyde glass-cloth board heat insulation; Warm-air drier air-out air-flow becomes 90 ° to blow to both sides with the return air air-flow, avoids the short circuit of air entering and returning air-flow.The warm braw hood makes overall structure with power supply door, signal gate, cable door, the storing door of front portion, to improve aesthetic property, increases storage space simultaneously.
For further improving the hommization setting, can carry out following setting to each shelter:
(1) interior trim: wall and roof are pasted Boeing film LG-M3831 in the cabin.
(2) floor: the sticking floor cloth SA-5000 in floor in the cabin.
(3) adnexa: each securing member, movable part, smallclothes (as latch class, seat class) etc. adopt stainless steel material to manufacture as far as possible in the cabin.
(4) the outside coating: system requirements, system type unanimity are pressed in the whole spraying of surface (containing adnexa) out of my cabin.
(5) concordance design: the concordance design of system makes things convenient for operation and maintenance to minimizing equipment and parts kind, guarantees that the interchangeability of systemic-function part is all significant.
(6) concordance of layout: CT below deck equipment and adnexa are arranged in same position under the condition of space permission.As, interfaces such as the air-conditioning of each expanded shelter, warm-air drier, power supply, signal are arranged in the shelter front portion, and are designed to overall structure.This kind compact layout and structure is effectively utilized limited space, and can satisfy functional requirement, improves aesthetic property.
(7) concordance of equipment, accessory structure and installation
(8) interchangeability: functor specification, the pattern of system must be unified, the interface size of self-made components has rational tolerance fit requirement, as passage paulin interface, and the upper and lower pin-and-hole centre-to-centre spacing of H type frame, main channel door, the microstome door of identical function etc. all predetermined tolerance cooperate requirement.To the anticorrosion setting of each shelter, namely refer to anti-damp and hot, mould proof, anti-salt fog setting.Anticorrosive quality is to influence a product key factor in service life, and each shelter anticorrosion arranged main consideration following factors:
(1) reasonable the selection of material
Select for use to have certain resistant material, and carry out suitable preservative treatment.The preferred rust-preventing aluminum alloy series of metal material (interior exterior skin) and low-carbon steel material.The first-selected cold-reduced sheet of steel or cold group of seamless steel pipe, as: shelter framework etc.Vulnerable parts such as various rotating shafts are selected stainless steel material, as: lock shaft, hinge axis, door stop etc.Nonmetallic materials select for use the high-and low-temperature resistance performance good according to instructions for use, and moisture pick-up properties is low, poisture-penetrability height, the material that mildew resistance is good.
(2) rationally carry out structural design
Avoid contact corrosion.Dissimilar metal is directly contact, or with isolate from outer air such as cabin body framework and aluminium section bar contact site all paint or fluid sealant after connect.Avoid joining weldering, spot welding as far as possible.Externally missing part discontinuous welding structure cold lapping crack is coated with fluid sealant, avoids crevice corrosion.As cabin body framework, the disposable weldering of main part is intact, carries out surface treatment and protection.Back piece installing on the body of cabin is not welded and is all adopted spiral shell dress mode to fix.All overlap joints, butt joint slit all are coated with fluid sealant.
(3) control corrosive environment
Be installed in the equipment of shelter outside, when off working state, must dispose protective cover etc.As the guard shield of all setting up defences such as air conditioner, warm-air drier.
(4) adopt corrosion-resistant cover layer
Be coated with overcoat in structural member surface plating, member and corrosive medium are all around kept apart, avoid corrosion.All hardwares must carry out surface treatment.The steel standard component all carries out zinc-nickel alloy to be handled; Cabin body framework, sled, A type frame etc. are large-scale can't zinc-plated steel spare carry out sandblast, spray zinc and handle after, be coated with " three is anti-" priming paint and finish paint; The other side's eyelid covering, bound edge etc. is out of my cabin exposed alumiaum article and is carried out anodized, and is coated with anti-corrosion primer and finish paint.
Power supply-distribution system setting to above-mentioned shelter medical system mainly comprises:
(1) general introduction
This shelter is two expanded shelters, and power supply adopts the supply vehicle power supply, and it is capital equipment power supply in the cabin that system power supply mode adopts three-phase four-wire system 380V/50Hz power supply.Power supply can be car load reliable and stable alternating current power supply is provided after the distribution box reasonable distribution, satisfies the power demands of the inside and outside various consumers in cabin.
Electrical system is made up of power pack, distribution section, electricity consumption part three parts.Electrical principle is seen Fig. 7: for the distribution theory diagram.
(2) power pack
The A converting interface
The power supply transfer mouth is the passage that external power connects in the cabin, is positioned at shelter antetheca right side, at relative shelter outer setting Power conversion board, in relative shelter inside the Power conversion board protective cover is set.Can external power supply be transported to distribution box by the power input socket on feed cable and the keyset, behind the distribution box distribution, offer consumer in the car again.
The B-source keyset
One road three-phase alternating current 380V power supply input electric connector socket is installed on the Power conversion board; single phase ac 220V power supply input electric connector socket; single phase ac 220V power supply output electric connector socket; railway carriage ground and detection ground earthing rod; for the protection consumer, all installed spark gap (being installed on the power supply mask) etc. additional at its every road power input.
For example, above-mentioned shelter medical system can comprise 8 medical shelters, 11 tents, motor-driven by 17 off-road trucks, about 2500 square metres of developed area, domestic first platform vehicular CT examination shelter is equipped with, include one of GE2 row CT, one of DR, 1 of GE numeral color ultrasound, 4 of electrocardiographs, 1 of biochemistry analyzer, 2 of blood gas analyzers, 1 of blood-counter system, 1 of urine analyzer, 1 of electrolyte analyser, 1 of blood coagulation analyzer, 1 of Automatic water tank, 1 in ultrasonic waves for cleaning pond, 1 of autoclave sterilizer, 1 of Low Temperature Plasma Sterilizers, 1 in drying baker, 17 of electrocardiogram monitor, 4 of defibrillation monitors, 4 of portable respirators, 4 of stretcher type cardio-pulmonary resuscitation machines, 2 of portable cardio-pulmonary resuscitation machines, 5 of sputum aspirators, 2 of anesthetic machines, 1 of blood recovery system, 2 of high frequency electric knives, operation hand washing device 1 cover, 9 of infusion pump, 1 of hsempdiakysing systems, 1 of central monitor, 6 of multi-function ventilators, 5 of micro-injection pumps, also be equipped with army's telemedicine information network system simultaneously, People's Armed Police's command automation net system, mobile 3G system, maritime satellite system, the remote medical consultation with specialists system, HIS, LIS, medical information system service terminals such as PACS are for information-based shelter hospital provides advanced technological means.
Flow process is arranged and launched to the shelter of above-mentioned shelter medical system, can be as follows:
Shelter is made up of 8 medical shelters, the 8 medical tents in top and 3 passage tent slitless connections, and command car and oxygen processed power supply car independently are placed on a side of cabin body in addition.According to from sitting in the north facing the south, place successively and be respectively: outpatient service tent → emergency treatment tent → door emergency treatment Passage square cabin → Outpatient Dispensary tent → outpatient service is disposed tent → passage tent → surgical operation shelter → special medical treatment check shelter → CT examination shelter → serious symptom treatment shelter → sterilization/pharmacy shelter → X line image check shelter → stay and is seen surgery tent 2 and push up → stay and see treatment Passage square cabin → stay and see treatment internal medicine tent 2 and push up.
In sum, this utility model
It should be noted that at last: the above only is preferred embodiment of the present utility model, be not limited to this utility model, although with reference to previous embodiment this utility model is had been described in detail, for a person skilled in the art, it still can be made amendment to the technical scheme that aforementioned each embodiment puts down in writing, and perhaps part technical characterictic wherein is equal to replacement.All within spirit of the present utility model and principle, any modification of doing, be equal to replacement, improvement etc., all should be included within the protection domain of the present utility model.
Claims (10)
1. CT shelter that is used for the shelter medical system, it is characterized in that, comprise the chassis with high-strength mechanical performance, be equipped with above described chassis and be used for carrying out the CT examination cabin body of CT examination, be equipped with the driver's cabin in described chassis the place ahead, and be equipped with the wheel below described chassis; At the top of described driver's cabin, cooperate air-conditioner outdoor unit, cold-starting device and independent heater are installed; After in the body of described CT examination cabin, radiation protective layer being set, vehicular CT equipment is installed, also is equipped with and makes ground, body place, CT examination cabin be adjusted to the gimbal lever of level according to different geographical environments, also be equipped with for the electric power system to vehicular CT power devices.
2. the CT shelter for the shelter medical system according to claim 1, it is characterized in that, described vehicular CT equipment, comprise the CT frame that is arranged on main cabin body front end in the body of described CT examination cabin, be located at the scanning bed of body middle part, main cabin, be located in the body of described CT examination cabin in the extended cabin of left side and run through when launching between the scan operation of left side extended cabin and main cabin body, and the passageway that is located in the body of described CT examination cabin in the extended cabin of right side and is convenient to pass through during expansion.
3. the CT shelter for the shelter medical system according to claim 2 is characterized in that, on the roof of described main cabin body, illuminating lamp, germicidal lamp, illuminating lamp band and panoramic shooting head is installed; And/or, in the junction of described left side extended cabin and right side extended cabin and main cabin body, be respectively arranged with an expansion end plate; And/or, in the rear end of described right side extended cabin, be provided with the car body door.
4. according to claim 2 or 3 described CT shelters for the shelter medical system, it is characterized in that, on the bulkhead between described scan operation, away from the position of described scanning gantry, be provided with the operation room access door; On the bulkhead between described scan operation, near the position of described scanning gantry, be provided with observation window; This observation window adopts protective lead-glass.
5. the CT shelter for the shelter medical system according to claim 4, it is characterized in that, warm braw return air inlet inner between described scan operation, also be provided with folding seat, the indoor apparatus of air conditioner that is communicated with the air-conditioner outdoor unit at driver's cabin top, be communicated with the independent heater at driver's cabin top.
6. the CT shelter for the shelter medical system according to claim 5, it is characterized in that, inner between described scan operation, also be provided with workbench, above workbench, be provided with the medical science display that is equipped with the CT frame, below the workbench left side, be provided with the image acquisition work station that is connected with the CT frame, the image that is connected with image acquisition work station work for the treatment of station, above the workbench left side, be provided with can.
7. the CT shelter for the shelter medical system according to claim 6 is characterized in that, is provided with the image film printer that is equipped with can at described left side extended cabin; And/or the inside between described scan operation also is provided with information boxes, telephone set, mates the distribution box that arranges and the warm braw return air inlet that is communicated with the cold-starting device at driver's cabin top with electric power system.
8. the CT shelter for the shelter medical system according to claim 1 and 2 is characterized in that, in the body of described CT examination cabin, each equipment all is fixed in body ground, cabin with foundation bolt; By device bottom screwhole position is installed girder steel and steel plate are set in diapire, vehicular CT equipment and floor adopt bolt directly to connect, and peripheral clearance is obturaged with rigid foam strip glue; Between vehicular CT equipment and base plate, be provided with for the adjusting play and play in the cabin of cushioning effect and use the floor.
9. the CT shelter for the shelter medical system according to claim 1 and 2 is characterized in that, each sidewall in the body of described CT examination cabin is equipped with stereotype.
10. the CT shelter for the shelter medical system according to claim 1 and 2, it is characterized in that, described electric power system comprises the accumulator and the power transfer module that are connected to vehicular CT equipment successively, and the interchange input module that is connected with described power transfer module and power protection module; Described accumulator comprises solar storage battery, maintenance-free lead accumulator and colloid storage battery.
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| CN 201220598709 CN203220510U (en) | 2012-11-14 | 2012-11-14 | CT shelter for shelter medical system |
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| CN 201220598709 CN203220510U (en) | 2012-11-14 | 2012-11-14 | CT shelter for shelter medical system |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102949279A (en) * | 2012-11-14 | 2013-03-06 | 中国人民武装警察部队后勤学院附属医院 | CT (computed tomography) shelter for shelter medical system |
| CN103479436A (en) * | 2013-10-15 | 2014-01-01 | 中国人民解放军第二军医大学 | Portable draw-bar box for thoracic and abdominal minimally invasive surgery |
| CN106639375A (en) * | 2016-12-07 | 2017-05-10 | 深圳中科天悦科技有限公司 | Movable oral cavity CBCT protection chamber |
| CN108678435A (en) * | 2018-06-27 | 2018-10-19 | 林丽敏 | A kind of mobile pharmacy for disaster assistance |
| CN110103843A (en) * | 2019-05-10 | 2019-08-09 | 上海联影医疗科技有限公司 | CT shelter damping control system, method, apparatus and vehicle-mounted CT system |
| CN111675197A (en) * | 2020-06-28 | 2020-09-18 | 杭州鼎岳空分设备有限公司 | Container type medical shelter oxygen generation system |
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2012
- 2012-11-14 CN CN 201220598709 patent/CN203220510U/en not_active Expired - Fee Related
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102949279A (en) * | 2012-11-14 | 2013-03-06 | 中国人民武装警察部队后勤学院附属医院 | CT (computed tomography) shelter for shelter medical system |
| CN102949279B (en) * | 2012-11-14 | 2015-11-25 | 中国人民武装警察部队后勤学院附属医院 | A kind of CT shelter for medical system of square cabin |
| CN103479436A (en) * | 2013-10-15 | 2014-01-01 | 中国人民解放军第二军医大学 | Portable draw-bar box for thoracic and abdominal minimally invasive surgery |
| CN106639375A (en) * | 2016-12-07 | 2017-05-10 | 深圳中科天悦科技有限公司 | Movable oral cavity CBCT protection chamber |
| CN108678435A (en) * | 2018-06-27 | 2018-10-19 | 林丽敏 | A kind of mobile pharmacy for disaster assistance |
| CN110103843A (en) * | 2019-05-10 | 2019-08-09 | 上海联影医疗科技有限公司 | CT shelter damping control system, method, apparatus and vehicle-mounted CT system |
| CN111675197A (en) * | 2020-06-28 | 2020-09-18 | 杭州鼎岳空分设备有限公司 | Container type medical shelter oxygen generation system |
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