WO2022062150A1 - Ward layout quickly convertible into isolation ward - Google Patents

Ward layout quickly convertible into isolation ward Download PDF

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Publication number
WO2022062150A1
WO2022062150A1 PCT/CN2020/131258 CN2020131258W WO2022062150A1 WO 2022062150 A1 WO2022062150 A1 WO 2022062150A1 CN 2020131258 W CN2020131258 W CN 2020131258W WO 2022062150 A1 WO2022062150 A1 WO 2022062150A1
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area
ward
access control
room
elevator
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PCT/CN2020/131258
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French (fr)
Chinese (zh)
Inventor
蔡秀军
袁玉华
毛坚敏
徐昉
吴仲禺
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浙江大学
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Publication of WO2022062150A1 publication Critical patent/WO2022062150A1/en

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    • EFIXED CONSTRUCTIONS
    • E04BUILDING
    • E04HBUILDINGS OR LIKE STRUCTURES FOR PARTICULAR PURPOSES; SWIMMING OR SPLASH BATHS OR POOLS; MASTS; FENCING; TENTS OR CANOPIES, IN GENERAL
    • E04H3/00Buildings or groups of buildings for public or similar purposes; Institutions, e.g. infirmaries or prisons
    • E04H3/08Hospitals, infirmaries, or the like; Schools; Prisons

Definitions

  • the invention relates to a ward layout structure, in particular to a ward layout structure that can be switched between a common ward and an infectious disease ward.
  • the present invention needs to overcome the above-mentioned shortcomings of the existing common ward layout structure, and provides a ward layout structure that is easy to transform into an infectious disease ward when an epidemic breaks out, and is easy to change back to a common ward after the epidemic, so as to realize the rapid transition from common wards to infectious disease wards. , and reduce the incidence of cross-infection of patients and medical staff.
  • the technical solution adopted by the present invention is that, by adopting the concept of "combination of peacetime and wartime", common wards can quickly switch the layout structure of "wartime” wards, and the strategy of combining peacetime and wartime can be quickly switched.
  • the integration of the characteristics of the district, combined with its own characteristics, the proposed design and transformation ideas can meet the rapid and minimal transformation of the peace-to-war switching strategy.
  • the present invention includes two sets of fresh air systems on each floor of the ward building, including the medical office area and the ward area, a nurse station, a three-level buffer zone, a treatment room, and a dressing room, which are independently set up in the two areas.
  • Safety An exhaust system is added to the ward area on the top ward, which is deactivated in peacetime and used in wartime to appropriately increase the exhaust air volume of each ward on this floor to ensure moderate negative pressure in the ward area, and high-efficiency air filtration facilities are installed at the outlet of the exhaust fan on the roof.
  • a set of air purifiers and disinfectors are installed in each ward, dressing room, treatment room and buffer room on the top floor.
  • the present invention redefines the zoning concept of three zones (clean zone, semi-contaminated zone, polluted zone) and three passages of infected wards under the epidemic situation, proposes a new zone concept of two zones (contaminated zone, clean zone) and one area (buffer), and cancels the traditional zoning concept.
  • the patient passage in the contaminated area of the infectious ward is to ensure the number of beds in the ward under normal use.
  • the buffer zone is set in the treatment area of the general ward. By setting the control door, it will be opened in normal times and will be closed in "wartime”, or closed in peacetime and will be open in "wartime”, and the access control will be set up for one-way entry and exit, as the medical staff can enter and exit the contaminated area.
  • the buffer space formed a set of smooth wartime medical care entering and leaving the contaminated area.
  • the layout structure of an ordinary ward that can be quickly transformed into an infectious disease ward of the present invention includes an office area and a ward area for medical staff to work, which are roughly separated on both sides of the floor plane;
  • the office area includes an office function room, an office area main passage, and a medical function room
  • the ward area includes a row of wards set against the facade of the building, auxiliary rooms in the ward area, and the main passage in the ward area.
  • One end of the ward is close to the facade of the floor, and the other end has a door leading to the main passage in the ward area.
  • the state of being used as an ordinary ward is called peacetime, and the floor plan is divided into office area and ward area in peacetime; the state of being used as an infectious disease ward is called wartime, and the floor space is divided into mutual air through space partitions during wartime.
  • the polluted area and the clean area are closely isolated, in which the polluted area includes the ward area, and the clean area includes the main body of the office area; the state of sporadic infectious cases applies to the emergency isolation state;
  • the main passage in the ward area is provided with an eighth access control that separates the emergency isolation module from the main passage in the ward area.
  • the eighth access control is a reverse access control in the emergency isolation state; in the emergency isolation state, The first fresh air system does not cover the emergency isolation module;
  • the functional modules include several medical functional rooms;
  • first passage connecting the office area and the ward area in the functional module.
  • first dressing room for changing work clothes
  • second dressing room for wearing personal protective equipment.
  • first access control and the second access control are forward access control, the forward direction is the direction of the polluted area, and the reverse direction is to leave The direction of the polluted area
  • forward access control is a forward one-way access control
  • reverse access control is a reverse one-way access control
  • two-way access control is a two-way access control
  • normally closed access control is a two-way prohibited access when it is activated;
  • the entry route of medical staff from the clean area to the contaminated area and the return route of medical staff from the contaminated area to the clean area are preset in the function module; a medical function room adjacent to the ward area and other medical function rooms in series are selected as the return route
  • the multi-level buffer room is equipped with a third access control between adjacent multi-level buffer rooms.
  • the access control between the third access control and the first-level buffer room and the ward area and the access control between the final-level buffer room and the first channel are Reverse access control, the access control on the multi-level buffer room except the aforementioned access control is normally closed access control; the return route starts from the polluted area, passes through the multi-level buffer room and the first passage, and arrives at the clean area;
  • the multi-level buffer room and the single-level buffer room form a buffer zone between the clean area and the polluted area in wartime;
  • the elevator hall of the patient elevator DT02 is connected to a second passage connecting the office area and the ward area.
  • the second passage is close to the ward area with a fourth access control.
  • the fourth access control is a reverse access control.
  • the second passage is close to the office area.
  • Five access control, the fifth access control is a normally closed access control, which cannot be opened in the closed state;
  • the access control states mentioned above all refer to the state after being activated during wartime. In normal times, each access control is in a dormant state: the third access control is in a normally closed state during dormancy, and the other access controls are in a normally open state during dormancy. In the emergency isolation state, only the eighth access control is activated. The eighth access control isolates the emergency isolation room and the dirt elevator DT03 from the ward area. The patient enters and exits from the dirt elevator DT03 and directly enters the emergency isolation room.
  • the floor layout in wartime is divided as follows: the contaminated area includes the usual ward area, buffer zone, patient elevator DT02, and dirt elevator DT03; the rest are clean areas.
  • the multi-level buffer room includes three levels, wherein the first-level buffer room 302a is adjacent to the ward area, and the first-level buffer room 302a is connected in series with the second-level buffer room 302b and the third-level buffer room 302c in sequence.
  • the office function room includes a doctor's office, a doctor's duty room, and a conference room.
  • the auxiliary room in the ward area includes: a dirty washroom, a dirty room, a pantry room, and a warehouse.
  • the medical function room includes: a treatment room, a dressing room, an equipment room, a storage room, a conversation room, and a conference room.
  • the elevator hall of the dirty elevator DT03 is connected to the main passage of the ward area with a sixth access control, and the sixth access control is a two-way access control; the elevator hall of the dirty elevator DT03 is connected to the elevator room, and the elevator hall of the dirty elevator DT03 is connected to the elevator room There is a seventh door between them.
  • the seventh door is dormant in peacetime, and is normally closed after being activated in wartime.
  • the doctor's elevator DT01 is arranged at the other end of the main passage of the ward area, the elevator hall of the doctor's elevator DT01 is connected to the main passage of the office area, and a ninth access control is provided near the doctor's elevator DT01 where the main passage of the office area is connected to the main passage of the ward area.
  • the nine-door control is dormant in peacetime, and is normally closed after being activated in wartime.
  • the above access control is in a dormant state.
  • the layout of the ward floor is used in the layout of the general ward.
  • the main passage in the office area and the main passage in the ward area can be conveniently shuttled through multiple passages.
  • all access controls are in a preset activation state, dividing the office area and ward area into clean area, polluted area, and buffer zone.
  • the clean area and polluted area each have a fresh air system, and the main passage of the clean area is separated from the polluted area. Cross-contamination does not occur between main channels.
  • the advantages of the present invention are: it can quickly switch between the layout structure of the common ward and the infectious ward, the switching cost is low, and it can also cope with the emergency isolation state of sporadic sudden infectious cases through very few modifications, which not only meets the requirements of 'wartime' Rapid response, centralized treatment and material support needs, and full consideration of 'normal' duties and operating costs, to meet the forward-looking and normalization of major epidemic prevention and control.
  • FIG. 1 is a schematic diagram of the floor structure of the present invention in a normal state, wherein the thick solid line shows the boundary between the office area and the ward area, and the shaded parts are functional modules.
  • FIG. 2 is a schematic diagram of the floor structure of the present invention in a wartime state, wherein the thick solid line shows the boundary between the clean area and the polluted area, and the shaded part is the buffer zone.
  • FIG. 3 is a partial enlarged view of the P portion of FIG. 2, showing structural details of the buffer strip.
  • FIG. 4 is a partial enlarged view of the Q part of FIG. 1 , showing the structural details of the emergency isolation module.
  • FIG. 5 is a partial enlarged view of the R part of FIG. 1 , showing the structural details of the vicinity of the doctor's elevator DT01.
  • FIG. 6 is a room allocation diagram of an embodiment of the present invention.
  • the terms “installed”, “connected” and “connected” should be understood in a broad sense, for example, it may be a fixed connection or a Removable connection, or integral connection; can be mechanical connection, can also be electrical connection; can be directly connected, can also be indirectly connected through an intermediate medium, can be internal communication between two components.
  • installed should be understood in a broad sense, for example, it may be a fixed connection or a Removable connection, or integral connection; can be mechanical connection, can also be electrical connection; can be directly connected, can also be indirectly connected through an intermediate medium, can be internal communication between two components.
  • Office area 1 main channel 101, first channel 102, second channel 103, functional module 104, office function room 105, medical function room 106, first dressing room 107, second dressing room 108, office area air conditioner room 109;
  • Ward area 2 ward area main passage 201, ward area 202, nurse desk 203, ward area auxiliary room 204, ward area air conditioner room 205;
  • Buffer belt 3 single-level buffer room 301, multi-level buffer room 302 (including first-level buffer room 302a, second-level buffer room 302b, third-level buffer room 302c), medical function room 303, entry route 304, return route 305;
  • Emergency isolation module 4 emergency isolation room 401;
  • Doctor elevator DT01 patient elevator DT02, dirt elevator DT03;
  • the number of the access control is D+ ordinal, such as the first access control D1, the second access control D2..., the ninth access control D9 and so on.
  • the layout structure of a common ward that can be quickly transformed into an infectious disease ward of the present invention includes an office area 1 and a ward area 2 for medical staff to work, which are roughly separated on both sides of the floor plane;
  • the office area 1 includes office functions Room 105, main passage 101 in the office area, and medical function room 106;
  • ward area 2 includes a row of wards 202 set against the building's exterior facade, auxiliary rooms 204 in the ward area, and the main passage 201 in the ward area.
  • the state of using the floor as a general ward is called normal, and the floor plan is divided into office area 1 and ward area 2 in normal times, as shown in Figure 1;
  • the state of using the floor as an infectious disease ward is called wartime, and the wartime passes Space partition, which divides the floor space into air-tightly isolated pollution area 2-1 and clean area 1-1, where pollution area 2-1 includes ward area 2, and clean area 1-1 includes the main body of office area 1, as shown in the figure 2;
  • the state of sporadic cases of infection is applicable to the emergency isolation state, as shown in Figure 4;
  • the first fresh air system is installed in the air conditioner room 205 in the ward area
  • the second fresh air system is installed in the air conditioner room 109 in the office area.
  • the first fresh air system covers pollution during wartime Area 2-1
  • the second fresh air system covers clean area 1-1;
  • dirt elevator DT03 and emergency isolation room 401 on both sides of the main passage in the ward area.
  • the dirt elevator DT03 is an elevator for patients to be admitted to the hospital during the war.
  • the dirt elevator DT03 and the emergency isolation room 401 form an emergency isolation module 4 , one end of the main passage 201 in the ward area is provided with an eighth access control D8 that separates the emergency isolation module 4 from the main passage 201 in the ward area, and the eighth door D8 is prohibited in the emergency isolation state.
  • the fresh air system does not cover the emergency isolation module;
  • the functional modules 104 include several medical functional rooms 106;
  • the functional module 104 is provided with a first channel 101 connecting the office area and the ward area, along the first channel 101 is provided a first dressing room 107 for changing work clothes and a second dressing room for wearing personal protective equipment (including protective clothing and eye masks) 108.
  • a single-level buffer room 301 at the junction of the first passage 101 and the ward area 2.
  • the single-stage buffer room 301 is connected to the first passage 101 and the ward area 2 through the first access control D1 and the second access control D2 respectively;
  • the first access control D1 And the second access control D2 is the forward access control, the forward direction is the direction to the polluted area 2-1, the reverse direction is the direction away from the polluted area 2-1, the forward access control is a one-way access control with forward traffic, and the reverse access control is the reverse One-way access control, two-way access control is a two-way access control, and normally closed access control is two-way prohibited when it is activated;
  • the function module 104 presets the entry route 304 for the medical staff to enter the contaminated area from the clean area and the return route 305 for the medical staff to return to the clean area 1-1 from the contaminated area 2-1;
  • One medical function room and other medical function rooms connected in series are used as the multi-level buffer room 302 on the return route, and the multi-level buffer room in this embodiment adopts the form of three-level buffer.
  • a third access control D3 is installed between the first-level buffer room 302a and the second-level buffer room 302b, and between the second-level buffer room 302b and the third-level buffer room 302c.
  • the access control between the three-level buffer room 302c and the first channel 101 are all reverse access control, and the access control on the multi-level buffer room 302 other than the aforementioned access control is normally closed access control.
  • the first-level buffer room The access control between 302a and the secondary buffer room 302b and the first passage are all normally closed access control, so as to form a closed return route 305 in wartime, and the closed means that both the entrance and the exit are unique.
  • the return route 305 starts from the contaminated area 2-1, passes through the multi-level buffer room 302 and the first channel 102, and reaches the clean area 1-1.
  • Medical staff along the return route 305 take off their outer protective equipment: gloves, hats, goggles, isolation gowns, boot covers, etc. when passing through the primary buffer room 302a, and then take off their surgical masks, protective clothing, Gloves, boot covers, hats, and finally take off the protective mask and wear a surgical mask when entering the third-level buffer room 302c. After washing your hands, enter the clean area to shower.
  • the multi-level buffer room 302 and the single-level buffer room 301 form a buffer zone 3 between the wartime clean area 1-1 and the contaminated area 2-1;
  • the elevator hall of the patient elevator DT02 is connected to a connecting office area 1 and the ward
  • the second passage 103 of area 2 the second passage 103 is close to the ward area 2 with the fourth access control D4, the fourth access control D4 is the reverse access control, the second passage 103 is close to the office area 1 with the fifth access control D5,
  • Five access control D5 is a normally closed access control, which cannot be opened in the closed state;
  • each access control is in a dormant state: the third access control D3 is in a normally closed state when it is dormant, and the other access control is in a normally open state when it is dormant.
  • the emergency isolation state only the eighth access control D8 is activated, and the eighth access control D8 isolates the emergency isolation room 401 and the dirt elevator DT03 from the ward area, and patients enter and exit from the dirt elevator DT03 directly into the emergency isolation room 401.
  • Contaminated area 2-1 includes normal ward area 2, buffer zone 3, patient elevator DT02, and dirt elevator DT03; the rest is clean area 1-1.
  • FIG. 6 shows a sample of floor room allocation according to the present invention.
  • the office function room 105 includes a doctor's office, a doctor's duty room, a conference room, and the like.
  • the auxiliary room 204 in the ward area includes: a dirty washroom, a dirty room, a pantry room, a warehouse, and the like.
  • the medical function room 104 includes: a treatment room, a dressing room, an equipment room, a storage room, a conversation room, a conference room, and the like.
  • the elevator hall of the dirty elevator DT03 is connected to the main passage 201 of the ward area with a sixth access control D6, which is a two-way access control; the elevator hall of the dirty elevator DT03 is connected to the elevator room, and the dirty elevator There is a seventh access control D7 between the elevator hall and the elevator room of the elevator DT03.
  • the seventh access control D7 is dormant in peacetime, and is normally closed after being activated in wartime.
  • the doctor's elevator DT01 is located at the other end of the main aisle 201 in the ward area.
  • the elevator hall of the doctor's elevator DT01 is connected to the main aisle 101 in the office area, and the main aisle 101 in the office area near the doctor's elevator DT01 is connected to the main aisle in the ward area.
  • the ninth access control D9 is dormant in peacetime, and is normally closed after being activated in wartime.
  • the above access control is in a dormant state, and the layout of the ward floor is used in the layout of a common ward.
  • the main passage 101 in the office area and the main passage 201 in the ward area can be conveniently shuttled through multiple passages.
  • all access controls are in a preset activated state, dividing office area 1 and ward area 2 into clean area 1-1, polluted area 2-1, buffer zone 3, clean area 1-1 and polluted area 2 -1 each has a fresh air system, and cross infection will not occur between clean area 1-1 and polluted area 2-1.

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Abstract

A general ward layout quickly convertible into an isolation ward, comprising an office area and a patient room area. When used as an isolation ward, the floor space is partitioned into a polluted area and a clean area which are air-tightly isolated from each other, wherein the polluted area comprises a patient room area, and the clean area comprises the main body of the office area. A function module for carrying out medical procedures is located at the junction between the office area and the patient room area. A first passage is arranged in the function module and connects the office area and the patient room area. A single-stage buffer room is arranged at the junction between the first passage and the patient room area. An entry path for entering the polluted area from the clean area and a return path for returning to the clean area from the polluted area are preset in the function module. Several medical function rooms adjacent to the patient room area and connected in series are selected as multi-stage buffer rooms on the return path. The single-stage buffer room and the multi-stage buffer rooms are provided with access control systems. The multi-stage buffer rooms and the single-stage buffer room form a buffer belt between the clean area and the polluted area. The passage which connects the hall of patient lift DT02 with the office area and the patient room area is provided with an access control system.

Description

可快速转变为传染病房的病房布局结构A ward layout structure that can be quickly transformed into an infectious disease ward 技术领域technical field
本发明涉及一种病房的布局结构,尤其是可在普通病房和传染病房之间做切换的病房布局结构。The invention relates to a ward layout structure, in particular to a ward layout structure that can be switched between a common ward and an infectious disease ward.
背景技术Background technique
由于COVID-19等传染病的爆发具有偶然性和不可预知性,在传染病爆发时(战时)短期内难以大量建设专业性的传染病房供收治传染病人。同时,建设大量的传染病房需要占用大量资金和土地、设备资源,在未爆发传染病时(平时)却并无实际用途,浪费极大。由此造成传染病房的配置与实际需求在时间轴上的难以匹配,公共卫生部门陷入或者大量浪费社会资源,或者在疫情爆发时传染病房短缺造成公共卫生危机的两难境地。Due to the contingency and unpredictability of the outbreak of infectious diseases such as COVID-19, it is difficult to build a large number of professional infectious disease wards for the admission and treatment of infectious patients during the outbreak of infectious diseases (wartime). At the same time, the construction of a large number of infectious disease wards requires a lot of capital, land, and equipment resources. When there is no infectious disease outbreak (usually), it has no practical use, and it is a huge waste. As a result, it is difficult to match the configuration of infectious wards with the actual demand on the time axis, and the public health department is caught in the dilemma of either a large amount of waste of social resources, or the shortage of infectious wards when the outbreak occurs, causing a public health crisis.
研究显示,COVID-19病毒的主要传播途径为呼吸道飞沫和接触传播,在相对封闭的环境中长时间暴露于高浓度气溶胶情况下存在经气溶胶传播的可能。根据《医疗机构内新型冠状病毒感染预防与控制技术指南(第一版)》的要求,对收治疑似或确诊COVID-19患者的病区,应在实施标准预防的基础上采取接触隔离、飞沫隔离和空气隔离等措施,而大多数综合医院的建筑布局不具备收治经空气、飞沫传播疾病患者的能力。传统的病房仅采用单一通道及流向,即患者与医护人员共用同一通道,这种设计很难避免患者与医护人员之间以及患者与患者之间的交叉感染,在空间布局上清洁区与污染区无明确分界,不便于病房内感染的防控。这种普通病房改造成传染病房时难度大,需要改变建筑布局的基本结构,工程量大、速度慢,赶不上疫情的发展速度;而一旦疫情过去,难以变回普通病房。Studies have shown that the main transmission routes of the COVID-19 virus are respiratory droplets and contact transmission, and there is the possibility of aerosol transmission when exposed to high concentrations of aerosols for a long time in a relatively closed environment. According to the requirements of the "Technical Guidelines for the Prevention and Control of Novel Coronavirus Infection in Medical Institutions (First Edition)", for the wards that receive suspected or confirmed COVID-19 patients, contact isolation, droplet measures such as isolation and air isolation, and the building layout of most general hospitals does not have the ability to treat patients with airborne and droplet-borne diseases. Traditional wards only use a single channel and flow direction, that is, patients and medical staff share the same channel. This design is difficult to avoid cross-infection between patients and medical staff and between patients and patients. In terms of spatial layout, clean areas and polluted areas There is no clear boundary, which is not convenient for the prevention and control of infection in the ward. It is very difficult to transform this kind of ordinary ward into an infectious disease ward. It needs to change the basic structure of the building layout. The amount of work is large and the speed is slow, so it cannot keep up with the development speed of the epidemic.
发明内容SUMMARY OF THE INVENTION
本发明要克服现有普通病房布局结构的上述缺点,提供一种在疫情爆发时便于改造成传染病房、疫情过后便于改回普通病房的病房布局结构,既能实现普通病房到传染病房的快速转变,又能降低患者及医护人员交叉感染发生率。The present invention needs to overcome the above-mentioned shortcomings of the existing common ward layout structure, and provides a ward layout structure that is easy to transform into an infectious disease ward when an epidemic breaks out, and is easy to change back to a common ward after the epidemic, so as to realize the rapid transition from common wards to infectious disease wards. , and reduce the incidence of cross-infection of patients and medical staff.
医院病房的建设应有忧患意识,在新建建筑物时应充分考虑不同建筑类型的特点、缺点及医院的功能要求,要立足当前、着眼长远,满足重大疫情防控的前瞻性和常态化。“平战结合”理念应该充分融入到现代化医院建设的各个环节中,每个楼层都应配备隔离设施、应急药品和抢救车等,以期打造一座“平时用得上、战时拉得出”的医院。在没有重大疫情时,医院相关单元能够各司其职;而一旦重大疫情发生,相关病区能够马上进入隔离状态,做到有效防护。而对于传染病区来说,既要满足‘战时’快速反应、集中救治和物资保障需要,又要充分考虑‘平时’职责任务和运行成本。The construction of hospital wards should have a sense of urgency. When building new buildings, the characteristics and shortcomings of different building types and the functional requirements of the hospital should be fully considered. It should be based on the current situation and take a long-term perspective to meet the forward-looking and normalization of major epidemic prevention and control. The concept of "combination of peace and war" should be fully integrated into all aspects of modern hospital construction, and each floor should be equipped with isolation facilities, emergency medicines and ambulances, etc., in order to create a "usable in peacetime and available in wartime". Hospital. When there is no major epidemic, the relevant units of the hospital can perform their respective duties; and once a major epidemic occurs, the relevant wards can immediately enter a state of isolation to achieve effective protection. For infectious disease areas, it is necessary to not only meet the needs of rapid response, centralized treatment and material support in "wartime", but also fully consider the tasks and operating costs of "peacetime".
本发明所采用的技术方案是,采用“平战结合”理念,普通病房快速切换“战时”病区布局结构,可快速切换的平战结合策略,通过对标准病区与典型的传染病病区特点的整合,结合自身的特点,提出的设计改造思路可以满足快速、小限度改造的平战切换策略。The technical solution adopted by the present invention is that, by adopting the concept of "combination of peacetime and wartime", common wards can quickly switch the layout structure of "wartime" wards, and the strategy of combining peacetime and wartime can be quickly switched. The integration of the characteristics of the district, combined with its own characteristics, the proposed design and transformation ideas can meet the rapid and minimal transformation of the peace-to-war switching strategy.
本发明包括以气流组织管理为出发点,病房楼各楼层的新风系统设置两套,医务办公区和病房区、护士站、三级缓冲区、治疗室、换药室,两区独立设置,更为安全。顶层病房在病房区域增加一套排风系统,平时停用,战时使用,实现该楼层各病房排风量的适当加大,确保病房区适度负压,屋顶排风机出口加装高效空气过滤设施。并在顶层每个病房、换药室、治疗室、缓冲间各安装一套空气净化消毒器。The present invention includes two sets of fresh air systems on each floor of the ward building, including the medical office area and the ward area, a nurse station, a three-level buffer zone, a treatment room, and a dressing room, which are independently set up in the two areas. Safety. An exhaust system is added to the ward area on the top ward, which is deactivated in peacetime and used in wartime to appropriately increase the exhaust air volume of each ward on this floor to ensure moderate negative pressure in the ward area, and high-efficiency air filtration facilities are installed at the outlet of the exhaust fan on the roof. . A set of air purifiers and disinfectors are installed in each ward, dressing room, treatment room and buffer room on the top floor.
本发明重新定义疫情下感染病区三区(清洁区、半污染区、污染区)三通道的分区概念,提出两区(污染区、清洁区)一带(缓冲)的新分区理念,取消传统的传染病房污染区的病人通道以保证正常使用情况下病区的病床数量。The present invention redefines the zoning concept of three zones (clean zone, semi-contaminated zone, polluted zone) and three passages of infected wards under the epidemic situation, proposes a new zone concept of two zones (contaminated zone, clean zone) and one area (buffer), and cancels the traditional zoning concept. The patient passage in the contaminated area of the infectious ward is to ensure the number of beds in the ward under normal use.
所述的缓冲区设置在普通病房的治疗区,通过设置控制门,平时打开,“战时”将关闭,或平时关闭,“战时”将打开,设置门禁单向出入,作为医护进出污染区的缓冲空间,形成一整套流畅的战时医护进出污染区的流程。The buffer zone is set in the treatment area of the general ward. By setting the control door, it will be opened in normal times and will be closed in "wartime", or closed in peacetime and will be open in "wartime", and the access control will be set up for one-way entry and exit, as the medical staff can enter and exit the contaminated area. The buffer space formed a set of smooth wartime medical care entering and leaving the contaminated area.
本发明的可快速转变为传染病房的普通病房布局结构,包括大致分居楼层平面的两侧的用于医护人员办公的办公区和病房区;办公区包括办公功能间、办公区主通道、医疗功能间;病房区包含一排靠楼房外立面设置的病房、病房区辅房、病房区主通道,病房的一端靠楼层外立面、另一端开有通向病房区主通道的门,护士站设置在病房区主通道内;The layout structure of an ordinary ward that can be quickly transformed into an infectious disease ward of the present invention includes an office area and a ward area for medical staff to work, which are roughly separated on both sides of the floor plane; the office area includes an office function room, an office area main passage, and a medical function room The ward area includes a row of wards set against the facade of the building, auxiliary rooms in the ward area, and the main passage in the ward area. One end of the ward is close to the facade of the floor, and the other end has a door leading to the main passage in the ward area. The nurse station Set in the main passage of the ward area;
将作为普通病房使用的状态,称为平时,在平时楼层平面分为办公区和病房区;将作为传染病房使用的状态,称为战时,战时通过空间隔断,将楼层空间分隔为相互气密隔离的污染区和清洁区,其中污染区包括病房区,清洁区包括办公区的主体;零星传染病例发生的状态适用应急隔离状态;The state of being used as an ordinary ward is called peacetime, and the floor plan is divided into office area and ward area in peacetime; the state of being used as an infectious disease ward is called wartime, and the floor space is divided into mutual air through space partitions during wartime. The polluted area and the clean area are closely isolated, in which the polluted area includes the ward area, and the clean area includes the main body of the office area; the state of sporadic infectious cases applies to the emergency isolation state;
楼层内设有两套新风系统,在战时,第一新风系统覆盖污染区,第二新风系统覆盖清洁区;办公区内设有供医护人员使用的医生电梯DT01,办公区和病房区之间设有供康复病人出院使用的病人电梯DT02;病房区主通道的一端的两侧分别设有污物电梯DT03和应急隔离室,污物电梯DT03在战时是病人入院使用的电梯,污物电梯DT03和应急隔离室形成应急隔离模块,病房区主通道上设有将应急隔离模块与病房区主通道隔断的第八门禁,第八门禁在应急隔离状态下是反向门禁;应急隔离状态下,第一新风系统不覆盖应急隔离模块;There are two sets of fresh air systems on the floor. During the war, the first fresh air system covers the polluted area, and the second fresh air system covers the clean area; there is a doctor elevator DT01 for medical staff in the office area, between the office area and the ward area There is a patient elevator DT02 for discharge of recovered patients; the two sides of one end of the main passage in the ward area are respectively equipped with a dirt elevator DT03 and an emergency isolation room. DT03 and the emergency isolation room form an emergency isolation module. The main passage in the ward area is provided with an eighth access control that separates the emergency isolation module from the main passage in the ward area. The eighth access control is a reverse access control in the emergency isolation state; in the emergency isolation state, The first fresh air system does not cover the emergency isolation module;
办公区和病房区的交界处有若干供医护人员进行医疗操作的功能模块,功能模块包含若干医疗功能间;At the junction of the office area and the ward area, there are several functional modules for medical staff to perform medical operations, and the functional modules include several medical functional rooms;
功能模块内设有连通办公区和病房区的第一通道,第一通道沿线设有更换工作服的第一更衣室和穿戴个人防护用品的第二更衣室,第一通道与病房区交界处设有单级缓冲间,单级缓冲间通过第一门禁、第二门禁分别连接第一通道和病房区;第一门禁和第二门禁是正向门禁,正向是指向污染区的方向,反向是离开污染区的方向,正向门禁是正向的单向门禁,反向门禁是反向的单向门禁,双向门禁是双向通行的门禁,常闭门禁在激活状态下双向禁行;There is a first passage connecting the office area and the ward area in the functional module. Along the first passage, there are a first dressing room for changing work clothes and a second dressing room for wearing personal protective equipment. At the junction of the first passage and the ward area, there are Single-level buffer room, the single-level buffer room is connected to the first channel and the ward area through the first access control and the second access control respectively; the first access control and the second access control are forward access control, the forward direction is the direction of the polluted area, and the reverse direction is to leave The direction of the polluted area, forward access control is a forward one-way access control, reverse access control is a reverse one-way access control, two-way access control is a two-way access control, and normally closed access control is a two-way prohibited access when it is activated;
功能模块内预设医护人员从清洁区进入污染区的进入路线和医护人员从污染区返回清洁区的返回路线;选取邻接病房区的一个医疗功能间及其串联的其他医疗功能间作为返回路线上的多级缓冲间,相邻的多级缓冲间之间装有第三门禁,第三门禁和首级缓冲间与病房区之间的门禁以及末级缓冲间与第一通道之间的门禁是反向门禁,多级缓冲间上除前述门禁之外的门禁均为常闭门禁;返回路线 起自污染区经过多级缓冲间、第一通道,到达清洁区;The entry route of medical staff from the clean area to the contaminated area and the return route of medical staff from the contaminated area to the clean area are preset in the function module; a medical function room adjacent to the ward area and other medical function rooms in series are selected as the return route The multi-level buffer room is equipped with a third access control between adjacent multi-level buffer rooms. The access control between the third access control and the first-level buffer room and the ward area and the access control between the final-level buffer room and the first channel are Reverse access control, the access control on the multi-level buffer room except the aforementioned access control is normally closed access control; the return route starts from the polluted area, passes through the multi-level buffer room and the first passage, and arrives at the clean area;
多级缓冲间和单级缓冲间形成战时清洁区与污染区之间的缓冲带;The multi-level buffer room and the single-level buffer room form a buffer zone between the clean area and the polluted area in wartime;
病人电梯DT02的电梯厅连接一个连通办公区和病房区的第二通道,第二通道靠近病房区处设有第四门禁,第四门禁是反向门禁,第二通道靠近办公区处设有第五门禁,第五门禁是常闭门禁,在关闭状态不能打开;The elevator hall of the patient elevator DT02 is connected to a second passage connecting the office area and the ward area. The second passage is close to the ward area with a fourth access control. The fourth access control is a reverse access control. The second passage is close to the office area. Five access control, the fifth access control is a normally closed access control, which cannot be opened in the closed state;
所述的门禁状态均指战时被激活后的状态,在平时各门禁处于休眠状态:其中第三门禁在休眠时处于常闭状态,其他门禁休眠时处于常开状态。在应急隔离状态,仅第八门禁激活,第八门禁将应急隔离室和污物电梯DT03与病房区隔离开来,病人从污物电梯DT03进出,直接进入应急隔离室。The access control states mentioned above all refer to the state after being activated during wartime. In normal times, each access control is in a dormant state: the third access control is in a normally closed state during dormancy, and the other access controls are in a normally open state during dormancy. In the emergency isolation state, only the eighth access control is activated. The eighth access control isolates the emergency isolation room and the dirt elevator DT03 from the ward area. The patient enters and exits from the dirt elevator DT03 and directly enters the emergency isolation room.
战时的楼层布局划分如下:污染区包括平时的病房区、缓冲带、病人电梯DT02、污物电梯DT03;其余是清洁区。The floor layout in wartime is divided as follows: the contaminated area includes the usual ward area, buffer zone, patient elevator DT02, and dirt elevator DT03; the rest are clean areas.
优选地,所述的多级缓冲间包含三级,其中一级缓冲间302a邻接病房区,一级缓冲间302a与二级缓冲间302b、三级缓冲间302c依次串联。Preferably, the multi-level buffer room includes three levels, wherein the first-level buffer room 302a is adjacent to the ward area, and the first-level buffer room 302a is connected in series with the second-level buffer room 302b and the third-level buffer room 302c in sequence.
优选地,办公功能间包括医生办公室、医生值班室、会议室。Preferably, the office function room includes a doctor's office, a doctor's duty room, and a conference room.
优选地,病房区辅房包括:污洗间、污物间、配餐间、库房。Preferably, the auxiliary room in the ward area includes: a dirty washroom, a dirty room, a pantry room, and a warehouse.
优选地,医疗功能间包含:治疗室、换药室、仪器设备间、储藏间、谈话间、会议室。Preferably, the medical function room includes: a treatment room, a dressing room, an equipment room, a storage room, a conversation room, and a conference room.
优选地,污物电梯DT03的电梯厅连接病房区主通道处设有第六门禁,第六门禁是双向门禁;污物电梯DT03的电梯厅连通电梯间,污物电梯DT03的电梯厅与电梯间之间设有第七门禁,第七门禁在平时休眠,在战时激活后的状态是常闭。Preferably, the elevator hall of the dirty elevator DT03 is connected to the main passage of the ward area with a sixth access control, and the sixth access control is a two-way access control; the elevator hall of the dirty elevator DT03 is connected to the elevator room, and the elevator hall of the dirty elevator DT03 is connected to the elevator room There is a seventh door between them. The seventh door is dormant in peacetime, and is normally closed after being activated in wartime.
优选地,医生电梯DT01设置在病房区主通道的另一端,医生电梯DT01的电梯厅连接办公区主通道,在医生电梯DT01附近办公区主通道连接病房区主通道处设有第九门禁,第九门禁在平时休眠,在战时激活后是常闭状态。Preferably, the doctor's elevator DT01 is arranged at the other end of the main passage of the ward area, the elevator hall of the doctor's elevator DT01 is connected to the main passage of the office area, and a ninth access control is provided near the doctor's elevator DT01 where the main passage of the office area is connected to the main passage of the ward area. The nine-door control is dormant in peacetime, and is normally closed after being activated in wartime.
在平时,上述门禁都处于休眠状态,病房楼层的布局使用于普通病房的格局,办公区的主通道与病房区的主通道之间可以通过多个通道方便地穿梭往来。在战时,所有的门禁都处于预设的激活状态,将办公区、病房区分隔为清洁区、污染区、缓冲带,清洁区和污染区各自有新风系统,且清洁区主通道与污染区主通道之间不会发生交叉感染。In normal times, the above access control is in a dormant state. The layout of the ward floor is used in the layout of the general ward. The main passage in the office area and the main passage in the ward area can be conveniently shuttled through multiple passages. During the war, all access controls are in a preset activation state, dividing the office area and ward area into clean area, polluted area, and buffer zone. The clean area and polluted area each have a fresh air system, and the main passage of the clean area is separated from the polluted area. Cross-contamination does not occur between main channels.
本发明的优点是:能够快速地在普通病房和传染病房的布局结构之间切换,切换成本低,也能够通过极少的改装应对零星突发传染病例的应急隔离状态,既满足‘战时’快速反应、集中救治和物资保障需要,又充分考虑‘平时’职责任务和运行成本,满足重大疫情防控的前瞻性和常态化。The advantages of the present invention are: it can quickly switch between the layout structure of the common ward and the infectious ward, the switching cost is low, and it can also cope with the emergency isolation state of sporadic sudden infectious cases through very few modifications, which not only meets the requirements of 'wartime' Rapid response, centralized treatment and material support needs, and full consideration of 'normal' duties and operating costs, to meet the forward-looking and normalization of major epidemic prevention and control.
附图说明Description of drawings
图1是本发明的平时状态下的楼层结构示意图,其中的粗实线显示了办公区与病房区的界线,阴影部分是功能模块。FIG. 1 is a schematic diagram of the floor structure of the present invention in a normal state, wherein the thick solid line shows the boundary between the office area and the ward area, and the shaded parts are functional modules.
图2是本发明的战时状态下的楼层结构示意图,其中的粗实线显示了清洁区与污染区的界线,阴影部分是缓冲带。2 is a schematic diagram of the floor structure of the present invention in a wartime state, wherein the thick solid line shows the boundary between the clean area and the polluted area, and the shaded part is the buffer zone.
图3是图2的P部的局部放大图,显示了缓冲带的结构细节。FIG. 3 is a partial enlarged view of the P portion of FIG. 2, showing structural details of the buffer strip.
图4是图1的Q部的局部放大图,显示了应急隔离模块的结构细节。FIG. 4 is a partial enlarged view of the Q part of FIG. 1 , showing the structural details of the emergency isolation module.
图5是图1的R部的局部放大图,显示了医生电梯DT01附近的结构细节。FIG. 5 is a partial enlarged view of the R part of FIG. 1 , showing the structural details of the vicinity of the doctor's elevator DT01.
图6是本发明的实施例的房间分配图。FIG. 6 is a room allocation diagram of an embodiment of the present invention.
具体实施例specific embodiment
下面将结合附图对本发明专利的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions of the patent of the present invention will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
在本发明的描述中,需要说明的是,如出现术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,如出现术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。In the description of the present invention, it should be noted that when the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer" appear. The orientation or positional relationship indicated by ” and the like is based on the orientation or positional relationship shown in the accompanying drawings, which is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the referred device or element must have a specific orientation, a specific orientation, and a specific orientation. The orientation configuration and operation of the device should not be construed as a limitation of the present invention. Furthermore, the terms "first," "second," and "third," as they appear, are for descriptive purposes only and should not be construed to indicate or imply relative importance.
在本发明的描述中,需要说明的是,除非另有明确的规定和限定,如出现术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, it should be noted that, unless otherwise expressly specified and limited, the terms "installed", "connected" and "connected" should be understood in a broad sense, for example, it may be a fixed connection or a Removable connection, or integral connection; can be mechanical connection, can also be electrical connection; can be directly connected, can also be indirectly connected through an intermediate medium, can be internal communication between two components. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood in specific situations.
本发明的部件编号如下:The part numbers of the present invention are as follows:
办公区1,办公区主通道101,第一通道102,第二通道103,功能模块104,办公功能间105,医疗功能间106,第一更衣室107,第二更衣室108,办公区空调机房109; Office area 1, main channel 101, first channel 102, second channel 103, functional module 104, office function room 105, medical function room 106, first dressing room 107, second dressing room 108, office area air conditioner room 109;
清洁区1-1;Clean area 1-1;
病房区2,病房区主通道201,病房202,护士台203,病房区辅房204,病房区空调机房205; Ward area 2, ward area main passage 201, ward area 202, nurse desk 203, ward area auxiliary room 204, ward area air conditioner room 205;
污染区2-1;Contaminated area 2-1;
缓冲带3,单级缓冲间301,多级缓冲间302(包含一级缓冲间302a,二级缓冲间302b,三级缓冲间302c),医疗功能间303,进入路线304,返回路线305; Buffer belt 3, single-level buffer room 301, multi-level buffer room 302 (including first-level buffer room 302a, second-level buffer room 302b, third-level buffer room 302c), medical function room 303, entry route 304, return route 305;
应急隔离模块4,应急隔离室401;Emergency isolation module 4, emergency isolation room 401;
医生电梯DT01,病人电梯DT02,污物电梯DT03;Doctor elevator DT01, patient elevator DT02, dirt elevator DT03;
门禁的编号以D+序数,如第一门禁D1,第二门禁D2......,第九门禁D9等等。The number of the access control is D+ ordinal, such as the first access control D1, the second access control D2..., the ninth access control D9 and so on.
如图1所示,本发明的可快速转变为传染病房的普通病房布局结构,包括大致分居楼层平面的两侧的用于医护人员办公的办公区1和病房区2;办公区1包括办公功能间105、办公区主通道101、医疗功能间106;病房区2包含一排靠楼房外立面设置的病房202、病房区辅房204、病房区主通道201,病房202的一端靠楼层外立面、另一端开有通向病房区主通道201的门,护士站203设置在病房区主通道201内;As shown in FIG. 1 , the layout structure of a common ward that can be quickly transformed into an infectious disease ward of the present invention includes an office area 1 and a ward area 2 for medical staff to work, which are roughly separated on both sides of the floor plane; the office area 1 includes office functions Room 105, main passage 101 in the office area, and medical function room 106; ward area 2 includes a row of wards 202 set against the building's exterior facade, auxiliary rooms 204 in the ward area, and the main passage 201 in the ward area. There are doors leading to the main passage 201 in the ward area on the face and the other end, and the nurse station 203 is arranged in the main passage 201 in the ward area;
将楼层作为普通病房使用的状态,称为平时,在平时楼层平面分为办公区1和病房区2,如图1所示;将楼层作为传染病房使用的状态,称为战时,战时通过空间隔断,将楼层空间分隔为相互气密隔离的污染区2-1和清洁区1-1,其中污染区2-1包括病房区2,清洁区1-1包括办公区1的主体,如图2所示;零星传染病例发生的状态适用应急隔离状态,如图4所示;The state of using the floor as a general ward is called normal, and the floor plan is divided into office area 1 and ward area 2 in normal times, as shown in Figure 1; the state of using the floor as an infectious disease ward is called wartime, and the wartime passes Space partition, which divides the floor space into air-tightly isolated pollution area 2-1 and clean area 1-1, where pollution area 2-1 includes ward area 2, and clean area 1-1 includes the main body of office area 1, as shown in the figure 2; the state of sporadic cases of infection is applicable to the emergency isolation state, as shown in Figure 4;
如图1所示,楼层内设有两套新风系统,其中,第一新风系统安装在病房区空调机房205,第二新风系统安装在在办公区空调机房109,战时第一新风系统 覆盖污染区2-1,第二新风系统覆盖清洁区1-1;办公区内设有供医护人员使用的医生电梯DT01,办公区1和病房区2之间设有供康复病人出院使用的病人电梯DT02;病房区主通道的尽头两侧分别设有污物电梯DT03和应急隔离室401,污物电梯DT03在战时是病人入院使用的电梯,污物电梯DT03和应急隔离室401形成应急隔离模块4,病房区主通道201的一端设有将应急隔离模块4与病房区主通道201隔断的第八门禁D8,第八门D8禁在应急隔离状态下是反向门禁;应急隔离状态下,第一新风系统不覆盖应急隔离模块;As shown in Figure 1, there are two sets of fresh air systems on the floor. The first fresh air system is installed in the air conditioner room 205 in the ward area, and the second fresh air system is installed in the air conditioner room 109 in the office area. The first fresh air system covers pollution during wartime Area 2-1, the second fresh air system covers clean area 1-1; there is a doctor elevator DT01 for medical staff in the office area, and a patient elevator DT02 for discharged patients to be discharged between office area 1 and ward area 2 There are dirt elevator DT03 and emergency isolation room 401 on both sides of the main passage in the ward area. The dirt elevator DT03 is an elevator for patients to be admitted to the hospital during the war. The dirt elevator DT03 and the emergency isolation room 401 form an emergency isolation module 4 , one end of the main passage 201 in the ward area is provided with an eighth access control D8 that separates the emergency isolation module 4 from the main passage 201 in the ward area, and the eighth door D8 is prohibited in the emergency isolation state. The fresh air system does not cover the emergency isolation module;
如图1所示,办公区和病房区的交界处有若干供医护人员进行医疗操作的功能模块104,功能模块104包含若干医疗功能间106;As shown in FIG. 1 , at the junction of the office area and the ward area, there are several functional modules 104 for medical staff to perform medical operations, and the functional modules 104 include several medical functional rooms 106;
功能模块104内设有连通办公区和病房区的第一通道101,第一通道101沿线设有更换工作服的第一更衣室107和穿戴个人防护用品(包括防护服和眼罩)的第二更衣室108,第一通道101与病房区2交界处设有单级缓冲间301,单级缓冲间301通过第一门禁D1、第二门禁D2分别连接第一通道101和病房区2;第一门禁D1和第二门禁D2是正向门禁,正向是指向污染区2-1的方向,反向是离开污染区2-1的方向,正向门禁是正向通行的单向门禁,反向门禁是反向通行的单向门禁,双向门禁是双向通行的门禁,常闭门禁在激活状态下双向禁行;The functional module 104 is provided with a first channel 101 connecting the office area and the ward area, along the first channel 101 is provided a first dressing room 107 for changing work clothes and a second dressing room for wearing personal protective equipment (including protective clothing and eye masks) 108. There is a single-level buffer room 301 at the junction of the first passage 101 and the ward area 2. The single-stage buffer room 301 is connected to the first passage 101 and the ward area 2 through the first access control D1 and the second access control D2 respectively; the first access control D1 And the second access control D2 is the forward access control, the forward direction is the direction to the polluted area 2-1, the reverse direction is the direction away from the polluted area 2-1, the forward access control is a one-way access control with forward traffic, and the reverse access control is the reverse One-way access control, two-way access control is a two-way access control, and normally closed access control is two-way prohibited when it is activated;
如图2所示,功能模块104内预设医护人员从清洁区进入污染区的进入路线304和医护人员从污染区2-1返回清洁区1-1的返回路线305;选取邻接病房区2的一个医疗功能间及其串联的其他医疗功能间作为返回路线上的多级缓冲间302,本实施例的多级缓冲间选用三级缓冲的形式。As shown in FIG. 2 , the function module 104 presets the entry route 304 for the medical staff to enter the contaminated area from the clean area and the return route 305 for the medical staff to return to the clean area 1-1 from the contaminated area 2-1; One medical function room and other medical function rooms connected in series are used as the multi-level buffer room 302 on the return route, and the multi-level buffer room in this embodiment adopts the form of three-level buffer.
一级缓冲间302a与二级缓冲间之间302b、二级缓冲间302b与三级缓冲间302c之间均装有第三门禁D3,第三门禁D3和一级缓冲间302a与病房区2之间的门禁以及三级缓冲间302c与第一通道101之间的门禁均是反向门禁,多级缓冲间302上除前述门禁之外的门禁均为常闭门禁,具体地,一级缓冲间302a和二级缓冲间302b与第一通道之间的门禁都是常闭门禁,以便在战时形成封闭的返回路线305,封闭指进口和出口都是唯一的。A third access control D3 is installed between the first-level buffer room 302a and the second-level buffer room 302b, and between the second-level buffer room 302b and the third-level buffer room 302c. The access control between the three-level buffer room 302c and the first channel 101 are all reverse access control, and the access control on the multi-level buffer room 302 other than the aforementioned access control is normally closed access control. Specifically, the first-level buffer room The access control between 302a and the secondary buffer room 302b and the first passage are all normally closed access control, so as to form a closed return route 305 in wartime, and the closed means that both the entrance and the exit are unique.
返回路线305起自污染区2-1经过多级缓冲间302、第一通道102,到达清洁区1-1。医护人员沿返回路线305在通过一级缓冲间302a时脱下外层防护用品:手套、帽子、眼罩、隔离衣、靴套等,然后进入二级缓冲间302b时脱去外科口罩、防护服、手套、靴套、帽子,最后进入三级缓冲间302c时脱去防护口罩、戴外科口罩,洗手后进入清洁区淋浴。The return route 305 starts from the contaminated area 2-1, passes through the multi-level buffer room 302 and the first channel 102, and reaches the clean area 1-1. Medical staff along the return route 305 take off their outer protective equipment: gloves, hats, goggles, isolation gowns, boot covers, etc. when passing through the primary buffer room 302a, and then take off their surgical masks, protective clothing, Gloves, boot covers, hats, and finally take off the protective mask and wear a surgical mask when entering the third-level buffer room 302c. After washing your hands, enter the clean area to shower.
如图2,多级缓冲间302和单级缓冲间301形成战时清洁区1-1与污染区2-1之间的缓冲带3;病人电梯DT02的电梯厅连接一个连通办公区1和病房区2的第二通道103,第二通道103靠近病房区2处设有第四门禁D4,第四门禁D4是反向门禁,第二通道103靠近办公区1处设有第五门禁D5,第五门禁D5是常闭门禁,在关闭状态不能打开;As shown in Figure 2, the multi-level buffer room 302 and the single-level buffer room 301 form a buffer zone 3 between the wartime clean area 1-1 and the contaminated area 2-1; the elevator hall of the patient elevator DT02 is connected to a connecting office area 1 and the ward The second passage 103 of area 2, the second passage 103 is close to the ward area 2 with the fourth access control D4, the fourth access control D4 is the reverse access control, the second passage 103 is close to the office area 1 with the fifth access control D5, Five access control D5 is a normally closed access control, which cannot be opened in the closed state;
所述的门禁状态均指战时被激活后的状态,在平时各门禁处于休眠状态:其中第三门禁D3休眠时处于常闭状态,其他门禁休眠时处于常开状态。在应急隔离状态,仅第八门禁D8被激活,第八门禁D8将应急隔离室401和污物电梯DT03与病房区隔离开来,病人从污物电梯DT03进出,直接进入应急隔离室401。The access control states mentioned above all refer to the states after being activated during wartime. In normal times, each access control is in a dormant state: the third access control D3 is in a normally closed state when it is dormant, and the other access control is in a normally open state when it is dormant. In the emergency isolation state, only the eighth access control D8 is activated, and the eighth access control D8 isolates the emergency isolation room 401 and the dirt elevator DT03 from the ward area, and patients enter and exit from the dirt elevator DT03 directly into the emergency isolation room 401.
如图2,战时的楼层布局划分如下:污染区2-1包括平时的病房区2、缓冲带3、病人电梯DT02、污物电梯DT03;其余是清洁区1-1。As shown in Figure 2, the floor layout in wartime is divided as follows: Contaminated area 2-1 includes normal ward area 2, buffer zone 3, patient elevator DT02, and dirt elevator DT03; the rest is clean area 1-1.
图6展示了一个本发明的楼层房间分配的样本,本领域技术人员理解,可以根据具体需要对图6的房间分配方案进行调整。办公功能间105包括医生办公室、医生值班室、会议室等。病房区辅房204包括:污洗间、污物间、配餐间、库房等。医疗功能间104包含:治疗室、换药室、仪器设备间、储藏间、谈话间、会议室等。FIG. 6 shows a sample of floor room allocation according to the present invention. Those skilled in the art understand that the room allocation scheme of FIG. 6 can be adjusted according to specific needs. The office function room 105 includes a doctor's office, a doctor's duty room, a conference room, and the like. The auxiliary room 204 in the ward area includes: a dirty washroom, a dirty room, a pantry room, a warehouse, and the like. The medical function room 104 includes: a treatment room, a dressing room, an equipment room, a storage room, a conversation room, a conference room, and the like.
如图1和图4所示,污物电梯DT03的电梯厅连接病房区主通道201处设有第六门禁D6,第六门禁D6是双向门禁;污物电梯DT03的电梯厅连通电梯间,污物电梯DT03的电梯厅与电梯间之间设有第七门禁D7,第七门禁D7在平时休眠,在战时激活后的状态是常闭。As shown in Figures 1 and 4, the elevator hall of the dirty elevator DT03 is connected to the main passage 201 of the ward area with a sixth access control D6, which is a two-way access control; the elevator hall of the dirty elevator DT03 is connected to the elevator room, and the dirty elevator There is a seventh access control D7 between the elevator hall and the elevator room of the elevator DT03. The seventh access control D7 is dormant in peacetime, and is normally closed after being activated in wartime.
如图1和图5所示,医生电梯DT01设置在病房区主通道201的另一端,医生电梯DT01的电梯厅连接办公区主通道101,在医生电梯DT01附近办公区主通道101连接病房区主通道201处设有第九门禁D9,第九门禁D9在平时休眠,在战时激活后是常闭状态。As shown in Figures 1 and 5, the doctor's elevator DT01 is located at the other end of the main aisle 201 in the ward area. The elevator hall of the doctor's elevator DT01 is connected to the main aisle 101 in the office area, and the main aisle 101 in the office area near the doctor's elevator DT01 is connected to the main aisle in the ward area. There is a ninth access control D9 at channel 201. The ninth access control D9 is dormant in peacetime, and is normally closed after being activated in wartime.
在平时,上述门禁都处于休眠状态,病房楼层的布局使用于普通病房的格局,办公区主通道101与病房区主通道201之间可以通过多个通道方便地穿梭往来。在战时,所有的门禁都处于预设的激活状态,将办公区1、病房区2分隔为清洁区1-1、污染区2-1、缓冲带3,清洁区1-1和污染区2-1各自有新风系统,且清洁区1-1与污染区2-1之间不会发生交叉感染。In normal times, the above access control is in a dormant state, and the layout of the ward floor is used in the layout of a common ward. The main passage 101 in the office area and the main passage 201 in the ward area can be conveniently shuttled through multiple passages. During the war, all access controls are in a preset activated state, dividing office area 1 and ward area 2 into clean area 1-1, polluted area 2-1, buffer zone 3, clean area 1-1 and polluted area 2 -1 each has a fresh air system, and cross infection will not occur between clean area 1-1 and polluted area 2-1.

Claims (6)

  1. 可快速转变为传染病房的普通病房布局结构,包括大致分居楼层平面的两侧的用于医护人员办公的办公区和病房区;办公区包括办公功能间、办公区主通道、医疗功能间;病房区包含一排靠楼房外立面设置的病房、病房区辅房、病房区主通道,病房的一端靠楼层外立面、另一端开有通向病房区主通道的门,护士站设置在病房区主通道内;其特征在于:The general ward layout structure that can be quickly transformed into an infectious disease ward, including the office area and ward area for medical staff to work on both sides of the floor plan; the office area includes office function rooms, the main passage of the office area, and medical function rooms; wards The area consists of a row of wards, auxiliary rooms in the ward area, and the main passage in the ward area. One end of the ward is close to the façade of the floor, and the other end has a door leading to the main passage in the ward area. The nurse station is set in the ward. In the main channel of the district; it is characterized in that:
    将作为普通病房使用的状态,称为平时,在平时楼层平面分为办公区和病房区;将作为传染病房使用的状态,称为战时,战时通过空间隔断,将楼层空间分隔为相互气密隔离的污染区和清洁区,其中污染区包括病房区,清洁区包括办公区的主体;零星传染病例发生的状态适用应急隔离状态;The state of being used as an ordinary ward is called peacetime, and the floor plan is divided into office area and ward area in peacetime; the state of being used as an infectious disease ward is called wartime, and the floor space is divided into mutual air through space partitions during wartime. The polluted area and the clean area are closely isolated, in which the polluted area includes the ward area, and the clean area includes the main body of the office area; the state of sporadic infectious cases applies to the emergency isolation state;
    楼层内设有两套新风系统,在战时,第一新风系统覆盖污染区,第二新风系统覆盖清洁区;办公区内设有供医护人员使用的医生电梯DT01,办公区和病房区之间设有供康复病人出院使用的病人电梯DT02;病房区主通道的一端的两侧分别设有污物电梯DT03和应急隔离室,污物电梯DT03在战时是病人入院电梯,污物电梯DT03和应急隔离室形成应急隔离模块,病房区主通道的一端设有将应急隔离模块与病房区主通道隔断的第八门禁,第八门禁在应急隔离状态下是反向门禁;应急隔离状态下,第一新风系统不覆盖应急隔离模块;There are two sets of fresh air systems on the floor. During the war, the first fresh air system covers the polluted area, and the second fresh air system covers the clean area; there is a doctor elevator DT01 for medical staff in the office area, between the office area and the ward area There is a patient elevator DT02 for discharge of recovered patients; the two sides of one end of the main passage in the ward area are respectively equipped with a dirt elevator DT03 and an emergency isolation room. The emergency isolation room forms an emergency isolation module. One end of the main passage in the ward area is provided with an eighth access control that separates the emergency isolation module from the main passage in the ward area. The eighth access control is a reverse access control in the emergency isolation state; A fresh air system does not cover the emergency isolation module;
    办公区和病房区的交界处有若干供医护人员进行医疗操作的功能模块,功能模块包含若干医疗功能间;At the junction of the office area and the ward area, there are several functional modules for medical staff to perform medical operations, and the functional modules include several medical functional rooms;
    功能模块内设有连通办公区和病房区的第一通道,第一通道沿线设有更换工作服的第一更衣室和穿戴个人防护用品的第二更衣室,第一通道与病房区交界处设有单级缓冲间,单级缓冲间通过第一门禁、第二门禁分别连接第一通道和病房区;第一门禁和第二门禁是正向门禁,正向是指向污染区的方向,反向是离开污染区的方向,正向门禁是正向的单向门禁,反向门禁是反向的单向门禁,双向门禁是双向通行的门禁,常闭门禁在激活状态下双向禁行;There is a first passage connecting the office area and the ward area in the functional module. Along the first passage, there are a first dressing room for changing work clothes and a second dressing room for wearing personal protective equipment. At the junction of the first passage and the ward area, there are Single-level buffer room, the single-level buffer room is connected to the first channel and the ward area through the first access control and the second access control respectively; the first access control and the second access control are forward access control, the forward direction is the direction of the polluted area, and the reverse direction is to leave The direction of the polluted area, forward access control is a forward one-way access control, reverse access control is a reverse one-way access control, two-way access control is a two-way access control, and normally closed access control is a two-way prohibited access when it is activated;
    功能模块内预设医护人员从清洁区进入污染区的进入路线和医护人员从污染区返回清洁区的返回路线;选取邻接病房区的一个医疗功能间及其串联的其他医疗功能间作为返回路线上的多级缓冲间,相邻的多级缓冲间之间装有第三门禁,第三门禁和首级缓冲间与病房区之间的门禁以及末级缓冲间与第一通道之间的门禁是反向门禁,多级缓冲间上除前述门禁之外的门禁均为常闭门禁;返回路线起自污染区经过多级缓冲间、第一通道,到达清洁区;The entry route of medical staff from the clean area to the contaminated area and the return route of medical staff from the contaminated area to the clean area are preset in the function module; a medical function room adjacent to the ward area and other medical function rooms in series are selected as the return route The multi-level buffer room is equipped with a third access control between adjacent multi-level buffer rooms. The access control between the third access control and the first-level buffer room and the ward area and the access control between the final-level buffer room and the first channel are Reverse access control, the access control on the multi-level buffer room except the aforementioned access control is normally closed access control; the return route starts from the polluted area, passes through the multi-level buffer room and the first passage, and arrives at the clean area;
    多级缓冲间和单级缓冲间形成战时清洁区与污染区之间的缓冲带;The multi-level buffer room and the single-level buffer room form a buffer zone between the clean area and the polluted area in wartime;
    病人电梯DT02的电梯厅连接一个连通办公区和病房区的第二通道,第二通道靠近病房区处设有第四门禁,第四门禁是反向门禁,第二通道靠近办公区处设有第五门禁,第五门禁是常闭门禁;The elevator hall of the patient elevator DT02 is connected to a second passage connecting the office area and the ward area. The second passage is close to the ward area with a fourth access control. The fourth access control is a reverse access control. The second passage is close to the office area. Five access control, the fifth access control is normally closed access control;
    所述的门禁状态均指战时被激活的状态,在平时各门禁处于休眠状态:第三门禁休眠时处于常闭状态,其他门禁休眠时处于常开状态;在应急隔离状态,仅第八门禁激活,病人从污物电梯DT03进出,直接进入应急隔离室;The access control states mentioned above all refer to the states that are activated during wartime. In normal times, each access control is in a dormant state: the third access control is in a normally closed state when it is dormant, and the other access control is in a normally open state when it is dormant; in the emergency isolation state, only the eighth access control When activated, the patient enters and exits from the dirt elevator DT03 and directly enters the emergency isolation room;
    战时的楼层布局划分如下:污染区包括平时的病房区、缓冲带、病人电梯DT02、污物电梯DT03;其余是清洁区。The floor layout in wartime is divided as follows: the contaminated area includes the usual ward area, buffer zone, patient elevator DT02, and dirt elevator DT03; the rest are clean areas.
  2. 如权利要求1所述的可快速转变为传染病房的普通病房布局结构,其特征在于:办公功能间包括医生办公室、医生值班室、会议室。The general ward layout structure that can be quickly transformed into an infectious disease ward according to claim 1 is characterized in that: the office function room includes a doctor's office, a doctor's duty room, and a conference room.
  3. 如权利要求1所述的可快速转变为传染病房的普通病房布局结构,其特征在于:病房区辅房包括:污洗间、污物间、配餐间、库房。The general ward layout structure that can be quickly transformed into an infectious disease ward according to claim 1 is characterized in that: the auxiliary room in the ward area includes: a dirty washroom, a dirty room, a pantry room, and a warehouse.
  4. 如权利要求1所述的可快速转变为传染病房的普通病房布局结构,其特征在于:医疗功能间包含:治疗室、换药室、仪器设备间、储藏间、谈话间、会议室。The general ward layout structure that can be quickly transformed into an infectious disease ward according to claim 1 is characterized in that: the medical function room includes: a treatment room, a dressing room, an equipment room, a storage room, a conversation room, and a conference room.
  5. 如权利要求1所述的可快速转变为传染病房的普通病房布局结构,其特征在于:污物电梯DT03的电梯厅连接病房区主通道处设有第六门禁,第六门禁是双向门禁;污物电梯DT03的电梯厅连通电梯间,污物电梯DT03的电梯厅与电梯间之间设有第七门禁,第七门禁在平时休眠,在战时激活后的状态是常闭。The general ward layout structure that can be quickly transformed into an infectious disease ward as claimed in claim 1 is characterized in that: the elevator hall of the dirt elevator DT03 is connected to the main passage of the ward area with a sixth access control, and the sixth access control is a two-way access control; The elevator hall of the garbage elevator DT03 is connected to the elevator room. There is a seventh door between the elevator hall and the elevator room of the dirty elevator DT03. The seventh door is dormant in peacetime, and is normally closed after being activated in wartime.
  6. 如权利要求1所述的可快速转变为传染病房的普通病房布局结构,其特征在于:医生电梯DT01设置在病房区主通道的另一端,医生电梯DT01的电梯厅连接办公区主通道,在医生电梯DT01附近办公区主通道连接病房区主通道处设有第九门禁,第九门禁在平时休眠,在战时激活后是常闭状态。The general ward layout structure that can be quickly transformed into an infectious disease ward as claimed in claim 1 is characterized in that: the doctor elevator DT01 is arranged at the other end of the main passage in the ward area, and the elevator hall of the doctor elevator DT01 is connected to the main passage in the office area. There is a ninth access control at the main aisle of the office area near the elevator DT01 connecting to the main aisle of the ward area. The ninth access control is dormant in peacetime, and is normally closed after being activated in wartime.
PCT/CN2020/131258 2020-09-27 2020-11-25 Ward layout quickly convertible into isolation ward WO2022062150A1 (en)

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