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  • 层流手术室装修的要点及构造!
    来源: 浏览: 发布日期:2019-01-21
    手术室装修设计,特别是高级别的洁净层流手术室对于室内装饰有特殊的要求,使其在满足功能要求的前提下,减少因材料和构造而产生或积聚的尘菌,这对预防污染、降低术后感染率是至关重要的。
      Operating room decoration design, especially high-level clean laminar flow operating room, has special requirements for interior decoration, so that it can meet the functional requirements and reduce the dust generated or accumulated by materials and structures, which is essential to prevent pollution and reduce the infection rate after operation.
      由于地面的污染度比墙和吊顶要高得多,大量尘粒由于医护人员在地板上的走动和各种设备的移动而产生,故地面装修应引起设计人员的重视。地面装修应做到平整、光滑、耐磨、耐侵蚀(酸、碱、药)、易清洁。国内常采用现浇水磨石,取其光滑、耐磨、不起尘、防静电、易清洗之长,但不宜采用过氧乙酸稀释液洗消,否则会与碱性的水泥起反应导致麻面。另外,建议水泥采用强度等级425或以上,石子粒径d=6~15mm,以防止开裂、掉石子及起砂。在科菱企业设计的浙江省某人民医院洁净手术室中,就采用了防静电水磨石地面。瓷砖、马赛克(陶瓷锦砖)等接缝较明显的材料在某些低级别的洁净手术室中也有应用,但一般不推荐。
      Because the contamination degree of the ground is much higher than that of the wall and ceiling, a large number of dust particles are produced by the movement of medical staff on the floor and various equipment, so the ground decoration should be paid attention to by designers. Ground decoration should be smooth, smooth, wear-resistant, corrosion-resistant (acid, alkali, medicine), easy to clean. Cast-in-situ terrazzo is often used in our country for its smooth, wear-resistant, dustproof, anti-static and easy to clean, but it should not be washed out with peracetic acid diluent, otherwise it will react with alkaline cement and lead to hemp surface. In addition, it is suggested that cement with strength grade 425 or above and stone size d=6-15mm should be used to prevent cracking, pebble dropping and sand blasting. Anti-static terrazzo floor is used in the clean operating room of a people's hospital in Zhejiang Province designed by Koling Company. Ceramic tile, mosaic (ceramic brocade brick) and other materials with obvious joints are also used in some low-level clean operating rooms, but generally not recommended.
      较高档的地面装修可选用橡胶、聚胺脂涂料、树脂类板材等,如在欧美、日本的许多医疗手术环境中,都采用了弹性塑胶卷材作地面材料。它显著的优点,就是少接缝(通常采用热熔焊接进行卷材间的连接,焊条由与卷材相同的塑胶材料制成),可避免污物及细菌的堆积,另外,它还具有耐污易洁、脚感舒适、花纹款式多样、安装及更换简便等水磨石无法比拟的优点。科菱企业设计建造上海XX医院的洁净手术室选用了塑胶卷材地面。
      Rubber, polyurethane paint and resin sheets can be used for high-grade floor decoration. For example, in many medical and surgical environments in Europe, America and Japan, elastic plastic sheets are used as floor materials. Its most remarkable advantage is that there are fewer seams (usually hot-melt welding is used to connect the coils, the welding rod is made of the same plastic material as the coils), which can avoid the accumulation of dirt and bacteria. In addition, it also has the advantages of pollution resistance, cleanliness, comfortable feet, various patterns, easy installation and replacement, which are incomparable with terrazzo. The clean operating room of Shanghai XX Hospital was designed and constructed by Keling Company. Plastic coil floor was selected.
      在垂直层手术室,如采用地面或地沟回风,回风部位面板应选用块状活动隔栅地板。
      In the vertical operating room, if the ground or ditch return air is used, the panel of the return air area should be chosen as the block movable partition floor.
      地面不宜设地漏,否则应设高水封地漏,以防透气污染洁净室内空气。
      Ground leakage should not be installed on the ground. Otherwise, high water-sealed ground leakage should be installed to prevent air permeability from polluting clean indoor air.
      现在新建的洁净层流手术室,墙体一般都采用轻钢龙骨隔墙构造,方便手术室所用的各种管线及墙上固定设备的暗装。面层装修则要求采用硬度较大、整体性好、拼缝少、缝隙严密的材料,常用的有不锈钢板、铝合金平板(均应作成亚光面)或其他复合型板材,背面可根据需要加贴提高抗撞击性及保温、隔热性能的背板。面板拼缝处采用密封胶或专用填料填充,并结合送、回风口及观察窗、墙上固定式器械柜、药品柜等,将墙面组合成整体,尽量减少凹凸面和缝隙。
      Now the new clean laminar flow operating room, the walls are generally constructed with light steel keel partition wall, which is convenient for various pipelines used in the operating room and the concealed fixtures on the wall. Surface decoration requires materials with high hardness, good integrity, few joints and tight cracks. Commonly used are stainless steel plate, aluminium alloy plate (all should be matt) or other composite profiles. Back can be attached to improve impact resistance, heat preservation and insulation performance according to need. The sealant or special filler is used to fill the joint of the panel, and the wall is combined with the feeding, return air outlet and observation window, wall fixed instrument cabinet and medicine cabinet to minimize the concave and convex surfaces and cracks.
      墙面一般要求垂直地面,但也有专家建议,墙面可做成内倾3°,不仅可以减少积尘,并且可使光线反射的角度有利于医护人员的操作。
      Wall generally requires vertical floor, but some experts suggest that the wall can be made into an inclination of 3 degrees, which not only can reduce dust accumulation, but also can make the angle of light reflection conducive to the operation of medical personnel.
      另外,在我国许多中小医院低级别洁净手术室的新建或改建工程中,可因地制宜,采用砌筑墙,面层装修选用瓷砖到顶方法,但宜使用直角形瓷砖,避免通常瓷砖小圆角拼缝处易积灰的不足;还可采用不易剥落、防霉的各种高档涂料。

    实验室装修

      In addition, in the construction or reconstruction of low-level clean operating rooms in many small and medium-sized hospitals in our country, we can adopt the method of masonry walls and ceramic tiles to the top of the surface decoration according to local conditions, but we should use right-angle ceramic tiles to avoid the shortcomings of easy ash accumulation at small rounded joints of ceramic tiles; we can also use various high-grade coatings which are not easy to peel off and mildew-proof.
      如果要做踢脚板或墙裙,在构造上应使其表面缩到墙表面之后,至少也应与墙取平。
      If you want to do kickboards or skirts, the structure should make its surface shrink to the wall surface, at least should be level with the wall.
      吊顶装修
      Ceiling decoration
      顶棚底面需布置与安装高效过滤器送风口、照明灯具、烟感灭火器等,各种管线均需隐蔽在顶棚内,故顶棚部分是洁净手术室内部装修的重点部位。顶棚以轻钢龙骨及大块面板材料做吊顶为宜(作墙面用的板材基本上都可作为吊顶罩面板,具体见前述)。吊顶上风管等振动影响较多,故控制振动脱落比控制材料表面硬度更重要。吊顶罩面材料宜采用密封胶灌缝或压条密封,使之形成整体,防止吊顶上部空间的灰尘通过缝隙污染洁净手术室的气流。
      The bottom of the roof needs to be arranged and installed with high-efficiency filter air outlets, lighting fixtures, smoke extinguishers, etc. All kinds of pipelines need to be concealed in the roof, so the roof part is the key part of the interior decoration of the clean operating room. It is better to use light steel keel and large panel material as ceiling (basically, the board used for wall can be used as ceiling cover panel, as mentioned above). The vibration of the air duct on the ceiling has more influence, so it is more important to control the vibration shedding than to control the surface hardness of the material. The ceiling cover material should be sealed by sealant grouting or pressing strip to form a whole, so as to prevent dust from polluting the airflow of clean operating room through the crevice in the ceiling space.
      另外还有一种硬吊顶的做法,即直接在钢筋混凝土楼板底面按洁净度要求进行装修,较适合在层高较低的手术室建造工程中应用。如解放军301医院洁净手术室,采用硬顶做法,钢筋混凝土顶板下用硬塑料板贴面处理(在现浇钢筋混凝土楼板时,作为模板一次打入板底)。硬顶做法的特点是强度高,上人和安装检修均方便,但自重大,送风口和灯具在安装时需打孔,施工较复杂,并且不易变更。
      In addition, there is a method of hard ceiling, that is, decorating the bottom of reinforced concrete floor directly according to cleanliness requirements, which is more suitable for the construction of operating rooms with lower floor height. For example, in the clean operating room of PLA 301 Hospital, the method of hard roof is adopted, and under the reinforced concrete roof, the hard plastic plate is used to cover the floor (when the cast-in-place reinforced concrete floor is used as a template, the floor is penetrated once). Hard roof method is characterized by high strength, easy installation and maintenance, but self-weight, air supply outlet and lamps in the installation of holes, construction is more complex, and not easy to change.
      以上内容是实验室装修的相关先容,更多内容可以点击大家的官网进行咨询:
      The above contents are related to the renovation of the laboratory. For more information, you can click on our official website to consult: .
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