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CN102003086B - Intensive care and therapy unit - Google Patents

Intensive care and therapy unit Download PDF

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CN102003086B
CN102003086B CN201010504937A CN201010504937A CN102003086B CN 102003086 B CN102003086 B CN 102003086B CN 201010504937 A CN201010504937 A CN 201010504937A CN 201010504937 A CN201010504937 A CN 201010504937A CN 102003086 B CN102003086 B CN 102003086B
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CN102003086A (en
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王辰
童朝晖
詹庆元
孙兵
权京玉
李洁
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Beijing Chaoyang Hospital
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Abstract

本发明涉及一种重症监护治疗病房,其特征在于:它包括通过隔断分隔、且通过新风压力梯度和空气洁净度形成的清洁区、缓冲区和污染区;围绕所述污染区内的病房设置有一外走廊,所述清洁区内设置有一清洁通道,所述清洁区通过一缓冲间连通所述缓冲区,所述外走廊和清洁通道的入口端分别通过一房门连通所述电梯通道,每一所述病房分别设置有一连通所述外走廊的房门和一连通所述缓冲区的房门。本发明从建筑布局和气体流向上保证了上述三区在结构分区和功能分区的统一,可有效防止ICU交叉感染的发生,并最大限度地为医护人员提供了生物安全保障,本发明可以广泛用于各种重症患者的监护中,特别是用于各种呼吸系统的重症患者监护中。

Figure 201010504937

The invention relates to an intensive care treatment ward, which is characterized in that: it includes a clean area, a buffer zone and a polluted area which are separated by a partition and formed by fresh air pressure gradient and air cleanliness; surrounding the ward in the polluted area is provided with a In the outer corridor, a cleaning channel is arranged in the cleaning area, and the cleaning area is connected to the buffer zone through a buffer room, and the entrance ends of the outer corridor and the cleaning channel are respectively connected to the elevator channel through a door, each The wards are respectively provided with a door communicating with the outer corridor and a door communicating with the buffer zone. The present invention guarantees the unification of the structural and functional partitions of the above three areas from the perspective of building layout and gas flow, can effectively prevent the occurrence of cross-infection in the ICU, and provides biological safety protection for medical staff to the greatest extent. The present invention can be widely used It is used in the monitoring of various critically ill patients, especially in the monitoring of various respiratory systems.

Figure 201010504937

Description

一种重症监护治疗病房an intensive care unit

技术领域 technical field

本发明涉及一种医疗设施,特别是关于一种重症监护治疗病房。The present invention relates to a medical facility, in particular to an intensive care treatment unit.

背景技术 Background technique

重症监护治疗病房(Intensive Care Unit,ICU)是危重症患者进行集中监测和强化治疗的医疗场所。相对于普通患者而言,由于危重症患者病情危重、复杂,需要接受更多的监测与治疗,并且相当一部分为侵入性的诊疗,因此ICU是医院内感染发生的高风险区域。传统ICU设计均采用单一通路及流向,即患者与医务人员共用同一通道。这种设计很难避免患者与医务人员之间以及患者与患者之间的交叉感染,整个ICU在空间布局上清洁区与污染区无明确分界,不便于院内感染的防控。在设置有空调和通风设施的传统ICU内,护士站、医务人员生活区与患者所处区域之间的气体不存在压力梯度。这种设计使ICU内空气流向不利于保护医务人员,并有可能增加患者交叉感染的发生率。如何降低ICU院内感染的发生率,使ICU真正成为“治病”而不“致病”的医疗场所,是ICU设计必须遵循的重要原则。Intensive Care Unit (ICU) is a medical place for intensive monitoring and intensive treatment of critically ill patients. Compared with ordinary patients, ICU is a high-risk area for nosocomial infection because critically ill patients are critically ill and complicated, and require more monitoring and treatment, and a considerable part of them are invasive diagnosis and treatment. The traditional ICU design adopts 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 as well as between patients. The spatial layout of the entire ICU has no clear boundary between the clean area and the polluted area, which is not convenient for the prevention and control of nosocomial infection. In a traditional ICU equipped with air conditioning and ventilation facilities, there is no pressure gradient in the gas between the nurse's station, the living area of the medical staff and the area where the patient is located. This design makes the air flow in the ICU not conducive to the protection of medical staff, and may increase the incidence of cross-infection among patients. How to reduce the incidence of nosocomial infection in the ICU and make the ICU truly a medical place that "cures" rather than "causes" is an important principle that must be followed in ICU design.

发明内容 Contents of the invention

针对上述问题,本发明的目的是提供一种可以降低患者及医护人员交叉感染发生率,减少患者的住院时间,提高ICU抢救成功率的重症监护治疗病房。In view of the above problems, the purpose of the present invention is to provide an intensive care unit that can reduce the incidence of cross-infection of patients and medical staff, reduce the hospitalization time of patients, and improve the success rate of ICU rescue.

为实现上述目的,本发明采取以下技术方案:一种重症监护治疗病房,其特征在于:它包括通过隔断分隔、且通过新风压力梯度和空气洁净度形成的清洁区、缓冲区和污染区;围绕所述污染区内的病房设置有一外走廊,所述清洁区内设置有一清洁通道,所述清洁区通过一缓冲间连通所述缓冲区,所述外走廊和清洁通道的入口端分别通过一房门连通所述电梯通道,每一所述病房分别设置有一连通所述外走廊的房门和一连通所述缓冲区的房门。In order to achieve the above object, the present invention adopts the following technical solutions: an intensive care unit, characterized in that: it includes a clean area, a buffer zone and a polluted area formed by a partition and separated by a fresh air pressure gradient and air cleanliness; The ward in the polluted area is provided with an outer corridor, the clean area is provided with a clean channel, the clean area is connected to the buffer zone through a buffer room, and the entrances of the outer corridor and the clean channel pass through a room respectively. The door communicates with the elevator passage, and each of the wards is respectively provided with a door communicating with the outer corridor and a door communicating with the buffer zone.

所述外走廊呈C形设置,所述外走廊的末端连通有一污物间和污物电梯。The outer corridor is arranged in a C shape, and the end of the outer corridor communicates with a dirt room and a dirt elevator.

所述清洁区的入口处设置有男、女更衣室,所述清洁区内设置有医护人员办公和休息的房间。Men's and women's changing rooms are set at the entrance of the clean area, and rooms for medical staff to work and rest are set in the clean area.

所述缓冲区内设置有护士站、监控系统和医疗设备。The buffer zone is equipped with a nurse's station, a monitoring system and medical equipment.

所述清洁区、缓冲区和污染区内分别设置有房顶出风口和底部墙面的回风口。The air outlet on the roof and the return air outlet on the bottom wall are respectively set in the clean area, the buffer zone and the polluted area.

所述清洁区、缓冲区和污染区内新风压力梯度为清洁区高于缓冲区,缓冲区高于污染区;所述清洁区、缓冲区和污染区的空气洁净度等级为清洁区高于缓冲区,缓冲区高于污染区。The fresh air pressure gradient in the clean area, the buffer zone and the polluted zone is that the clean zone is higher than the buffer zone, and the buffer zone is higher than the polluted zone; the air cleanliness level of the clean zone, the buffer zone and the polluted zone is that the clean zone is higher than the buffer zone. area, the buffer zone is higher than the polluted area.

本发明由于采取以上技术方案,其具有以下优点:1、本发明由于围绕污染区设置了一条外走廊,在清洁区内设置了一条清洁通道,同时配合新风压力梯度和空气洁净度等级将ICU分隔为清洁区、缓冲区和污染区,从而实现了“两线三区”的ICU设计理念,从建筑布局及流程设计上充分考虑了医院感染控制的需求。2、本发明由于在外走廊一侧为每一病房设置了一房门,同时外走廊直接连通电梯通道和污物间,患者和患者家属可以通过外走廊进出患者的病房,取送所用物品和体液标本等,因此可以将患者和患者家属及患者接触的污染物限制在一个单独的区域内活动,而不会对清洁区和缓冲区的造成污染。3、本发明由于在清洁区内设置了一条清洁通道,医护人员可以通过清洁通道进出医护人员的办公生活区域,并通过一缓冲间进入缓冲区,因此可以使医护人员更多地活动在相对清洁的区域,减少了与污染环境的接触,保护了医护人员的身体健康。4、本发明由于将各区域的新风压力梯度和空气洁净度等级分别设置成清洁区高于缓冲区,缓冲区高于污染区,因此可以保证合理的空气流向和功能分区,避免污染区的空气流向清洁区和缓冲区,特别是在呼吸疾病患者的重症监护中,这一措施可以有效地切断污染源。本发明结构设计巧妙,能够有效地降低患者在ICU内交叉感染的发生率,真正成为“治病”而不“致病”的医疗场所,实现了减少患者的住院时间,提高ICU抢救成功率的发明目的,本发明可以广泛用于各种重症患者的监护中,特别是用于各种呼吸系统的重症患者监护中。The present invention has the following advantages due to the adoption of the above technical scheme: 1. The present invention is provided with an outer corridor around the polluted area and a clean channel in the clean area, and simultaneously cooperates with the fresh air pressure gradient and air cleanliness level to separate the ICU It is a clean area, a buffer zone and a polluted area, thus realizing the ICU design concept of "two lines and three areas", fully considering the needs of hospital infection control from the architectural layout and process design. 2. In the present invention, a door is provided for each ward on one side of the outer corridor, and the outer corridor is directly connected to the elevator passage and the dirt room, and the patient and the family members of the patient can enter and leave the patient's ward through the outer corridor to pick up and send used articles and body fluids. Specimens, etc., so the patients, their family members and the pollutants contacted by the patients can be limited to a separate area without polluting the clean area and buffer zone. 3. In the present invention, since a cleaning channel is set in the cleaning area, the medical staff can enter and exit the office and living area of the medical staff through the cleaning channel, and enter the buffer zone through a buffer room, so that the medical staff can move more in a relatively clean environment. The area reduces the contact with the polluted environment and protects the health of medical staff. 4. Since the present invention sets the fresh air pressure gradient and air cleanliness level of each area so that the clean area is higher than the buffer zone and the buffer zone is higher than the polluted area, it can ensure reasonable air flow direction and functional partitions, and avoid air pollution in the polluted area. Flow to clean areas and buffer zones, especially in the intensive care of patients with respiratory diseases, this measure can effectively cut off the source of pollution. The structure design of the invention is ingenious, can effectively reduce the incidence of cross-infection of patients in the ICU, and truly become a medical place that "cures" rather than "causes disease", realizes the reduction of the patient's hospitalization time and improves the success rate of ICU rescue. The purpose of the invention is that the present invention can be widely used in the monitoring of various critically ill patients, especially in the monitoring of various respiratory systems.

附图说明 Description of drawings

图1是本发明平面设计结构示意图Fig. 1 is a schematic diagram of the plane design structure of the present invention

具体实施方式 Detailed ways

下面结合附图和实施例对本发明进行详细的描述。The present invention will be described in detail below in conjunction with the accompanying drawings and embodiments.

如图1所示,本发明包括通过隔断分隔、且配合新风压力梯度和空气洁净度的变化相互分隔的“两线三区”,其中“两线”包括外走廊1和清洁通道2;“三区”包括清洁区3,缓冲区4和污染区5。As shown in Figure 1, the present invention includes "two lines and three areas" that are separated by partitions and are separated from each other in accordance with changes in fresh air pressure gradient and air cleanliness, wherein "two lines" include the outer corridor 1 and the clean passage 2; "three Zone" includes Clean Zone 3, Buffer Zone 4 and Contaminated Zone 5.

本发明的污染区5内设置有多间病房6,外走廊1围绕整个污染区5病房的外围呈C形设置,每一病房6对应外走廊1设置有一房门。外走廊1的入口端通过一房门51连通电梯通道7,外走廊1的末端还可以连通一污物间8和污物电梯。患者或患者的家属可以从外走廊1进、出病房6,取送所用物品和体液标本等,还可以通过外走廊1将垃圾等污物送入污物间8和污物电梯。A plurality of wards 6 are arranged in the polluted area 5 of the present invention, and the outer corridor 1 is arranged in a C shape around the periphery of the entire polluted area 5 wards, and each ward 6 is provided with a door corresponding to the outer corridor 1 . The entrance end of outer corridor 1 communicates with elevator passage 7 by a door 51, and the end of outer corridor 1 can also communicate with a dirt room 8 and dirt elevator. Patient or patient's family member can enter and leave ward 6 from outer corridor 1, get and send used article and body fluid sample etc., can also send dirt such as rubbish into dirt room 8 and dirt elevator by outer corridor 1.

本发明的清洁通道2设置在清洁区3内,清洁通道2的入口端通过一房门31连通电梯通道7。清洁区3的入口处设置有男、女医护人员更衣室9,清洁区3内设置有供医护人员办公和休息的房间10。清洁区3的末端还可以通过一封闭门连通污物间8和污物电梯。The cleaning channel 2 of the present invention is arranged in the cleaning area 3 , and the entrance end of the cleaning channel 2 communicates with the elevator channel 7 through a door 31 . The entrance of the cleaning area 3 is provided with changing rooms 9 for male and female medical personnel, and the cleaning area 3 is provided with a room 10 for the medical personnel to work and rest. The end of the cleaning area 3 can also communicate with the dirt room 8 and the dirt elevator through a closed door.

本发明的缓冲区4与清洁区3之间设置有一缓冲间11,缓冲间11的一个房门连通清洁区3,另一个房门连通缓冲区4。污染区5内的每一间病房6设置有一连通缓冲区4的房门,缓冲区4内设置有护士站12、各种监控系统和医疗设备等,医护人员不但可以通过通透的玻璃隔断和各种监控系统观察患者,还可以通过每一病房6设置的房门进、出病房6对患者进行医疗护理。A buffer room 11 is arranged between the buffer zone 4 and the cleaning zone 3 of the present invention, one door of the buffer room 11 is connected to the cleaning zone 3 , and the other door is connected to the buffer zone 4 . Each ward 6 in the polluted area 5 is provided with a door connected to the buffer zone 4. The buffer zone 4 is provided with a nurse station 12, various monitoring systems and medical equipment. Various monitoring systems observe the patients, and can also enter and exit the wards 6 through the doors provided by each ward 6 to provide medical care for the patients.

本发明的清洁区3、缓冲区4和污染区5通过配合新风压力梯度和空气洁净度的变化分区,各区域新风压力梯度为清洁区3高于缓冲区4,缓冲区4高于污染区5,污染区5一般采用负压设计。各区域的空气洁净度等级为清洁区3高于缓冲区4,缓冲区4高于污染区5,清洁区和缓冲区控制在10万级,污染区控制在30万级。清洁区3、缓冲区4和污染区5内分别设置有房顶出风口和底部墙面的回风口,特别是污染区5,每一病房6分别设置有顶部出风口和底部墙面回风口。Clean zone 3, buffer zone 4 and polluted zone 5 of the present invention are by coordinating the change partition of fresh air pressure gradient and air cleanliness, and the fresh air pressure gradient of each zone is that clean zone 3 is higher than buffer zone 4, and buffer zone 4 is higher than polluted zone 5 , Polluted area 5 generally adopts negative pressure design. The air cleanliness level of each area is that the clean area 3 is higher than the buffer area 4, and the buffer area 4 is higher than the polluted area 5. The clean area and the buffer area are controlled at 100,000, and the polluted area is controlled at 300,000. The clean area 3, the buffer zone 4 and the polluted area 5 are respectively provided with a roof air outlet and a bottom wall air return port, especially in the polluted area 5, each ward 6 is respectively provided with a top air outlet and a bottom wall return air port.

上述各实施例仅用于说明本发明,其中各部件的结构、连接方式等都是可以有所变化的,凡是在本发明技术方案的基础上进行的等同变换和改进,均不应排除在本发明的保护范围之外。Above-mentioned each embodiment is only for illustrating the present invention, wherein the structure of each component, connection mode etc. all can be changed to some extent, every equivalent conversion and improvement carried out on the basis of the technical solution of the present invention, all should not be excluded from the present invention. outside the scope of protection of the invention.

Claims (10)

1.一种重症监护治疗病房,其特征在于:它包括通过隔断分隔且通过新风压力梯度和空气洁净度形成的清洁区、缓冲区和污染区;围绕所述污染区内的病房设置有一外走廊,所述清洁区内设置有一清洁通道,所述清洁区通过一缓冲间连通所述缓冲区,所述外走廊和清洁通道的入口端分别通过一房门连通电梯通道,每一所述病房分别设置有一连通所述外走廊的房门和一连通所述缓冲区的房门。1. A kind of intensive care treatment ward, it is characterized in that: it comprises the clean zone, buffer zone and polluted zone that are separated by partition and formed by fresh air pressure gradient and air cleanliness; An outer corridor is arranged around the ward in the polluted zone , a cleaning channel is arranged in the cleaning area, and the cleaning area communicates with the buffer zone through a buffer room, and the entrance ends of the outer corridor and the cleaning channel are respectively connected with the elevator channel through a door, and each of the wards is respectively A door communicating with the outer corridor and a door communicating with the buffer zone are provided. 2.如权利要求1所述的一种重症监护治疗病房,其特征在于:所述外走廊呈C形设置,所述外走廊的末端连通有一污物间和污物电梯。2. An intensive care unit according to claim 1, characterized in that: the outer corridor is arranged in a C shape, and the end of the outer corridor communicates with a dirt room and a dirt elevator. 3.如权利要求1所述的一种重症监护治疗病房,其特征在于:所述清洁区的入口处设置有男、女更衣室,所述清洁区内设置有医护人员办公和休息的房间。3. A kind of intensive care treatment ward as claimed in claim 1, characterized in that: men's and women's changing rooms are set at the entrance of the clean area, and rooms for medical staff to work and rest are set in the clean area. 4.如权利要求2所述的一种重症监护治疗病房,其特征在于:所述清洁区的入口处设置有男、女更衣室,所述清洁区内设置有医护人员办公和休息的房间4. A kind of intensive care treatment ward as claimed in claim 2, characterized in that: men's and women's changing rooms are arranged at the entrance of the clean area, and rooms for medical staff to work and rest are arranged in the clean area 5.如权利要求1或2或3或4所述的一种重症监护治疗病房,其特征在于:所述缓冲区内设置有护士站、监控系统和医疗设备。5. The intensive care treatment unit according to claim 1, 2, 3 or 4, characterized in that: a nurse's station, a monitoring system and medical equipment are arranged in the buffer zone. 6.如权利要求1或2或3或4所述的一种重症监护治疗病房,其特征在于:所述清洁区、缓冲区和污染区内分别设置有房顶出风口和底部墙面的回风口。6. A kind of intensive care treatment ward as claimed in claim 1 or 2 or 3 or 4, characterized in that: said clean zone, buffer zone and polluted zone are respectively provided with a roof air outlet and a return wall on the bottom wall. tuyere. 7.如权利要求5所述的一种重症监护治疗病房,其特征在于:所述清洁区、缓冲区和污染区内分别设置有房顶出风口和底部墙面的回风口。7. An intensive care treatment unit as claimed in claim 5, characterized in that: the clean area, the buffer zone and the polluted area are respectively provided with an air outlet on the roof and an air return outlet on the bottom wall. 8.如权利要求1或2或3或4或7所述的一种重症监护治疗病房,其特征在于:所述清洁区、缓冲区和污染区内新风压力梯度为清洁区高于缓冲区,缓冲区高于污染区;所述清洁区、缓冲区和污染区的空气洁净度等级为清洁区高于缓冲区,缓冲区高于污染区。8. A kind of intensive care treatment unit as claimed in claim 1 or 2 or 3 or 4 or 7, characterized in that: the fresh air pressure gradient in the clean area, the buffer zone and the polluted area is that the clean area is higher than the buffer zone, The buffer zone is higher than the polluted zone; the air cleanliness level of the clean zone, the buffer zone and the polluted zone is that the clean zone is higher than the buffer zone, and the buffer zone is higher than the polluted zone. 9.如权利要求5所述的一种重症监护治疗病房,其特征在于:所述清洁区、缓冲区和污染区内新风压力梯度为清洁区高于缓冲区,缓冲区高于污染区;所述清洁区、缓冲区和污染区的空气洁净度等级为清洁区高于缓冲区,缓冲区高于污染区。9. A kind of intensive care treatment ward as claimed in claim 5, characterized in that: the fresh air pressure gradient in the clean area, the buffer zone and the polluted zone is that the clean zone is higher than the buffer zone, and the buffer zone is higher than the polluted zone; The air cleanliness levels of the clean area, buffer zone and polluted area are that the clean area is higher than the buffer zone, and the buffer zone is higher than the polluted area. 10.如权利要求6所述的一种重症监护治疗病房,其特征在于:所述清洁区、缓冲区和污染区内新风压力梯度为清洁区高于缓冲区,缓冲区高于污染区;所述清洁区、缓冲区和污染区的空气洁净度等级为清洁区高于缓冲区,缓冲区高于污染区。10. A kind of intensive care treatment unit as claimed in claim 6, characterized in that: the fresh air pressure gradient in the clean area, the buffer zone and the polluted zone is that the clean zone is higher than the buffer zone, and the buffer zone is higher than the polluted zone; The air cleanliness levels of the clean area, buffer zone and polluted area are that the clean area is higher than the buffer zone, and the buffer zone is higher than the polluted area.
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