Faahfaahin Deg Deg ah
Hawo-mareenka AMVM12 waa hawo gaas kaxeeya, koronto ku koontaroola oo hawlo badan leh, kaas oo ku dara waqtiga iyo dareemada awoodda iyo xannibaadaha cadaadiska.
Baakadaha & Bixinta
Faahfaahinta baakadaha: Xidhmada dhoofinta caadiga ah Faahfaahinta keenista: 7-10 maalmood gudahooda ka dib helitaanka lacag bixinta |
Tilmaamaha
Qalabka hawo-mareenka sare AMVM12 oo iib ah
qiimaha hawo-mareenka |Qiimaha mashiinka hawo-mareenka
Qalabka hawo-mareenka sare AMVM12 Tilmaamaha ugu muhiimsan
Hawo-mareenka AMVM12 waa hawo gaas kaxeeya, koronto ku koontaroola oo hawlo badan leh, kaas oo ku dara waqtiga iyo dareemada awoodda iyo xannibaadaha cadaadiska.Ujeedooyinka ugu muhiimsan ee hawo-mareenku waa: in la siiyo bukaanada ku jira khatar halis ah taageero xagga neefsiga ah oo ku jira marxaladda ugu khatarta badan;ka ilaali bukaanka marka ay ku jiraan xilliga khatarta ah;Hubi daaweyn aasaasi ah oo guul leh oo soo kabasho dheeraad ah;in la siiyo beddelka ka-hortagga muruqa neef-mareenka isbeddellada cudurrada ama dhaawaca ka-hortagga dabaysha sare si loo ilaaliyo shaqada neefsashada ee bukaanka;u fidiyaan taageero neefsasho bukaanada jirada ka dib ama inta lagu jiro xilliga soo kabashada ka dib qaliinka. Astaamaha ugu muhiimsan waxaa lagu sheegay sida soo socota:a.Gaas-ku-wade, kontoroolka korantada, beddelka cadaadiska waqtiga, iyo xakamaynta xaddidaadda cadaadiska b. Hayso walxaha isku-darka hawada-oxygen ee waxqabadka sare leh, waxay hagaajin kartaa diiradda oksijiinta si habboon oo sax ah.c. Codso PEEP elegtarooniga ah, waxay samayn kartaa hagaajin joogto ah PEEP.d.PTR waxay leedahay 2 nooc oo siyaalo kiciya: Cadaadis kiciya iyo kiciya socodka.e.Codso dareeraha cadaadiska xasaasiga ah oo aad u sarreeya oo degdeg ah iyo dareeraha socodka cadaadiska marin-haweedka, ogaanshaha socodka gaaska, xakamaynta iyo bandhigga, oo leh hawo-maskaxeed otomaatig ah f.Hababka hawo-mareenada badan: VCV, PCV.PSV, SIMV.PSIMV (SIMV-PSV), CPAP.g.Codso hogaanka, waqtiga-dhabta ah waxay soo bandhigaysaa xuduudahan, sida xakamaynta inta jeer, mugga qulqulka, hawo-qaadista, wadarta inta jeer ee neefsashada, heerka neefsiga nafsiga ah, u hoggaansanaanta, iska caabbinta marin-haweedka, uruurinta oksijiinta, waxay sidoo kale muujisaa cadaadiska iyo qalooca socodka qulqulka ilaa waqtiga.h.PV (cadaadiska-mugga), FV (mugga socodka).i.Marka hawo-mareenku si aan caadi ahayn u shaqeeyo ama si khaldan loo shaqeeyo, waxay kicin doontaa qaylo-dhaan maqal iyo muuqaal ah si ay isu ilaaliso.j.xitaa haddii korontadu ay dansan tahay, wax ceejin ah kuma dhici doonto bukaannada, sababtoo ah tuubooyinka neefsashada waxay ku xiran yihiin jawiga dibadda.
AM Qalabka hawo-mareenka sare AMVM12 ee iibka deegaanka Shaqada
Xaaladaha shaqada caadiga ah ee PA-900B II: _____ Heerkul: 10 ~ 40℃ _____ Qoyaanka Qoyaanka: ≤80% _____ Cadaadiska Atmospheric: 86 kPa , 40VA, oo leh ilaalinta dhulka.qiimaha hawo-mareenka |Qiimaha mashiinka hawo-mareenka
Qalabka hawo-mareenka ee jaban AMVM12 iibka Qaab-dhismeedka iyo mabda'a shaqada
Hawo-qaadayaasha AMVM12 waxaa dhiirigeliyay ogsijiin caafimaad iyo hawo cadaadis leh.Marka la eego marxaladda dhiirigelinta, laba siyaabood oo gaas ah oo cadaadis ah (ogsajiin iyo hawo cadaadisay) waxay galaan hawada-oxygen commingler, samaynta gaas isku dhafan oo cadaadis gaar ah oo isku daraya ogsijiinta caafimaadka, ka dibna geli heerka waxyiga elektaroonigga ah ee la xakameeyey ee waxqabadka sare, ugu dambeyntii waxay sameeyaan hawo farsamo mareenka neefsiga ee bukaanka iyada oo loo marayo tuubooyinka hawo-qaadayaasha;Marka lagu jiro marxaladda dhicitaanka, bukaannadu waxay ku sii daayaan gaasta jawiga iyagoo isticmaalaya filter, iyo waalka xakamaynta dhicitaanka ee tuubooyinka dhicitaanka.Inta lagu jiro nidaamkan, heerka waxqabadka sare ee kontoroolka valve, dareeraha qulqulka xasaasiga ah iyo dareeraha cadaadiska iyo nidaamka kontoroolka kombuyuutarrada hal-chip ayaa la qaatay si loo keeno cadaadiska marin-haweedka, xawaaraha socodka hawo-mareenka xawaaraha-xiran ee xakamaynta, sidaas awgeed garow gaas-kuwado, xakamaynta korantada, waqtiga Beddelka cadaadiska, iyo xakamaynta xaddidaadda cadaadiska OGAYSIIS: Cutubkani waxa uu si habboon ugu shaqayn karaa xaaladda ogsijiin caafimaad iyo hawo cufan oo isku-darka ah.Dhanka kale, cadaadiska gaaska caadiga ah waa inuu ahaadaa agagaarka 0.4MPa.Hawo-mareenku wuxuu samayn doonaa soo bandhigida waqtiga dhabta ah ee xuduudahan soo socda: _____ Habka shaqada iyo saamiga I/E _____ Horay loo dejiyay inta jeer ee xakamaynta _____Mugga tidal ee neefsiga U hoggaansanaanta iyo iska caabinta marin-haweedkaHawo-qaaduhu wuxuu kiciyaa qaylo-dhaan mar kasta oo xaalad aan caadi ahayn dhacdo.Tusaale ahaan, hawo-qaaduhu waxa uu kicin doonaa qaylo-dhaan marka cadaadiska marin-haweedka hawadu aad u hooseeyo taas oo ay sababi karto daadinta ama soo dhaca.Marka cadaadiska marin-haweedku aad u sarreeyo oo ay sababi karto xannibaadda tuubooyinka, kaliya ma kicin doonto qaylo-dhaanta si toos ah, laakiin sidoo kale ka wareejinta hawo-mareenka heerka dhiirrigelinta una beddelo heerka dhicis si loo sii daayo cadaadiska xad-dhaafka ah haddii cadaadisku sii socdo kor u kaca.
Qalabka hawo-mareenada ugu fiican AMVM12 ee iibka Tilmaamaha Farsamada
Hawlaha aasaasiga ah _____ Kaaliyaha Neefsashada, xakamaynta Neefsashada, Neefsashada iskeed u madax bannaan Qaabka hawo-mareenka) _____SIMV (Qaabka isku-dhafka ah ee qasabka ah ee isku midka ah) _____CPAP (Cadaadiska Jidka Hawada Wanaagsan ee Joogtada ah) Qiyaasaha Aasaasiga ah ee Tidal Isku-habaynta Mugga: 0-1500ml Mugga Tidal: 50 ~ 1500ml, qaladka qiimaha la soo bandhigay: 100 ml iyo ka hooseeya kuwa kale ± 20 m0 % Awoodda hawo-qaadista ugu badan daqiiqadii: ≥18L/m, Ogsajiinta Isku-xidhka: 21% -100%, ± 15% khaladka la oggol yahay Hawo-qaadista: ≤ 30 mL/kPa IPPV kala duwan: 0 ~ 99 jeer/m, ± 15% qalad waa la oggol yahay.Saamiga I/E: 4:1,3:1.,2:1.,1:1.,1:1.5,1:2.,1:2.5,1:3.,1:4, ±15% qalad SIMV la ogol yahay: 1-20 jeer / m, ± 15% qalad waa la ogol yahay.Cadaadiska Badbaadada ugu badan: ≤6.0kPa Cadaadiska Xakamaynta: 0.3kPa ~ 4 - Dareenka PEEP PTR: PEEP-1 cmH2O~PEEP—9 cmH2O la hagaajin karo, ± 1 cmH2O qalad waa la ogolyahay.Waqtiga Neefsashada ee dhamaadka-dhamaadka ah: 0 ~ 50% la hagaajin karo, taas oo ah 0.1s - 20 s.PEEP: 0.1 kPa~1.0 kPa socodka qulqulka wuxuu kiciyaa dareenka: Heerka 3 iyo heerka 8. Xaddidaadda cadaadiska: 1~6kPa, ± 20 % qalad waa la ogolyahay.Taah (neef qoto dheer): neefta qoto dheer ee 100 jeer neefta, 1-8 jeer la hagaajin karo (ka dib 10-100 jeer neefta xakamaynta, waxaa jiri doona 1 mar neef qoto dheer), wakhtiga dhiirigelinta waa 1.5 jeer wakhtiga dejinta.Hawlgal joogto ah: 24 saacadood oo loogu talagalay sahayda korontada ugu weyn, wax aan ka yarayn 30 daqiiqo ee codsiga batteriga ku dhex jira oo keliya.
Xidhiidh iibka kulul iyo mashiinka suuxinta la qaadan karo oo jaban
AMGA07PLUS | AMPA01 | AMVM14 |
AMGA15 | AMVM06 | AMMN31 |
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