建设合适手术室-.pdfVIP

建造合理、合适、合 规的手术室 HVAC Institute, Tongji University 医用净化技术  医疗技术发展、感控的再认识，对医院环境控制 提出越来越高的要求。促使医用净化空调技术持 续发展而长盛不衰，成为医疗不可缺少的环境控 制技术，但设置不当也可能成为医疗的负担。  目前的许多标准都是依据经验和专家判断，而不 是基于循证医学 (Many of the current standards are based on Experience and Expert judgment ，not Evidence-Based Medicine)  循证的导则与建议是建立在对议题领域进行系统 评估的基础上。Evidence-based guidelines and recommendations are built on systematic reviews of the proposed recommendation area. HVAC Institute, Tongji University 医用净化技术  由于缺乏强有力的临床试验策略，高级医师或外科医 生被认为认证因素。随着观察性和随机前瞻性临床 试验的发表变得越来越普遍，“专家”被重新定义为具 有丰富的临床经验和广泛掌握合适文献的人员。 senior physicians or surgeons were viewed as the certification element because of the absence of robust clinical trial strategies. As publication of observational and randomized prospective clinical trials became more common, ‘‘experts’’ were redefined as persons who had both extensive clinical experience and a wide grasp of the appropriate literature.  这标志着从基于专家意见的做法转向更加透明、基于 数据的建议。It marks a shift away from expert opinion- based practices toward more transparent, data-based recommendations. 刊登在：Open Orthopaedics Journal, 2015, 9, (Suppl 2: M7) 495-498 洁净与感染风险 • We should do it simple and should nevertheless design systems that at least represented a possibility to reduce the impact and/or risk for spreading infections by air borne transmissions when it occurred. • 我们应直接地做到这一点，应该设计一些系统，至少可 以在悬浮菌发生传播时减少感染传播的影响和/或风险。 刊登：Airborne Contamination and Isolation Techniques in the New SiA Project 手术室需通风空调  医疗科室需要通风空调系统，主要是：  有助于降低微生物的浓度和微粒散发，满足医院 特定的室内空气卫生要求；  确保生理/舒适，包括热负荷的管理；  降低有害，有毒气体和讨厌的气味的浓度；  消除不利的外部条件（例如，高污染的室外空气 ，高湿度负荷，外部噪声高，强风载荷）；  消除不利的内部条件（如不能开窗空间，内区的 房间，房间空间进深大，室内发尘量大，使用放 射性物质）；  大型深部开放式