血液透析机的基本结构ppt课件

.,血液透析机的基本结构,.,血液透析流程图,血泵,抗凝剂,血液返回患者,血液来自患者,透析器,新鲜透析液,废弃的透析液,30.04.2020,.,3,透析器透析膜,血液紅血球脂肪蛋白質尿酸尿素肌肝電解質水,透析液細菌病毒電解質水,彌散作用,跨膜壓,.,弥散,Start:differentconcentrations,End:equalconcentrationsonbothsides,Diffusion:duetotherandommovementofallmolecules(BrownianMovement),time,.,SCREEN2,ThevariousstepsoftheT1TESTgreenhighlightsthespecificpartofthetestsequence,T1TestIfanerroroccursaxornumberappearstoinformyouofthefailure.ThealarmoccursattheENDofthetestprocedure,.,血泵,-Automatedthreadingofpumpsegment-Deliveryrate15-600ml/min(流量)-Innertubediameter2-10mm(內徑)(in0.2mmsteps)-Drivenbyamicroprocessorcontrolledsteppermotor-Includingpressuremeasuringequipment-Exchangeableplug-inmodule,Arterialpressuremonitorconnector,RedAlarm,Green,pumpoperational,Doorcover.Whenopenpumpstops,Arrowuptoincreasepumpspeed,Arrowdowntodecreasepumpspeed,BlueOn/Offkey,Magneticdoorcatch,Presstogethertochangelumensizee.g.8.0mm,.,肝素泵,Anticoagulation:Topreventbloodclottingintheextracorporealbloodcircuit-Drivenbyamicroprocessorcontrolledsteppermotor-Timeprogrammable(時間設定)-Bolusadministration(劑量控制)-Deliveryrate0.1-10ml/h(in0.1ml/hsteps)(流量)-Exchangeableplug-inmodule-20,30and50mlsyringes(大小尺寸)-Warningmessage10min(警示),.,ArrowUPforRAISINGthelevelinthechamber,TheDOORforsecuringthechamberintotheleveldetector,VENOUSreturnClampautomaticallyclosesfollowinganyBLOODalarm,VENOUSpressuretransducerport,ULTRASONICleveldetectorsensors,OPTICALdetectortodetectthedifferencebetweenLightandDark,ArrowDOWNforLOWERINGthelevelinthechamber,-Leveladjustment(液面調控)-Venouspressuremeasuring(靜脈壓)-Ultrasonicairbubbledetector(超聲波)(22mmand30mmdiameter)-Venousclamp(靜脈夾子)-Opticaldetector(光感)-Exchangeableplug-inmodule,空氣監測器,.,透析机常见报警与处理,.,动脉压,原因血流量不足动脉管受压卷曲插管在血管内壁贴壁穿刺位置不得当,.,静脉压,原因静脉壶凝血穿刺位置不得当压力监测保护罩堵塞血流量影响,.,跨膜压,原因透析液管路卷曲快速接头与透析器连接不紧快速接头内橡胶电老化滤器凝血治疗参数的设定,.,气泡监测,原因滤器排气不达标静脉壶安装不正确过低的静脉压探测器灵敏度偏移探测器损坏,.,温度报警,原因温度探测器被杂质附着供水不足或流量不稳控温器损坏,.,电导度报警,原因AB液不正确AB吸液口漏气干粉制剂混合不均匀有微量气泡水压不稳