Chen Yanhua, Wang Qingjun, Lei Jianping, Liu Qizhen, He Wei, Liu Songyu, Xia Xuhui, Liu Weipin
CITIC General Institute of Architectural Design and Research Co.,Ltd, Wuhan, China.
Wuhan Jinyintan Hospital, Wuhan, China.
J Build Eng. 2021 Dec;44:103170. doi: 10.1016/j.jobe.2021.103170. Epub 2021 Sep 14.
Respiratory supporting, as an important medical treatment for new coronavirus pneumonia patients, must be effectively guaranteed by medical oxygen supply. However, the medical oxygen system designed and configured by the existing hospitals according to the current specifications cannot meet the oxygen needs for patients with new coronavirus pneumonia. This paper aimed to study the design of medical oxygen system in new coronavirus pneumonia emergency hospital. By investigating the oxygen treatment plan for the novel coronavirus pneumonia patients in the health emergency hospital, the oxygen treatment characteristics of different patients were studied. The oxygen characteristics of different respiratory support terminals were explored to study the oxygen demands of new coronavirus pneumonia emergency hospitals. Through calculating flow rates of medical gas system air source referring to 'technical code for medical gases engineering', the proportion coefficient of severe patients converted into respiratory distress patients was introduced, and the model of calculating flow rates of medical oxygen system air source in emergency hospital was proposed. The cases were verified in a typical health emergency hospital that the developed calculation flow model of medical oxygen source met the demands of hospital oxygen. The outcomes provide a reference for the design and construction of medical oxygen in such health emergency hospitals.
呼吸支持作为新型冠状病毒肺炎患者的一项重要医疗救治手段,必须通过医用氧气供应得到有效保障。然而,现有医院按照现行规范设计配置的医用氧气系统无法满足新型冠状病毒肺炎患者的用氧需求。本文旨在研究新型冠状病毒肺炎应急医院医用氧气系统的设计。通过调查健康应急医院中新型冠状病毒肺炎患者的氧疗方案,研究了不同患者的氧疗特点。探索了不同呼吸支持终端的用氧特性,以研究新型冠状病毒肺炎应急医院的用氧需求。参照《医用气体工程技术规范》计算医用气体系统气源流量,引入重症患者转化为呼吸窘迫患者的比例系数,提出了应急医院医用氧气系统气源流量计算模型。在一家典型健康应急医院对案例进行验证,结果表明所建立的医用氧气源计算流量模型满足医院用氧需求。研究结果为这类健康应急医院的医用氧气设计和建设提供了参考。