Imonitha idlala indima ebalulekile kuyo yonke inqubo yokuqapha.Njengoba imonitha isebenza ngokuqhubekayo cishe amahora angama-24, izinga layo lokuhluleka liphezulu.Ukwehluleka okuvamile nezindlela zokuxazulula izinkinga zethulwa kanje:
1. Asikho isibonisi ekuqaleni
Inkinga yesigameko:
Uma insimbi ivuliwe, asikho isibonisi esibukweni futhi ukukhanya kwenkomba akukhanyi;lapho ukunikezwa kwamandla kwangaphandle kuxhunyiwe, i-voltage yebhethri iphansi, bese umshini uvala ngokuzenzakalelayo;lapho ibhethri ingaxhumekile, i-voltage yebhethri iphansi, bese ivala ngokuzenzakalelayo, ngisho noma umshini ushajwa, awusizi.
Indlela Yokuhlola:
① Uma ithuluzi lingaxhumekile kumandla we-AC, hlola ukuthi ingabe i-voltage engu-12V iphansi yini.Le alamu yephutha ibonisa ukuthi ingxenye yokutholwa kwamandla kagesi okukhipha ingxenye yebhodi yokuphakela amandla ithole i-voltage ephansi, okungenzeka kubangelwe ukwehluleka kokutholwa kwengxenye yebhodi eliphakela amandla noma ukwehluleka kokuphuma kwebhodi lokuphakela amandla, noma kungase kubangelwe ukwehluleka komjikelezo wokulayisha ongemuva.
②Uma ibhethri lifakiwe, lesi sigameko sibonisa ukuthi isiqaphasi sisebenza ngokunikezwa kwamandla ebhethri futhi amandla ebhethri asuke ephelile, futhi okokufaka kwe-AC akusebenzi ngokujwayelekile.Isizathu okungenzeka ukuthi: isokhethi yamandla engu-220V ngokwayo ayinawo ugesi, noma i-fuse iyashaywa.
③ Uma ibhethri lingaxhumekile, kwahlulelwa ukuthi ibhethri elishajekayo liphukile, noma ibhethri alikwazi ukushajwa ngenxa yokwehluleka kwebhodi lamandla/ibhodi lokulawula ukushajwa.
Indlela yokukhishwa:
Xhuma zonke izingxenye zokuxhuma ngokuthembekile, xhuma amandla e-AC ukuze ushaje ithuluzi.
2. Isikrini esimhlophe, isikrini sembali
Inkinga yesigameko:
Kukhona isibonisi ngemuva kokuqalisa, kodwa kuvela isikrini esimhlophe neskrini esifiphele.
Indlela Yokuhlola:
Isikrini esimhlophe kanye neskrini esicwayizayo sibonisa ukuthi isikrini esibonisiwe sinikwe amandla yi-inverter, kodwa akukho okokufaka kwesignali yokubonisa okuvela ebhodini eliyinhloko lokulawula.Imonitha yangaphandle ingaxhunywa embotsheni yokukhiphayo ye-VGA ngemuva komshini.Uma okukhiphayo kuyinto evamile, isikrini singase sephuke noma ukuxhumana phakathi kwesikrini nebhodi lokulawula elikhulu kungase kube kubi;uma kungekho okukhiphayo kwe-VGA, ibhodi lokulawula eliyinhloko lingase libe nephutha.
Indlela yokukhishwa:
Shintshanisa imonitha, noma hlola ukuthi izintambo ezinkulu zebhodi lokulawula zivikelekile yini.Uma kungekho okukhiphayo kwe-VGA, ibhodi lokulawula eliyinhloko lidinga ukushintshwa.
3. I-ECG ngaphandle kwe-waveform
Inkinga yesigameko:
Uma intambo eholayo ixhunyiwe futhi ingekho i-waveform ye-ECG, isibonisi sibonisa "i-electrode off" noma "ayikho isignali eyamukelayo".
Indlela Yokuhlola:
Okokuqala hlola imodi yokuhola.Uma kuyimodi yokuhola emihlanu kodwa isebenzisa kuphela uxhumano lomthofu wesithathu, akumele kube khona i-waveform.
Okwesibili, esimisweni sokuqinisekisa indawo yamaphedi e-electrode yenhliziyo kanye nekhwalithi yamaphedi e-electrode yenhliziyo, shintshanisa ikhebula le-ECG neminye imishini ukuze kuqinisekiswe ukuthi ikhebula le-ECG linephutha, kungakhathaliseki ukuthi ikhebula liyaguga, noma iphinifa liphukile. ..
Okwesithathu, uma ukwehluleka kwekhebula le-ECG kuqedwa, imbangela engenzeka ukuthi "umugqa wesiginali ye-ECG" ebhodini le-socket yepharamitha ayixhumene kahle, noma ibhodi le-ECG, umugqa wokuxhuma webhodi lokulawula eliyinhloko le-ECG, noma ibhodi lokulawula eliyinhloko. inephutha.
Indlela yokukhishwa:
(1) Hlola zonke izingxenye zangaphandle ze-ECG lead (izintambo zokunweba ezintathu/ezinhlanu ezixhumene nomzimba womuntu kufanele zixhunywe nezikhonkwane ezihambisanayo ezintathu/ezinhlanu kupulaki ye-ECG. Uma ukumelana kungapheli, kubonisa ukuthi intambo yomthofu ivuliwe. , Intambo yomthofu kufanele ishintshwe).
(2) Uma i-ECG ibonisa isiteshi se-waveform esibonisa ukuthi “Akukho signali eyamukelayo”, kusho ukuthi kunenkinga ngokuxhumana phakathi kwemojula yokulinganisa ye-ECG nomsingathi, futhi lokhu kwaziswa kusaqhubeka ngemva kokucisha nokuvula, futhi udinga ukuxhumana umphakeli.
4. I-ECG waveform engahlelekile
Inkinga yesigameko:
I-waveform ye-ECG inokuphazamiseka okukhulu, futhi i-waveform ayiyona indinganiso noma ejwayelekile.
Indlela Yokuhlola:
(1) Okokuqala, ukuphazanyiswa okuvela esigungwini sokufaka isignali kufanele kuqedwe, njengokunyakaza kwesiguli, ukwehluleka kwe-electrode yenhliziyo, ukuguga komthofu we-ECG, nokuthintana kabi.
(2) Setha imodi yokuhlunga ku-"Monitoring" noma "Ukuhlinzwa", umphumela uzoba ngcono, ngoba umkhawulokudonsa wesihlungi ubanzi kulezi zindlela ezimbili.
(3) Uma umphumela we-waveform ngaphansi kokusebenza ungemuhle, sicela uhlole i-voltage engu-zero-ground, okudingeka ngokuvamile ibe ngaphakathi kwe-5V.Ucingo oluphansi lungadonswa ngokuhlukana ukuze kuzuzwe injongo enhle yokubeka phansi.
(4) Uma ukubeka phansi kungenakwenzeka, kungase kube ukuphazamiseka okuvela emshinini, njengokuvikelwa kwe-ECG okwenziwe kabi.Ngalesi sikhathi, kufanele uzame ukushintsha izesekeli.
Indlela yokukhishwa:
Lungisa i-ECG amplitude ibe yinani elifanele, futhi lonke uhlobo lwamagagasi lungabonwa.
5. Ukukhukhuleka kwe-ECG kwesisekelo
Inkinga yesigameko:
Isisekelo sokuskena kwe-ECG asikwazi ukuzinza esikrinini esibonisiwe, kwesinye isikhathi sikhukhuleka siphume endaweni yokubonisa.
Indlela Yokuhlola:
(1) Ukuthi indawo lapho insimbi isetshenziswa khona inomswakama, nokuthi ingaphakathi lensimbi linomswakama yini;
(2) Hlola ikhwalithi yamaphedi e-electrode nokuthi izingxenye lapho umzimba womuntu uthinta amaphedi e-electrode ziyahlanzwa yini.
Indlela yokukhishwa:
(1) Vula insimbi ngokuqhubekayo amahora angu-24 ukuze ukhiphe umswakama ngokwawo.
(2) Faka esikhundleni amaphedi e-electrode amahle futhi uhlanze izingxenye lapho umzimba womuntu uthinta khona amaphedi e-electrode.
6. Isignali yokuphefumula ibuthakathaka kakhulu
Inkinga yesigameko:
I-waveform yokuphefumula eboniswa esikrinini ibuthakathaka kakhulu ukuthi ingabonwa.
Indlela Yokuhlola:
Hlola ukuthi amaphedi e-electrode e-ECG abekwe ngendlela efanele yini, ikhwalithi yamaphedi e-electrode, nokuthi umzimba othinta amaphedi e-electrode uyahlanzwa yini.
Indlela yokukhishwa:
Hlanza izingxenye zomzimba womuntu ezithinta amaphedi e-electrode, futhi ubeke amaphedi e-electrode ekhwalithi enhle ngendlela efanele.
7. I-ECG iphazanyiswa ummese wokuhlinzwa ngogesi
Inkinga yesimo: I-electrosurgery isetshenziswa ekuhlinzeni, kanti i-electrocardiogram iyaphazamisa lapho ipuleti elingalungile le-electrosurgery lithinta umzimba womuntu.
Indlela yokuhlola: Ukuthi imonitha ngokwayo kanye negobolondo lommese kagesi kusekelwe kahle yini.
Ikhambi: Faka isisekelo esihle semonitha kanye nommese kagesi.
8. I-SPO2 ayinalo inani
Inkinga yesigameko:
Phakathi nenqubo yokuqapha, alikho i-waveform ye-oksijini yegazi futhi alikho inani le-oxygen yegazi.
Indlela Yokuhlola:
(1) Shintsha umshini wokuhlola umoya-mpilo egazini.Uma ingasebenzi, i-blood oxygen probe noma intambo yokwelulwa komoyampilo wegazi ingase ibe nephutha.
(2) Hlola ukuthi imodeli ilungile yini.I-Mindray's blood oxygen probe ngokuvamile i-MINDRAY ne-Masimo, ezingahambisani.
(3) Hlola ukuthi umshini wokuhlola umoya-mpilo wegazi uyakhanya ngokubomvu yini.Uma kungenakukhanya, ingxenye ye-probe inephutha.
(4) Uma kukhona i-alamu engamanga yokuqaliswa kwe-oksijeni yegazi, ukwehluleka kwebhodi le-oksijini yegazi.
Indlela yokukhishwa:
Uma lingekho ilambu elibomvu elibenyezayo endaweni yokucubungula umunwe, kungenzeka ukuthi isixhumi esibonakalayo socingo asixhumani kahle.Hlola intambo yokunweba kanye nesixhumi esibonakalayo sesokhethi.Ezindaweni ezinamakhaza, zama ukungavezi ingalo yesiguli ukuze ugweme ukuthikameza umphumela wokubona.Akwenzeki ukwenza isilinganiso somfutho wegazi kanye nesilinganiso se-oksijini yegazi engalweni efanayo, ukuze ungaphazamisi ukulinganisa ngenxa yokucindezelwa kwengalo.
Uma ishaneli ye-waveform ebonisa umoya-mpilo wegazi ibonisa ukuthi “Akukho okwamukela isignali”, kusho ukuthi kunenkinga ngokuxhumana phakathi kwemojuli ye-oxygen yegazi nomsingathi.Sicela uvale bese uvule futhi.Uma lesi saziso sisekhona, udinga ukushintsha ibhodi le-oxygen yegazi.
9. Inani le-SPO2 liphansi futhi alinembile
Inkinga yesigameko:
Lapho ukala ukugcwala komoyampilo wegazi lomuntu, inani le-oxygen egazini ngezinye izikhathi liphansi futhi alinembile.
Indlela Yokuhlola:
(1) Into yokuqala okufanele uyibuze ukuthi ingabe eyecala elithile noma elivamile.Uma kuyicala elikhethekile, lingagwenywa ngangokunokwenzeka kusukela ekuqapheleni kwesilinganiso se-oksijini yegazi, njengokuzivocavoca kwesiguli, i-microcirculation empofu, i-hypothermia, nesikhathi eside.
(2) Uma kuvamile, sicela ushintshe umshini wokuhlola umoya-mpilo wegazi, kungase kubangelwe ukuhluleka kokuhlola umoya wegazi.
(3) Hlola ukuthi intambo yokwandisa umoya-mpilo wegazi yonakele yini.
Indlela yokukhishwa:
Zama ukugcina isiguli sizinzile.Uma izinga le-oxygen egazini selilahlekile ngenxa yokunyakaza kwezandla, lingabhekwa njengento evamile.Uma intambo yokwandisa umoya-mpilo wegazi iphukile, buyisela eyodwa.
10. I-NIBP ine-inflation ephansi
Inkinga yesigameko:
Isikhathi sokulinganisa umfutho wegazi sibika ukuthi “i-cuff ixega kakhulu” noma i-cuff iyavuza, futhi umfutho wokwehla kwamandla emali awukwazi ukugcwaliswa (ngaphansi kuka-150mmHg) futhi awukwazi ukukalwa.
Indlela Yokuhlola:
(1) Kungase kube khona ukuvuza kwangempela, okufana nama-cuffs, imigudu yomoya, namajoyinti ahlukahlukene, okungahlulelwa “ngokubona ukuvuza”.
(2) Imodi yesiguli ayikhethiwe ngokungalungile.Uma kusetshenziswa i-cuff yabantu abadala kodwa uhlobo lwesiguli sokuqapha lusebenzisa ingane esanda kuzalwa, le alamu ingase ivele.
Indlela yokukhishwa:
Shintsha i-cuff yomfutho wegazi ngekhwalithi enhle noma ukhethe uhlobo olufanele.
11. Ukulinganisa kwe-NIBP akunembile
Inkinga yesigameko:
Ukuchezuka kwevelu yomfutho wegazi okaliwe kukhulu kakhulu.
Indlela Yokuhlola:
Hlola ukuthi ingabe i-cuff yomfutho wegazi iyavuza, ukuthi ingabe ukuxhumana kwepayipi okuxhunywe nomfutho wegazi kuyavuza, noma ingabe kubangelwa umehluko wesinqumo esizimele ngendlela ye-auscultation?
Indlela yokukhishwa:
Sebenzisa umsebenzi wokulinganisa we-NIBP.Leli ukuphela kwendinganiso etholakalayo yokuqinisekisa ukufaneleka kwevelu yokulinganisa yemojula ye-NIBP esizeni somsebenzisi.Ukuchezuka okujwayelekile kokucindezela okuhlolwe yi-NIBP efektri kungaphakathi kuka-8mmHg.Uma idlula, imojula yomfutho wegazi idinga ukushintshwa.
12. Ukuxhumana ngemojula akuvamile
Inkinga yesigameko:
Imojula ngayinye ibika "ukumiswa kokuxhumana", "iphutha lokuxhumana", "nephutha lokuqalisa".
Indlela Yokuhlola:
Lesi simo sibonisa ukuthi ukuxhumana phakathi kwemojula yepharamitha nebhodi lokulawula eliyinhloko akuvamile.Okokuqala, xhuma futhi ukhiphe umugqa wokuxhuma phakathi kwemojula yepharamitha kanye nebhodi lokulawula eliyinhloko.Uma kungasebenzi, cabangela imojula yepharamitha, bese ucabangela ukwehluleka kwebhodi lokulawula eliyinhloko.
Indlela yokukhishwa:
Hlola ukuthi umugqa wokuxhuma phakathi kwemojula yepharamitha kanye nebhodi lokulawula eliyinhloko uzinzile, noma ngabe imojuli yepharamitha isethwe ngendlela efanele, noma ishintshe ibhodi lokulawula eliyinhloko.
Isikhathi sokuthumela: Jan-17-2022