Object To quantitatively analyze the rationality of medical support process and resource allocation on a certain model of ship.Methods Based on the queuing theory, the simulation model was built and analyzed by using simulation software. The medical system operational effectiveness was investigated through process parameters, such as the wounded waiting time, the resource utilization of major equipment.Results The simulation results showed that the design scheme of medical system was reasonable.Conclusion The quantitative process parameters of the system operating efficiency can be obtained at the design stage by using simulation analysis technology, which is of great practical value for the rationality of medical system design on ship.

Objective To research the location,composition,zoning,flow and combination form of medical system of Model 920 hospital ship, and to provide theoretical support for the design of the hospital ship. Methods The layout of medical system of the hospital ship was constructed based on the theories of ship engineering design,hospital architecture design and naval health service as well as the requirements for height and internal environment of medical system.Results The mode combining multi corridor and single column was used to design 8 operating rooms and accessories in the midship of No.01 deck.Conclusion The multi-corridor single-column combination operating area occupies less ship space resources and the surgical treatment of wounded and sick patients is efficient, which is suitable for the platform of the ship and is worthy of reference for the design of the medical system of the large-scale rescue platform on the sea. [Chinese Medical Equipment Journal,2018,39(5):39-43]

Objective To investigate and analyze the features of medical systems onboard foreign amphibious ships,and to design the extended medical system onboard a certain dock landing ship of our navy.Methods Six medical modules were transfered from the ship-borne medical system and were installed on the flight deck of the ship,and the ward medical system was installed in the helicopter hangar,so as to form the extended medical system with the main capacities of surgical operation,hospitalization and accessory medical support.Results The extended medical system had the capacity of accommodating no less than 100 casualties (100 beds) and could hold 4 operating tables.The time for the installation of the system would be no more than 24 hours.Conclusions The expanded medical system could meet the demands of mass casualty care at sea,and improve the medical capability in its multi-role mission of the dock landing ship.

介绍"西北风"级两栖攻击舰基本情况,分析其医疗系统设计、设备配置、人员编配等方面的特点;并结合我海军海上卫勤保障实际,提出以伤员救治为核心、灵活拓展的设计理念及运行使用等启示,以期为我大型军辅船设计建造及多样化运行使用提供参考.

研究了舰船伤员现场急救的勤务范围和现场急救装备的功能需求,从箱体的材料、成型工艺及结构形式方面介绍了国内外急救类装备的技术形式,并综述了国内外箱囊类卫生装备的配置品量.在此基础上分析提出了我国海军舰船伤员现场急救装备的勤务定位和装备研制对策,对该类装备的研制和配备具有参考意义.

目的:实现医院船卫勤组织指挥信息共享管理,提高海上伤员救治总体效能.方法:建立医院船卫勤组织指挥信息化工作模式,运用多媒体、软件工程与系统融合等技术研制卫勤组织指挥信息系统.结果:该系统实现了卫勤组织指挥与战伤救治及医疗保障等信息的综合集成.结论:该系统可充分利用卫生资源配置,综合提升海上卫勤信息化能力.

目的:研究模块化医院船的特点,设计相应系统满足伤员换乘的需求.方法:伤员换乘主要采用直升机换乘、吊杆法换乘和舷梯换乘3种方式,前2种为模块化医院船主要换乘方式.直升机伤员换乘系统由直升机指挥、供油、供电、机务保障等模块和直升机起降平台组成.吊杆法伤员换乘系统由吊具模块、换乘平台板、吊篮等组成.结果:通过海上试验,该系统成功完成了海上伤员换乘,达到了预期目的.结论:该套系统可有效保障模块化医院船的伤员换乘需求.

目的:实现医院船伤员检伤分类信息共享管理,提高海上伤员医疗后送的总体效能.方法:运用战伤救治、软件工程、综合集成等理论与技术,研究、建立医院船检伤分类信息化工作模式.采用关系型数据库和JAVA中文版开发系统主体,运用嵌入式技术开发便携式系统数据处理软件,软件接口参照HL7.结果:该系统可实现伤员接收、检伤分类、分类后送和收容救治等信息综合集成,已在多项活动及医疗信息系统中获得集成应用.结论:使用医院船伤员检伤分类信息系统,可充分利用卫生资源配置,综合提升伤员整体的救治能力.

2014年4月16日，一艘经过过度改造的载有476人的韩国“岁月号”客轮，在由仁川港驶往济州岛途中因持续高速运行、转舵操作不当等原因导致浸水侧倾下沉，最终倾覆沉没在韩国西南海域，造成292人死亡，12人失踪。沉船事故发生后，韩国出动了大量军警民赶赴事故现场进行救援，美英两国海军也派出舰艇与舰载直升机和打捞救生专家协同参与海空和水下立体救援。研究此次沉船事故医学救援的方法以及经验教训，对于建立健全我国军警民联合水系灾害医学救援应急体系，提高军队水系灾害应急医学救援能力具有重要的借鉴作用。

医院船是一种具有在海上收容、医疗和运送伤员能力的军用辅船，平时可为意外灾难中遇难的陆上和海上伤员提供及时的医疗救治，战时能为作战部队提供海上机动医疗保障，收治大量各类伤病员［1］。美海军现有2艘医院船，分别是T-AH 19“仁慈”号和T-AH 20“舒适”号，其使命任务包括：战时为作战部队提供机动保障，尤其是为两栖特战部队、海军陆战队、快速反应部队和海外作战部队，以及陆军和空军提供应急医疗支援，收治各类伤病员；平时为灾区提供医疗救援，能在世界范围内实施救援，接收各种伤病员，给予急救和治疗［2］。“仁慈”号和“舒适”号是美国海军专门的海上医疗设施，统一由美国军事海运司令部管辖，船上科室齐全，装备先进，辅助配套设施完善；各临床科室设置与陆地医院无异，除了内科、外科、手术室外，还包括眼科、妇科、耳鼻喉科、口腔科、儿科等专科诊室；另外，检验科、病理科、放射科、消毒供应科、制氧站等辅助科室一应俱全，战时提供三级卫勤支援，平时提供完整的内外科医疗服务。在1991年“沙漠风暴”、1994年“民主捍卫行动”、2001年“尊贵之鹰”、2005年“卡提娜飓风救援行动”中，美军医院船很好地完成了所赋予的使命任务。仅沙漠风暴行动中，“舒适号”就为超过8000名伤病员提供医疗服务，完成了337例手术，收治700余名伤病员。

目的:分析某大型舰船医疗系统的战时内部救治流程,对其救治能力进行评价并提出优化方案.方法:使用MedModel仿真分析软件,根据医疗系统现有配置及救治方案建立医疗系统救治流程仿真模型,运行模型并分析结果,找出仿真模型中的低效和瓶颈环节,据此提出优化措施.结果:针对伤员到达较集中时伤员分类场、外科包扎室和监护病房的排队时间与排队伤员数较多的瓶颈,采取了增加床位、改进救治流程等优化措施,优化后伤员分类速度加快,各科室的利用率均降至50％以下,达到了负载均衡的目的.结论:MedModel用于大型舰船医疗系统救治流程的仿真与优化是便捷、有效的,可以推广应用.

目的:在海上平台医疗系统设计中引进排队系统仿真分析技术,提高系统的保障能力.方法:利用排队系统仿真分析技术定量分析医疗系统的运行指标.结果:采用该项技术优化设计后,海上平台医疗系统的运行指标得到改善,系统性能进一步优化.结论:排队系统仿真分析技术可作为海上平台医疗系统设计的有效分析手段.

目的:实现海上大型救治平台医技信息的共享,提高医技保障效率.方法:利用医疗信息局域网络,应用数字化接口和条码技术等,研制海上大型救治平台医技信息系统.结果:该系统可实现医技保障与伤病救治、药材保障等信息的共享管理与综合集成.结论:该系统可充分利用海上卫生资源配置,并提高医技保障的综合效能.

目的:实现医院船伤员医疗后送的信息共享管理,提高海上伤员救治的总体效能.方法:运用战伤救治、软件工程、综合集成等理论与技术,研究、建立医疗后送信息化工作模式,研制、使用医院船医疗系统软件.结果:研制的医院船医疗系统软件可实现伤员救治、辅助检查、药材保障、组织指挥等信息的综合集成.结论:使用医院船医疗系统软件可充分利用卫生资源配置,并提升伤员医疗后送的综合能力.

Objective To share medical information and increase medical care efficiency of wounded in ambulance boat.Methods The local area network was constructed for medical information system, and technologies of RFID, barcode,database and comprehensive test were used to develop the application software system. Results The sharing and integration of the information on casualty treatment, medicine support and command were realized. Conclusion The medical information system for ambulance boat can make good use of medical resource and improve the performance of medical evacuation at sea.

目的:实现海上大型救治平台药材保障的信息共享,提高海上药材的保障效率.方法:利用医疗信息局域网络,应用射频技术、条码技术和接口技术等,研制使用海上大型救治平台药材保障信息系统应用软件.结果:该系统可实现药材保障与伤病员救治、辅助检查等信息共享管理与综合集成.结论:使用大型救治平台药材保障信息系统可充分利用海上的卫生资源配置,并提高药材保障的综合效能.

Objective To develop a marine oxygen generator module which can be mounted in the ship when necessary.Methods With the 40 ft ISO container,oxygen generation device and charging system adopted,PSA technology was used to generate oxygen.Results The production rate of prepared oxygen was 15 m3 per hour,which accorded with the standards of the state and troops.Conclusion The marine oxygen generator module is compact,mobile,environment-friendly and automatic.

Objective To promote the application of 3D modeling technology in the design of ship medical system.Methods The 3D modeling technology was used to optimize the layout of the ship medical cabin.Results By building the 3D model of the destroyer medical system,through the reasonable layout adjustments and the assembly way improvement,the utilization efficiency of the limited ship medical system space was improved.Conclusion The 3D modeling technology has a positive effect on improving the design level and efficiency,reducing the design costs and shortening the design cycle of the ship medical system.[Chinese Medical Equipment Journal,2012,33(6):5-7]

Objective To design a dual-purpose instrument for council board and operation table.Methods The instrument consisted of the board,support,setup mechanism,operating position regulating mechanism and bracket for medical devices,and 3D modeling was applied to the design.Results The instrument was used as the council board usually,and converted into the operation table when necessary,with the positions of lying low,lowered head or lowered feet.Conclusion The dual-purpose instrument for council board and operation table can be used for the emergency operation in the ship meeting room,with the efficiency enhanced and mortality reduced.

近年来,随着海军建设整体转型并逐步深化,舰艇执行远洋任务的频率越来越高.如何做好舰艇执行远航任务时的卫生防疫工作,有效降低传染病和昼夜发病率,对于保证战备训练任务的圆满完成至关重要.