最新新型鼻塞cpap治疗新生儿呼吸课件PPT.ppt 33页

'新型鼻塞cpap治疗新生儿呼吸 CPAP功能新生儿、早产儿肺容量、功能残气量较小，肺泡萎陷呼吸困难、呻吟、三凹征CPAP在呼气末保持肺泡正压增加功能残气量，防止肺泡萎陷 意义鼻塞法CPAP可避免气管插管减少机械通气应用减少院内感染，减少并发症提高早产儿存活率是新生儿最基本的呼吸管理技术 各方法优缺点一、新型CPAP仪优点1、压力调节稳定2、吸入氧浓度可调节3、具有加温湿化功能4、对早产儿非常适用可用于超低出生体重儿 二、简易水封瓶优点：简便易行，尤其适用于基层缺陷：（1）压力调节不准确、发生气胸（2）吸入氧浓度100%，氧中毒（3）无加温，气道刺激 三、呼吸机CPAP缺点：鼻套管较困难优点：功能较好 注意事项1、压力过高或不稳定，可发生气漏2、压力过高或气道有痰，PaCO2升高3、对心血管系统的影响 CPAP的联合应用CPAP+iNOCPAP+PS 护理吸痰检查鼻塞的固定位置禁止堵塞呼出管道减轻噪音保护皮肤观察鼻部，眼睛和耳朵鼻饲管确保患儿舒适 模具使用说明书苏州工业园区凯德思精密机械有限公司SuzhouIndustryParkKDSPrecisionMachineryCo,.Ltd. 模具使用说明书苏州雷贝德精密模具有限公司SuzhouRAPIDPrecisionMoldCo.,Ltd. 章节Chapter描述Description页数Page1模具概述MOLDDESCRIPTION12模具结构简图MOLDSTRUCTURE23模具操作指导书OPERATINGINSTRUCTIONS34动模侧冷却水简图CORECOOLINGCHANNEL45定模侧冷却水简图CAVITYCOOLINGCHANNEL56动模液压回路简图COREHYDRAULICCYLINDERSKETCH67动模电气接线简图COREELECTRICCONNECTORDRAWINGS78热流道分布简图HOTRUNNERLAYOUTSCHEME89模具拆装流程ASSEMBLEORDISASSEMBLEFLOW910模具维护保养指导书MOLDMAINTAINSGUIDE10附件一ATTACH1ST注塑工艺参数表INJECTPARAMETER11附件二ATTACH2ND零件清单MC(moldcomponents)LIST12目录Cotents 1.模具概述DescriptionofMold基本信息/GeneralInformation：客户/Customer：项目/Project：产品编号/ProductNo.：项目工程师/ProjectEngineer：产品名称/ProductName:设计工程师/DesignEngineer：模具编号/MouldNo.：业务经理/MarketingManager:模具信息/MoldInformation：型腔数量/No.ofCavity：模具重量/MouldWeight：kg顶出系统/EjectorSystem：定模重量/WeightFS：kg复位系统/ReturnSystem：动模重量/WeightSS：kg顶出距离/EjectorDistance：mm压机板尺寸/ClampingPlatesDim:mm定模材料/MaterialofSS：闭模高度/ShutHeight：mm动模材料/MaterialofMS：模板材料/Mat.ofMouldPlates：液压抽芯数量/No.ofHydr.Corepulls：PCS定模/FS：/动模/MS：/滑块数量/No.ofSliders：Small：PCSMedium：PCSLarge：PCSExtraLarge：PCS（包括斜顶/IncludingLifters）PCS<10kgPCS>10-20kgPCS>20-40kgPCS>40kg浇注信息/InjectionInformation：浇注系统/InjectionSystem：注塑机类型/InjectionMachineType：TS浇口种类/GateSort：热流道供应商/HotrunnerSupplier：一模重量/ShotWeight：g定位圈直径/LocatingRingDiameter：Ømm喷嘴形式/NozzleType：浇口套球面半径/SprueBushSphereRadius：SR喷嘴数量/No.ofNozzles：PCS浇口套进料口直径/SprueBushGateDiameter：Ø产品信息/ProductInformation：注塑原料/InjectionMaterial：主要壁厚/MajorWallthickness：mm供应商/Mat.Supplier：收缩率（纵向）/Shrinkage(vetical)：%产品重量/ProductWeight：g收缩率（横向）/Shrinkage(horizontal)：% 2.模具结构简图MoldFrameworkScheme 模具上注塑机：INSTALLATION1.根据注塑机要求检查模具闭合高度、压机板尺寸；CheckingClampingPlateSize&ToolThicknessunderTool-closing&IMMConditions.2.根据注塑机要求完成模具安装：快速安装或手工上夹具安装；AccordingIMMTech-data,finishinginstallationoftool,thenquicksetupofclamprequiredorfixationmanually.3.根据注塑机及模具要求连接水、气、电、液压管线，并检查和确保管线在合模时不被夹住；Connectingcooling,heating,electric&HydraulicSystemundertooldrawings,thenchecking&ensuringallpipesandwiresonsafe&properconditions.4.先打开冷却水，再打开热流道加热。如果模具采用顺序阀浇口，则至少在冷却水通15分钟后才能对热流道加热；Openingcoolingtapfirst,thenstartingheatingsystemaccordingH.R.Instruction.(forsequentialvalveRunner,15minutescoolingbandrequiredatleast.)5.拆去模具两侧的安全锁模块；DisassemblingallCounter-locks.6.设定相关设备及工艺参数，达到设定值后根据模具动作顺序要求开模；SettingIMMParameterasATTACH1st,thenopeningtoolunderToolRunningSequencewhenreasonableVALUEonsteadyproductionlevel.7.用软布和清洗剂擦去模具内的防锈剂；Cleanness:cleanoutofantirustwithsoft-cloth&assistedcleanlinessliquid(pureandW/Ochemicalmolecule)8.根据模具动作顺序要求反复多次空载试验模具动作，检查模具浇口情况是否正常，滑块/抽芯、斜顶及顶出系统是否顺畅到位；Beforeproduction,tentativeandrepeatedtestinginToolMovementsisnecessary,andattentiontoInjectingGate,Slider/corepulls,Lifter&EjectionSystemrunningisnecessary&serious,9.在正式注塑前确认模具内无异物，浇口处无流延料；Pre-productionmustensurenon-dustinmold&w/oinjectedplasticliquidorblocksaffixingGate.10.在开始注塑时，不允许立即把料充满型腔，应逐渐加大注塑量；theamountofdosageshouldincreasebydegrees.11.根据注塑时产品的实际状况调整相关设备及注塑工艺参数；ReasonableadjustmentofParameter&relevantequipmentsareallowedaccordingtoactualproductsandIMMFunction.12.直到产品正常，然后确定工艺参数，进入注塑机半自动工作状态。ConfirmingInjectionParameterwhenreachonrelativesteady-running,thenoperatingtoolunderSemi-automaticorAutomatic.3.模具操作说明书MouldOperationInstruction 4.动模侧冷却水简图CoolingWaterSchemeOnM.S. 定模侧冷却水简图CoolingWaterSchemeOnF.S. 6.动模液压回路简图HydraulicCircuitsOnM.S. 7.动模电气接线简图ElectricalWiringSchemeOnM.S. 8.热流道分布简图HotRunnerLayoutScheme 9.模具操作说明书MoldOperationInstructions模具动作顺序/MoldRunningSequence：A.开模MOLDOPENINGB.四个油缸顶出顶针板Ejection:EjectorPlatepoweredby4H.C.C.几十个斜顶镶块在顶出距离允许条件下尽量顶到位Ejection:allliftersmove&attachtoallowedTech-areaD.取件DemouldE.四个油缸推动顶针板复位Returning:EjectorPlatereturnbyH.C.F.注塑机合模，在复位杆作用下斜顶镶块及直顶彻底复位Tool-closing,thenreturn-pillarguide&orientLifters&StraightEjector.G.锁模，顺序控制箱控制喷嘴顺序注射Tool-clamping:SequentialValve-gate’sControllerhandlethevalve-injection.H.注塑冷却CoolingI.开模MOLDOPENING(RETURNTO“A”) 10.模具操作说明书MoldOperationInstructions模具下注塑机:MoldoffloadingfromIMM(InjectionMoldingMachine)1.用软布和清洗剂对模具内部进行清理，确认模具内无异物料，浇口处无流延料；Pre-operationmustensurenon-dustinmold&w/oinjectedplasticliquidorblocksaffixingGate.2.清理被污染的润滑油，在需要的部位重新涂上润滑油；Cleanlinessofdestructivelubricantfabrication,andreinforce&renewthelubricantforbettermaintenance.3.在模具型腔/型芯及分型面处均匀喷上适量的防锈剂，对非热流道模具还需在流道处喷防锈剂；PaintingproperantirustonCore,Cavity,PartingSurface&ColdRunnerChannel,4.根据模具动作顺序要求合模；Tool-closingunderorderedRunningSequence.5.先关闭热流道，再关闭冷却水。如果模具采用顺序阀浇口，则要求在关闭热流道后冷却水至少再通30分钟；Turn-offHeatingSystemfirst,thenCutoffCoolingLine.IftoolequippedwithSequentialValveGate,coolingwatermustkeepTURNONModemorethan30minutesafterclosureofHeatingSystem.6.拆卸所有的管线；Uninstallingallpipes&wires.7.装上模具两侧的安全锁模块；LockingbothCounter-locks.8.根据注塑机要求完成夹具的松开及下模。LooseningClampPlates,thenuninstallingtoolbyTravelingCrane.模具操作特殊要求：NOTE1.2.3.4.5. 11.模具拆装流ToolAssemblingandDis-assemblingProcedure常规拆卸/GeneralDisassembly：1.整体拆卸/WholeDisassembly1.1将模具翻转900（使动模侧在下）Overturning90°,thenstoretoolonflatworkshop,andkeeptheupperpartisCore(M.S.)1.2拆掉锁模块DisassemblingClampingBlocks.1.3将定模和动模部分分离SeparatingF.S.&M.S.withtravelingCrane.2.定模侧拆卸F.M.Disassembly2.1将定模分型面向上放置，拆掉滑块或抽芯，拆掉镶块（如果镶块是从分型面安装的）LooseningSliders,Corepulls&InsertsfromFemalesidePartingSurface.2.2将定模翻转1800放在枕木上（压机板在上）PreparationofCrosstieforF.S.180°Overturing.(toppartisUpperClampingPlate.)2.3拆掉液压系统、水管、信号线以及其他附属设备Dis-ass.ofH.C.,CoolingHose,Signal&relevantSystemorEquipments.2.4拆掉定位圈，将压机板拆下MovingLocating-ring,thenfoldingClampingPlate.2.5拆掉热流道系统，放置于安全处TakeoutandstoreHeatingSystemunderSafe&DryConditionsasHotRunnerInstruction.2.6拆掉热流道板，松开定模镶块螺丝TakingHotRunnerPlate,thenreleasinginserts’screw.2.7将定模翻转1800（型腔分型面朝上）TurningPartingSurfaceupwards.2.8拆掉镶块ExtractionofInserts.3.动模侧拆卸M.S.Disassembly3.1将动模分型面向上放置，拆掉滑块或抽芯，拆掉镶块（如果镶块是从分型面安装的）LooseningSliders,Corepulls&InsertsfromMalesidePartingSurface.3.2拆掉液压系统、水管、信号线以及其他附属设备Dis-ass.ofH.C.,CoolingHose,Signal&relevantSystemorEquipments.3.3将动模分型面向上放置在垫块上，从压机板背面拆除固定斜顶的螺丝RemovingLifter’sScrewfromClampingPlatereverse.3.4将斜顶拆下SplittingLifters.3.5固定好顶针固定板（翻转时保护顶针）Steady-fixationtoEjectorPlate,whichmakeprotectiontoEjectorPin3.6将动模翻转1800后放在垫块上PreparationofCrosstieforM.S.180°Overturing.(toppartisLowerClampingPlate.)3.7拆掉压机板、模脚、立柱及顶出系统，松开动模镶块KnockdownofClampingPlate,ToolBlocks,Storage-Pillar&EjectionSystem,thenlooseningM.S.inserts.3.8将动模翻转1800;TurningPartingSurfaceupwards.3.9拆掉镶块ExtractionofInserts.特殊拆卸/SpecialDisassembly装配/Assembly装配按照相反的顺序进行ConverseSequencemakethebirthofStandardAssembleOperations.注意！Attention!装配时请参照模具装配图,拆装模具必须由专业人员操作以免出错DoubleCheckingtoToolAssemlyDrawings,thenoperatingASS.&Dis-ass.UnderProfessional’sIndication. 日常点检保养：DailyMaintenance1.检查并清洁模具定模和动模表面Checking&CleansingbothPartingSurface.2.模具冷却水道是否通畅并且无漏水现象Connecting&TestingCo0lingChannelonAirproofGuard.3.检查模具热流道系统工作是否正常MeasurementofHeatingSystemunderH.R.Instruction.4.检查模具油缸动作是否正常，无漏油现象。EnsuringHydraulicC.movingunderproperConditionsandw/oOil-leakProblem.5.检查抽芯动作和润滑是否正常，仅使用适量的润滑油。AddingenoughLubricantforsmoothcorepullingmovements.6.清洁导向机构并重新润滑，仅使用适量的润滑油。Cleansing&LubricatingGuide-System.预防性保养：Protective&GuardTechnique1.清洁模具表面及型腔Checking&CleansingbothPartingSurface.2.清洁排气槽CleansingVenting-Groove.3.清洁模具的冷却水道并检查其密封情况Connecting&TestingCoolingChannelonAirproofGuard.4.检查液压系统的密封情况MeasuringHydraulicSystem’sPressurization.5.拆装抽芯并清洁润滑6.拆装滑块并清洁润滑7.拆装斜顶并清洁润滑5-7.Disassembling&lubricatinginCorepulls,Sliders&Lifters.8.对模具顶出机构的情况进行检修Exam&RepairToolEjectionSystem.9.检查模具分型面的贴合情况InspectionofToolPartingSurface’sJoint.10.检查导向件是否松动并润滑Improvingdegreeoftightness&lubricantforGuiding-Parts.11.用清洗剂清洁水道，然后使用气枪将冷却通道内的杂质清楚干净，并用热风烘干CleansingCoolingChannelwithPURE&sanitaryLiquid,thenpullingawayleftoverbyAirGun&dryingChannelviaSIROCCO.（以上保养内容每三个月进行一次）NOTE:above-mentioned11techniquesshouldkeepquarterly.12.如模具长期不用，对模具进行上述各项保养后，应进行干燥处理，并涂上防锈油，最后模具应存放在干燥的地方。ToolStorage:afteralltechniquesfinished,PhysicalDryness&AntirustTreatmentsarerequiredaccording.Finally,fixing&storingtoolunderdryconditions.12.模具维护保养指导书GeneralMoldMaintainInstruction'