THUYT MINH D N U T KHU VT L TR LIU PHC HI CHC NNG BNH VIN IU DNG PHC HI CHC NNG BU IN II I.

I.TN D N U T: Khu Vt l tr liu Phc hi chc nng Bnh vin iu dng - Phc hi chc nng bu in II. Ch u t: Tp on Bu chnh Vin thng Vit Nam n v c y quyn ch u t: Bnh vin iu dng - Phc hi chc nng bu in II. II. CC CN C XC NH U T: - Cn c Lut Xy dng ban hnh ngy 26/11/2003 ca nc cng ha x hi ch ngha Vit Nam; - Cn c Ngh nh s 16/2005/N-CP ngy 07/02/2005 ca Chnh ph v qun l d n u t xy dng cng trnh; - Cn c Ngh nh s 112/2006/N-CP ngy 29/09/2006 ca Chnh ph v qun l d n u t xy dng cng trnh; - Cn c Quyt nh s 409/Q-TPT-HQT ngy 06/09/2002 ca Hi ng qun tr Tng cng ty Bu chnh Vin thng Vit Nam v vic y quyn Quyt nh u t; - Cn c Cng vn s 2679/TPT ngy 12/5/2005 ca Tng cng ty Bu chnh Vin thng Vit Nam hng dn cc n v thnh vin, cc ban qun l d n thuc Tng cng ty Bu chnh Vin thng Vit Nam v qui trnh chun b u t cc cng trnh kin trc; - Cn c Quyt nh s 793/Q-TPT ngy 21/03 /2007 ca Tp on Bu chnh Vin thng Vit Nam v vic: Giao nhim v lm cng tc u t d n xy dng cng trnh: Khu vt l tr liu Phc hi chc nng Bnh vin iu dng Phc hi chc nng Bu in II v cng vn s 3701/TPT ngy 03/03/2008 ca Tp on Bu chnh Vin thng Vit Nam v vic chp thun iu chnh quy m d n u t xy dng cng trnh Khu vt l tr liu Phc hi chc nng Bnh vin iu dng - Phc hi chc nng Bu in II; - Cn c Cng vn s 3416 /UBND QLT ngy 12/05/2008 ca Ch tch U ban nhn dn qun 2 thnh ph H Ch Minh v vic cung cp thng tin quy hoch khu vt l tr liu, phc hi chc nng; III-S CN THIT PHI U T: 1. Do nhu cu cn pht trin cc k thut phc hi chc nng.

- Theo qui hoch ca Tp on Bu chnh Vin thng Vit Nam, Bnh vin
iu dng -Phc hi chc nng Bu in II n nm 2010 s c nng lc, trnh chuyn mn cao, tip cn v s dng cc dch v y t c cht lng, y mnh v pht trin k thut mi, m rng hp tc quc t, p ng ngy mt tt hn nhu cu khm cha bnh, iu dng, phc hi chc nng cho cn b cng nhn vin
1

trong Tp on, gia nh cn b v cng ng. thc hin qui hoch pht trin theo cng vi s pht trin ca nn y hc th gii, c s quan tm, u t ca Tp on, trong giai on 2002-2006 n v c nhng tin b trong vic pht trin cc k thut v phc hi chc nng. Theo WHO: K thut Phc hi chc nng l vic ly li, hi phc li cc chc nng bnh thng ca con ngi nh chc nng vn ng, (tay chn, c, xng, khp) chc nng th gic, thnh gic, chc nng nhai, chc nng tun hon (h tim, mch, thn, gan...),.. b suy yu. Ti Bnh vin iu dng PHCN Bu in II, k thut phc hi chc nng khng n thun l dng thuc, xoa bp, chm cu, hng dn ngi bnh tp, vn ng m bao gm nhiu phng php iu tr bng cc k thut v phng tin mi gip bnh nhn nhanh hi phc nh nhit tr liu, in tr liu, nh sng tr liu, thy tr liu... Cc k thut tr liu trn c bit c hiu qu cao i vi ngi bnh lit do bnh l tim mch, do tai bin mch mu no, do tai nn lao ng, chn thng th thao. Ch ring in tr liu c rt nhiu phng tin gip ngi bnh nhanh lnh bnh. Chng hn vi ngi b chn thng khp gi, khi c tp trn my tp khp gi, ngi bnh s c tp trn mt chng trnh lp sn v s thng bo cho bn bit cc vi chn thng trong dy chng, m, hoc xng no c tn thng v tn thng mc no, c cn can thip phu thut chnh hnh khng, tp trong bao lu s lnh bnh. Vi my in thn kinh c, thit b cho bit tng u mt dy thn kinh no b teo, m c no nh hng v lp chng trnh iu tr hi phc cho bn. Ngoi ra, Bnh vin c trang b nhiu phng tin chn on tin tin hin i, gip cc bc s khng mt nhiu thi gian nghe, s, lng, g chn bnh. Bng vic a vo s dng cc my: xt nghim sinh ho, huyt hc, t bo, siu m 3 chiu, ni soi, o in thn kinh, o h hp k, o lu huyt no... gip cc bc s nhanh chng xc nh chnh xc c quan ni tng no ca ngi bnh b tn thng, suy nhc hay ang hot ng mc no. T gip bc s vch ra cc phng php phc hi chc nng chnh xc kt hp vi ch n bnh l, thuc gip bnh nhn nhanh chng hi phc sc khe, hi phc kh nng lao ng. Nh vy m s bnh nhn n khm, iu tr ti Bnh vin tng nhanh qua tng nm. C th nm 2004: 33.907 lt, nm 2005: 49.679 lt v nm 2006: 79.503 lt. Trong giai on 2007-2010, cc k thut PHCN nu trn s tip tc c pht trin, hon thin, chuyn su, p ng nhu cu phc hi chc nng ngy cng cao ca CBCNV trong Ngnh. lm c iu , bn cnh my mc thit b v nhn lc, Bnh vin rt cn c mt bng i ng bc s, k thut vin lm vic, b tr thit b, ging cho bnh nhn nm mi pht huy ht nng lc thy thuc, hiu qu s dng ca cc trang thit b, gip ngi bnh nhanh chng hi phc sc khe. 2. Tnh hnh mt bng hin ti v kh nng m rng: Bnh vin iu dng -Phc hi chc nng Bu in II, trc y l Vin iu tr iu dng Bu in II, c thnh lp li theo Quyt nh s 292/Q, ngy 7/4/1983 ca Tng cc Bu in c chc nng: iu tr v Diu dng -Phc
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hi chc nng cho CBCNV ngnh Bu in v nhn dn trn a bn. Bnh vin tr ng ti s 68, ng 38, P. Tho in, Qun 2, Tp.H Ch Minh, trn mt bng c din tch 44 x 28,4 =1.250m2, gm ba dy nh 3 tng c din tch sn phc v 4.183m2. phc v s bnh nhn ngy cng tng, bnh vin t chc ci to sa cha khc phc, k thm ging, thu hp ti a ni lm vic ca thy thuc, song ngi bnh vn trong tnh trng cht chi, khng thng thong kh, bnh nhn khng ch b hn ch ni nm m cn khng c khun vin i li, tp luyn, th gin, gii tr nn nh hng khng nh n kt qu iu tr, phc hi chc nng cho ngi bnh. Do din tch qu cht hp nn bnh vin hin khng cn c din tch trin khai thm my mc thit b, khng cn ch xe, k c xe ca CBCNV v ngi n khm bnh. Mt khc, khu nh lm bnh vin trc y n v tip qun l khu nh c thit k lm nh kho, c tui th lu nm. Mc d c ci to nhng vn chp v, khng p ng c nhu cu ca mt bnh vin. Hn na, theo quy hoch ca Kin trc s trng TP.HCM ti nm 20052010 th l gii ng Quc Hng s c chiu di l 44m, s c m rng hin hu t 8m ln 12m, cat phn chiu di ca bnh vin vo 2m. Nh vy, khi m rng ng th din tch bnh vin s cn rt nh (26,4 x 44m) Trong 25 nm qua, c s quan tm ca lnh o Ngnh, cng vi i ng thy thuc tn tm. Bnh vin tch cc phc v CBCNV trong Ngnh v nhn dn a phng v ngy cng c tn nhim, th hin qua s ngi khm cha bnh hng nm cng gia tng. Mi nm phc v 60.000 - 65.000 lt ngi khm, iu tr phc hi chc nng v thc hin k hoch 150 ging ni tr (c Tp on giao hng nm), Bnh vin cn c din tch sn ti thiu : 12.500m2 (theo qui nh ti Quyt nh s 48/2005/BYT, ngy 28/12/2005 ca B Y t v hng dn p dng tiu chun Vit Nam TCVN4470 -95, yeu cu thit k bnh vin). Vi din tch sn 4.183m2 m Bnh vin hin c, so vi tiu chun ti thiu cn l 12.500m 2 th khu vc no ca bnh vin cng cht hp, rt cn phi m rng mi p ng c yu cu phc v bnh nhn. (Xem bngg 1 thc trng sn phc v ca Bnh vin so vi tiu chun (TCVN4470 - 95) Bng 1 Din tch sn ti thiu cn c ca mt bnh vin tiu chun (TCVN4470 95) (m2) Din tch hin c ca Bnh vin ging (m ) T l hin c so vi din tch ti thiu ca Bnh vin

Tn khu vc:

1/ Khu khm bnh v iu tr ngoi tr. (gom khu vc n tip, lm th tc, 1.500 khu vc khm iu tr ngoi tr v khu vc cp cu..) 2/ Khu k thut nghip v (gom khoa Thm d chc nng, chn on hnh nh, khoa dinh dng, khoa Dc, y hc 3.750 c truyn v mt s b phn ca Khoa Vt l tr liu Phc hi chc nng nh vn ng tr liu, in tr liu..) 3/ Khu iu tr ni tr (gm cc Khoa iu tr ni tr) 4.000

500 33%

1.030 36% 1.105 28%

4/ Khu hnh chnh - hu cn (gm cc phng lm vic ca Lnh o Bnh vin 2.000 v cc phng chc nng, khu vc nh xe, kho xng, x l nc thi, ...) 5/ Khu dch v tng hp (Quy thuc, dch v y t, n ung, nh khch, Hi trng, th vin) Tng din tch 1.250 12.500

883 44% 356 28% 4.183 33%

phc v s bnh nhn iu tr ngy cng tng (nam 2000 l 100 ging, nm 2002 l 120 ging, hin nay l 150 ging iu tr ni tr), Bnh vin n lc ci to sa cha, khc phc, k thm ging bnh, thu hp ti a ni lm vic ca thy thuc, i khi phi thu khch sn, nh ngh phc v cho CBCNV cc Bu in ln iu dng, phc hi chc nng. Bnh vin cng khng c ch xe t, xe gn my ca Bnh vin v ca CBCNV nn phi thu hai khu t cch n v 200m gi. 3. Kh nng m rng: Trc kh khn v mt bng, p ng c yu cu phc v, chm sc CBCNV Ngnh Bu in, nm 2003 Tp on ng cho Bnh vin mua mt khu t phc v vic m rng Bnh vin c din tch 485,5m2, cch Bnh vin khong 400m, c v tr, ngun gc sn sng cho xy dng. 4. Khm chn on, iu tr, iu dng phc hi chc nng T chc iu dng - Phc hi chc nng cho cn b cng nhn vin trong Ngnh Bu in mc cc bnh mn tnh, bnh ngh nghip, ngi sc kho yu sau iu tr bnh cp tnh v nhng ngi c nhu cu iu dng v phc hi chc nng. ng gp 1 phn trch nhim i vi nhn dn trong khu vc. La chn phng php iu tr, vt l tr liu v phc hi chc nng thch hp, kt hp dinh dng vi s dng thuc cha bnh hp l v c ch s nh gi v chc nng cho ngi bnh khi vo vin, ra vin.

Hng dn cc phng php luyn tp, phc hi chc nng ngi bnh khi ra vin vn t luyn tp cha bnh i vi nhng bnh phi iu tr lu di. Hng dn sn xut v s dng cc dng c tr gip cho ngi khuyt tt h hng nghip v c th t lp trong cuc sng, ha nhp vi cng ng. iu tr, iu dng v phc hi chc nng cho cn b, cng nhn vin v nhn dn c th BHYT theo quy nh ca B Y t. Hot ng khc v chuyn ngnh y t theo hng dn ca B Y t khi c Tp on cho php v ph hp vi quy nh ca lut php. T chc phc v cc nhim v t xut khi c Tp on giao, ch ng trong vic h tr a phng khc phc hu qu ca thin tai, dch ha, t chc cc hot ng phc v khc trong iu kin bnh vin v ph hp vi php lut. Phi hp vi y t Bu in thc hin cng tc phng chng dch bnh, phng chng bnh ngh nghip v phng nga tn tt. Phi hp vi cc c quan truyn thng gio dc sc kho t chc vic truyn thng gio dc sc kho t chc vic tuyn truyn cng tc phc hi chc nng da vo cng ng v hng dn cc phng php tp luyn trong phc hi chc nng. Theo di, thng k cc bnh v bnh ngh nghip c bin php iu dng, phc hi chc nng cho cn b, cng nhn vin trong Ngnh. xut ln lnh o tp on gii quyt chnh sch v sc kho cho ngi lao ng theo lut nh. 5. Kt lun v s cn thit phi u t: Qua phn tch cho thy mt bng hin c ca Bnh vin rt cht hp, khng p ng yu cu hin ti cng nh cho tng lai, nht l khi i sng x hi c nng ln, phng tin v k thut phc hi chc nng pht trin mnh m. Ngi thy thuc d c thng bnh nhn n u cng khng th cha nhanh lnh bnh bi do phng tin k thut hn ch, mt bng cht hp, bnh nhn thiu ging ngh, .... V vy, vic m rng sang khu t 485,5m2 sn c l hp l, cn thit v cp bch. T phn tch thc trng mt bng th trong 5 khu vc ca Bnh vin, khu vc no cng cn c m rng. Tuy nhin, khu vc k thut nghip v v iu tr ni tr cn c u tin hn c v khu vc ny c Khoa Vt l tr liu Phc hi chc nng Tng qut v Khoa Vt l tr liu Phc hi chc nng Tim mch, y l nhng khoa then cht ca Bnh vin, quyt nh n hiu qu iu tr, phc hi chc nng cho ngi bnh. Do vy d n xin u t xy dng khu m rng nn c b tr cho khoa ny. Khi chuyn sang khu m rng, hai khoa: Khoa Vt l tr liu - Phc hi chc nng Tng qut v Khoa Vt l tr liu Phc hi chc nng Tim mch s c iu kin pht trin thm nhiu k thut tin tin hin i, nng cao chtlng phc v bnh nhn. Vy d n c tn l: Xy dng Khu Vt l tr liu - Phc hi chc nng. D n ny khi c trin khai s c nhng thun li, hiu qu sau: Khu t c xy dng sn c, hon ton trng v c UBND a phng chp thun cho
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xy dng c s y t. (cng vn s 3416 /UBND QLT ngy 12/05/2008 ca Ch tch U ban nhn dn qun 2 thnh ph H Ch Minh v vic cung cp thng tin quy hoch khu vt l tr liu, Phc hi chc nng) .Vic m rng ph hp vi qui hoch m rng Bnh vin giai on trc mt ti Quyt nh s 44/Q -TCCB/HQT, ngy 28/01/2004 ca Tng Cng ty Bu chnh Vin thng Vit Nam. Theo vic m rng mt bng chia lm hai giai an: m rng sang khu vc VTN 2 xy dng Khu Vt l tr liu - phuc hi chc nng (gom khu phng bnh ni tr, phng lm vic, khu vn ng tr liu, khu thy tr liu, khu phng tp phc hi chc nng, va khu phc hi chc nng chuyn su) vi tng kinh ph d kin l 12,5 t ng. + T 2006-2010: m rng mt bng khu t 5ha vi tng kinh ph d kin l 28 t ng. V tnh hnh thc t vic m rng Bnh vin giai an 2003-2005 sang khu VTN2 gp kh khn, nn khu t mua phc v m rng giai an ny hin trng, do vy vic xy dng Khu Vt l tr liu phc hi chc nng trn khu t ny l ph hp vi ch trng ca Tp on. IV. MC TIU V QUY M CA D N U T: 1. Mc tiu nhim v u t: - Xy mi Khu vt l tr liu - Benh vin iu dng v PHCN Bu in II gii quyt c nhu cu khm cha bnh cho cn b cng nhn vin trong ngnh v nhn dn trong vng. - Xy dng khu Khu vt l tr liu - Phc hi chc nng - Bnh vin iu dng - Phc hi chc nng Bu in II c nng lc trnh chuyn mn cao, tiep can s dng cc dch v y t c cht lng, y mnh v pht trin k thut mi, m rng hp tc quc t, nng cao thc ca ngi thy thuc p ng ngy mt tt hn.

+ T 2003-2005: xy dng cc khu nh di di cc h dn VTN2, va

- L c s trin khai cc k thut cao v vt l tr liu Phc hi chc

nng.

- Gp phn phng v cha cc bnh ngh nghip cho cn b trong Tp on. - To mt bng Bnh vin lp t cc trang thit b y t c u t, nang
cao hiu qu s dng trang thit b, phuc v tt hn cng tc iu tr, iu dng Phc hi chc nng.

- Gp phn nng cao cnh quan v m quan th, c s vt cht cho Bnh
vin v th khu vc. 2. Can c thit k v tiu chun tnh ton quy m nng lc: + Quy chun xy dng Vit Nam ( Ban hnh theo quyt nh s 682/BXDCSXD ngy 14/12/1996 v quyt nh s 439/BXD CSXD ngy 25/9/1997 ca B trng B Xy dng) + Cong trnh cng cng Nguyn tc c bn thit k: + Tieu chun thit k bnh vin TCVN 4449-87
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+ Bnh vin a khoa TCVN - 4470 : 1995. + Bnh vin a khoa - Hng dn thit k TCXDVN 365 :2007 +Cc tiu chun quy phm chuyn ngnh cng mt s ti liu tham kho trong v ngoi nc +Nhu cau s dng din tch phng khm cha bnh ca Bnh vin hin ti v tng lai. V.THUAN LI V KH KHN TRONG VIC U T: 1.Hin trng quy hoch v xy dng cng trnh: Khu t c xy dng sn c, hon ton trng v c UBND a phng chp thun cho xy dng c s y t. (cn c Cng vn s 3416 /UBND QLT ngy 12/05/2008 ca Ch tch U ban nhn dn qun 2 thnh ph H Ch Minh v vic cung cp thng tin quy hoch khu vt l tr liuphc hi chc nng) Vic m rng ph hp vi qui hoch m rng Bnh vin giai on trc mt ti Quyt nh s 44/Q-TCCB/HQT, ngy 28/01/2004 ca Tng Cng ty Bu chnh Vin thng Vit Nam - Hin nay cc c s h tng ca bnh vin nh phng khm, cha bnh, ng x, cp thot nc, cp in, san nn... tng i hon thin cch v tr xy dng khu Phc hi chc nng 400m. V vy, vic xy dng khu phc hi chc nng trong iu kin hin ti l rt thun li. 2.Ve qua trnh trin khai thc hin u t d n: Do v tr xy dng cng trnh c quy hoch ring bit, nm trn khu t rng, v khng lin quan ph thuc vo cc cng trnh kin trc khc c do qu trnh thi cng xy dng cng trnh c th m bo tin nhanh m s khng nh hng n tnh hnh hot ng chung ca bnh vin Kt lun: Theo v tr v din tch khu t d kin xy dng cng trnh, vic u t xy dng mi Khu vt l tr liu l hon ton thun li v gp phn hon thin tt hn cho Bnh vin iu dng Phc hi chc nng Bu in II. VI. PHNG N THIT K CNG TRNH: 1. Quy hoch mt bng tng th: V tr xy dng cng trnh trn khu t mi hnh ch nht, tng din tch t: 431,2m2.

- Mt chnh tip cn khu t mt ng Quc Hng hng Ty - Nam rng

12,51m. Mt bn hng Ty - Bc gip khu nh dn di 34,5m. Mt sau hng ng - Nam gip khu nh dn di 36,1m. Mt sau khu t hng ng - Bc gip nh dn rng 12,5m

V tr xy dng ca cng trnh nm trong khu dn c to c khng gian hi ha vi cc cng trnh bn cnh, dg thi phi l im nhn ca tuyn ng. Cng trnh c sn trc 10m to khong li cn thit cho giao thng v chiu cao 7

tng (bao gm tng lng) theo quy hoch mi ca Qun 2 ni chung v ca Phng Tho in ni ring. Cc thng s quy hoch nh sau :

Tng din tch khu t : 431,3m2. Din tch xy dng : 232,9m2. Chiu cao cng trnh : 7 tng (bao gm tng hm). Tng din tch sn xy dng : 1904,42m2. Din tch cy xanh :40m2 Din tch ng giao thng, sn bi : 129,08m2. Mt xy dng : 54% H s s dng t :4,41 2.Gii php kin trc xy dng:

Cng trnh c v tr tng i thun li v gc nhn p. T nhng yu t ny dn n ngn ng kin trc mang dng dp hin i v k thut cao ph hp vi qui hoch v cnh quan xung quanh, v to im nhn ca cng trnh. S dng vt liu tin tin, bn vng, thn thin vi mi trng v to hiu qu chng bc x nhit ca nng hng Ty. - Tng mt bng b tr cng trnh c khi cng chnh (khoi khm bnh v phc hi chc nng) nm pha bn phi khu t, pha tri l ng thot him kp thi khi b s c (t thang thot him pha cui cng trnh). - Pha sau cng trnh b tr cy xanh, thm c to bng mt, cnh quan v ci to vi kh hu cho cng trnh. - Cng trnh c thit k vi gii php kin trc hin i trn c s nghin cu k khng gian v m hnh bnh vin iu dng, to khng gian tin nghi cho bnh nhn v bc s. Cc phng khm cha bnh khp kn m bo cc sinh hot c nhn khm cha bnh ngay trong phng. Cc khng gian ph tr nh hnh lang, cu thang b, cu thang thot him, v sinh chung, cu thang b, thang my... m bo phc v tt cho nhu cu sinh hot, giao thng v an ton phng chy cha chy ca bnh vin. - Cng trnh c thit k vi 01 tng hm, tang trt, tng lng v 05lu (vi chiu cao tng hm l 2,5m, tng trt l 3,8m, tng lng 3,0m, lu 1- lu 5 cao 3,8m). C kt cu chu lc ct, dm, sn b tng ct thp. Khu vt l tr liu Phc hi chc nng - Bnh vin iu dng phc hi chc nng Bu in II c qui m 44 ging bnh ph hp vi vic xy dng ti Qun 2 ni ring v thnh ph H Ch Minh ni chung.

- Khng gian cc phng phc hi chc nng v vt l tr liu c t tng trt v tng lng to s thun tin cho bnh nhn v y bc s trong vic khm cha bnh. Hnh lang cc tng rng 2m thun tin cho vic ch v i li. Ngoi ra cc khu v sinh ring c b tr mi phng, tng trt v tng lng b tr v sinh chung m bo tiu chun dnh cho ngi khuyt tt c th s dng thun tin, d dng. - Cc lu t 1- lu 5 l khu vc iu tr ca bnh nhn, ti mi lu b tr 04 phng bnh nhn v 01 phng trc bc s. Cc phng bnh nhn c cc kch thc khc nhau nhng u b tr khp kn v tin nghi m bo iu kin tng ng tiu chun khch sn 3 sao' phc v tt nht cho bnh nhn iu tr. - Pha trc cng trnh b tr l gia ly sng v to thng thong cho cng trnh cng vi cu thang b t trong nh. - Ngoi ra pha trc cng trnh b tr h thng x l nc thi c t ngm di lng t, ph hp vi dy chuyn cng ngh v to cnh quan cho cng trnh. Cc khng gian c b tr c th nh sau: Ten tng Tng hm 01 02 03 04 Tng trt 01 02 03 04 05 06 Tng lng 01 02 03 04 05 06 Tn phng S ngi Din tch Tng cng (m2) 241,45m2

Phng k thut Kho Thang my, thang b Khu vc xe my, ot Snh n + khng gian ch Quy tip n v quy thuc + WC ring V sinh chung Thang my v thang b Hnh lang Phng phc hi chc nng Kho Thang my v thang b Phng trc bc s V sinh ring phng trc bc s Phng in tr liu 1 Phng in tr liu 2

9,45m2 15m2 25,4m2 191,6m2 222,32m2 48,34m2 31,16m2 20,52m2 25,4m2 10,8m2 86,1m2 152,9m2 5,25m2 25,4m2 9,28m2 2,75 m2 26,98 m2 33,37 m2
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07 08 09 Lu 1 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Lu 2 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Lu 3 01 02 03 04 05 06 07

V sinh ring 1 V sinh ring 2 Hnh lang Thang my v thang b Phng trc bc s V sinh ring phng trc bc s Phng bnh nhn 1 Phng bnh nhn 2 Phng bnh nhn 3 Phng bnh nhn 4 V sinh ring 1 V sinh ring 2 V sinh ring 3 V sinh ring 4 Kho Hnh lang L gia Thang my v thang b Phng trc bc s V sinh ring phng trc bc s Phng bnh nhn 1 Phng bnh nhn 2 Phng bnh nhn 3 Phng bnh nhn 4 V sinh ring 1 V sinh ring 2 V sinh ring 3 V sinh ring 4 Kho Hnh lang L gia Thang my v thang b Phng trc bc s V sinh ring phng trc bc s Phng bnh nhn 1 Phng bnh nhn 2 Phng bnh nhn 3 Phng bnh nhn 4

8,74m2 10,81m2 30,32m2 246,21m2 25,4m2 9,28m2 2,75 m2 26,98m2 33,37m2 25,95m2 29,13m2 8,74m2 10,81m2 8,74m2 10,81m2 5,25m2 45,92m2 3,08m2 25,4m2 9,28m2 2,75 m2 26,98m2 33,37m2 25,95m2 29,13m2 8,74m2 10,81m2 8,74m2 10,81m2 5,25m2 45,92m2 3,08m2 25,4m2 9,28m2 2,75 m2 26,98m2 33,37m2 25,95m2 29,13m2 246,21m2 01 02 03 04 05 06 07 08 09 10 11 12 13 14 246,21m2 01 02 03 04 05 06 07
10

08 09 10 11 12 13 14 Lu 4 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Lu 5 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Tum thang

V sinh ring 1 V sinh ring 2 V sinh ring 3 V sinh ring 4 Kho Hnh lang L gia Thang my v thang b Phng trc bc s V sinh ring phng trc bc s Phng bnh nhn 1 Phng bnh nhn 2 Phng bnh nhn 3 Phng bnh nhn 4 V sinh ring 1 V sinh ring 2 V sinh ring 3 V sinh ring 4 Kho Hnh lang L gia Thang my v thang b Phng trc bc s V sinh ring phng trc bc s Phng bnh nhn 1 Phng bnh nhn 2 Phng bnh nhn 3 Phng bnh nhn 4 V sinh ring 1 V sinh ring 2 V sinh ring 3 V sinh ring 4 Kho Hnh lang L gia

8,74m2 10,81m2 8,74m2 10,81m2 5,25m2 45,92m2 3,08m2 25,4m2 9,28m2 2,75 m2 26,98m2 33,37m2 25,95m2 29,13m2 8,74m2 10,81m2 8,74m2 10,81m2 5,25m2 45,92m2 3,08m2 25,4m2 9,28m2 2,75 m2 26,98m2 33,37m2 25,95m2 29,13m2 8,74m2 10,81m2 8,74m2 10,81m2 5,25m2 45,92m2 3,08m2 56,7m2

08 09 10 11 12 13 14 246,21m2 01 02 03 04 05 06 07 08 09 10 11 12 13 14 246,21m2 01 02 03 04 05 06 07 08 09 10 11 12 13 14 56,7m2

Hnh thc kin trc xy dng ca cng trnh mang ngn ng kin trc hin i, co giai php kin trc n gin nhng sinh ng. Hnh khi kin trc khc trit, gn gng m bo ly sng v thng thong, rt ph hp kh hu nhit i
11

ca khu vc.Vt liu v mu sc hon thin c s dng hp l. Nhng im nhn nh mi snh, ch trang tr dng mu sc ti mi to ra tng th sinh ng mi m cho ton cng trnh. Tm li kin trc ca cng trnh mang phong cch kin trc hin i, l phong cch kin trc ph bin trong xy dng trn th gii v Vit Nam nhng nm gn y. N to ra nhng khng gian khm cha bnh thng thong rt ph hp vi khu vc vt l tr liu trong nhng bnh vin iu dng phc hi chc nng. Gii php kin trc cng trnh tin tin nhng mang ngn ng thm m kin trc gn gi vi kin trc nhit i Vit Nam nn to v hi ho vi cnh quan, mi trng xung quanh. 3. Gii php kt cu:
3.1. Phn 1 cc tiu chun p dng:

TCVN 2737 1995 : Ti trng v tc ng. Tiu chun thit k; TCXD 45 78 : Tiu chun thit k nn nh v cng trnh; TCVN 356 2005 : Kt cu b tng ct thp. Tiu chun thit k; TCXD 198 1997 : Nh cao tng. Thit k kt cu BTCT ton khi; TCXD 205 1998 : Mng cc. Tiu chun thit k; TCXDVN 269 2002 : Cc. Phng php th nghim bng ti trng tnh p dc trc; TCVN 4453 1995 : Kt cu b tng v b tng ct thp ton khi. Quy phm thi cng v nghim thu; TCVN 1765 1975 : Thp cacbon kt cu thng thng. Mc thp v yu cu k thut; TCVN 6283 1 1997 : Thp thanh cn nng. Phn 1: kch thc ca thp trn; Cac tiu chun nc ngoi (tham kho) : BS 8110 1997 (Anh Quc), ACI 318 1995 (Hoa K);

3.2. Phn 2 cc s liu thit k nn mng v kt cu cng trnh

1) IU KIN A CHT XY DNG

Theo Bo co a cht cng trnh do Trung tm nghin cu a k thut Trng i hc M a cht lp 06/2007, v kt qu t 03 mi khoan kho st vi 3 h khoan su, iu kin a cht khu vc xy dng c th tm tt nh sau. a) Cu trc a tng cc lp t: Lp t 1: t san lp, ph thi xy dng, day 1m n 2m. Lp t 2: t st pha, mu xm xanh xen kp t thu knh ct v hu c trng thi do chy, i ch do mm. B dy thay i t 19m n 22m. Tnh cht c l ca lp t: Dung trngg t nhin = 1,55 t/m3; Lc dnh c = 0,087 kg/cm2; Gc ma st trong = 4032; Ch s xuyn SPT N = 1 2; Lp t 3: ct ht va mu xm xanh, xm trng, cht va. Nm di lp 2. Tnh cht c l ca lp t:
12

T trng = 2,65 t/m3; Gc ma st trong = 25037; Ch s xuyn SPT N = 15; Lp t 4: Ct ht bi mu xm vng, cht va. Nm di lp 3. Chiu dy ca lp t t 9 10m. Tnh cht c l ca lp t: Ty trong = 2,67 t/m3; Gc ma st trong = 17032; Ch s xuyn SPT N = 24; b) Mc nc ngm: xut hin su 0.7m (so vi mt t hin hu); 2) TI TRNG THNG NG Theo tiu chun TCVN 2737 1995 (Ti trng v tc ng. Tiu chun thit k), hot ti tiu chun trn cc sn p dng trong tnh ton v thit k kt cu cng trnh bao gm (bang 2) : Bng 1 TT CC B PHN CA CNG TRNH TAI TRNG TIU CHUN 1 Garage xe tng hm, ram dc 500 kg/m2 2 Snh cc tng, hnh lang i 300 kg/m2 3 Phng dch v, sinh hot cng cng 300 kg/m2 4 Bp (cn h) 150 kg/m2 5 Kho 500 kg/m2 6 Nh tr, phng lm vic, y t 200 kg/m2 7 Phng cc cn h 150 kg/m2 8 Phng my * 1000 kg/m2 9 Lobby* (thang my) 500 kg/m2 10 Hnh lang, cu thang 300 kg/m2 11 Mi (phn khng c ngi s dng) 150 kg/m2 Ghi ch ( * ) : mc 8, 9 tham kho ti liu ca ANSI A58.1/1982 (Minimum Design Loads for Buildings and Others Structures). Cc trng lng bn thn ca kt cu, tng ngn, trn, cc lp hon thin, v. v... ly theo kch thc thc t. Trng lng th tch hoc ti trng tiu chun ca mt s vt liu hoc thnh phm xy dng nh sau (bang 3). Bang 2 TT Vt liu hoc thnh phm Trong lng Ghi ch * 1 B tng ct thp 2500 kg/m3 2 Tng gch dy 100mm 190 kg/m2 3 Tng gch dy 200mm 380 kg/m2 4 Tng gch dy 300mm 570 kg/m2 5 Va lt + trt trn dy 100 kg/m2 2000 kg/m3 50mm 6 Gch gm cc loi (day 15 kg/m2 2400 kg/m3 6mm) 7 Tm lt bng dy 15mm 40 kg/m2 2650 kg/m3 8 Trn treo + h thng k 50 kg/m2
13

9 10

thut Tole lp Knh dy 10mm

6 kg/m2 26 kg/m2

2560 kg/m3

Ghi ch: ( * ) ly theo ti liu ca ANSI A58.1/1982 (Minimum Design Loads for Buildings and Others Structures). 3) TI TRNG GI Theo TCVN 2737 1995, khu vc xy dng TPHCM thuc vng IIA, a hnh A, thnh phn tnh ca ti trng gi ly bng: W = W0 x k x c = (95 12) x k x c = 83 x k x c k, c : h s thay i p lc gi theo chiu cao, h s kh ng xc nh theo TCVN 2737 1995; Z(i), H : chiu cao tng sn v chiu cao ton b nh tnh t mt mng (sn tng hm B1); W0 : p lc gi tiu chun ti cao trnh ang xt (kg/m2); TI TRNG GI OX V tr Mi Sn thng Lu 5 Lu 4 Lu 3 Lu 2 Lu 1 Lng Trt Z (m) 29.7 26.1 22.3 18.5 14.7 10.9 7.1 3.8 0.0 TYPE A A A A A A A A A K 1.368 1.339 1.308 1.275 1.236 1.191 1.116 1.028 1.000 Wo (kG/m2) 83 83 83 83 83 83 83 83 83 Cx 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 B (m) 10.5 10.5 10.5 10.5 10.5 10.5 10.5 10.5 10.5 H (m) 1.8 2.9 3.8 3.8 3.8 3.8 3.55 3.55 1.9 Wtt (tan) 3.604 5.684 7.279 7.094 6.879 6.625 5.802 5.343 2.782

TI TRNG GI OY V tr Mi Sn thng Lu 5 Lu 4 Lu 3 Lu 2 Lu 1 Lng Trt Z (m) 29.7 26.1 22.3 18.5 14.7 10.9 7.1 3.8 0.0 TYPE A A A A A A A A A K 1.368 1.339 1.308 1.275 1.236 1.191 1.116 1.028 1.000 Wo (kG/m2) 83 83 83 83 83 83 83 83 83 Cx 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 B (m) 23.8 23.8 23.8 23.8 23.8 23.8 23.8 23.8 23.8 H (m) 1.8 2.9 3.8 3.8 3.8 3.8 3.55 3.55 1.9 Wtt (tan) 8.170 12.885 16.500 16.079 15.592 15.017 13.150 12.111 6.305

4) TI TRNG TIU CHUN TRN CC TNG a) Tng hm:

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b)

c)

d)

e)

Trng lng bn thn sn BTCT: = 2,5T/m3; Cc lp hon thin (trat trn, sn) : g1 = 0,1T/m2; H thng k thut treo trn: g2 = 0,05T/m2; Hot ti sn (xe): p = 0,5T/m2. Hot ti nc p = 1.0T/m2; Tng Trt (H = 3.8m): Trng lng bn thn sn BTCT: = 2,5T/m3; Cc lp hon thin (trat trn, sn) : g1 = 0,15T/m2; H thng trn treo: g2 = 0,05T/m2; Tng dy 200mm (h=3.4m) gw = 1.31T/m; Tng dy 100mm (h=3.4m) gw = 0,65T/m; Hot ti sn khu cu thang, sanh : p = 0,3T/m2; Hot ti sn khu dch v: p = 0,3T/m2; Hot ti kho: p = 0,5T/m2; Hot ti sn ngoi nh (cote 1,20m) : p = 0,5T/m2; Tng Lng (H = 3.3m): Trng lng bn thn sn BTCT: = 2,5T/m3; Cc lp hon thin (trat trn, sn) : g1 = 0,15T/m2; H thng trn treo: g2 = 0,05T/m2; Tng dy 200mm (h=2.9m) gw = 1,10T/m; Tng dy 100mm (h=2.9m) gw = 0,55T/m; Hot ti sn khu cu thang, sanh : p = 0,3T/m2; Hot ti sn khu dch v: p = 0,3T/m2; Hot ti kho: p = 0,5T/m2; Lu 1 n lu 5 (H = 3.8m): Trng lng bn thn sn BTCT: = 2,5T/m3; Cc lp hon thin (trat trn, sn): g1 = 0,12T/m2; H thng k thut treo trn: g2 = 0,05T/m2; Tng dy 200mm (h=3.4m) gw = 1.31T/m; Tng dy 100mm (h=3.4m) gw = 0,65T/m; Hot ti sn khu cu thang: p = 0,3T/m2; Tng mi (H = 3.6m): Trng lng bn thn sn BTCT: = 2,5T/m3; Cc lp hon thin (trat trn, sn): g1 = 0,2T/m2; Tng dy 200mm (h=2,8m) : gw = 1,22T/m; Tng dy 100mm (h=2,8m) : gw = 0,60T/m; Tng lan can dy 200mm (h=1m): gw = 0,4T/m; B nc mi (h=2m) : g2 = 1,0T/m2 Hot ti sn khu cu thang, sanh : p = 0,3T/m2; Hot ti sn phng k thut thang my:p = 1,0T/m2; Hot ti sn mi: p = 0,2T/m2;
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5) VT LIU CH YU S DNG CHO KT CU CNG TRNH a) B tng : B tng 1x2cm, mc 350 cho ct; BT mc 300 cho sn v dm; Be tng mc 300 cho mng, mc chng thm B10 cho cc loi b cha nc thi v nc sch, t l N/X ti a khng c vt qu 0,42. b) Ct thp: Ct thp dc chu lc: AIII, gii hn chy Ry = 3400kg/cm2; Ct thp ngang cc loi cho dm v ct: AI, Ry = 2300kg/cm2; Cng tc hn thc hin vi que hn N42 (TCVN 3223 89); c) Khi xy tng bao che, tng ngn (tng khng chu lc) : Gch xy 4 l, loi I, kch thc chun 9x9x19cm; Va xy, trt: va xi mng mc M100;
3.3. Phn 3 gii php, s v tnh ton kt cu cng trnh

1) CHNG TRNH TNH TON KT CU ETABS : Chng trnh tnh ton kt cu xy dng ca University
Avenue Berkeley, California. Cc chng trnh t thit lp tnh ton ct thp ct dm theo TCVN 356: 2005 (Ket cu b tng ct thp. Tiu chun thit k), v kh nng chu ti ca cc da vo TCXD 205 1998 (Mng cc. Tiu chun thit k). 2) S V TNH TON KT CU PHN THN CNG TRNH Ket cu phn thn cng trnh: H kt cu ct v sn bng BTCT ton khi; Vach tng hm BTCT dy 20cm; Chiu dy sn c bn l 10cm;

Ct c tit din thay i theo cao v chia thnh cc t: t

Hm lu 2 l 40x40cm; t lu 2 4 l 35x35cm; t lu 4 Mi l 30x30cm. Sn y b nc dy 25cm, thnh b dy 25cm. Vch ngn v bao che c hon thnh bng cc khi xy t chu lc. S tnh ton kt cu l h kt cu khng gian vi cc phn t thanh (ct, dm bao), tm v (sn). Cc phng n ti trng tc dng ln h gm: (1) tnh ti; (2) hot ti sn; (3) gi theo phng 1 8; (4) gi theo phng 8 1; (5) Go theo phng A C; (6) Gi theo phng C A; (7) Trng lng bn thn kt cu (chng trnh t tnh ton). Tnh ti thuc ti trng tc dng di
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hn, hot ti sn thuc loi ti trng tm thi tc dng di hn. Nh vy, phng n ti (1) v (7) thuc tnh ti DL; phng n ti (2) thuc hot ti LL; cc phng n ti trng gi W. Trong tnh ton xem xt n cc t hp ti trng sau y (DD tnh ti, LL hot ti, W gi) : T hp 1: 1,0DL + 1,0LL;

T hp 2: 1,0DL + 0,9(LL+W18); T hp 3: 1,0DL + 0,9(LL+W81); T hp 4: 1,0DL + 0,9(LL+WAC); T hp 5: 1,0DL + 0,9(LL+WCA); T hp 6: 1,0DL + 0,9(LL+0.7(WCA+ W18)); T hp 7: 1,0DL + 0,9(LL+0.7(WCA+ W81)); T hp 8: 1,0DL + 0,9(LL+0.7(WAC + W81)); T hp 9: 1,0DL + 0,9(LL+0.7(WAC + W18));
3) KT QU TNH TON KT CU THN CNG TRNH Chuyen v ln nht do tc dng ca ti trng gi: f=2,66cm. So snh: H/500 = 2970/500 = 5,94cm => m bo yu cu v bin dng; Phn lc chn ct xem ph lc. Kt qu tnh ton ct thp ct v dm sn xem ph lc. Vic b tr cc c xc nh thng qua tnh ton c th vi tng trng hp t hp ti trng (xem ph lc phn lc u cc). 4) PHNG N KT CU MNG V TNG HM CA CNG TRNH

iu kin a cht khu vc xy dng cho thy ngoi lp t san lp c

dy 1,5m k n l lp st pha nho c dy khong 23m vi ch s SPT t N = 1-2. K n l lp t ct ht trung, cht va c dy khong 13,5m vi ch s SPT t N = 15; thch ng cho vic t mi cc p. Gii php mng cc p BTCT tit din 25x25cm c p dng trong cng trnh ny. y l gii php kh thi trong trng hp ti trng chn ct truyn ln mng kh ln (n 290 tn), mi cc phi t su vo lp t tt v c ch s xuyn SPT t N 15. Khi , su mi cc phi nm su ti thiu l 30m (so vi mt t hin hu). Vi kh nng v cng ngh v k thut thi cng cc p ca cc doanh nghip Vit Nam hin nay, loi ct c tit din 25x25cm s c s dng lm mng cng trnh;

17

 Phng n o t h mng v xy dng tng tng hm: cng trnh c

1 tng hm nm di mt t (t cote 0, 00m n 2,50m), mc nc ngm (0,7m), vic thi cng o t, b tng mng sn tng hm v tng tng hm c tin hnh theo phng php truyn thng: o t bng thit b c gii + th cng chng bng h c lasen v h chng vng, m rng h o v bm ht nc thi cng i cc v sn tng hm.

5) TNH TON MNG CC P Tnh ton d bo sc chu ti ca cc khoan nhi c tin hnh theo
TCXD 205 1998 (Mng cc. Tiu chun thit k). La chn cc p tit din 25x25cm v chiu su chn cc l 30m tnh t mt t. Kt qu tnh ton c km theo trong phn ph lc; Kh nng chu ti theo vt liu ca cc: [P]VL=80 tn Vi chiu su mi cc cao trnh 30m (so vi mt t t nhin), kt qu tnh ton d bo sc chu ti cho php ca cc nh sau: [P] = 35 tn S lng cc th tnh ti hin trng: 04 coc. Tiu chun th tnh cc: TCXDVN 269 2002 (Cc. Phng php th nghim bng ti trng tnh p dc trc); 4. Gii php h thng in: 4.1. Cc vn chung: Thuyt minh ny dng m t thit b, vt liu in v vic lp t h thng in ca cng trnh Khu vt l tr liu Phc hoi chc nng Bu in 2. Nh thu s cung cp v lp t cc hng mc theo thit k nh sau: Trm in (bao gm my pht in d phng, t in phn phi, h thng cp, t in ATS). H thng in trong cc hng mc cng trnh (bao gm n, qut, cm, t in, mt s thit b in chuyn dng). He thng tip t an ton in. Nh thu cn xem xt k bn v v cc ch nh ca n thit k r cc yu cu. Nu nh thu xt thy c s st hoc li trong cc ch nh hoc bn v, ngh lm r iu ny vi bn t vn thit k trc khi thc hin. 4.2. Cc tiu chun in p dng: Cac tiu chun in sau y c dng trong thit k v cho cc nh thu: Chieu sang : TCXD 16:1986 : Chiu sng nhn to trong cng trnh dn dng.

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TCXD 95:1983 dng dn dng.

: Chiu sng nhn to bn ngoi cng trnh xy

TCNV 5828 : 1994 : n in chiu sng ng ph Yu cu k thut chung Trang b in: 20 TCN 25-91 : t ng dn in trong nh v cng trnh cng cng Tiu chun thit k. 20 TCN 27-91 : t thit b in trong nh v cng trnh cng cng Tiu chun thit k. 11 TCN 18-84 n 11 TCN 21-84 : Quy phm trang b in. TCVN 4756-89 : Quy phm ni t v ni khng cc thit b in. TCVN 5556-91 : Thit b in h p Yu cu chung v bo v chng in git. 4.3. Phn ti in: D kin chn my bin p cng sut nh mc l: S = 560KVA. Dng in nh mc: I = 800A. D kin chn my pht in cng sut l: S = 500kVA Cc cng sut in ny c th thay i, phu thuc vo thit b in s dng trong thc t sau ny. Ch u t v nh thu cn thng bo nhng thay i ny cho bn thit k. 4.4. Cp in p: Cp in p trong cng trnh l 380/220V , 3 pha 4 dy, trung tnh ni t trc tip v h thng tip t an ton (in tr tip t phi thc hin R <= 4 OHM). 4.5. Ngun in v trm in: Nguon cp in chnh l li trung th 22KV (hoac 15KV) ca a phng a n, qua trm h th: 22-15/0, 4KV 560KVA cp in cho cng trnh. Trm h th ny c t bn ngoi cng trnh, v s do in lc a phng thit k v thi cng. Nguon cp in d phng l my pht in G: 380/220V 500KVA My pht in cng cc t in iu khin chnh c t ti phng in tng hm. My pht in cp in lin tc cho cng trnh khi xy ra mt in li. Vic chuyn i gia 2 ngun in trn hon ton t ng qua t chuyn mch t ng ATS (automatic transfer switch), t ATS l loi 3 pha 4 dy, in p 380/220V, dng in nh mc l 400A. Thi gian chuyn i qua li gia 2 ngun in khng qu 20 giy (bao gm thi gian khi ng my pht t n ch vn hnh).
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Cc bng v chi tit lin quan n my pht in (mng my, thng hi, thot khi, ) s do nh thu vt t cung cp v th hin. T phn phi in chnh (t MSB, ATS, T b) t ti trm in, trong t in MSB nhn in t 2 ngun: in li v my pht in (qua t chuyn mch ATS cung cp in cho tt c cc ph ti ca cng trnh. Trong tng hm, cp in chnh i trong mng thp c l (cable tray) treo trn trn tng hm, sau , cp in i theo cc thang cp (cable ladder) nm trong gain ng ln cc tng lu, en cc t in tng. Mi t phn phi in ring t ti cc v tr hnh lang, t t ny c cc t in t m tng ti cc phn t cp in n cc mch nhnh cp in n cc thit b in. Dy in trong cong trnh c lun trong ng PVC i ngm trong sn, tran, tng. Cc mi ni dy c thc hin ti hp ni hay hp n, khng c ni dy trong ng. Tit din dy in nh nht l 1,5mm2 cho n chiu sng v 2,5mm2 cho mch cm. Dy in c tit din t 6mm2 tr xung l loi 1 rut ng . Cp in c tit din t 10mm2 tr ln l loi nhiu rut ng xon. ng lun dy in c t trc, dy in c ko sau. Chi tit lp t cc t in, mang thp v thang cp s do nh thu vt t th hin Dy v cp in c tham kho sn phm ca nh sn xut Cadivi. Cc t in c tham kho theo sn phm ca hng Scnheider (chau u) . Chiu sng n chiu sng ch yu l loi n hunh quang, n nung sng. Cc n c h s cng sut (cos) khng c nh hn 0,6. Ti cu thang b, hnh lang, bi xe tng hm v cc khu dch v ca cng trnh c t cc n chiu sng khn cp (Emergency lamp) v n thot him ( Exit ), bnh thng cc n ny khng sng, khi mt ngun in chnh, cc n ny t ng sng ln nh vo bnh in d phng v mch in t iu khin, khi c in li, n t ng tt v sc in li. Thi gian hot ng ca n ti thiu l 2 gi k t khi mt in v xy ra s c. 4.6. Thit b ng ct v bo v: Cc mch in c bo v bng ngt in t ng loi MCB (miniature circuit breaker), hoc loi MCCB (moulded case circuit breaker), cc ngt in t ng phn ln t tp trung trong cc t in chnh, t in tng hoc t in cc h thng k thut khc.

20

Cc ngt in t ng, cng tc n, cm c tham kho theo sn phm ca hng Scnheider (chau Au). 4.7. Dy cp in v ng lun: Cc dy v cp in l loi rut ng, c bc lp PVC cch in 600VDC (Cu/PVC), ring cp 4 rut l loi rut ng bc 2 lp PVC (Cu/PVC/XLPE) . Cc cp v dy in c ly theo sn phm ca hng Cadivi (Vit Nam). Quy nh mu dy v cp in nh sau: Mu vng: pha A. Mu xanh l cy: pha B. Mu : pha C. Mu en: trung tnh. Mu xanh l cy c sc vng: day tip t. in tr cch in ca cc dy in vi nhau v vi t ca h thng cm ti thiu l 2M. Thang o ca ng h Megaohm l 250V. c ng lung dy in loi ng PVC chng n mn, chu lc va p, ly theo sn phm ca hng Vera. 4.7. Tip t an ton in: Trong ton cng trnh, v kim loi ca cc thit b in v cc tip t ca cc cm u phi ni vo mch tip t. Thc hin tip t ti trm in (t in, my pht, ) vi yu cu in tr tip t phi nh hn 4 Ohm, khi thi cng cn o li tr s in tr tip t, nu khng t, nh thu cn tng cng thm cc, dy tip t v thng bo cho bn thit k . Cc tip t l loi cc thp m ng D16, di 2, 4 mt Dy tip t l loi cp ng trn 50mm2. 5. H thng bo chy t ng. 5.1- Cc tiu chun thit k: - TCVN 5738 1993: Phng chy, bo chy cho nh v cng trnh. H thng bo chy t ng gm: 1. Trung tm bo chy (Control Panel for Fire Alarm). 2. u bo khi (Smoke Detector). 3. Cng tc bo chy khn cp (Break Glass). 4. Ci bo ng (Bell Alarm). 5. H yu t lin kt. 6. Ngun in. 5.2- Trung tm bo chy Network NX -8 (26 Zones): - Thc cht trung tm bo chy ny l mt my vi tnh, n nhn cc tn hiu t u bo u vo (Input) x l cc tn hiu v pht tn hiu bo chy u ra (Output). d dng kim sot, tren mt bn phm iu khin t trung tm bo chy c y cc zone bo chy tng ng vi cc vng
21

c n kim sot. Trong cng mt thi im trung tm bo chy c th x l nhiu tn hiu bo chy t nhiu vng kim sot a v. Trung tm bo chy lun pht lnh bo ng (n gin l n chp, chung bn ng ku) v ng thi n ch th vng c chy bt sng. Trung tm cn c cc ng ra Output dng khi ng cc qut iu p trong bung cu thang b, ngoi ra tn hiu cn c ng Relay (C) trong t. Lp t ti quy tip tn khu vc d quan st v x l. Lp t thm thit b tip Mass cho trung tm bng 2 cc m ng 16 24m v dy dn 22mm2. Trung tm bo chy Networx - NX8 (26 zones) l thit b x l tin tin nht ca hng Caddx (USA) vi cc c tnh sau: + Gm ti a 26 Zone gim st. + D lp t v s dng. + T kim sot v thng bo tnh trng hot ng ca mng tn hiu (khi t dy, mt ngun, ngun d phng khng cng sut ) + in p s dng cho u bo 12VDC. + Hin th bo ng tng khu vc tng ng vi tng Zone khi xy ra bo chy.

5.3-u bo khi (smoke detector): - Cn c vo tnh nng, tc dng v thng s k thut ca cc u bo chy t ng v bng hng dn la chn u bo theo tnh cht cc c s ca tiu chun 5738 1993 TCVN, chng ti chn u bo khi CM WT12L ca TAIWAN sn xut. - c t st trn nh hoc ni tch t nhiu khi. + c tnh : - S dng vi trung tm iu khin (Control Panel) theo chun UL /ULC. + Thng s k thut: in th hot ng Dng in standby (max) Dng in Alarm (max) Nhit mi trng m mi trng 12 VDC 60 A 100mA -10OC n +50OC 10 - 95%RH

+ c tnh: - S dng vi trung tm iu khin (Control Panel) theo chun UL /ULC. + Thng s k thut: in th hot ng Dng in standby (max) Dng in Alarm (max) Nhit mi trng Trng lng 12 VDC 0A 100mA -10OC n +68OC 158g
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5.4 - Cng tc bo chy khn cp Kac Model MC -105 (UK): Cng tc khn cp c lp t ti khu vc cu thang ln xung, ca ra vao v cc ni d nhn thy, ni ngi qua li nh: u cu thang. Khi pht hin m chy, ngi ta nhn v king cng tc v tn hiu bo chy c chuyn v trung tm. Trung tm bo chy chc chn pht tn hiu bo ng. Tn hiu bo chy t nt cng tc khn cp lun c x l ngay lp tc. t ti cao 1,5m so vi sn.

+ Thng s k thut: - Kch thc: 86x86x52 mm - Dng lm vic: 12/24 VDC l 10A 48 VDC l 3A 5.5 - Chung bo ng CM FB (fire alarm bell): L thit b bo ng khi c chy ca TAIWAN sn xut, at ni c ngi trc thng xuyn v ni c nhiu ngi qua li nhm thng bo v yu cu mi ngi c trch nhim tham gia cha chy. t ti cao 2,8 m so vi sn nh v c t trn ch t cng tc khn. in p s dng: 12 VDC. Kch thc: 150x150x430 mm. Dng: 30 mA. Trng lng: 405 g. Cng sut: 15 W. m lng: 90 dB/m. 5.6 - H thng lin kt: - Gm cc linh kin ng, dy cp, dy tn hiu cng cc b phn to thnh tuyn lin kt thng nht gia cc thit b ca h thng. - Cp tn hiu s dng loi cp 4 li 1C x 0.75mm2 tiu chun Ngnh yu cu. - ng lun dy tn hiu t m tng l loi ng nha PVC 20, do Vit Nam sn xut. 5.7 - Ngun in: - Dng bin th 220/16.5 VAC, cung cp lin tc cho trung tm lm vic. Ngun in 220VAC ly t ngun in c trong cng trnh. - m bo h thng bo chy lm vic lin tc khi mt in hoc khi c chy, ta lc ch ngun c quy d phng c dung lng m bo cho h thng lm vic 24/24 gi lin tc khi mt in. - Bnh in 12V - 7Ah x 2 Bnh. 6. H thng chng st. 6.1- Cc tiu chun thit k: Thit k theo tiu chun 20 TCVN 46 84. 6.2 - Thit k: - Theo tnh cht ca cng trnh, chng ti chn kim thu st INGESCO PDC 3.3, l loi kim thu st pht tia tin o an ton v hiu qu, bn knh bo v l 75 mt. Kim thu st t trn tr bng st trng km cao 5 mt c
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gn im cao nht ca cng trnh sao cho bn knh bao ph ton b cng trnh. H thng dn st v tip a: + H thng dn st: ta dng cp ng trn 50mm2 (Vit Nam sn xut), c lun trong ng nha Vega PVC D42. Cp ng c ni t u kim thu st n h thng cc tip a, ng i ngn nht v khng c un cong t ngt bn knh cong ti thiu l 20 cm. + H thng tip a: ng cc tip a v dng cc ng 16x2400mm. Cc cc tip a c ni tip vi nhau v in tr o c ca h thng tip a phi <= 10 (Theo tiu chun chng st nh v cng trnh xy dng) 7. H thng iu ho khng kh trung tm VRV.

- H thng lm lnh trung tm VRV: 03 dn nng t tng mi. Cng sut

mi dn l 40HP.

- Dn lnh s loi m trn 4 hng thi: 80 dn lnh cng sut mi dnh l

18000BTU/H.

- Cp in n t in tng mi 3P- 380V iu khin cho dn nng. Cc t

t in tng n t in iu khin dn nng s do nh thu c in thc hin.

- Cp cp in n cc dn lnh s dng ngun in 1 pha v MCB -1P 20A

bo v. Cc ng ng ga i trong trn v gain nc. V tr lp t, nh v v bin php thi cng do nh thu cung cp vt t trin khai chi tit.

8. H thng in thoi truyn hnh cp: 8.1- H thng in thoi:

- H thng in thoi s dng cp 10 i cp tn hiu n quy tip tn t

tng trt.

- S dng tng i ni b 44 s t ti quy tip tn t y c dn n cc

phn bnh nhn, phng trc, phng bo v.

- Cp in thoi t tng i n cc phng s dng cp in thoi 1 i. - Cp in thoi lun trong ng nha i m trn, tng,
8.2 - H thng truyn hnh cp:

- Hp chia tng v b khuych i t ti quy tip tn. T y c cp n

cc phng.

- Ti mi tng u c hp chia v b khuych i. - Cp truyn hnh s dng loi cp ng trc. - Cp truyn hnh c lun trong ng nha i m trn, tng,
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9. H thng thang my: 9.1 - Tiu chun thit k thang my p dng: Thang my c la chn theo cc tiu chun v quy phm trong nc v nc ngoi: TCVN 5744-1993; TCVN 5866-1995; TCVN 6395-1999; TCVN 63971999. Cc tiu chun quc t: ISO 9001, BS, IEC, JIS, ANSI 9.2 - Tin nghi v thit b an ton: H thng iu khin VVVF: L h thng iu khin hin i, nh tit kim c in nng, cht lng tt, dng tng chnh xc, to cm gic m i, d chu, an ton v tin cy. iu chnh thi gian ng m ca cabin: C th iu chnh thi gian ng m ca ph hp vi yu cu v iu kin chuyn ch t hiu qu nht. H thng ng m nhanh: S dng trng hp cn ng hoc m nhanh gim bt thi gian ch i. Nt gi ca khng ng: S dng nt ny gi cho ca m lin tc trong trng hp cn thi gian ngi v hng ha vo cabin. H thng bo v qu ti: Trong trng hp ngi hoc hng ha trong cabin c trng ti qu quy nh th h thng bo v qu ti s hot ng. Khi c qu ti xy ra, thang my s pht tn hiu pht tn hiu m thanh bng ting ci, tn hiu bo qu ti xut hin trn mn hnh hin th, cabin khng ng li, thang khng chy. Khi ti trng gim xung bng hoc bng ti trng cho php, thang s t ng tr li trng thi hot ng bnh thng. H thong phanh an ton: Khi cabin chy vt tc cho php hay trng hp ri do dy cp t hoc v bt k nguyn nhn no cabin chy vt tc cho php 20% th thang my s b ct in phanh in t tc ng lm gim tc v hm dng li ti trc ng c. Nu tc vt qu 30% th b t ng phanh hm s tc ng v phanh cng cabin trn ray, m bo an ton tuyt i cho hnh khch. H thng phy hin chng ngi vt: m Ca v ng ca an ton gia 2 cnh ca cabin c cc cm bin c v quay in t pht hin ngi hoc chng ngi vt xut hin gia 2 cnh khi ng ca iu khin thang m ca cho ngi v hng ha ra vo. Trang b chiu sng trong cabin: cc n hunh quang v n chiu sng si t m bo ri 250 Lux khi ca cabin m. H thong chiu sng s c: trong h thng ny c trang thit b n chiu sng s c. H thng n ny hot ng khi c s c in li b mt, chiu sng hnh khch c th quan st ng thot ra ngoi. Chung bo n tng cn dng: khi cabin n sng tng cn dng s c 1 hi chung nh nhng cho hnh khch chun b ri khi thang my.

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Chung bo ng ca chun b chy: sau khi thang my ch khch chun b ng ca khi hnh thang, s c pht tn hiu nhc hoc ting ci hnh khch ch . H thng in thoi: Lin lc ni b trong thang my. H thng in thoi dng trong trng hp s c lin lc cp cu t cabin ra bung trm thang my hay s dng trong qu trnh sa cha bo dng. H thng trang b mt my chnh trong cabin hai my t hp my l ti phng thng trc my v trn bung my. H thng t ng tt n v qut trong cabin: tit kim in nng khi thang dng khng c lnh gi lu hn 10 pht, h thng iu khin s t ng tt n v qut trong cabin, khi ci lnh gi s t ng bt li. H thng cu h: trang b cho cc thang my h thng cu h chy bng ngun c quy s dng cu h thang khi mt in hoc trng hp s c. Khi c s c mt in, thang s hot ng bng c quy a thang v tng di hoc tng gn nht m ca cho ngi thot ra. Dng phc v tng ch nh: Trong trng hp gi lm vic ca nhiu tng khc nhau, thit b thi gian c th dng ch nh gi ch nh gi phc v cho tng tng khc nhau t dng tng. 10. Phn cp thot nc: 10.1 - M t h thng cp nc: Ngun nc: Nc c cp t ng ng cp nc thu cc trn ng Quc Hng. H d tr nc sinh hot t ti tng hm, kt cu b tng ct thp, m t, tip nhn nc trc tip t ng t ngun nc thu cc thng qua van phao v sau chuyn nc ln tng mi thng qua bm chuyn nc. Kt nc mi c nhim v iu ho v cp nc cho cc khu v sinh. Kt nc tip nhn nc trc tip t ng t h nc ngm thng qua cm bin mc nc v cm bm chuyn nc sinh hot. H thng cp nc bao gm mt cm bm chuyn nc t tng hm. Cm bm chuyn nc t tng hm c cng dng chuyn nc t h nc ngm ln kt nc mi. Hot ng nh cm bin mc nc kt nc mi + ho nc ngm, khi mc nc kt nc mi xung n mc thp nh ci t trc ng thi mc nc b cha tng hm v tr cho php bm th bm chuyn nc s t ng bm v s t ng dng khi mc nc kt nc mi t mc cao nh ci t trc. 10.2 - Tiu chun thit k h thng cp nc: TCVN 4513-88: Cp nc bn trong Tiu chun thit k TCVN 5576 : 1991: H thng cp thot nc Quy phm qun l k thut 10.3 - Tnh ton s b h thng cp nc: Da vo cc tiu chun thit k nu trn, c th tnh ton nh sau: 10.3.1 - Lng nc dng trong sinh hot: H thng cp nc trong to nh ch yu cp cho cc thit b v sinh ti cc phng bnh. S lng ging bnh: 44 ging
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Tiu chun s dng nc bnh vin: 350 lt/ging/ngy m (k c nc dng cho nhn vin trong bnh vin) Lng nc sinh hot cho bnh vin l: (350 lt x 44 ging) / 1000 = 15,4 m3/ngy 10.3.2 Lng nc dng trong cha chy: H thng cha chy vch tng: Ta nh c khi tch: 21,4*12,6*29,5= 7.954 m3 (<25.000m3) Cn c khi tch nh v din tch khu t, theo tiu chun c 1 m chy xy ra ng thi trong khu vc. - S m chy trong nh ng thi: 1 - S vi cha chy trong cho mt im chy trong nh: 1 - Lu lng mi vi cha chy trong nh: 2.5 l/s Lng nc d tr cho cha chy: Lng nc ti thiu phi tnh ton cn c vo lng nc cha chy trong 3 gi cho h thng cha chy vch tng + H thng cha chy vch tng:
2,5 3600 3 = 27 m 3 1000

+ Di mi hp cha chy vch tng t mt bnh cha chy CO2 loi + Ti mi phng bnh hoc phng lm vic c t 01 u bo khi v 01 u bo nhit. ng cp nc cha chy s dng ng st trng km ng knh D65mm. Ti v tr tip gip vi ng Quc Hng c t hng tip nc i D65 tip nc cho h thng cp nc cha chy trong nh khi cn thit. S dng 02 bm nc cha chy c Q =10(m 3/h), H=40m, (mt chy in, mt chy xng phng c chy phi ngt ngun in) 10.3.3Tnh ton dung tch kt nc mi: C nhim v iu ho nc ng thi to p lc a nc n ni tiu th. Dung tch b nc mi gm c phn nc dng trong sinh hot v phn nc dng trong cha chy. Phn nc dng trong sinh hot: Dung tch kt tnh bng 30% lng nc sinh hot trong 1 ngy: Wkt1 = 0,3%*15 = 4,5 m3 Phn nc dng trong cha chy: Vi 1 m chy, mi m chy 2,5 l/s Lng nc d tr trong 10 pht l: Wkt2 = 1*2,5*10*60 = 1500 lt = 1.5 m3. Tng dung tch kt nc l Wkt=4,5+1,5=6m3 Chn 4 kt nc, dung tch mi kt = 1,5 m3. H thng cp nc sinh hot nh sau: NG H NC B CHA NC KT NC THIT B DNG

NC
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10.3.4 Tnh ton dung tch b cha nc ngm: B cha nc ngm c tnh ton d tr nc s dng trong 1 ngy v d tr nc cha chy trong vng 3h. Th tch b nc ngm l: Wb = 15+27=42m3 10.3.5 Tnh ton bm ca h thng cp nc: Bm chuyn nc Tnh lu lng bm: Lu lng bm chuyn nc sinh hot c tnh ton bng lu lng nc s dng trong sinh hot c to nh. Lu lng bm tnh ton theo cng thc sau: Lu lng ca bm xc nh theo cng thc:
q =0,2 N

Trong : q: lu lng tnh ton (l/s) a: h s ph thuc vo chc nng ngi nh ( = 1,4) N: ng lng thit b v sinh

Thie bs ng n So ng t du c l Tiu nam Bo ca n u Cha r ma u a t Cha ta u m Tog ng l g n n

n v

1 bo 33 bo 31 bo 22 bo

ng l g N n 0,17 0,5 0,33 1

N 0,17 16,5 10,23 22 26,9

q =0,2 N =1,4 0,2 26 ,9 =1,45 (l / s ) = 5,22 m 3 / h

Chn bm: Q = 6m3/h, H=35 m (2 bm trong 1 hot ng2, 1 d

phng). Vt liu ng: Dng ng u PVC: - cp nc sinh hot i vi cc ng nhnh trong cc khu v sinh dng st trng km (STK): - ng ht v ng y bm, ng cp nc trn sn thng.

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10.4 - H thng thot nc sinh hot v v sinh mi trng 10.4.1 - M t h thng thot nc sinh hot: H thng thot nc thi cho bnh vin c thit k nh sau: H thng thot nc thi ca mi khu WC c thot vo hp gen thot nc, do bnh vin c s dng h thng x l nc thi tp trung nn ch cn dng 01 ng ng thot nc sinh hot chung cho mi hp gen. Nc thi sau khi c a xung khu x l nc thi tp trung s c x l, sau thi ra h thong thot nc chung ca thnh ph trn ng Quc Hng. H thng x l nc thi s dng cng ngh DEWATS c m t nh sau: H thng Dewats gm c bn bc x l c bn vi cc cng trnh c trng: X l s b bc mt: qu trnh lng loi b cc cn l lng c kh nng lng c, gim ti cho cc cng trnh x l pha sau. X l bc hai: qu trnh x l nh cc vi sinh vt k kh loi b cc cht rn l lng v ho tan trong nc thi. Giai on ny c hai cng ngh c p dng l b phn ng k kh (BR) c vch ngn v b lng k kh (AF). B phn ng k kh vi cc vch ngn gip cho nc thi chuyn ng ln xung. Di y mi ngn, bn hot tnh c gi li v duy tr, dng nc thi vo lin tc c tip xc v o trn vi lp bn hot tnh c mt vi sinh vt k kh cao, nh m qu trnh phn hu cc hp cht hu c trong nc thi c din ra mnh m gip lm sch nc thi hiu qu hn cc b t hoi thng thng. B lc k kh vi vt liu lc c vai tr l gi cho cc vi sinh vt pht trin, to thnh cc mng vi sinh vt. Cc cht nhim ho tan trong nc thi c x l hiu qu hn khi i qua cc l rng ca vt liu lc v tip xc vi cc mng vi sinh vt. Ton b phn k kh nm di t, khng gian pha trn c th s dng lm sn chi, bi xe...iu ny rt thch hp vi cc khu vc thiu din tch xy dng. X l bc ba: Qu trnh x l hiu kh. Cng ngh p dng ch yu ca bc ny l bi lc ngm trng cy dng chy ngang. Ngoi qu trnh lng v lc tip tc xy ra trong bi lc th h thc vt trng trong bi lc gp phn ng k trong x l nc thi nh kh nng cung cp xy qua b r ca cy xung bi lc to iu kin hiu kh cho cc vi sinh vt lp trn cng ca bi lc. B r ca thc vt cng l mi trng sng thch hp cho cc vi sinh vt c kh nng tiu th cc cht dinh dng c trong nc thi, tng hiu qu s l ca bi lc. Ngoi ra thc vt trong bi lc hp thu cc cht dinh dng nh Nit v Phtpho. Nc sau bi lc trng cy thng khng cn mi hi thi nh u ra ca cc cng trnh x l k kh. Sau mt thi gian vn hnh h thc vt trong bi lc s to nn mt khun vin p cho ton b h thng x l. Kh trng: h ch th vi chiu su lp nc nng c thit k loi b cc vi khun gy bnh nh bc x mt tri xuyn qua lp nc trong h. Tuy nhin, i vi nc thi c lng vi sinh vt gy bnh cao th vic s dng ho cht kh trng l iu cn thit.
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H thng thot nc nh sau:

X L BC 1 X L BC 2 X L BC 3 RA HTTN NGOI PH

CC LOI NC THI

10.4.2 - V sinh mi trng. Ton b rc thi ca khu vt l tr liu c phn loi ngay ti ngun. Ti mi phng bnh nhn hoc phng chc nng u c b tr 02 thng rc. Rc thi y t c ring vo mt thng, rc thi sinh hot c ring vo mt thng v c xe chuyn dng em i x l tp trung. Rc thi y t c em i t trong l t theo nhit yu cu. 10.4.3 -Cc vn bn lin quan n vic x l cht thi y t. Quyt nh s 43/2007/Q-YT ngy 20/11/2007 ca B Y T v vic ban hnh Quy ch cht thi rn y t. Cng vn s 4527_TR ngy 08/6/1996 ca B Y T hng dn x l cht thi rn trong bnh vin. TCVN-lodot CCRYT-2005. Tiu chun thit k h thng thot nc da theo cc quy nh v tiu chun thit k ca Vit Nam nhm m bo h thng hot ng trong iu kin tt nht, ph hp nht. TCVN 4474-1997: Thot nc bn trong cng trnh TCVN 5673-1992: H thng ti liu thit k xy dng cp thot nc bn trong nh. TCXD 51-1984: Thot nc - Mng li bn ngoi v cng trnh 10.5 - H THNG THOT NC MA 10.5.1 - M t h thng: Nc ma trn mi c tp trung v cu chn rc D114. Cc ng ng thot nc ma s dn lng nc ma xung tng trt v thot vo rnh thot nc ma ngoi nh ca bnh vin. 10.5.2 - Tnh ton s b lng nc ma: Chn ng knh ng ng thot nc D90 Din tch gii hn ln nht: Fmax = 20xdxdxVp/( xh5max) = 20x9x9x2/1x14.8 = 218m2 Trong : Vp : vn tc ph hoi ca ng, v = 2 m/s h5max: lp nc ma 5 pht ln nht Din tch mt bng mi: 226 m2 Chn 2 ng thot trc chnh D90 thot nc ra mng chung.

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 tng hm 1, 2 c mng thu nc ti ram xe xung ri dn vo h ga. Nc tng hm c bm ln h ga thot nc ma bn ngoi. VII. PHNG N THIT B CNG TRNH 1. H thng bo chy t ng Ton b cc phng khm, phng iu tr (phng bnh nhn) c lp t h thng bo chy t ng bao gm cc u bo khi, bo tn hiu khi xy ra chy kp thi pht hin v x l ti a s c. 2. H thong cha chy vch tng Bao gm cc hng cha chy c b tr trn cc tng nh theo tiu chun PCCC, cc hng ny c cung cp lu lng v p lc do my bm cha chy t trong cng trnh 3. H thng thang my: Thang m bo chuyn ch bnh nhn, gm 06 im dng v 01 phng iu khin thang my ti tng tum ca cng trnh. 4. H thng iu ho khng kh: i vi khu vt l tr liu gii php la chn iu ho trung tm cho ton b cng trnh. 5.H thng in nh cng trnh: Mng in thoi, mng my tnh ni b, mng cp truyn hnh, mng truyn thanh c thit k hon thin vi tiu chun hin hnh m bo tin nghi s dng ca khu khm v iu tr. t 1 phng k thut b tr v x l cc u mi ca mng in nh 6. H thng my pht in 500 KVA: T my c thit k lp t v th ti ng cc tiu chun ISO 8528-1; ISO 3046, BS5514; DIN 6271. Dng d phng khi c s c hoc xy ra mt in li. t ngoi cng trnh v c v cch m chng n v lp t ng khi a ln cao trnh nhim khi. 7. H thng cp kh y t: Vic cung cp kh y t bao gm: Kh oxy, kh nn v ht chn khng cho cc phng hi sc, tm lu... Kh oxy, kh nn c cung cp bi trm iu phi oxy v trm kh nn trung tm. H thng ht chn khng c ht tp trung nh my ht trung tm 8.Trang thit b y t: Ch yu dch chuyn cc thit b hin c bn bnh vin sang v xin u t thm mi 1 s thit b vn ng tr liu p ng nhu cu mi ca bnh vin. Nhu cu trang thit b phi p ng c s nghip cng nghip ha, hin i ha y t ngnh, tng xng vi tc hin i ha mng li Bu chnh vin thng. Vic trang thit b y t cn gip cho y t Bu in ha nhp vi trnh y t chung, t bit l trnh khm cha bnh, phc hi chc nng trn a bn TP.HCM. Khng c nh vy s khng to ra u th ca bnh vin Ngnh, ngi bnh s thit thi khi khm cha bnh ti bnh vin Ngnh v ngay c khi
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CBCNV trong Ngnh m au cng cha chc n bnh vin Ngnh khi m trang b ca bnh vin Ngnh s si v ci ch yu ngi bnh vn trng ch l cht lng chn on iu tr + Ch trng n ngh ca Ngnh bu chnh vin thng + Quan h tng tc vi cc c s y t trong ngnh v trong khu vc. + t im Y t v kh hu ca khu vc. + Cc thit b c cng ngh cao c kh nng nng cp v ni mng. + C con ngi nm vng k thut ri mi tnh n vic mua sm trang thit b khi mua sm trang thit b l c ngi s dng khai thc ngay, trnh gy lng ph. Trang thit b mua sm phi p ng c nhu cu ca bnh vin, ng chuyn mn, cht lng, k thut tt, ng b, gi thnh hp l c k hoch bo hnh, bo dng. VIII. PHNG N THIT B CNG TRNH 1. H thng bo chy t ng Ton b cc phng khm, phng iu tr (phng bnh nhnh) c lp t h thng bo chy t ng bao gm cc u bo khi, ba tn hiu khi xy ra chy kp thi pht hin v x l ti a s c. 2. H thng cha chy vch tng Bao gm cc hng cha chy c b tr trn cc tng nh theo tiu chun PCCC, cc hng ny c cung cp lu lng v p lc do my bm cha chy t trong cng trnh 3. H thng thang my: Thang m bo chuyn ch bnh nhn, gm 06 im dng v 01 phng iu khin thang my ti tng tum ca cng trnh. 4.H thng iu ho khng kh: i vi khu vt l tr liu gii php la chn iu ho trung tm cho ton b cng trnh. 5. H thng in nh cng trnh: Mng in thoi, mng my tnh ni b, mng cp truyn hnh, mng truyn thanh c thit k hon thin vi tiu chun hin hnh m bo tin nghi s dng ca khu khm v iu tr . t 1 phng k thut b tr v x l cc u mi ca mng in nh 6.Trang thit b y t: Ch yu dch chuyn cc thit b hin c bn bnh vin sang v xin u t thm mi 1 s thit b vn ng tr liu p ng nhu cu mi ca bnh vin IX: HNH THC U T V NGUN VN: Cng trnh c u t xy mi theo vn ti u t tp trung ca Tp on Bu chnh Vin thng Vit Nam X.CC GII PHP K THUT: 1. Kt cu cng trnh: -Cng trnh cp III nin hn s dng trn 50 nm, bc chu la bc 1.

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Cng trnh xy dng phi ch n kh nng bn vng, n nh ca cng trnh, ng thi ch n bo v b tng ct thp, chng xm thc ca khng kh mn . Da vo tnh cht c l c trng qua ti liu thm d a cht v cc mu th nghim trong phm vi khu vc x l nn mng, m bo an ton v kinh t. Kt cu chi lc ch yu ca cng trnh l khung b tng ct thp, tng ngn bng gch c l. Ring cc phng c tip xc vi nc c xy bng gch th.C th nh sau: -sn chu lc bng bng b tng ct thp ti ch -Mi bng b tng ct thp ti ch -Mng cc b tng ct thp -Gch xy tuy nen tiu chun (sn xut ti nh my) Ti trng tnh ton cng trnh p dng theo tiu chun nh nc TCVN 2737-95, ban hnh. 2. H thng cp in: -Theo quy hoch, ngun in cp cho Khu vt l tr liu s ly t mng li in quy hoch khu dn c khi a cng trnh vo s dng, ng thi kt hp vi mng li in quy hoch ca Bnh vin c xy dng xong, m bo cung cp kp thi ngun in cho cng trnh. 3. H thng chng st: -Cng trnh l nh 7 tng, c cao 30m, l cao trung bnh trong khu vc nn h thng chng st cho cng trnh d kin s dng h thng chng st hin i (h thng kim thu st c R = 55m, dy dn st v h thng tip t theo tiu chun) 4. H thng cp nc sinh hot: Cp nc cho cng trnh c ly t mng li cp nc xy dng theo trc ng phi trc cng trnh qua ng h tng vo b cha nc ngm. H thng my bm t tng hm a nc t b cha ngm ln b mi. H thng cp nc sinh hot v cp nc cu ho c thit k c lp.

S cp nc:
n g u n n c b c ha m y bm sin h ho t n g v n c h uyn b n c m i

n g d n ph n ph i

ti u th

d kin xy dng 01 b ngm dung tch 40m3 cung cp cho sc tiu th nc trong mt ngy. 5. H thng thot nc: a.Thot nc tng hm

33

Nc thi tng hm bao gm nc ma ca ln xung, nc ra sn, ra xe c thu qua h ga v mng thu. Trong h ga t 1 bm chm t ng bm nc ra cng thot nc bn ngoi. b. Thot nc ma trn mi Nc ma t cc mi, sn thng, ban cng c thot theo cc ng ng xung h thng rnh thot nc ma quanh nh sau thot ra cng thot nc thnh ph. Nc ngng t cc my iu ho khng kh thot chung vo h thng thot nc ma. Phiu thu nc mi bng gang c li chn rc, ng thot nc mi bng nha PVC. c. Thot nc thi sinh hot H thng thot nc trong nh c thot theo cc tuyn ring: Nc thi t cc x, tiu, bi thot theo cc tuyn ng ring dn vo ngn cha ca b t hoi. Nc thi tm, git, nc ra sn theo cc tuyn ring thot vo ngn lng ca b t hoi hoc h thng cng thot nc bn ngoi cng trnh. 6. H thng PCCC: - Cc phng khm v cha bnh, hnh lang ch .. u b tr 1 n 2 u bo chy khi c s c xy ra.Ti v tr snh tng u b tr bnh cha chy loa bnh kh v bnh bt theo tiu chun -Cng trnh c quy m 8 tng (k c tng hm), din tch 1904,42m2 do theo yu cu PCCC, cn lp t 1 ct nc cha chy ti cc bung thang, trn cc tng u c cc hng cha chy, vch ngn D50, u lng phun D13, ng vi gai di 20,00m ngoi ra ti cc tng u b tr cc bnh bt cha chy v cc quy nh theo yu cu PCCC. -Cng xut nc PCCC: Tiu chun cho mi lng phun 2,5l/s, thi gian cha chy trong 3h, s lng phun tham gia cha chy l 1. Tng lng nc cn thit: 2,5x3x3.600=27m3 -D kin mt b ngm cha nc phc v cho PCCC ti chn cng trnh. Ngoi ra cn c h thng cha chy bnh bt kt hp vi h thng cha chy ngoi nh cng vi xe cu ho thnh ph. 7. Thit k chiu sng: -H thng chiu sng kt hp c chiu sng t nhin v nhn to. Chiu sng t nhin bng ca s knh 2 bn kt hp vi nh sng nhn to. -Chiu sng nhn to h thng n trn, n tng. 8. Thit k che nng, cch nhit: -y l yu t v cng quan trng cho tin nghi phng , c bit trong iu kin kh hu nng m thnh ph H Ch Minh

34

- s lng lam nhm che nng, v vt liu ph hp gim thiu bc x nhit cho cng trnh. - kt hp l gia v bn trng cy ci thin vi kh hu cho cng trnh, to khng gian xanh thn thin vi mi trng. -Mi nh Vt l tr liu c thit k hai lp (lp chng nng v sn mi BTCT) gia hai lp l lp khng kh. Khng kh lu thng trong gia 2 lp mi s lm gim nhit truyn vo nh. Lp mi trn l lp bo v, che nng ma v cc tc ng thi tit bn ngoi, lp mi di bng BTCT trang tr v cc n chiu sng trn. 9.Cc gii php an ton: -Ton b cng trnh c 01 cu thang my v 01 cu thang b, ngai ra cn 01 thang thot him pha sau cng trnh . Ti cc v tr hc thang b tr cc hp cu ho. Hnh lang chnh trong nh c chiu rng 2,0m n 2,3 m bung thang rng 3,0m, m bo tiu chun thot ngi khi c s c. XI.KINH T XY DNG: Tong kinh ph d kin: 26.010.129.174 Trong : -Mc u t xy lp -Mc u t thit b - Chi ph KTCB khc -Chi ph d phng Cng C (lm trnl) 15.105.805.000 6.659.823.000 1.870.609.487 2.373.891.687 26.010.129.000

Hnh thc qun l d n: Ch u t trc tip qun l v iu hnh d n kt hp vi T vn Qun l d n. XII. TIN THC HIN: Qu 3/2008 Qu 4/2008 Qu 1 /2009 Qu 1 /2010 XIII. KIN NGH: Tin hnh cc th tc trnh duyt d n u t Hon thnh thit k bn v thi cng v lp tng d ton u thu v xy dng cng trnh Hon thnh cng trnh v a vo s dng

Vi quy m nh trnh by trn Khu vt l tr liu Phc hi chc nng ,Bnh vin iu dng Phc hi chc nng Bu in II s m bo o to v pht trin c trong mi tnh hung m khng s lng ph v cng sut cng nh mt bng xy dng bi l:

Xy dng l quy lut pht trin tt yu m hu ht cc nc tri qua .

- Chun b tt c s vt cht t nn mng cho cc m hnh khm cha bnh

mi m n u trong pht trin ca thnh ph H Ch Minh trong tng lai. Bnh vin iu dng- Phc hi chc nng Bu in II qua phn tch nhn thy rng vic trin khai d n xy dng Khu vt l tr liu phc hi chc nng l hon ton hp l v rt c li cho tng lai pht trin ca ngnh Bu chnh Vin
35

thng Vit Nam . IV.KT LUN: Cng vi vic nng cao cht lng cuc sng ca cn b Cng nhn vin trong ngnh, vic u t xy dng cng trnh mang mt ngha ln khi gp phn kin thit b mt th, o bo gy dng lng tin ca cn b cng nhn vin v nhn dn trong vng v thng hiu v s ln mnh ca Tp on VNPT . Bnh vin iu dng - Phc hi chc nng Bu in II lp d n u t xy dng cng trnh Khu vt l tr liu Phc hi chc nng Bnh vin iu dng Phc hi chc nng Bu in IIknh trnh Tp on Bu chnh Vin thng Vit Nam xem xt ph duyt d n u t Bnh vin tip tc trin khai cc bc tip theo. XV .KE HOACH AU THU:

- Cn c lut u thu s 61/2005/QH11 nyy 29/11/2005 ca Quc

hi Nc Cng Ha X Hi Ch Ngha Vit Nam

- Cn c ngh nh s 58/2008/ND-CP ngy 05/05/2008 ca chnh ph

v hng dn thi hnh lut u thu trong xy dng

- Cn c ni dung d n xy dng : Khu vt l tr liu phc hi chc nng Bnh vin iu dng phc hi chc nng Bu in II.

36

1. Phn cng vic thc hin: STT Tn gi thu Gi gi thu (Trc thu GTGT) 130,837,000 Hnh thc la chn nh thu, phng thc u thu Ch nh thu Cp quyt nh: Bnh vin iu dng - Phc hi chc nng Bu 2 T vn lp d n u t xy dng cng trnh 98.207.194 in 2 Ch nh thu Cp quyt nh: Bnh vin iu dng - Phc hi chc nng Bu in 2 thc hin Thi gian - Thc hin u thu

Kho st xy dng

thc hin

(Trung tm nghin cu a K thut Trng i hc M a cht.)

(Cng ty TNHH

Mt thnh vin T dng Min Nam.)

vn Thit k Xy

2 - Phn cng vic khng p dng mt trong cc hnh thc la chn nh thu: STT Tn gi thu Gi gi thu (Trc thu GTGT) 408. 001.483 499.186.432 371.435.544 Hnh thc la Thi gian chn nh thu, Thc hin u phng thc u thu thu Ch nh thu Ch nh thu Qu II /2009 Qu IV /2008 Qu II /2009

1 2 3

T vn qun l d n T vn thit k bn v thi cng: T vn gim st thi cng xy

Ch nh thu

37

dng cng trnh 4 5 6 7 T vn u thu Th tnh cc Bo him cng trnh Thang my 57.350.255 44.000.000 37.764.513 810,000, 000 Ch nh thu Ch nh thu Ch nh thu Ch nh thu Qu I /2009 Qu I /2009 Qu I /2009 Qu III /2009

3 - Phn cng vic d kin u thu: STT Tn gi thu Gi gi thu (Trc thu GTGT) 17.933.970.909 Hnh thc la chn nh thu, phng thc u thu u thu rng ri,mt ti h s Thi gian Thc hin u thu Quy II/2009

Nh chnh v cc hng mc ph tr (in nc ngoi nh, sn ng ni b, cay xanh, nh bo v h thng PCCC, chng st, trang thit b)

Thit b y t

1.941.200.000

u thu rng ri,mt ti h

Quy II/2009

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