GJMY第五章课件

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well-paid positions and p_r_o_f_e_s_si_o_n_s_ once reserved almost exclusively for men, such as _m_e_d_i_c_in_e_ , law and management.
Most women work _b_e_ca_u__se__th__ei_r_f_a_m__il_ie_s_n__ee_d__t_h_e _m_o_n_e_y_ . With the price of food and fuel, and housing, transportation and education rising steadily, more and more families are depending upon a second _in_c_o_m__e_. Many women work also because they want to have careers of their own and enjoy full e_q_u_a_l_it_y_ with men.
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Not until I became a mother did I understand How much my mother had sacrificed for me; Not until I became a mother did I feel How hurt my mother was when I disobeyed; Not until I became a mother did I know How proud my mother was when I achieved; Not until I became a mother did I realize How much my mother loves me.

单纯食管损伤的严重并发症为（）A.皮下气肿B.呼吸困难C.易导致出血D.导致颈部严重感染E.声音嘶哑 监控安装 [单选]关于鼻咽纤维血管瘤下列说法不相符的是()A．好发于10～25岁的男性青年B．肿瘤具有向邻近组织扩张能力C．肿瘤起源于枕骨底部、蝶骨体及翼突内侧的骨膜D．DSA及血管栓塞可减少术中出血E．活检确诊后手术切除 监控安装 [多选]下列对安全技术交底主要内容的叙述，（）是正确的。A.安全负责人的电话B.针对危险部位采取的具体防范措施C.作业中应注意的安全事项D.作业人员应遵守的安全操作规程和规范 监控安装 [填空题]使命是指一个组织的总的功能，说明组织存在的理由或价值，回答“（）"的问题。 监控安装 [单选,A型题]可作片剂助流剂的是()A、糊精B、聚维酮C、糖粉D、硬脂酸镁E、微粉硅胶 监控安装 [单选,A1型题]驰张热型伴寒战常见于（）A.伤寒B.传染性单核细胞增多症C.败血症D.支原体肺炎E.系统性红斑狼疮 监控安装 [单选]氮氧化物控制技术中的（）是与SCR工艺操作相关的关键因素。A.催化剂活泼B.催化剂失活和烟气中残留的氨C.空气预热D.燃烧产生的烟尘 监控安装 [单选]货物运输调度的对象是（）。A.运输工具B.货物的配载C.运输线路D.实际承运人 监控安装 [单选]在非金属液体中，（）的导热系数最高。A、水；B、乙醇；C、甘油；D、甲醇。 监控安装 [问答题,计算题]已知某飞机执行航班任务，起飞机场标高为860m，当日机场场压为718.8mmhg，查气压表知道，机场标高为900m时，标准场压为682.50mmhg；机场标高为990m时，标准场压为675.13mmhg，该飞机机型规定，当场压高于（或低于）标准场压10mmhg时，飞机的最大起飞重量 监控安装 [填空题]在地震区进行高层建筑结构设计时，要实现（），这一要求是通过（）措施来实现的；对框架结构而言，就是要实现（）、（）、（）和强锚固。 监控安装 [单选]某施工单位通过行贿中标某大型项目，并向项目建设单位提交了某银行出具的工程履约保函。目前工程已经实施过半，经其他投标人投诉，招标主管部门调查认定行贿谋取中标情节属实。则（）。A．施工合同无效，履约保函有效B．施工合同无效，履约保函也无效C．施工合同有 监控安装 [单选,A2型题,A1/A2型题]下列关于HDL的叙述错误的是（）。A.主要在肝中合成B.能促进动脉硬化的发生C.将外周组织的游离胆固醇转运到肝内处理D.主要的载脂蛋白为ApoAlE.LCAT通过转酯化反应将机体中的游离胆固醇转化成胆固醇酯 监控安装 [单选]以下属于皮肤病客观体征的是（）A.瘙痒B.麻木感C.痛觉D.风团E.疼痛 监控安装 [单选,A1型题]以下不是放射性核素示踪技术主要特点的是（）。A.灵敏度高B.方法相对简便、准确性较好C.合乎生理条件D.定性、定量与定位研究相结合E.具有较大辐射效应 监控安装 [单选]在中医学中最先论述营卫气血概念的书是：（）.A.《伤寒杂病论》B.《温疫论》C.《温热论》D.以上均不是 监控安装 [问答题,简答题]霍乱的传染源有哪些？表现形式及作用如何？ 监控安装 [单选]（）是指由业主向物业服务企业支付固定物业服务费用，盈余或者亏损均由物业服务企业享有或者承担的物业服务计费方式。A.包干制和酬金制B.物业管理费用包干制C.物业服务费用包干制D.物业管理费用酬金制 监控安装 [单选,A1型题]不属于采用注射法接种的疫苗是（）A.麻疹活疫苗B.乙肝疫苗C.脊髓灰质炎三型混合疫苗D.卡介苗E.百白破混合制剂 监控安装 [单选,A2型题,A1/A2型题]关于吞咽神经检查，下列叙述哪项是正确的（）。A.嘱患者伸舌，观察有无偏斜B.舌缘两侧厚薄不相等及颤动C.嘱患者张口，观察两侧软腭上抬是否有力，腭垂是否居中D.检查鼻唇沟及口角两侧是否对称E.嘱患者鼓腮或吹口哨，观察左右两侧差异 监控安装 [填空题]当氨气与空气混合一定比例时具有爆炸性，爆炸极限含量为15%--27%（）。 监控安装 [单选]下列各项中，不属于事业单位净资产项目的是()。A.事业结余B.固定基金C.专用基金D.应缴预算款 监控安装 [单选]()是家长和幼儿园之间的桥梁，促进家园合作，体现幼儿园和家长的伙伴关系。A．咨询活动B．家长委员会C．家长学校D．电话联系 监控安装 [判断题]半抗原不具有反应原性,但具有免疫原性。（）A.正确B.错误 监控安装 [单选,A2型题,A1/A2型题]女性青春期开始的重要标志是（）A.月经初潮B.生殖器官发育成熟C.卵巢功能成熟D.卵巢分泌性激素E.输卵管弯曲且很细 监控安装 [单选]类风湿关节炎最终导致的主要肾脏病变为（）。A.肾小球基膜多种免疫复合物沉积B.肾脏淀粉样变性C.局灶节段坏死性肾小球肾炎D.肾小管酸中毒E.小动脉内皮细胞增生 监控安装 [单选]当设计温度≤（）℃时，为低温容器。A.-20B.-10C.0D.10 监控安装 [单选]下列有关建设单位申请领取施工许可证应具备的法定条件的表述中，错误的是（）。A．需要拆迁的，已取得房屋拆迁许可证B．有保证工程质量和安全的具体措施C．工程所需的消防设计按规定审核合格D．建设资金已经落实 监控安装 [单选]描述尾状叶位置错误的是A.位于门脉横部的后方B.位于肝圆韧带的下方C.位于静脉韧带的右后方D.位于下腔静脉的左前方E.位于静脉韧带后、下腔静脉前方 监控安装 [问答题,简答题]维修用电设备时，应采取哪些安全措施？ 监控安装 [多选]理想的封油应为（）液体。A、不含颗粒B、易蒸发C、洁净D、低闪点 监控安装 [单选]属于服务忌语的一项是（）。A、您好B、再见C、我不懂D、谢谢 监控安装 [单选]呼吸功能异常易引起的错位是（）A.单侧后牙反?B.后牙锁?C.佝偻病D.下颌后缩畸形E.以上都是 监控安装 [单选]施工合同规定，由甲方承担的保险义务是()。A.机器设备损坏险B.建筑工程一切险C.人身意外险D.勘察设计一切险 监控安装 [单选,共用题干题]患者男，67岁，因“反复第1跖趾关节肿痛2年，发作2天”来诊。查体：关节局部红肿、压痛，体温37.5℃，无外伤史。进行关节穿刺的目的不包括（）。A.排除感染性关节炎B.做关节液晶体检查C.关节局部注射麻醉镇痛药D.关节液常规检查E.关节局部注射激素类抗 监控安装 [单选,A1型题]香薷散主治证是（）A.阴暑证B.阳暑证C.暑湿证D.寒暑证E.暑热证 监控安装 [单选]目前我国治疗普通型流脑首选的药物是（）A.青霉素B.氯霉素C.头孢类抗生素D.磺胺类E.环丙沙星 监控安装 [单选]在下列施工区域，应该按照冬期施工要求进行路基施工的是（）。A．反复冻融地区，昼夜平均温度在0。C以下，连续14dB．反复冻融地区，昼夜平均温度在一3℃以下，连续7dC．反复冻融地区，昼夜平均温度在0℃以下，连续7dD．反复冻融地区，昼夜平均温度在一3℃以下，连 监控安装 [单选,A型题]产气荚膜梭菌区别于其他厌氧菌最有特点的生物学性状是（）A.革兰阳性粗大杆菌B.远端芽胞C.厌氧性D.菌落光滑，有溶血E.分解糖大量产气 监控安装 [单选]慢性消化性溃疡穿孔多见于（）A.胃前壁溃疡B.胃后壁溃疡C.十二指肠球前壁溃疡D.十二指肠球后壁溃疡E.十二指肠球后溃疡

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2496LSB GXY00188药品硫酸钡2497MKZ GXY00189药品咪康唑2498NS GXY00190药品尿素2499YSZ GXY00191药品鱼石脂2500SYS GXY00192药品水杨酸2501WAS GXY00193药品维A酸2502LMS GXY00194药品氯霉素2503MGYXJ GXY00195药品毛果芸香碱2504SMLE GXY00196药品噻吗洛尔2505YXZA GXY00197药品乙酰唑胺2506KDS GXY00198药品可的松2507MHJ GXY00199药品麻黄碱2508YFSX GXY00200药品氧氟沙星2509DFND GXY00201药品地芬尼多2510SGS GXY00202药品缩宫素2511MJXJ GXY00203药品麦角新碱2512CTHYZSY GXY00204药品垂体后叶注射液2513BYY GXY00205药品避孕药次5432101保内颗粒5432101保内5432101保内5432101保内颗粒、片5432101保内颗粒5432101保内5432101保内5432101保内5432101保内5432101保内软胶囊5432101保内颗粒、胶囊、片5432101保内胶囊、软胶囊、片5432101保内胶囊、片5432101保内颗粒、胶囊、片5432101保内片5432101保内5432101保内胶囊、颗粒5432101保内口服液5432101保内5432101保内片5432101保内颗粒、片5432101保内颗粒、胶囊、片5432101保内5432101保内颗粒、胶囊、片5432101保内5432101保内5432101保内5432101保内胶囊、片、注射液5432101保内5432101保内5432101保内胶囊5432101保内颗粒5432101保内丸、颗粒5432101保内5432101保内合剂5432101保内5432101保内5432101保内胶囊、片5432101保内片5432101保内片5432101保内5432101保内5432101保内颗粒、胶囊、注射液5432101保内片5432101保内5432101保内片5432101保内冻干5432101保内冻干5432101保内5432101保内5432101保内胶囊、颗粒、滴丸5432101保内胶囊5432101保内5432101保内胶囊、软胶囊5432101保内5432101保内5432101保内5432101保内5432101保内颗粒5432101保内片5432101保内5432101保内胶囊、颗粒、滴丸5432101保内5432101保内颗粒、片5432101保内散、颗粒、片5432101保内胶囊5432101保内5432101保内5432101保内胶囊、片5432101保内片5432101保内5432101保内片5432101保内5432101保内颗粒、胶囊5432101保内5432101保内5432101保内膏、片5432101保内5432101保内5432101保内5432101保内5432101保内颗粒、胶囊、片5432101保内胶囊5432101保内5432101保内胶囊5432101保内胶囊、片5432101保内5432101保内胶囊、颗粒5432101保内5432101保内5432101保内5432101保内5432101保内片、滴丸5432101保内5432101保内5432101保内5432101保内胶囊、膏、酊、气雾5432101保内胶囊5432101保内片5432101保内5432101保内5432101保内5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型5432101保内注射剂5432101保内口服常释剂型、颗粒5432101保内口服常释剂型、注射5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型、注射5432101保内口服常释剂型、颗粒5432101保内口服常释剂型、注射5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内注射剂5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、颗粒5432101保内5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内5432101保内口服常释剂型、注射5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型、颗粒5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、口服5432101保内栓剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内注射剂5432101保内口服常释剂型、注射5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型、口服5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、口服5432101保内口服常释剂型5432101保内口服常释剂型、口服5432101保内气雾剂、雾化溶液剂5432101保内口服常释剂型、口服5432101保内口服常释剂型、口服5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、酊剂5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内灌肠剂5432101保内口服常释剂型5432101保内口服散剂5432101保内口服常释剂型5432101保内口服常释剂型、滴丸5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、口服5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内外用冻干粉5432101保内注射剂5432101保内口服常释剂型5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型5432101保内注射剂5432101保内口服常释剂型5432101保内注射剂5432101保内口服常释剂型5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型、注射5432101保内口服常释剂型5432101保内口服常释剂型5432101保内注射剂5432101保内口服常释剂型5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型、注射5432101保内口服常释剂型、注射5432101保内注射剂5432101保内口服散剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内口服常释剂型、口服5432101保内注射剂5432101保内口服常释剂型、注射5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内5432101保内注射剂5432101保内干混悬剂5432101保内外用软膏剂型5432101保内外用软膏剂型5432101保内外用软膏剂型5432101保内外用软膏剂型5432101保内外用软膏剂型、凝胶5432101保内滴眼剂5432101保内注射剂、滴眼剂5432101保内滴眼剂5432101保内口服常释剂型5432101保内滴眼剂、眼膏剂5432101保内滴鼻剂5432101保内滴耳剂5432101保内口服常释剂型5432101保内注射剂5432101保内注射剂5432101保内注射剂5432101保内5432101保内已审核2008-12-19已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22未审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22已审核新诊疗项目2011-09-22100000100000100000 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TPM机械设备安全管理TPM设备管理咨询公司提出：机械设备的安全管理是机械设备安全运行的基本保障。 按照现代设备管理思想，要对设备的整个寿命周期进行管理。 即从设备的选型、采购、安装、验收、使用到报废。 从安全角度讲，可以归纳为新购设备坚持三同时，对在用设备坚持安全管理两个方面。 （一）坚持新购设备三同时（1）新设备在选型采购时，不仅是考虑设备的结构、性能、寿命、安全、经济、维修等，还要考虑设备对人的适宜性，要尽量选购本质安全性的机械设备，如不可能，也要坚持主体设备与安全卫生设备同时购进，决不能因购买新设备而给安全卫生带来新的危险与伤害 （2）新设备安装时要主体设备与安全卫生设施同时安装。 设备的安装要符合国家标准要求，特别应注意的是噪声与振动。 （3）新设备的验收、调试、运行和使用，要主体设备与安全卫生设施同时验收、调试、运行和使用，并要同时列人设备台账进行管理。 机械设备安全管理（二）坚持在用机械设备的安全管理机械设备长期使用过程中，由于零部件的磨损、疲劳和作业环境中的粉尘、油污、切削等原因，能引起性能、结构、材料、应力等的变化，甚至导致其功能失效或出现故障，影响机械设备的正常运行。 因此，机械设备的安全管理，一是抓好日常维护保养和计划检修；二是抓好机械设备的安全检查，尤其是特种设备的安全检查。 1．维护保养和计划检修（1）日常检查，一般由操作工人承担，主要是采用日常点检的方法对设备的异常声响、漏油、润滑油量、压力、振动、温度等参数检查，如发现异常及时排除，使设备处于正常运行状态。 日常检查内容有：①机械能否确保完成工作定额，达到技术性能的要求?②机械能否达到质量要求?③在操作或运行中设备是否正常可靠?④机械、传动机构是否有潜在的不安全因素?⑤设备运行中是否有漏油、噪声、振动、温度升高、冒烟、气味等异常现象?⑥有无降低设备寿命等隐患?通过操作人 针对检查中发现的问题，提出修理或改进意见。 （2）维护保养工作有：①调整，对机械上局部零部件进行小的调整，如齿轮的啮合间隙、轴和轴承的配合等。 ②保养，加润滑油、清理切屑、擦洗油垢、更换易损件等。 ③运行维修，不影响或对设备影响很小的运行时的修理，如输电线路的带电作业、不停炉修补、安全规程许可的不停机检修等。 （3）定期检修，是有计划的定期停工检修，包括小修、中修和大修。 这些检修包括检查和修理，一般都要停机。 ①定期检修，专业维修人员在操作工的参与下，定期对重点设备或设备的重点部位以及计划维修的设备进行检查，以便确定修理时间和修理内容。 在定期检查中，对多垢屑的设备进行清洗，定期换油。 ②精度检查，由专业人员对设备加工精度（包括几何精度）进行全面检查和测定。 为设备验收、修理、更换必要的零件、更新设备提供必要的依据。 ③性能检查，由专业人员对设备的各种功能进行全面检查和测定，以保持设备规定的性能。 在检查的基础上，进行修理的技术、人员、备件以及场地等的多项准备，按计划进行修理。 修理后要试运行验收。 2．机械设备的安全检查（1）机械设备安全检查的目的是发现隐患，及时整改，减少事故的发生。 （2）机械设备的检查内容：一般为行程限位、制动、连锁、防护等装置，润滑系统、接地（零）保护、照明、操作空间、工位器具等；对于特种设备需要检查有关部门的监督检查证明，人员培训证书等。 （3）检查方式一般用设备安全检查表，示例见表2（4）检查时间：日查——操作者按点检卡进行。 周查——班组长按检查表进行。 月查——企业安技职能部门组织进行。 机械设备的安全还有季节性的专项检查，夏季之前的电器检查，冬季的防寒防冻、防火检查等。