阅读说明：本技术 医用轨道列车 (Medical rail train ) 是由 李明高 王语博 龚明 于 2020-04-09 设计创作，主要内容包括：本发明涉及全新概念的医用救护特种专用轨道列车。该医用特种轨道列车包括司机室以及由司机室带动的多节车厢,多节车厢至少包括构造成医疗舱的医疗车厢、用于进行手术操作的手术车厢、用于进行体检操作的体检车厢、用于进行病患隔离的隔离车厢以及用于医药冷藏的医药冷藏车厢中的一种或多种。并留有监护救护车改装升级插口,配备双向无线卫星通讯装置,必要的基本的抢救、抢险、防疫或转运设备。配备自我保障系统,可完成水、电、油的自我保障。该列车能进行包括不仅限于传染性疾病的综合病患诊断治疗并且能够大规模急速全国区域内医疗驰援、转移运输病患,容量满足至少同时救治及转运千人以上,并可随时进行增扩容,可视为“移动集成方舱医院”。(The invention relates to a special rail train for medical aid with a brand new concept. The medical special rail train comprises a cab and a plurality of carriages driven by the cab, wherein the carriages at least comprise one or more of a medical carriage constructed into a medical cabin, an operation carriage for performing operation, a physical examination carriage for performing physical examination operation, an isolation carriage for isolating patients and a medical refrigeration carriage for refrigerating medicines. And a modified and upgraded socket of the ambulance is reserved, and the ambulance is provided with a bidirectional wireless satellite communication device and necessary basic rescue, emergency, epidemic prevention or transfer equipment. The self-guarantee system is equipped to complete the self-guarantee of water, electricity and oil. The train can diagnose and treat the comprehensive disease including the infectious diseases, can rapidly and rapidly rush over and transfer the medical treatment in the national region in a large scale, has the capacity of at least treating and transferring more than one thousand persons at the same time, can increase and expand the capacity at any time, and can be regarded as a mobile integrated shelter hospital.)

1. A medical rail train comprises a driver cab and a plurality of carriages driven by the driver cab, and is characterized in that,

the medical compartment at least comprises at least one of a medical compartment constructed into a medical cabin, an operation compartment for performing operation, a physical examination compartment for performing physical examination operation, an isolation compartment for isolating patients, a medical refrigeration compartment for refrigerating medicines, a medical electromagnetic shielding detection compartment for medical detection, an ICU compartment for intensive care, a sewage centralized treatment compartment, a double-layer compartment for medical care/staff sleeping/resting/conventional meeting, a bearing compartment for bearing an auxiliary vehicle, a refrigeration compartment with a temporary passage and a heat preservation compartment with a temporary passage.

2. The medical rail train of claim 1, further comprising a marshalling of single and double decker cars, high space cars, laterally double-sided extension cars, independently operating cars, high speed heavy duty special freight cars, medical shelter self-unloading cars, wherein the surgical cars are configured as the high space cars and the roofs are configured as the arcs and the bottoms are configured as the sunken floor, wherein at least the health care/crew sleeper cars and the catering cars in the medical rail train are double-decker and all of the cars and the cab can be connected to each other by an automatic coupler system.

3. The medical rail train as claimed in claim 1, wherein at least one of the cars is configured as the lateral double-sided expansion car including a main car and expansion cars disposed on both sides of the main car in a lateral direction of the medical rail train, wherein a plurality of electric or magnetic rail runner structures are disposed between the main car and the expansion cars to enable the expansion cars to expand or contract relative to the main car, and a frame structure of the cars is made of a composite carbon fiber material.

4. The medical rail train as claimed in claim 1, wherein a bi-directional double passage or triple passage structure is provided between the driver's cab and the carriages which are connected to each other, and between the carriages which are connected to each other, in which there is a docking passage which can be telescopically deformed in a transverse direction of the medical rail train.

5. The medical rail train as claimed in claim 1, wherein one or more of the medical, physical and isolation carriages is internally provided with a slide on which a spacer for dividing the respective carriage into a plurality of compartments is mounted,

the slideways are arranged at the top and the bottom of the corresponding carriage, and the partition pieces are partition walls capable of moving along the slideways, and observation windows are arranged on the partition walls; or

The slide is disposed at the top of the corresponding compartment, and the spacer is a medical drape movable along the slide.

6. The medical rail train of claim 1, wherein the medical car is provided with a drop-down door body that is pivotable between a closed position and an open position in which it is pulled flat on a platform, wherein in the open position the drop-down door body is configured as a walk-on board.

7. The medical rail train as claimed in claim 1, wherein a lateral swing type power door is provided to a lateral side of the car body, wherein the lateral swing type power door includes an upper door and a lower door which are partitioned in a height direction of the medical rail train and are independently operable.

8. The medical rail train of claim 1, wherein the medical rail train comprises a dual electrical system, the dual electrical system comprising:

the main electric system is arranged on the roof and the bottom of the carriage and used for driving the train to run and brake, and the main electric system is also connected with a main electric standby starting system;

the train internal and external fixed auxiliary equipment power supply system is used for supplying power to electric equipment in a train, and comprises a lighting system, an alarm system, a comprehensive disinfection system, a positive, negative and zero tri-state fresh air ventilation and purification system, a pollution discharge and disinfection treatment system, a fire fighting system, a medical staff/worker and patient living electric system and a vehicle door walking channel electric system, wherein the vehicle door walking channel electric system is connected with an auxiliary equipment standby starting system, and the alarm system comprises a rail vehicle internal alarm module and an external alarm module which is communicated with an external system;

the medical equipment power supply system is used for supplying power to medical equipment in the train and is connected with a medical equipment standby starting system;

the communication power supply system supplies power for the medical calling communication equipment inside, outside and in the train, and is also connected with a communication power supply standby starting system.

9. The medical rail train of claim 8, wherein the primary power supply backup start system, the auxiliary equipment backup start system, the medical equipment backup start system, and the communication power supply backup start system are each provided with a generator, a charger, and a battery, and the generator is configured to supply power in a state where the battery is depleted, faulty, or unable to start, the charger being used to ensure continuous charging of the battery from the primary electrical system under normal operating conditions.

10. The medical rail train as claimed in claim 8, wherein a reserved 220V power connection port of a direct connection power grid is arranged outside each carriage, and circuit breakers are arranged in all circuits inside each carriage.

11. The medical rail train of claim 8, wherein the medical car, the surgical car, the physical examination car, the isolation car, and the medical refrigeration car are provided with an integrated interior trim,

the integrated interior trim part is made of at least one of an anti-oxidation and self-anti-virus high polymer material and a VOC material, the outside of the medical railway vehicle is attached with an identification mark, and flashing lamps are arranged around the outside of the cab and the carriage.

12. The medical rail train as claimed in claim 1, wherein the surgical car is configured as a shelter-type structural car, wherein the shelter-type structural car can be switched between a folded state and an unfolded state where it is jacked to deform into a shelter-type structure, and a self-unloading device is provided on a car body frame where the shelter-type structural car is located, the self-unloading device being connected to the shelter-type structural car to move the shelter-type structural car between a position on the car body frame and a position where it is placed on the ground.

13. The medical rail train of claim 8, wherein the blowdown sanitization disposal system comprises: a replacement type travel waste recoverer for collecting travel waste, a twice-a-day insecticide spreading system and a medical waste recoverer for collecting medical waste,

wherein, a solid dirt disinfection treatment, grinding, burning and smoke treatment device is arranged on one section of the carriage.

14. The medical rail train of claim 8, wherein the fresh air ventilation and purification system comprises:

the air inlets are arranged in the ICU carriage and the severe infectious disease isolation carriage and can be used for filtering, purifying and adjusting the direction, and the air inlets are arranged in the direction of guiding airflow based on the tri-state requirement so that the airflow is blown in the direction far away from the personnel in the carriage in the negative pressure state;

the air inlet and outlet are arranged on a negative pressure filtering device at the head of the sickbed in the ICU carriage and matched with a negative pressure isolation cover to carry out air inlet and outlet when the negative pressure isolation cover is used for covering a patient and stop working when the negative pressure isolation cover is folded;

the air outlet is arranged at the head of the sickbed in the ICU carriage and is positioned at two sides of the air inlet and outlet;

the air outlet is arranged on the side wall of the severe infectious disease isolation carriage.

15. The medical rail train as claimed in claim 1, wherein each of the carriages further comprises a monitoring and infectious disease ambulance car retrofit configuration jack, a medical equipment expansion jack, a communication equipment expansion jack, and a robot control equipment expansion jack.

16. The medical rail train of claim 1, wherein one of the cars is configured as the independently operating car,

the independent running carriage is provided with a driving motor capable of driving the independent running carriage to run independently and a digital built-in sensing adjustment steering control system based on a 5G road station network, wherein a four-way sensor, a command response and feedback device and an integrated controller are built in the wheel set and the auxiliary structure thereof, the digital display is performed in a cab visual control integrated center in real time, and the integrated controller is configured to control the running direction, the running speed and the running angle of the independent driving carriage.

17. The medical rail train of claim 8, wherein the integrated decontamination system comprises:

the ultraviolet disinfection lamp is arranged in the carriage to carry out ultraviolet disinfection on the carriage;

the disinfection spraying device is arranged in the carriage to carry out atomization disinfection on the carriage;

the expanding interface of the slow-release gaseous chlorine dioxide device is arranged in the carriage.

18. The medical rail train of claim 8, further comprising a diagnostic detection system, the diagnostic detection system comprising:

a train running state self-diagnosis subsystem for monitoring the train running state;

the tri-state self-diagnosis subsystem is used for monitoring the states of the fresh air ventilation and negative pressure purification system;

an alarm system self-diagnostic subsystem for monitoring the status of the alarm system.

Technical Field

The invention relates to the field of rail vehicles, in particular to a medical rail train. In particular to a special rail train with a brand new concept for medical rescue. Relates to a special railway motor train for emergency medical service and medical rescue in sudden public health events.

Background

In the current society, rail trains (such as a universal train, a high-speed rail, a motor train, and the like) generally have only a function of passenger transportation. For a common ambulance, the function is single, and various rescue requirements at any time cannot be met; and the conventional ambulance is not suitable for large-scale patient transfer and transportation at high speed. The invention discloses a special railway motor train for emergency medical service and medical rescue in sudden public health events. The medical assistance system meets the requirements of rapidness, flexibility and scale for medical assistance of epidemic situation areas.

The train carriage has the functions of an ambulance and a temporary epidemic situation hospital, stops at a spare line far away from a crowd gathering area in an epidemic situation outbreak period, can realize rapid expansion due to the increase and decrease of the train carriage body, and has regional allocation transient mobility.

Disclosure of Invention

In order to fill the blank of the medical special train in the field of the existing rail transit and meet the requirements of quick, flexible and large-scale medical assistance of epidemic and war commonalities, the embodiment of the invention provides the medical special maneuvering rail train, so that at least comprehensive patient diagnosis and treatment can be realized and patients can be transferred and transported in a large scale.

According to an embodiment of the invention, the medical rail train comprises a driver cab and a plurality of carriages driven by the driver cab, wherein the carriages at least comprise at least one of a medical carriage constructed into a medical cabin, an operation carriage used for performing operation, a physical examination carriage used for performing physical examination operation, an isolation carriage used for isolating patients, a medical refrigeration carriage used for refrigerating medicines, a medical electromagnetic shielding detection carriage used for medical detection, an ICU carriage used for intensive care, a sewage centralized treatment carriage, a double-layer carriage used for medical care/staff sleeping/resting/routine meetings, a bearing carriage used for bearing an auxiliary vehicle, a refrigeration carriage with a temporary passage and a heat preservation carriage with a temporary passage.

According to an embodiment of the invention, the medical rail train further comprises a marshalling form of a single double-deck carriage, a high-space carriage, a transverse double-side expansion carriage, an independent operation carriage, a high-speed heavy-load special freight carriage and a medical shelter self-unloading carriage, wherein the operation carriage is constructed into the high-space carriage, the top of the vehicle is constructed into an arc surface shape, the bottom of the vehicle is constructed into a sunken vehicle bottom plate, at least a medical/worker rest sleeping carriage and a dining carriage in the medical rail train are of a double-deck structure, and all carriages and the cab can be connected with each other through a modular automatic coupler system.

According to an embodiment of the present invention, at least one of the cars is configured as the lateral double-sided expansion car including a main car and expansion cars disposed on both sides of the main car in a lateral direction of the medical rail train, wherein a plurality of electric slide rail structures are provided between the main car and the expansion cars to enable the expansion cars to expand or contract with respect to the main car, and a frame structure of the car is made of a composite carbon fiber material.

According to the embodiment of the invention, a bidirectional double-channel or triple-channel structure is arranged between the cab and the carriages which are connected with each other and between the carriages which are connected with each other, wherein a butt joint channel capable of being telescopically deformed along the transverse direction of the medical rail train is arranged.

According to an embodiment of the present invention, one or more of the medical carriage, the physical examination carriage and the isolation carriage is internally provided with a slide way on which a partition member for partitioning the corresponding carriage into a plurality of compartments is mounted, wherein the slide way is provided at the top and bottom of the corresponding carriage, and the partition member is a partition wall movable along the slide way, and the partition wall is provided with a viewing window; or the slide ways are arranged at the top of the corresponding carriage, and the distance piece is medical drapes capable of moving along the slide ways.

According to an embodiment of the invention, the medical carriage is provided with a drop-down door body which is pivotable between a closed position and an open position in which it is pulled down to lie flat on the platform, wherein in the open position the drop-down door body is configured as a walk-on plate.

According to an embodiment of the invention, a lateral side of the carriage is provided with a lateral side electric door, wherein the lateral side electric door comprises an upper door and a lower door which are separated along the height direction of the medical rail train and can be independently operated.

According to an embodiment of the invention, the medical rail train comprises a dual electrical system, the dual electrical system comprising: the main electric system is arranged on the roof and the bottom of the carriage and used for driving the train to run and brake, and the main electric system is also connected with a main electric standby starting system; the train internal and external fixed auxiliary equipment power supply system comprises a lighting system, an alarm system, a comprehensive disinfection system, a positive, negative and zero tri-state fresh air ventilation and negative pressure purification system, a pollution discharge disinfection disposal system, a fire protection system, a medical staff/worker and patient life power utilization system and a vehicle door traveling channel power utilization system, and is connected with an auxiliary equipment standby starting system, wherein the alarm system comprises an internal alarm module of a rail vehicle and an external alarm module which is communicated with an external system; the medical equipment power supply system is used for supplying power to medical equipment in the train and is connected with a medical equipment standby starting system; the communication power supply system is used for supplying power to communication equipment in the train and is also connected with a communication power supply standby starting system.

According to an embodiment of the present invention, the main power supply backup start system, the auxiliary device backup start system, the medical device backup start system, and the communication power supply backup start system are each provided with a generator, a charger, and a storage battery, and the generator is configured to supply power in a state where the storage battery is depleted, faulty, or unable to start, and the charger is used to ensure that the storage battery is continuously charged from the main electrical system in a normal operation state.

According to the embodiment of the invention, a reserved 220V power connection port of a direct connection power grid is arranged outside each section of the carriage, and circuit breakers are arranged in all circuits inside each section of the carriage.

According to the embodiment of the invention, the medical carriage, the operation carriage, the physical examination carriage, the isolation carriage and the medical refrigeration carriage are provided with integrated interior trims, wherein the integrated interior trims are made of at least one of an anti-oxidation and self-anti-virus high polymer material and a VOC material, identification marks are attached to the outside of the medical rail vehicle, and flashing lamps are arranged around the outside of the cab and the carriages.

According to an embodiment of the invention, the operation carriage is configured as a shelter type structure carriage, wherein the shelter type structure carriage can be switched between a folded state and an unfolded state of jacking and deforming into a shelter type structure, and a self-unloading device is arranged on a vehicle body frame where the shelter type structure carriage is located, and is connected with the shelter type structure carriage so as to enable the shelter type structure carriage to move between a position on the vehicle body frame and a position placed on the ground.

According to an embodiment of the invention, the blowdown disposal system comprises: the medical waste recycling device comprises a replacement type travel waste recycling device for collecting travel waste, a twice-a-day pesticide spraying system and a medical waste recycling device for collecting medical waste, wherein a carriage is provided with equipment for performing disinfection treatment on solid waste, grinding, burning and smoke treatment.

According to an embodiment of the present invention, the fresh air ventilation and negative pressure purification system includes: the air inlets are arranged in the ICU carriage and the severe infectious disease isolation carriage and can be used for filtering, purifying and adjusting the direction, and the air inlets are arranged in the direction of guiding airflow based on the tri-state requirement so that the airflow is blown in the direction far away from the personnel in the carriage in the negative pressure state; the air inlet and outlet are arranged on a negative pressure filtering device at the head of the sickbed in the ICU carriage and matched with a negative pressure isolation cover to carry out air inlet and outlet when the negative pressure isolation cover is used for covering a patient and stop working when the negative pressure isolation cover is folded; the air outlet is arranged at the head of the sickbed in the ICU carriage and is positioned at two sides of the air inlet and outlet; the air outlet is arranged on the side wall of the severe infectious disease isolation carriage.

According to the embodiment of the invention, each section of the carriage is also provided with a monitoring and infectious disease ambulance carriage refitting configuration socket, a medical equipment expansion socket, a communication equipment expansion socket and a robot control equipment expansion socket.

According to the embodiment of the invention, one of the carriages is configured as the independent running carriage, wherein the independent running carriage is provided with a driving motor capable of driving the independent running carriage and a digital built-in sensing adjustment steering control system based on a 5G station network, a four-way sensor, a command response and feedback device and an integrated controller are built in a wheel set and an accessory structure of the wheel set, the real-time digital display is realized in a cab visual control integrated center, and the integrated controller is configured to control the running direction, the running speed and the running angle of the independent driving carriage.

According to an embodiment of the invention, the integrated disinfection system comprises: the ultraviolet disinfection lamp is arranged in the carriage to carry out ultraviolet disinfection on the carriage; the disinfection spraying device is arranged in the carriage to carry out atomization disinfection on the carriage; the expanding interface of the slow-release gaseous chlorine dioxide device is arranged in the carriage.

According to an embodiment of the invention, the medical rail train further comprises a diagnostic detection system comprising: a train running state self-diagnosis subsystem for monitoring the train running state; the tri-state self-diagnosis subsystem is used for monitoring the states of the fresh air ventilation and negative pressure purification system; an alarm system self-diagnostic subsystem for monitoring the status of the alarm system.

In the medical rail train provided by the invention, the plurality of carriages at least comprise at least one of a medical carriage constructed into a medical cabin, an operation carriage for performing operation, a physical examination carriage for performing physical examination operation, an isolation carriage for isolating patients, a medical refrigeration carriage for refrigerating medicines, a medical electromagnetic shielding detection carriage for medical electromagnetic shielding detection, an ICU carriage for intensive care and a sewage centralized treatment carriage, so that the medical rail train can perform comprehensive patient diagnosis and treatment and can transfer and transport patients in a large scale.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly introduced below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.

Fig. 1A to 4B are schematic diagrams illustrating an overall structure of a medical rail train according to the present invention, wherein fig. 1A, 2A, 3A and 4A are side views, and fig. 1B, 2B, 3B and 4B are top views;

FIG. 5 is a schematic diagram of the ICU carriage in the medical rail train;

FIGS. 6A and 6B show schematic views of a chute and spacer arrangement, respectively;

fig. 7A and 7B respectively show a schematic structural view of a medical bed, in which a negative pressure isolation hood is shown in different positions;

fig. 8A and 8B show a schematic structural view and a use state view of the side-swing electric vehicle door, respectively;

fig. 9 shows a schematic structural view of a shelter-type structural car;

FIGS. 10A to 10C are schematic views showing the layout of the severe infectious disease isolation vehicle and the structure of the lateral double-sided extension vehicle, respectively;

fig. 11 shows a schematic view of the structure of the drop-down door body.

Reference numerals:

100: a medical rail train; 102: a driver's cab; 104: a carriage; 106: a medical electromagnetic shielding detection cabin; 108: an ICU compartment; 110: an operation carriage; 112: a physical examination compartment; 114: an isolation treatment carriage for infectious disease severe; 116: an isolation treatment carriage for infectious diseases; 118: a non-infectious severe treatment carriage; 120: a common treatment carriage; 122: a medical refrigerator car; 124: the carriage is expanded on the two lateral sides; 126: a main compartment; 128: expanding the carriage; 130: an inboard slideway; 132: an outboard slide; 134: fixing the framework; 136: a two-way two-channel structure; 138: a slideway; 140: a spacer; 142: an observation window; 144: a drop-down door body; 146: a chute; 148: an upward swing door; 146: a side-swinging electric vehicle door; 148: an upper hatch door; 150: a lower cabin door; 152: a square cabin type structural compartment; 154: a negative pressure filtration device; 156: a negative pressure isolation hood; 158: a hospital bed; 300: an air inlet; 302: a drive device; 304: a telescopic rod; 306. 308: a slider; 400: an ultraviolet disinfection lamp.

Detailed Description

Embodiments of the present invention will be described in further detail below with reference to the accompanying drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.

In the description of the embodiments of the present invention, it should be noted that the terms "center", "longitudinal", "lateral", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", and the like indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience in describing the embodiments of the present invention and simplifying the description, but do not indicate or imply that the referred devices or elements must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the embodiments of the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

In the description of the embodiments of the present invention, it should be noted that, unless explicitly stated or limited otherwise, the terms "connected" and "connected" are to be interpreted broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; the connection can be mechanical connection, electrical connection or magnetic connection; may be directly connected or indirectly connected through an intermediate. Specific meanings of the above terms in the embodiments of the present invention can be understood in specific cases by those of ordinary skill in the art.

In embodiments of the invention, unless expressly stated or limited otherwise, the first feature "on" or "under" the second feature may be directly contacting the first and second features or indirectly contacting the first and second features through intervening media. Also, a first feature "on," "over," and "above" a second feature may be directly or diagonally above the second feature, or may simply indicate that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature may be directly under or obliquely under the first feature, or may simply mean that the first feature is at a lesser elevation than the second feature.

In the description herein, references to the description of the term "one embodiment," "some embodiments," "an example," "a specific example," or "some examples," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of an embodiment of the invention. In this specification, the schematic representations of the terms used above are not necessarily intended to refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, various embodiments or examples and features of different embodiments or examples described in this specification can be combined and combined by one skilled in the art without contradiction.

Referring now to fig. 1A to 11, an embodiment of a medical rail train provided by the present invention will be described. It should be understood that the following description is only exemplary embodiments of the present invention and does not constitute any particular limitation of the present invention.

The invention provides a medical rail train 100, which comprises a cab 102 and a plurality of carriages 104 driven by the cab 102. The multi-section carriage 104 at least comprises at least one of a medical carriage constructed into a medical cabin, an operation carriage for performing operation, a physical examination carriage for performing physical examination operation, an isolation carriage for isolating patients, a medical refrigeration carriage for refrigerating medicines, a medical electromagnetic shielding detection carriage for medical detection, an ICU carriage for intensive care, a sewage centralized treatment carriage, a double-layer carriage for medical care/staff sleeping/resting/routine meeting, a bearing carriage for bearing an auxiliary vehicle, a refrigeration carriage with a temporary passage and a heat preservation carriage with a temporary passage.

The invention relates to the field of rail trains, in particular to a special rail train for medical aid with a brand-new concept, namely a mobile hospital train. Relates to a special railway motor train for emergency medical service and medical rescue in sudden public health events. The medical special rail train comprises a cab and a plurality of carriages driven by the cab, wherein the carriages at least comprise one or more of a medical carriage constructed into a medical cabin, an operation carriage for performing operation, a physical examination carriage for performing physical examination operation, an isolation carriage for isolating patients and a medical refrigeration carriage for refrigerating medicines. And a monitoring ambulance is reserved with a further refitting and upgrading socket and is provided with a bidirectional wireless satellite communication device and necessary basic rescue, emergency treatment, epidemic prevention or transfer equipment. The self-guarantee system is equipped to complete the self-guarantee of water, electricity and oil.

The medical special rail train can be used for comprehensive disease diagnosis and treatment including infectious diseases and can rapidly rescue and transfer patients in large scale in the national region, the capacity of the medical special rail train meets the requirement of at least simultaneously rescuing and transferring more than one thousand persons, the capacity can be increased and expanded at any time, and the medical special rail train can be regarded as a mobile integrated shelter hospital. The medical special rail train can effectively and quickly solve the existing and possible epidemic situation demand problems, including large-scale, quick and centralized remote allocation of epidemic situation medical materials, medical care personnel and the like, and the first line of battle service is supported.

In a specific embodiment, different vehicle types can be provided according to different diseases of patients to be carried, and necessary basic rescue, emergency rescue, epidemic prevention or transfer equipment and internal facility schemes, and a driver cab 102, a medical electromagnetic shielding detection cabin 106, an ICU carriage 108, an operation carriage 110, a physical examination carriage 112, an infectious disease severe isolation and treatment carriage 114, an infectious disease light isolation and treatment carriage 116, a non-infectious severe isolation and treatment carriage 118, a common treatment carriage 120, a medical refrigeration carriage 122 and the like form a series of standard systems of trains.

In particular, the types of carriages that can be distinguished according to the different conditions of the carrying patient are classified:

type A: the general type is as follows: a car for basic handling, observation and transfer and equipment.

Type B: the rescue monitoring type is an ambulance carriage for treating, monitoring and transporting non-infectious patients and equipment.

Type C: the protection monitoring type is an ambulance carriage for rescue and monitoring and teaching infectious patients.

Type D: ICU intensive care unit carriage.

Type E: an operation carriage.

And (3) type F: the infectious patient isolates the carriage.

Type G: special-purpose ambulance carriages for physical examination, scanning and the like.

H type: the common equipment is provided with a medicine supply storage and transportation carriage.

Type I: medical care and staff rest area carriage.

Type J: a carriage for carrying the auxiliary vehicle.

And (3) type K: a refrigerator car with a temporary passage.

L type: take the heat preservation carriage of interim passageway.

M type: a water, electricity and oil self-supplying carriage, a sewage treatment carriage and a medical special high-speed train fire-fighting self-rescue carriage.

And (2) N type: medical shelter stores, carries carriage.

And (3) O type: omnipotent expansion medical equipment, tent storage carriage.

P type: and (5) living goods and materials.

Type Q: medical supplies and instruments.

R type: the dining carriage is provided for medical care, work and patients in other carriages.

The operation vehicle is used as a core part of a mobile hospital and is the key of medical rescue, and an operation area at least needs to reach the cleaning standard of a secondary operation room and completes sterile operation through configuration. On the basis, the operation carriage is an independent operation cabin body, and the vehicle body is provided with an interface to quickly construct a common carriage into the operation carriage according to needs, so that the volume is quickly expanded, and the operation carriage is suitable for epidemic situations and wartime. The square cabin is provided with an automatic lifting system, so that the whole square cabin can be assembled and disassembled automatically. The large-plate shelter is adopted, the air-water transport mode is met, the operation is rapid and convenient, and the large-plate shelter has the advantages of high strength, light weight, good heat preservation effect and the like. The train can be modified temporarily, and a temporary mobile operating room can be rapidly built near the train as required.

Further, in one embodiment of the present invention, the medical rail train further comprises a marshalling form of a single double-deck carriage, a high-space carriage, a lateral double-side expanded carriage, an independent operation carriage, a high-speed heavy-duty special freight carriage, a medical shelter self-unloading carriage, wherein the operation carriage is configured as a high-space carriage and the roof is configured as an arc shape and the bottom is configured as a sunken carriage bottom plate, wherein at least the medical/worker rest-sleeping carriage and the dining carriage in the medical rail train are of a double-deck structure, and all carriages and the cab can be connected with each other through a modular automatic coupler system.

In one embodiment, as shown in fig. 10B to 10C, at least one of the cars is configured as a laterally double-sided expanded car 124, the laterally double-sided expanded car 124 including a main car 126 and expanded cars 128 disposed on both sides of the main car 126 in a lateral direction of the medical rail train, wherein a plurality of electric slide rail runner structures are provided between the main car 126 and the expanded cars 128 to enable the expanded cars to expand or contract with respect to the main car, and a frame structure of the cars is made of a composite carbon fiber material. The novel carriage frame structure is made of the composite carbon fiber material adopting the spiral weaving method, the weight of a carriage body is reduced, meanwhile, the sandwich structure is adopted, the transverse bilateral expansion at a parking rescue point is realized, and meanwhile, the noise can be effectively controlled.

In the embodiment shown in fig. 10B and 10C, the lateral double-sided extension car 124 includes an inboard ramp 130 and an outboard ramp 132, and the main car 126 is provided with a stationary framework 134. The embodiment shown in fig. 10B differs from that shown in fig. 10C in that the roof, the mid-floor, the side wall skin and part of the moving frame of the structure of fig. 10B are capable of co-extensive extension and retraction; whereas in the structure of fig. 10C only the roof and sidewall skins are able to slide outwardly.

In the embodiment shown in fig. 10A, a bidirectional double passage structure 136 or a triple passage structure in which a docking passage capable of being telescopically deformed in a transverse direction of the medical rail train is provided between the cab and the car which are connected to each other and between the cars which are connected to each other.

As shown in fig. 5 to 6B, one or more of the medical, physical, and isolation carriages are provided with slides 138 inside, and spacers 140 for partitioning the respective carriage into a plurality of compartments are mounted on the slides 138.

The slideways are arranged at the top and the bottom of the corresponding carriage, the spacing pieces are spacing walls capable of moving along the slideways, and the spacing walls are provided with observation windows 142; or the slide way is arranged at the top of the corresponding carriage, and the distance piece is medical drapes capable of moving along the slide way.

Specifically, the driving device 302 drives the telescopic rod 304 to extend and retract, so as to drive the sliding blocks 306 and 308 to move, and thus drive the spacer 140 to move.

As shown in fig. 11, the medical vehicle compartment is provided with a drop-down door body 144, the drop-down door body 144 being pivotable between a closed position and an open position in which the drop-down door body 144 is configured as a walk-on board, and is laid flat on the platform. In the embodiment shown, the drop-down door body 144 can slide along the chute 146 and pivot into a walk-on plate. The swing-up door 148 may also be correspondingly configured for use with the drop-down door body 144.

As shown in fig. 8A and 8B, a side portion of the vehicle compartment is provided with a side-swing type power door 146, wherein the side-swing type power door 146 includes an upper door 148 and a lower door 150 partitioned in a height direction of the medical rail train and capable of independently operating.

According to one embodiment of the invention, the medical rail train comprises a dual electrical system. This two electric system includes:

the main electric system is arranged on the roof and the bottom of the carriage and used for driving the train to run and brake, and the main electric system is also connected with a main electric standby starting system;

the train internal and external fixed auxiliary equipment power supply system comprises a lighting system, an alarm system, a comprehensive disinfection system, a positive, negative and zero tri-state fresh air ventilation and purification system, a pollution discharge disinfection disposal system, a fire fighting system, a medical staff/worker and patient life power utilization system and a vehicle door traveling channel power utilization system, and is connected with an auxiliary equipment standby starting system, wherein the alarm system comprises an internal alarm module of a rail vehicle and an external alarm module which is communicated with an external system;

the medical equipment power supply system is used for supplying power to the medical equipment in the train and is connected with a medical equipment standby starting system;

the communication power supply system is used for supplying power to communication equipment in the train and is also connected with a communication power supply standby starting system.

Specifically, in one embodiment, the main power supply backup start system, the auxiliary device backup start system, the medical device backup start system, and the communication power supply backup start system are each provided with a generator, a charger, and a battery, and the generator is configured to supply power in a state where the battery is depleted, faulty, or otherwise unable to start, and the charger is used to ensure that the battery is continuously charged from the main electrical system in a normal operating state.

For dual electrical systems, electrical requirements are power supply redundancy design and system protection design:

1. overview

For safe operation, the electrical installation is carried out at least according to the following principle. The electrical performance of 220/240V electrical system should meet the performance index of all the relevant electrical equipment inside and outside the train, and visual and audio warning system should be used to warn the scene and other vehicles and trains about to meet. The warning light and alarm should comply with the regulations of GB/T13954 and GB8108 respectively.

2. Accumulator and generator

(1) The ambulance is equipped with an additional storage battery which is arranged at a position convenient for inspection or takes measures convenient for inspection. The installation of the battery and all its connections should prevent any possibility of inadvertent short circuits.

(2) When the vehicle stops, the additional accumulator and the starting accumulator are automatically disconnected in the additional accumulator device. The automatic connection is carried out when the vehicle is started so as to ensure the normal starting of the ambulance and the power demand of the additional electric equipment.

(3) The shunt overload protector is installed in the line. A special fuse box is arranged at the positive outlet of the storage battery, and a terminal of special equipment for the ambulance is pulled out through the fuse box, so that the fuse can be automatically disconnected after the additional electric equipment is overloaded.

(4) The electrical system of the ambulance medical special function should be separated from the driving electrical system to ensure the electric energy required for restarting the engine.

(5) The generator should be suitable for supplying power to all power supply and distribution systems carried by the train or through conversion.

(6) The minimum rated value of the storage battery and the generator meets the requirement that the driving force continuously runs for 15min under the condition of 100km/h per hour under the special condition of an extreme climate region. And a fire alarm prevention and control system that does not spread to adjacent cars in case of fire.

The number and the illumination of the illuminating lamps meet the requirement of the lowest illumination in different working environments, the emergency illumination starting time is limited by 3S, the lowest evacuation illumination is achieved, and the switch is controlled to be effective and reliable.

3. Electrical installation

(1) Each carriage should possess 2 total parallel power supply cables to when the parking, carriage external interface connects the power, can charge for holding its pond, and supply other medical equipment power consumptions, and supply power for medical cabin air conditioning equipment.

(2) System protection

Emergency switch for medical transport gas system

The plug-in quick connectors are arranged on the two sides of the advancing direction of the car body, and allow automatic disconnection if electrical and mechanical safety is not hindered. The 220/240V circuit should have reliable "earth leakage protection" or independent inverter protection, and when only the "earth leakage protection" is protected, the vicinity of the plug is marked with obvious signs of voltage, alternating current, direct current and the like.

The power supply needs to be additionally provided with a protective cover and has a reliable grounding measure.

When the power supply of 220/240V is connected, the connector is not disconnected or is too close to the train, and the engine of the ambulance train can not be started.

The number of sockets installed in the medical carriage should satisfy the amount of redundancy in expanding the medical device interface.

(3) Safety or effective circuit breaker with shunt for all circuits in medical carriage

The fuse or circuit breaker should be clearly marked and the functional identification of each circuit should be clear, with at least 2 parallel circuits. The wiring should be able to withstand a current greater than the current of the fuse or circuit breaker.

The electric wire and the electric circuit should be able to withstand vibration, and the electric wire cannot be installed at a place where medical gas passes.

Where there are different circuit coefficients, the power outlets are not interchangeable.

When the ambulance is at rest, the generator must be constant at 40% of the specified generator current in the output table.

In addition, every section of carriage outside all is provided with reserves and directly connects the electric wire netting 220V to connect the electric port to all be provided with circuit breaker in the inside all circuits of every section of carriage.

Further, an integrated interior trim part is arranged on the medical carriage, the operation carriage, the physical examination carriage, the isolation carriage and the medical refrigeration carriage, wherein the integrated interior trim part is made of at least one of high polymer materials and VOC materials which are anti-oxidation and self-anti-virus, an identification mark is attached to the outside of the medical rail vehicle, and flashing lamps are arranged around the outside of the driver cab and the carriages.

In addition, as shown in fig. 9, the operation vehicle compartment is configured as a shelter type structure vehicle compartment 152, wherein the shelter type structure vehicle compartment 152 can be switched between a folded state and an unfolded state where the shelter type structure is deformed by jacking, and a self-unloading device is provided on a vehicle body frame where the shelter type structure vehicle compartment is located, and the self-unloading device is connected with the shelter type structure vehicle compartment 152 so that the shelter type structure vehicle compartment 152 moves between a position on the vehicle body frame and a position on which the shelter type structure vehicle compartment is placed on the ground.

In the specific application process, the shelter with the length of more than ten meters or even twenty meters is provided with the self-descending folding device, and the unloading shelter device carried by the train is matched with the shelter structure to perform simulation calculation from the angles of strength, rigidity and resonance. And comprehensively considering the safety protection of facilities and personnel under the collision test. The dynamic response of the whole system under impact and vibration is analyzed, and the dynamic response of precise electronic instruments and equipment in a cabin is particularly emphasized so as to take corresponding technical measures, so that the method has important significance for ensuring the reliability and normal work of the system. Different levels of electromagnetic shielding are adopted for medical rescue, detection equipment and the like of each carriage in comprehensive consideration, so that the reliable operation of an equipment system is ensured.

The whole independent operation cabin body is researched and developed, the vehicle body is provided with an interface to quickly construct a common ambulance carriage into an operation carriage as required, and the square cabin is provided with an automatic lifting system, so that the whole square cabin can be assembled and disassembled automatically. The N-type medical shelter storage, the O-type universal expansion medical equipment and the tent storage carriage meet the requirements of temporarily modifying a train and rapidly building a temporary mobile operating room near the train according to requirements. In an embodiment of the present invention, a blowdown disposal system comprises: the medical waste recovery device comprises a replacement type travel waste recovery device for collecting travel waste, a medicine spreading system for spreading medicine at least twice a day and a medical waste recovery device for collecting medical waste, wherein the travel waste recovery device and the medical waste recovery device are provided with a capacity and weight monitoring and warning replacement device and a low-temperature environment anti-freezing structure of the recovery device, and a carriage is provided with equipment for grinding, burning and processing smoke after disinfection treatment of solid waste.

In one embodiment of the present invention, the tri-state fresh air ventilating and purifying system as described above comprises: the strip-shaped air inlets 300 are arranged in the ICU carriage and the severe infectious disease isolation carriage, can be filtered and purified and can adjust the direction, and are set to guide the airflow direction based on the tri-state requirement so that the airflow is blown in the direction far away from people in the carriage in the negative pressure state; an air inlet and outlet arranged on the negative pressure filtering device 154 at the bed head position of the sickbed 158 in the ICU carriage, wherein the air inlet and outlet is matched with the negative pressure isolation cover 156 to carry out air inlet and outlet when the negative pressure isolation cover 156 is used for covering the patient and stop working when the negative pressure isolation cover 156 is retracted; the air outlet is arranged at the bedside position of the sickbed in the ICU carriage and is positioned at the two sides of the air inlet and outlet; and the air outlet is arranged on the side wall of the severe infectious disease isolation carriage. As shown in fig. 5, 7A, 7B and 10A.

For the medical rail train provided by the invention, firstly, pathogenic microorganisms are isolated by utilizing a negative pressure principle, and meanwhile, air polluted by a patient in a room is discharged after being specially treated, so that the environment is not polluted; secondly, the concentration of pathogenic microorganisms in the ward is diluted through ventilation and reasonable airflow organization, and medical care personnel and patients are in favorable wind direction sections, so that the safety of the personnel is protected. Therefore, reasonable airflow organization is critical to the negative pressure isolation ward to perform its function.

In a special area, a 100% fresh air system and a full air exhaust system are adopted, and air supply and exhaust systems of each room in a carriage are arranged independently. The method has the advantages of simple indoor pressure control, high safety and relatively low initial investment and operation cost. Meanwhile, a second scheme is adopted in a relatively safe carriage, namely a room in the same ward shares a conveying and discharging system. However, for different infectious diseases or other areas of the infectious diseases and the carriage, the air conditioning system is designed to reasonably select the arrangement mode of the system on the basis of avoiding cross infection and improving the pollutant concentration.

Because the core measure of the security of infection isolation is to maintain negative pressure by exhaust air, the general design idea is to filter air by a HEPA recirculation unit installed on the wall or the inner panel of the roof, and to filter air by a portable HEPA recirculation system in consideration of economy. Besides, the design of the air supply and exhaust system fully considers the danger caused by the failure of the exhaust fan in case.

In addition, each carriage is also provided with a modified configuration socket of the monitoring and infectious disease ambulance carriage, a medical equipment expansion socket, a communication equipment expansion socket and a robot control equipment expansion socket. Further, in one embodiment of the present invention, one of the cars is configured as an independently operating car as described above. The independent running carriage is provided with a driving motor capable of driving the independent running carriage to run independently and a digital built-in sensing adjustment steering control system based on a 5G road station network, wherein a four-way sensor, a command response and feedback device and an integrated controller are built in the wheel pair and the auxiliary structure thereof, the real-time digital display is performed in a visual control integrated center of a cab, and the integrated controller is configured to control the running direction, the running speed and the running angle of the independent driving carriage.

In addition, the integrated sterilization system as described above includes:

the ultraviolet disinfection lamp 400, the ultraviolet disinfection lamp 400 is set in the carriage to carry on the ultraviolet disinfection to the carriage;

the disinfection spraying device is arranged in the carriage to carry out atomization and disinfection on the carriage;

the expanding interface of the slow-release gaseous chlorine dioxide device is arranged in the carriage so as to perform the operation of slow-release gaseous chlorine dioxide.

In addition, the medical rail train also comprises a diagnosis detection system, wherein the diagnosis detection system comprises a train running state self-diagnosis subsystem for monitoring the running state of the train, a tri-state self-diagnosis subsystem for monitoring the states of the fresh air ventilation and negative pressure purification system and an alarm system self-diagnosis subsystem for monitoring the state of the alarm system.

1. Surgical shelter-following 4), 5), 6) reference monitoring design:

1) operation shelter plane general layout (contaminant recovery)

2) General procedure of operating shelter (human, object)

3) General division of air conditioning systems

4) Air quantity calculation-fresh air quantity, circulating air quantity and air exhaust quantity

5) Pressure gradient control (positive pressure, zero pressure, negative pressure)

6) Noise control, illumination

2. ICU ward

3. Roof, wallboard: the material is required to have clean appearance, easy cleaning and certain sound absorption effect.

The lamp is a clean lamp with dust prevention, bacteria prevention, explosion prevention and good lighting degree, and the surface of the lamp needs to be sealed and is easy to clean.

The standard requirements of the air supply system are as follows: the air supply system is filtered by three levels in a room, a blocking grade G4 primary filter and a blocking grade G8 medium filter are installed in the unit, an H14 (the blocking efficiency is 99.999) high-efficiency filter is installed at the tail end of the air supply, and a G3 grade primary filter screen is installed at an air return inlet in the room. In order to prevent cross infection, the pressure difference of the same level of purified rooms and areas in the rooms or areas is the same, the pressure difference of the rooms or areas with different purification levels is not less than 10Pa, the ICU ward of each hospital has at least one to two negative pressure difference wards, the pressure difference of the negative pressure difference wards is negative, and the pressure difference between the pressure and the pressure difference of the adjacent rooms or areas is not less than-8 Pa; in order to prevent medical staff and patients in rooms from feeling dizziness and nausea due to oxygen deficiency after being too long in residence time, the proportion of fresh air and return air of an air supply system is proper, the proportion of the fresh air and the return air is generally 4:6, an air outlet is arranged in each room or different areas, the air discharged from each air outlet is 8-10% of the air supply quantity of each room or area, and the air exhaust is arranged to discharge dirty air in the room in time, so that the dirty air is not easy to enter an air supply unit again and then is secondarily sent into the rooms, and the cross infection of each room and area is avoided.

Purification grade: ICU ward generally has purification level of ten thousand to hundreds of thousands, and ten thousand ventilation times of 20-25 times/h. The hundred thousand grade is 10-15 times/h, and the thirty thousand grade ventilation times are 8-10 times/h.

ICU wards typically employ top-mounted air-blowing turbulence.

4. Negative pressure isolation carriage

1) Overall layout: the negative pressure isolation compartment is independently arranged and is arranged at the last end of the train as far as possible and is positioned in the downwind direction of the train. The distance between the air outlet of the negative pressure isolation ward and the surrounding public buildings is at least more than 20 meters during parking and parking.

2) Layout of a carriage: the negative pressure isolation compartment is strictly divided into a clean area, a semi-polluted area and a polluted area. The first dressing place and the outside are clean areas, the public corridor inside is a semi-polluted area, the ward and the toilet thereof, the outer corridor for the patient to enter are polluted areas, and necessary auxiliary rooms are also needed to be arranged. Between different areas, a buffer room is arranged according to the general principle of air cleaning and pollution control. A buffer room must be provided between the patient room and the public corridor. Buffer rooms are required to be arranged among wards of the intensive respiratory tract infectious disease area, the public corridor and the clean area.

The inlet and outlet of the device are independently arranged and can be sealed for disinfection.

When the carriage is arranged, the negative pressure isolation ward is divided into single room, double room and multi-room. The single person should be used for the person with severe respiratory tract infectious disease and the suspected patient. The number of people among multiple people should not exceed 4.

3) Negative pressure purifying and sterilizing system design-infectious ward, protective ward, ordinary normal pressure ward three-state conversion air-conditioning system.

Pollution risks are reduced to the maximum extent through methods such as air filtration, ventilation, air flow organization control and pressure control, and the reasonable ventilation frequency isolated by a single person is 12 ACH: and the value of 15ACH is taken for two persons and three persons or more than three persons.

The electric and automatic control system must ensure the pressure difference of each area to reduce energy consumption, and the air supply and exhaust system must be linked reliably to ensure the pressure gradient to prevent the fresh air from being polluted by the exhaust air. And once the fan breaks down, the spare exhaust fan should be put into operation, should send alarm signal simultaneously, maintains immediately. The pressure sensing instrumentation of the alarm system should incorporate an audible alarm in conjunction with the pattern of flow patterns and delays between different ventilation times and patient contaminant diffusion to indicate that the door is open (no alarm is required). Therefore, when a certain door is opened, the negative pressure value is reduced. The time-delayed signals should be effective in airflow organization and reasonable ventilation, suggesting that from the point of pollution control, sufficient time is considered for personnel to enter or leave the room without activating an audible alarm, and factors such as the number of patients in the ward, the concentration of bacteria developed by the patients, the volume of the ward, and the like, and loads (dust concentration load, heat humidity load, harmful aerosol load) are comprehensively considered.

The local air exhaust of the source control technology effectively reduces the concentration of pollutants of patients and reduces the ventilation frequency of fresh air. Bacteria and viruses are captured near pollution sources by using effective local control devices such as compartment curtains, isolation sickbeds and exhaust cabinets.

The automatic control system for ensuring the pressure stability considers the energy-saving design of the variable air volume system, and the proportion of the fresh air load in the load of the whole air conditioning system is larger. The regulation and conversion of the air quantity are carried out according to the full and idle work tasks (namely the number of patients) and the harmfulness, different use states and protectiveness of bacteria and viruses transmitted by the patients. A new air system with heat recovery is adopted, a rotating wheel heat recovery device is not used, and a new heat recovery device without cross infection of exhaust air is changed.

(3) Detection monitoring

Infection discrimination error and response delay time, and false alarm probability control of the system.

And blowing and exhausting scanning leakage detecting and alarming system.

The automatic control system monitors and controls the air temperature, the relative humidity, the speed, the noise, the pressure and the cleanliness in the carriage to be kept in the set parameter range. The regional pressure difference is guaranteed, the air supply and exhaust system is started in a linkage mode, and emergency starting and alarming are carried out for standby.

Maintenance and monitoring of the relationship between airflow direction and negative pressure: the pressure difference sensor monitors negative pressure, and the continuous or discontinuous monitoring part reads recorded pressure for verification and automatic adjustment of the ventilation control system, and the low air pressure is prompted through a simple acousto-optic alarm signal.

The pressure measuring instrument detects the pressure value in the carriage of the airflow path, and the pressure difference caused by the airflow organization mode under special working conditions, such as opening and closing doors and windows, passing of trains through tunnels, meeting and the like. The pressure gauge should set a door open audible alarm delay time.

By simulating parameters such as aerosol concentration with infectious particles generated by coughing and sneezing of patients and the visualization of smoke of a human model, the diffusion of the infectious particles to other areas can be prevented and reduced, and pollution can be controlled.

In the medical rail train provided by the invention, the whole train is in a negative pressure purification and disinfection system, and a program control device operation and medical process control facility is integrated. Is a hospital train comprising a plurality of medical rescue equipment and facilities.

For the overall plane layout and the partition isolation of a train infectious disease mild isolation carriage, an infectious disease severe treatment carriage, a physical examination carriage and the like, the general design is as follows in order to achieve effective isolation of an infectious source based on the national guidance and opinion standard of an infectious hospital:

1. the design of the three-area two-channel plane (polluted carriage or area, semi-polluted carriage or area, clean carriage or area, medical staff channel and patient channel) of the infectious disease isolation carriage of the hospital train, the intercommunicating organization of doctor-patient separation and clean-sewage separation, the negative pressure purification, disinfection and ventilation system, the isolation and protection of the plane, the arrangement of the security system of the hospital carriage and the like.

2. The three-zone two-channel system is set according to the requirements of relevant specifications such as the health department, and the specific requirements are as follows: the contaminated carriage comprises carriages for receiving diagnosis and treatment of the mild patients, such as a ward, a disposal room, a waste room and a treatment room for patient admission and discharge. The clean compartment or area includes a changing room, a catering room, a duty room and a warehouse, and the semi-polluted compartment or area refers to an area which is located between the clean compartment or area and the polluted compartment or area and is possibly polluted by viruses such as blood and body fluids of patients, and includes offices of medical staff, treatment rooms, nurse stations, articles after the patients use, treatment rooms of medical instruments and the like, inner corridors and the like. The medical staff passage and the patient passage are completely separated. The polluted carriage or area, the semi-polluted carriage or area and the clean carriage or area are obviously marked and distinguished by adopting different colors. Due to the space and operation particularity of the hospital train, as far as possible, some mobile medical care should be done outside the train compartment or inside the extended access and extended train compartment during the parking of the train.

3. The train diagnosis and treatment sanitary process of the hospital is reasonably designed, and a clean carriage or an area in-out polluted carriage or an area entrance and exit are respectively provided with an entering sanitary passing room and a returning sanitary passing room. The entering process is as follows: the medical personnel can enter the isolation compartment or area from the clean compartment or area after wearing the protective equipment by the buffer room. The return flow is as follows: after the buffer room, the isolation clothes room, the protective clothes room, the uniform room, the shower room and the one-time dressing change are carried out, the buffer room returns to the clean area from the isolation area, and the returned sanitation passes through the room and is set by men and women.

4. The interior and exterior of each vehicle are provided with obvious marks or isolation zones, a sickbed should be divided into bed zones, men and women should be divided into different carriages or different regions are divided into carriages by adopting movable partition walls, the bed of each carriage is provided with 16-42 beds, two sides of each carriage are respectively provided with 2 symmetrical carriage outer doors, each carriage is at least provided with 6 emergency exit vehicle windows, the distance from any point in the carriage to the carriage outer door is not more than 30 meters, fire-fighting evacuation channels are formed between the carriages through 1 or 2 carriage connecting channels, in emergency, a channel can be formed by opening two-channel vehicle doors and three-channel vehicle doors at intervals, and the width is not less than 2 meters. Ground evacuation indication signs are adhered to the ground of the channels and the connecting channels in the carriage. The carriage connecting and partition material should be fireproof material, the surface is scrubbing resistant, and the height is not less than 1.8 m. The bed positions are arranged at a proper distance to facilitate the nursing and treatment of doctors, the clear distance between the two parallel beds is not less than 1-1.2 m, and a bedside table is arranged. The clear distance of the channel between double rows of bed positions (bed ends) is not less than 1.2-1.4 m, and the clear width of the channel between the bed and the opposite wall body is less than 0.9-1.1 m when a single row of beds is used.

5. The number of people accommodated in the carriage is determined according to the evacuation width of the designed evacuation safe exit, and the net width of the evacuation safe exit is calculated according to 100 people and is not less than 1 meter.

6. The toilets of patients and medical staff are separately arranged, when medical assistance is carried out in parking at a certain place for a long time, a temporary toilet for the patients needs to be built, and a special closed channel which is additionally built is arranged; the foam blocking type mobile toilet is preferably selected, and the number of temporary toilets can be increased and configured according to the actual requirements of patients according to the requirement of the sanitary department. The toilet location should be downwind of the passenger compartment and as far away as possible from the dining area and water supply points. The excrement such as the excrement of the patient in the carriage toilet and the temporary toilet needs to be subjected to dosing disinfection or centralized harmless treatment, and the special dosing disinfection is arranged twice every 1 day. The carriage is internally and externally provided with a fixed toilet only used by medical staff for health. All toilet stools need to be strictly managed according to the requirements of disease-transmitting hospitals, and are strictly prohibited to be directly discharged. In an emergency situation during the running of the train, a pollutant disposal device for disposing medical treatment such as pollutant grinding and incineration and the like arranged on the train can be started.

7. Barrier-free design: the main entrance and exit and the internal medical passage of the carriage should have measures and devices for ensuring barrier-free passing to each carriage. The connecting channel between the upper carriage and the lower carriage and the carriage is communicated by a ramp at the height difference, the gradient of the connecting channel is suitable for meeting the requirement of an obstacle-free channel, and the necessary width for the moving sickbed and accompanying personnel to pass through simultaneously is ensured.

8. Auxiliary rooms are arranged in a matched manner: the train is provided with a room for emergency deposit, disinfection and security inspection of personal articles of patients in running, a changing room for men and women of patients and the like. The referral patient and the rehabilitation patient leave the train with a sterile and packed area. In addition, emergency treatment rooms, meal preparation rooms, bedding and clothing storehouses, boiled water rooms, dirty washing rooms, household garbage temporary storage rooms (the dirty washing rooms and the temporary storage rooms are preferably arranged on the outer side walls of the end parts of the carriages and close to a sewage outlet) and the like can be arranged in the carriages for patients to watch for treatment or areas and for pollution isolation and the like. The medical care working area can be provided with a liquid (medicine) preparation room, a medicine storehouse, a clean article storehouse, a meal preparation room, a rest duty room, an office and other rooms.

The above-described embodiments of the apparatus are merely illustrative, and the units described as separate parts may or may not be physically separate, and parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the modules may be selected according to actual needs to achieve the purpose of the solution of the present embodiment. One of ordinary skill in the art can understand and implement it without inventive effort.

Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.