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.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 viniu 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 vin1
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 -Phc2
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:
3
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.
4
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 cho5
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 chcnng.
- 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, nangcao 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 Bnhvin 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 4449-876
+ 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 rng12,51m. 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
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.
8
- 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 m29
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 0710
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 i11
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 DNGTheo 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/m213
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:14
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;15
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 UniversityAvenue 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: tHm 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 di16
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 c1 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 theoTCXD 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.
18
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
