DTM BV Quan Dan y Dong Thap

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Bo co nh gi tc ng mi trng D n u t nng cp Bnh vin Qun dn y ng !hp
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:@T LUqNR :8@N NGHr &? CAM :@T...................................................177 1. :5( -2Nn.......................................................................................................177 #. :15n n3$'.....................................................................................................177 3. C,H F5(........................................................................................................177 DANH MC CC BNG B^n3 1. Ton3 $s] HQ/ +0 (1n /N4 /%, /"/ ]$Jhn3 ]$"] TM +M kt un31# B^n3 #. C"/ $an3 Hu/ /In3 ()in$ +M +v2 (J..................................................16 B^n3 3. C"/ $an3 Hu/ /In3 ()in$ $1Gn ()an3 ! F15n kt un3R kw] L5] -a1 1c B^n3 4. Bp ()* 31JKn3 \Gn$ ()`n3 \Gn$ P1Gn..................................................## B^n3 6. Ch /x2 kt un3 +x(.............................................................................#4 B^n3 6. f24 HI 1Gn (*/$ /"/ $an3 Hu/ /In3 ()in$......................................#S B^n3 S. Bp ()* 31JKn3 \Gn$ ()`n3 /"/ F$`, ]$yn3.......................................#z B^n3 z. Ton3 $s] /$1 ]$* +v2 (J.....................................................................3S B^n3 c. Ton3 $s] /$1 ]$* +v2 (J Lt -. HI1 ()JKn3.......................................3S B^n3 17. :5( j2^ j2,n ()w/ F$In3 F$* F$2 P!/ B& n{H #711....................43 B^n3 11. :5( j2^ ]$bn (*/$ /$x( -Jsn3 nJ|/ Hn(.........................................43 B^n3 1#. :5( j2^ ]$bn (*/$ /$x( -Jsn3 nJ|/ n3vH......................................44 B^n3 13. T}H (w( n$~n3 ("/ +0n3 HI1 ()JKn3 ()`n3 31,1 +àn /$2n \'....67 B^n3 14. T}H (w( /"/ ("/ +0n3 +5n HI1 ()JKn3 ()`n3 31,1 +àn ($1 /In3 ! "n 6# B^n3 16. Nn3 +0 /"/ /$ (12 I n$1H /%, F$* ($^1 ( +0n3 /h +p( ()`n3..63 B^n3 16. T$n$ ]$vn F$* ($^1 /%, H0( kp -à1 +0n3 /h................................64 B^n3 1S. T^1 -Jsn3 I n$1H F$In3 F$* ` ]$Jhn3 (1Gn 31,` ($In3 ()`n3 31,1 +àn Lb4 !n3.................................................................................64 B^n3 1z. HG kp ]$"( ($^1 I n$1H Qn3 P|1 +JKn3 F*n$ j2 $n..................66 B^n3 1c. Nn3 +0 /"/ /$x( I n$1H ()`n3 nJ|/ ($^1 k1n$ $à( /$J, j2, Lt -. 66 B^n3 #7. MQ/ n k1n$ ), ( $à( +0n3 /%, /"/ ($15( \' ($1 /In3..................6S B^n3 #1. T$n$ ]$vn F$* +0/ $a1 ()`n3 F$}1 ($^1 /%, +0n3 /h I (I............61 B^n3 ##. Nn3 +0 /$x( I n$1H ( -y +p( /$x( ($^1 )wn 4 (5.........................6# B^n3 #3. HG kp I n$1H /%, v2 D...............................................................6#
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B^n3 #4. T^1 -Jsn3 I n$1H F$1 +p( v2 D.................................................63 B^n3 #6. Nn3 +0 F$* ($^1 ( H"4 ]$"( +1Gn.................................................63 B^n3 #6. T*n$ /$x( nJ|/ ($^1 4 (5 ()J|/ F$1 Lt -..........................................66 B^n3 #S. T*n$ /$x( +n/ ()Jn3 /%, nJ|/ ($^1 k1n$ $à(.................................66 B^n3 #z. T$n$ ]$vn nJ|/ HJ, /$^4 ()n...................................................6z B^n3 #c. n$ $Jn3 /%, /"/ /$x( I n$1H ()`n3 nJ|/ ($^1 (|1 HI1 ()JKn3S# B^n3 37. MQ/ +0 I n$1H HI1 ()JKn3 ` nJ|/ ($^1.....................................S# B^n3 31. MQ/ 3b4 +0/ /%, C n$~n3 nn3 +0 F$"/ n$,2.......................S4 B^n3 3#. T"/ $a1 /%, Z# +p1 P|1 /`n n3JK1 P +0n3 PN(.............................S4 B^n3 33. D,n$ Hu/ /"/ /In3 ()in$ Lt -. HI1 ()JKn3 P ($K1 31,n ($!/ $1Gn c# B^n3 34. C$Jhn3 ()in$ j2^n -. HI1 ()JKn3..................................................c3 DANH MC CC THUqT NG &8@T TT TM: nh gi tc ng mi trng UBND: y ban nhn n UBMTT!: y ban m"t tr#n t$ %&'c B()!*: B ch+ h&y %&n ,(.D: Nh& c/& 01y h2a h3c B.D4: Nh& c/& 01y ,inh h3c T**: T$ng ch5t r6n 78 79ng N:(;: Ngh< <nh = (h>nh ;h? @)(N: @A )i (h? NghBa BTNMT: B TCi ng&yDn Mi trng BET: B E TF G).: T$ chHc E tF ThF IiJi (TK: (h5t thLi r6n T(MN: TiD& ch&Nn MiOt Nam !(MN: !&y ch&Nn MiOt Nam )T@P: )O th'ng 19 7Q TM): Tai MRi )3ng K)M: KSng )Cm M"t
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U)(N: Uh0a h3c cng nghO BMU: BOnh ViOn a Wh0a ;(((: ;hXng chy chYa chy U;): Uhng Zht hiOn BT(T: BD tng c't th[Z UTTM: Uh> t\ng th?y VSn B!PBM: Ban %&Ln 7Q bOnh ViOn (TN): (h5t thLi ng&y h]i (T*): (h5t thLi ,inh h0]t (TET: (h5t thLi y tF B*(P: ^ng b_ng ,ng c9& 70ng (BNM: (n b nhn ViDn U))I: UF h0]ch h2a gia `nh NT: nJc thLi (N: c5Z nJc TN: th0t nJc
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M U :::::::::::::::::::::::::::::::::::::::::::::::::::::::: 1. BUVT BY CmA D N 1.1. Z! /vn ($15( ]$^1 +v2 (J BOnh ViOn !&n n y t+nh ^ng ThZ \c thCnh 7#Z ta BOnh 1 c?a B (h+ h&y !&n ,- t+nh ^ng ThZb TrDn c8 ,c th'ng nh5t ch? tr8ng c?a B E tF VC B T 7Onh !&n Wh& de y ban Nhn n T+nh ra %&yFt <nh thCnh 7#Z BOnh ViOn !&n n y t+nh ^ng ThZ c2 %&y m 1ff ging bOnhe thg0 m h`nh WFt h\Z !&n n y nh_m Z Hng nh& c/& Whm chYa bOnh VC chSm ,2c ,Hc Whhg ch0 B i VC nhn n tr0ng t+nh tr0ng thi b`nh cRng nh thi chiFnb Tr0ng giai 0]n /&e UBND T+nh A /& t 1y -ng NhC Whm VC ii& tr< a Wh0a c?a BOnh ViOn \c 4f gingb !&a %& tr`nh a VC0 h0]t nge cng tc Whm chYa bOnh VC chSm ,2c ,Hc Whhg ch0 7-c 7\ng VR trang VC nhn n trDn <a bCn cha Z Hng /y ? nh& c/& "t ra 0 cXn thiF& th'n nhii& Vi c8 ,c V#t ch5tb Thg0 %&y h0]ch Zht trijn c?a ngCnh y tF t+nh ^ng ThZ tr0ng thi gian tJie BOnh ViOn !&n n y t+nh ^ng ThZ 7C mt tr0ng nhYng c8 ,c Lm bL0 Zhkc Vk cc t`nh h&'ng WhNn c5Z VC ZhXng ch'ng <ch bOnh trDn iOn rnge l 7C c/& n'i a cc <ch Vk y tF c2 ch5t 7\ng Vi g/n n h8ne giLm gnh n"ng chi Zh> ch0 ngi bOnhe g2Z Zh/n VC0 ,- b`nh mng ch0 ngi n Vi chSm ,2c ,Hc Whhge 7Cm giLm ,- %& tLi c cc c8 ,c y tFb Ng0Ci rae BOnh ViOn cXn \c gia0 nhiOm Vk ch&Nn b< ,mn ,Cng cc 8n ng&yDn c8 nge A chiFn j Hng Zh2e chi ViOn W<Z thi ch0 cc t`nh h&'ng WhNn c5Z c tr0ng t+nhe nh5t 7C Wh& V-c biDn giJib Nh_m t]0 ii& WiOn th&#n 7\i ch0 BOnh ViOn \c th-c hiOn /& t nng c5Z c8 ,ce b$ ,&ng trang thiFt b< ch&yDn kng VC C0 t]0 nng ca0 tr`nh ch&yDn mne ? ii& WiOn ch0 mt bOnh ViOn ch&yDn kng ,nn ,Cng Hng Zh2 VJi cc t`nh h&'ng WhNn c5Z tr0ng t+nhe y ban Nhn n T+nh A c2 ch? tr8ng /& t nng c5Z BOnh ViOn !&n n y ta %&y m 1ff ging 7Dn %&y m 14f ging VC /& t trang b$ ,&ng cc trang thiFt b< y tF /y ? thg0 anh mkc mC B E tF A %&y <nho ^ng thi 1y -ng thDm cc Wh0a ZhXng thg0 %&y h0]ch t$ng thj Lm bL0 tp 7O iOn t>ch ,Cn 1y -ng trDn ging bOnh ]t ch&Nn nh_m g2Z Zh/n nng ca0 hiO& %&Le ch5t 7\ng Whm VC ii& tr< c?a bOnh ViOnb TrJc Whi tiFn hCnh 1y -ng BOnh ViOn A Zh'i h\Z VJi 8n V< t V5n 7#Z B0 c0 nh gi tc ng mi trng qTMr D- n s/& t nng c5Z BOnh ViOn !&n n y ^ng ThZt thg0 ung %&y <nh c?a P&#t BL0 VO mi trng A \c !&'c hi nJc (ng hXa @)(N MiOt Nam thng %&a ngCy 2dv11v2ff4b Mkc >ch c?a b0 c0 TM nCy 7C c&ng c5Z c8 ,c Wh0a h3c j c8 %&an %&Ln 7Q NhC nJc thNm <nh VC gim ,t ViOc thiFt WF Ww th&#t cRng nh ViOc th-c thi cc biOn ZhZ bL0 VO mi trng tr0ng %& tr`nh th-c hiOn - nb ^ng thie b0 c0 cRng giuZ ch? - n c2 nhYng thng tin c/n thiFt tr0ng ViOc ch3n 7-a cc giLi ZhZ th>ch h\Z nh_m Wijm ,0t cc ng&^n nhixme giLm thij& tc ng tiD& c-c tJi mi trng g2Z Zh/n bL0 VO cng ^ng VC mi trng tr0ng Wh& V-cb
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2b (z *{ ;)|; PU}T M~ U T)U}T ( M( T)( )N TM #.1. C{n /Q ]$"] -. PE HI1 ()JKn3 : P&#t BL0 VO mi trng A \c !&'c hi nJc (ng hXa @A hi (h? nghBa MiOt Nam Wh2a @ thng %&a ngCy 2d thng 11 nSm 2ff4e c2 hiO& 7-c thi hCnh ta ngCy f1vv2ffyb : Ngh< <nh ,' fv2ffyvN:(; ngCy fd thng nSm 2ffy c?a (h>nh Zh? Vi ViOc %&y <nh chi tiFt VC hJng n thi hCnh mt ,' ii& c?a P&#t BL0 VO mi trngb : Ngh< <nh ,' 4dv2ffvN:(; ngCy fd thng T nSm 2ff c?a (h>nh Zh? NJc (ng hXa @A hi (h? nghBa MiOt Nam Vi %&Ln 7Q ch5t thLi r6nb : Ngh< <nh 1TvN:(; ngCy 2dv11v2ff c?a (h>nh Zh? Vi Zh> bL0 VO mi trng 'i VJi ch5t thLi r6nb : Ngh< <nh ,' 21v2ffvN:(; ngCy 22 thng 2 nSm 2ff c?a (h>nh ;h? Vi ViOc ch+nh ,9ae b$ ,&ng mt ,' ii& tr0ng Ngh< <nh fv2ffyvN:(; ngCy d thng nSm 2ffy c?a (h>nh ;h? Vi ViOc %&y <nh chi tiFt VC hJng n thi hCnh mt ,' ii& c?a P&#t BL0 VO mi trngb : Ngh< <nh 11v2ffdvN:(; ngCy 31 thng 12 nSm 2ffd c?a (h>nh ;h? Vi 19 7Q Vi Zh]m hCnh ch>nh tr0ng 7Bnh V-c bL0 VO mi trngb : Ngh< <nh ,' 2dv2f11vN:(; ngCy 1vTv2f11 c?a (h>nh ;h? %&y <nh Vi nh gi mi trng chiFn 7\ce nh gi tc ng mi trnge cam WFt bL0 VO mi trngb : Thng t 13v2ffvTT:B@D ngCy 31v12v2ff c?a B 1y D-ng ban hCnh hJng n mt ,' ii& c?a Ngh< <nh 4dv2ffvN:(; ngCy fdvTv2ff c?a (h>nh ;h? Vi %&Ln 7Q ch5t thLi r6nb : Thng t ,' 1yv2ffdvTT:BTNMT c?a B TCi ng&yDn VC Mi trng ngCy fv1fv2ffd Vi ViOc !&y <nh !&y ch&Nn Ww th&#t %&'c gia Vi mi trngb : Thng t ,' 24v2ffdvTT:BTNMT c?a B TCi ng&yDn VC Mi trng 1yv11v2ffd Vi ViOc !&y <nh !&y ch&Nn Ww th&#t %&'c gia Vi mi trngb : Thng t ,' 12v2f11vTT:BTNMT ngCy 1T thng T nSm 2f11 c?a B TCi ng&yDn VC mi trng Vi %&Ln 7Q ch5t thLi ng&y h]ib : Thng t ,' 2yv2f11vTT:BTNMT ngCy 1 thng nSm 2f11 c?a B TCi ng&yDn VC Mi trng %&y <nh chi tiFt mt ,' ii& c?a ngh< <nh ,'
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2dv2f11vN:(; ngCy 1 thng T nSm 2f11 c?a (h>nh ;h? %&y <nh Vi nh gi mi trng chiFn 7\ce nh gi tc ng mi trnge cam WFt bL0 VO mi trngb : !&yFt <nh ,' 34v2ff2v!:BU)(N:MT ngCy 24vyv2ff2 c?a B U)(N Mi Trng Vi ViOc cng b' anh mkc TiD& ch&Nn MiOt Nam Vi mi trng b6t b&c Z kngb : !&yFt <nh ,' 22v2ffyv!:BTNMT ngCy 1v12v2ffy c?a B TCi ng&yDn VC Mi trng Vi ViOc b6t b&c Z kng TiD& ch&Nn MiOt Nam Vi Mi trngb : !&yFt <nh ,' fTv2ffv!:BTNMT ngCy 1 thng f nSm 2ff c?a B TCi ng&yDn VC Mi trng Vi ViOc ban hCnh !&y ch&Nn Uw th&#t !&'c gia Vi mi trngb : !&yFt <nh ,' 1yv2ffv!:BTNMT ngCy 31 thng 12 nSm 2ff c?a B TCi ng&yDn VC Mi trng Vi ViOc Ban hCnh !&y ch&Nn Uw th&#t !&'c gia Vi mi trngb : !&yFt <nh ,' T3v2ffv!:BETe ngCy 3fv11v2ff c?a B E tF Ban hCnh !&y chF !&Ln 7Q ch5t thLi y tFb : (c tiD& ch&Nne !&y ch&Nn MiOt Nam Vi mi trng Z kng nh ,a&: !(MN f2:2ffvBTNMT: (h5t 7\ng Whng Wh> : Wh> thLi 7X 't ch5t thLi r6n y tF : IiJi h]n ch0 Zh[Zb !(MN f4:2ffdvBTNMT: !&y ch&Nn Ww th&#t !&'c gia Vi ch5t 7\ng Whng Wh> 1&ng %&anhb !(MN fy:2ffdvBTNMT: !&y ch&Nn Ww th&#t !&'c gia Vi mt ,' ch5t c h]i tr0ng Whng Wh> 1&ng %&anhb !(MN f:2ffdvBTNMT: !&y ch&Nn Ww th&#t !&'c gia Vi ngng ch5t thLi ng&y h]ib !(MN f:2ffvBTNMT: !&y ch&Nn Ww th&#t !&'c gia Vi ch5t 7\ng nJc m"tb !(MN 1T:2ffvBTNMT: !&y ch&Nn Ww th&#t !&'c gia Vi ch5t 7\ng nJc thLi ,inh h0]tb !(MN 2T:2ffdvBTNMT: !&y ch&Nn Ww th&#t !&'c gia Vi nJc thLi cng nghiOZb !(MN 2y:2f1fvBTNMT: !&y ch&Nn Ww th&#t !&'c gia Vi tiFng ^nb !(MN 2:2f1fvBTNMT: !&y ch&Nn Ww th&#t !&'c gia Vi nJc thLi y tFb #.#. C{n /Q ]$"] -. PE Lb4 !n3 : P&#t @y -ng ,' 1yv2ff3v!)11 ngCy 2yv11v2ff3 c?a !&'c )i Wh2a Me W h3Z thH Tb : P&#t ,' 32v2ffdv!)12 ngCy 1dvyv2ffd c?a !) Wh2a @e W h3Z thH 4
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,9a $ie b$ ,&ng mt ,' ii& c?a cc 7&#t 7iDn %&an Fn /& t 1y -ng c8 bLnb : Ngh< <nh ,' 12v2ffdvN:(; ngCy 1fvf2v2ffd c?a (h>nh Zh? Vi %&Ln 7Q - n /& t 1y -ng cng tr`nhb : Ngh< <nh ,' 2fdv2ffTvN:(; ngCy 1yv12v2ffT c?a (h>nh Zh? Vi %&Ln 7Q ch5t 7\ng cng tr`nh 1y -ngb : Ngh< <nh ,' Tdv2ffvN:(; ngCy 1vTv2ff c?a (h>nh Zh? Vi ViOc ,9a $ie b$ ,&ng mt ,' ii& c?a Ngh< <nh ,' 2fdv2ffTvN: (; ngCy 1yv12v2ffTb : &E (12 /$2n F ($2N( Lb4 !n3 3Hd !(@DMN f1:2ffvB@D: !&y ch&Nn 1y -ng MiOt Nam = !&y h0]ch 1y -ng ban hCnh Wm thg0 %&yFt <nh ,' fTv!:B@D ngCy f3vTv2ff c?a B Trcng B @y D-ngb T(MN y1yf:1ddy: ;(((: NhC ca0 t/ng : ED& c/& thiFt WFb T(MN 4yf:1dd3 : )O th'ng chYa chy: ED& c/& ch&ng Vi thiFt WFe 76Z "t VC ,9 kngb T(MN 43:2ff1: )O th'ng b0 chy: ED& c/& Ww th&#tb !(MN f3:2ffdvB@D: !&y ch&Nn Ww th&#t %&'c gia Vi Zhn 70]ie Zhn c5Z cng tr`nh 1y -ng n knge cng nghiOZ VC h] t/ng Ww th&#t th<b !(@DMN f4:2ff: NhC c VC cng tr`nh cng cng = n t0Cn ,inh m]ng VC ,Hc Whhgb T(@DMN 3y4:2ff: BOnh ViOn a Wh0a = )Jng n thiFt WFb T(MN T31d:1dd4: NhC VC cng tr`nh cng cng = Ng&yDn t6c c8 bLn j thiFt WFb 42T(N:(TET 3:2ff4: TiD& ch&Nn thiFt WF = (c Wh0a 1[t nghiOm BOnh ViOn a Wh0ab 42T(N:(TET 3:2ff4: TiD& ch&Nn thiFt WF = Uh0a Zh& th&#t BOnh ViOn a Wh0ab 42T(N:(TET 3d:2ff4: TiD& ch&Nn thiFt WF = Uh0a c5Z cH&e Wh0a ii& tr< t>ch c-c VC ch'ng c BOnh ViOn a Wh0ab T(MN 23:1dd4: TLi tr3ng VC tc ng : TiD& ch&Nn thiFt WFb T(MN y4y1:1ddd: n t0Cn bHc 1] i0n h2a t]i c8 ,c y tFb T(@D 33:2ffy: (5Z nJc = M]ng 7Ji ng 'ng VC cng tr`nh tiD& ch&Nn thiFt WFb T(MN T413:1d: (5Z nJc bDn tr0ng = TiD& ch&Nn thiFt WFb T(MN TTT:1d: Th0t nJc bDn tr0ng = TiD& ch&Nn thiFt WFb T(@D 33:2ffy: (5Z nJc = M]ng 7Ji bDn ng0Ci cng tr`nhb T(@D 41:1dT: Th0t nJc = M]ng 7Ji bDn ng0Ci VC cng tr`nhb
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T(@D 1y:1dy: (hiF& ,ng nhn t]0 tr0ng cng tr`nh n kngb MC nhYng tiD& ch&Nn 1y -ng Whc c2 7iDn %&anb #.3. C"/ /{n /Q ]$"] -. PE +v2 (J /$2n3 : !&yFt <nh ,' 224v2ff4v!:TTge ngCy 14vdv2ff4 c?a Th? tJng (h>nh Zh? Vi ViOc ZhD &yOt i n nng c5Z bOnh ViOn h&yOn VC bOnh ViOn a Wh0a Wh& V-c giai 0]n 2ff4 = 2ffb : !&yFt <nh ,' 143v2ffyv!:TTg ngCy 3fvyv2ffy c?a Th? tJng (h>nh Zh? Vi ZhD &yOt %&y h0]ch t$ng thj Zht trijn hO th'ng y tF MiOt Nam giai 0]n Fn nSm 2f1f VC t/m nh`n Fn nSm 2f2fb : !&yFt <nh ,' 3fv2ffv!:TTg ngCy 22vf2v2ff c?a Th? tJng (h>nh Zh? Vi ZhD &yOt %&y h0]ch t$ng thj Zht trijn m]ng 7Ji Whme chYa bOnh Fn nSm 2f1f VC t/m nh`n Fn nSm 2f2fb : !&y h0]ch t$ng thj ngCnh y tF ^ng ThZ Fn nSm 2f1f 7#Z thng dv2ff3 VC WF h0]ch Zht trijn ging bOnh ngCnh y tF t+nh ^ng ThZ giai 0]n 2ff4:2f1f ngCy 14v12v2ff4 c?a *c E tF ^ng ThZb : !&yFt <nh ,' 43v!bUBbTP ngCy 2vTv2ff4 c?a UBND t+nh ^ng ThZ MvV thCnh 7#Z BOnh ViOn !&n n y t+nh ^ng ThZb : !&yFt <nh ,' 1Tv!:UBNDb)( ngCy 1fv3v2f1f c?a UBND t+nh ^ng ThZ Vi ViOc 1FZ h]ng 'i VJi BOnh ViOn !&n n y t+nh ^ng ThZb : (ng VSn ,' 14v*ET:U)T( ngCy f4vf1v2f1f c?a *c E tF ^ng ThZ MvV /& t 1y -ng BOnh ViOn !&n n y t+nh ^ng ThZb : (ng VSn ,' 11f42vET:Tr ngCy 24v11v2ff3 c?a B E tF Vi ViOc ch? tr8ng /& t BOnh ViOn !&n n y t+nh ^ng ThZb : (ng VSn ,' 3yv*U):TvNM ngCy fdv3v2f1f c?a *c UF h0]ch = /& t t+nh ^ng ThZ MvV b0 c0 WFt %&L thNm <nh ch? tr8ng /& t BOnh ViOn !&n n y T+nhe giai 0]n 2b : (ng VSn ,' 12TvM;UBND:@D(B ngCy 1dv3v2f1f c?a UBND t+nh ^ng ThZ MvV thha th&#n VJi c8 %&an ch? %&Ln Vi /& t mc rng BOnh ViOn !&n n y t+nh ^ng ThZb : (ng VSn ,' fvBTP:!DE ngCy 2yvTv2f1f c?a B T 7Onh !&n Wh& d MvV ch? tr8ng VC h tr\ V'n /& t nng c5Z BOnh ViOn !&n n y t+nh ^ng ThZe giai 0]n 2b : (ng VSn ,' Tfv*@D:UT!)b)TUT ngCy fvv2f1f c?a *c @y -ng T+nh MvV Q WiFn Vi h^ ,8 thiFt WF chi t$ng m"t b_ng 1y -ng BOnh ViOn !&n n y t+nh ^ng ThZb : (ng VSn ,' 4Tv*@D:UT!)b)TUT ngCy f1vdv2f1f c?a *c @y -ng t+nh ^ng ThZ MvV thha th&#n thiFt WF chi tiFt t$ng m"t b_ng 1y -ng BOnh ViOn !&n n y t+nh ^ng ThZb
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: (ng VSn ,' 124v*U):TvNM ngCy 2dv1fv2f1f c?a *c UF h0]ch VC /& t t+nh ^ng ThZ MvV i ngh< /& t nng c5Z BOnh ViOn !&n n y T+nhe giai 0]n 2b : (ng VSn ,' 4f1vUBND:@D(B ngCy 1yv11v2f1f c?a UBND t+nh ^ng ThZ MvV ch? tr8ng 7#Z h^ ,8 - n /& t Nng c5Z BOnh ViOn !&n n y T+nhe giai 0]n 2b : (ng VSn ,' 3fv*U):TvT ngCy 1fvf1v2f11 c?a *c UF h0]ch VC /& t Vi ViOc tham gia Q WiFn Vi thiFt WF c8 ,c cng tr`nh Nng c5Z BOnh ViOn !&n n y t+nh ^ng ThZ qgiai 0]n 2rb : Thng b0 WFt 7&#n c&c h3Z ngCy 1yvf2v2f11 c?a *c @y -ng ^ng ThZ MvV g2Z Q ii& ch+nh h^ ,8 thiFt WF c8 ,c D- n Nng c5Z BOnh ViOn !&n n y t+nh ^ng ThZ qgiai 0]n 2rb : BiDn bLn h3Z ngCy 11vf3v2f11 t]i )i trng B ()!* t+nh ^ng ThZ MvV thng %&a ii& ch+nh thiFt WF c8 ,c cng tr`nh Nng c5Z BOnh ViOn !&n n y t+nh ^ng ThZ qgiai 0]n 2rb #.4. T1 -1G2 ($,H F$^` : nh gi tc ng mi trng : ;h8ng ZhZ VC Hng kng : Tc giL PD Tr`nhe 1&5t bLn nSm 2fffb : !&Ln 7Q ch5t 7\ng mi trng = ch8ng y 1d4:2 = Tc giL Ng&yxn Th< Mn )Ce nhC 1&5t bLn ]i h3c !&'c Iia T;b )(Me nSm 2ffb : ;I*bT*:PD )&y Be c h3c mi trnge 2fffb : "ng Uim (hie )2a h3c mi trnge 1ddb : ;T*b Ng&yxn D&y ng = Thng gi2 VC Ww th&#t 19 7Q Wh> thLi = N@B gi0 kce 1ddd : B$ ,&ng thgm nhYng tCi 7iO& Ww th&#t 19 7Q ch5t thLi : B0 c0 t`nh h`nh Winh tF 1A hi ThCnh Zh' (a0 PAnh nSm 2f1fb : Trang gb s($ng thng tin iOn t9 t+nh ^ng ThZt t]i <a ch+ b 0ngthaZbg0VbVn : B0 c0 %&an tr6c mi trng ^ng ThZe *c TCi ng&yDn VC Mi trng ^ng ThZe 2f1fb N32n (1 -1G2R ~ -1G2 ` /$% ! "n (! (a` -N]d : TCi 7iO& th-c tF Vi ii& trae WhL0 ,t hiOn tr]ng Wh& V-c - nb : UFt %&L ta cng tc th& th#Ze Zhn t>ch m& VC WhL0 ,t hiOn tr]ng Wh& V-c - nb : Th&yFt minh ch&ng D- n /& t nng c5Z BM !&n n Eb 3b ;)zNI ;)|; |; DNI TK.NI !U| TKN) P}; TM (c Zh8ng ZhZ TM A Z kng tr0ng b0 c0 g^m:
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: ;h8ng ZhZ th'ng WD: j th& th#Z cc ,' 7iO& Vi ii& WiOn t- nhiDne Wh> h#&e <a h`nh VC ii& WiOn Winh tFe 1A hi Wh& V-c - nb : ;h8ng ZhZ 75y m& ng0Ci hiOn trng VC Zhn t>ch tr0ng ZhXng th> nghiOm: nh_m 1c <nh cc thng ,' Vi hiOn tr]ng ch5t 7\ng Whng Wh>e nJce ^n t]i Wh& 5t - n VC Wh& V-c 1&ng %&anhb : ;h8ng ZhZ nh gi nhanh: ;h8ng ZhZ nh gi nhanh 0 T$ chHc E tF thF giJi qG).r ban hCnh nSm 1dd3e Z kng j nh gi tLi 7\ng VC n^ng cc ch5t nhixm tr0ng nJc thLi VC Wh> thLie ta 2 i 1&5t nhYng biOn ZhZ giLm thij& th>ch h\Zb : ;h8ng ZhZ Zhhng 0n: D-a trDn c8 ,c 7Q 7&#n VC th-c tixn j Zhhng 0n cc tc ng c2 thj c2e trDn c8 ,c 2 nh gi tc ng c?a - n Fn mi trng tr0ng Wh& V-cb : ;h8ng ZhZ ,0 ,nh: D-a trDn c8 ,c cc ,' 7iO& t>nh t0n VC Zhn t>che ,0 ,nh VJi cc tiD& ch&Nnv !&y ch&Nn mi trng hiOn hCnh j nh gi tc ng c?a - n Fn mi trngb Nh#n 1[t Vi mHc tin c#y c?a Zh8ng ZhZ b0 c0 TM MHc tin c#y c?a cc Zh8ng ZhZ ,9 kng \c a ra tr0ng bLng 1 BAng "# !?ng h/p m@c tin c9y c() cc phOng php !% H :; d&ng Z(( 1 T$Jhn3 ]$"] ;h8ng ZhZ th'ng WD ;h8ng ZhZ 75y m& ng0Ci hiOn trng VC Zhn t>ch tr0ng ZhXng th> nghiOm 0 (1n /N4 (a0 N324n n$bn D-a thg0 ,' 7iO& th'ng WD ch>nh thHc c?a t+nh : ThiFt b< 75y m&e Zhn t>ch mJie hiOn ]i : D-a VC0 Zh8ng ZhZ 75y m& tiD& ch&Nn
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Tb T ()( T)( )N TM j b0 c0 nh gi tc ng mi trng ]t ch5t 7\ng ca0 VC c2 nhYng giLi ZhZ i 1&5t 19 7Q nhixm mi trng thiFt th-c Zh h\Z VJi bOnh ViOne (h? /& t WFt h\Z cng 8n V< t V5n (ng ty TN)) DM : TM Mai nh tiFn hCnh 7#Z B0 c0 nh gi tc ng mi trng ch0 - nb (ng ty TN)) DM : TM Mai nh Iim 'c: BC Bi Th< Uim EFn <a ch+: T$ 2e Uh2m 2e ;hng 3e thCnh Zh' (a0 PAnhe t+nh ^ng ThZ iOn th0]i: fyb34Td22e a1: fyb34Td22 NhYng c nhn tr-c tiFZ tham gia 7#Z b0 c0: 0Cn Ng3c Minhe Ng&yxn ThCnh Tr&nge Ng&yxn T5n Pce Ng&yxn Th< )&nh nhe Tr/n !&ang Minhe (9 nhn * Zh]m Ww th&#t Thb, Nng nghiOZ Uw , mi trng Uw , mi trng Uw , mi trng
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CHNG 1. M T TM TT D N :::::::::::::::::::::::::::::::::::::::::::::::: 1.1. Tn ! "n D N U T NNG CVT B;NH &8;N fUN D lNG THT G8A8 N # T>nh ch5t h0]t ng c?a - n: Whm VC ii& tr< bOnh P0]i cng tr`nh: nng c5Z cLi t]0 WFt h\Z 1y -ng mJi 1.#. C$% ! "n : (h? /& t: B (h+ h&y !&n ,- t+nh ^ng ThZ : <a ch+ 7iDn 7]c: *' 44 ng ;h]m )Y& P/&e ;hng ye T;b (a0 PAnhe ^ng ThZe iOn th0]i: qfyr y2T1T2f a1: qfyr 324T4 : 8n V< ,9 kng: BM !&n n y ^ng ThZ 1.3. &' ()* +', -. /%, ! "n : D- n \c /& t 1y -ng trOn Wh& 5t c2 iOn t>ch 1Tb33 m 2e t]i ;hng 1e T;b(a0 PAnhe ^ng ThZe VJi cc hJng tiFZ giZ nh ,a&: + ;h>a B6c giZ Wh& n c ;hng 1 + ;h>a Nam giZ ng Tn Hc Th6ng + ;h>a Ty giZ ng Ng Thi Nh#m + ;h>a ng giZ BOnh ViOn ii& Dng t+nhb : ;hn t>ch nh gi t>nh WhL thi VC Winh tF c?a hiOn tr]ng & ijm: + TiFZ giZ VJi hai t&yFn gia0 thng qng Tn Hc Th6ng VC ng Ng Thi Nh#m - WiFnre th&#n tiOn ch0 ViOc tiFZ nh#ne 7& ch&yjn bOnh nhnb + Uh& 5t ,a& Whi th0 mt ,' cng tr`nh hiOn tr]ng , Wh rnge Lm bL0 m#t 1y -ng VC b' tr> cc cng tr`nh Zhk tr\b + M< tr> 1a Wh& ,Ln 1&5te yDn t+nh Whng b< Lnh hcng nhii& bci tiFng ^n C0 c?a mi trng ch&ng %&anhb Uh&yFt ijm: + M"t b_ng hiOn c2 mt ,' cng tr`nh WiFn truc t]me 1&'ng c5Z c/n th0 nDn t'n chi Zh> j giLi Zh2ng m"t b_ng ch0 ViOc 1y -ng cng tr`nh mJib + <a h`nh Wh& 5t t8ng 'i b_ng Zhmnge nhng ca0 tr`nh cXn th5Ze c/n ZhLi ,an 75Z ]t ca0 tr`nh ch'ng 7Rb + (8 ,c h] t/ng Ww th&#t cXn nhii& yF& W[me ZhLi 1y -ng 7]i r5t nhii&b + Nin 5t yF&e c/n ZhLi c2 cc giLi ZhZ 19 7Q m2ng th>ch h\Ze nh5t 7C
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WhNn c5Z tr0ng T+nhb 1.4.#. :$p1 -Jsn3 P j24 HI /"/ $an3 Hu/ ! "n "#$#+#"# Quy m d n BOnh ViOn !&n n y t+nh ^ng ThZ 7C BOnh ViOn a Wh0a h]ng %&y m 14f gingb Iiai 0]n 1 A /& t 4f gnge giai 0]n 2 , /& t thDm 1ff gingb BOnh ViOn g^m 4 Wh& chHc nSng ch>nh: : Uh'i Whm bOnh a Wh0a VC ii& tr< ng0]i tru qUh& V-c 2n tiFZ VC 7Cm th? tkco Uh0a Whm bOnh VC ii& tr< ng0]i trurb : Uh'i Ww th&#t nghiOZ Vk qUh0a 1[t nghiOmo Uh0a chNn 0n h`nh Lnho 8n V< Zh& th&#to Uh0a c5Z cH& hî ,Hco Uh0a giLi Zh& bOnh 7Qo Uh0a \co Uh0a inh ngo Uh0a ch'ng nhixm Wh&Nnrb : Uh'i ii& tr< ni tru qUh0a nio Uh0a y h3c c$ tr&yino Uh0a ng0]io Uh0a rSng hCm m"to Uh0a tai mRi h3ngo Uh0a m6to Uh0a tr&yin nhixmo Uh0a nhio Uh0a ,Lnrb : Uh'i hCnh ch>nh = h#& c/n Ww th&#t qUh& hCnh ch>nho NhC tang 7xo Uh& Wh0e 1cngo NhC 1ge nhC thng tr-ce tr]m 19 7Q nJc thLie ch5t thLirb : Uh'i <ch Vk t$ng h\Z qUh& bn th&'c VC kng ck y tFo (Sn tine giLi Whte Sn &'ngo D<ch Vk b& iOne h0a t8io Uh& nhC thn nhnrb : Uh0a ii& tr< !&n nhn qWhng t>nh VC0 ,' ging c?a bOnh ViOnrb M` y 7C BOnh ViOn !&n n y WFt h\Z nDn ZhLi c2 Wh0a !&n nhn j ii& tr< ch0 !&n nhn cc 8n V< nh: B ()!* T+nhe B () BiDn ZhXng T+nh VC Tr&ng 0Cn dv* b "#$#+#+# Min tr2ng Ei5n tr^c v0 h2 tng E_ thu9t c() Bnh vin )# Min tr2ng Ei5n tr^c BOnh ViOn giai 0]n 0]n 1 A /& ta cc h]ng mkc cng tr`nh nh ,a&: BAng +# Fc h2ng m&c cng tr<nh H u t ZTT 1 2 3 Tn F$`, ]$yn3 NhC 1g Uh& ZhXng Whm q1 t/ngr NhC ii& tr< q2 t/ngr : T/ng trOt : P/& 1 D1Gn (*/$ kn H# 13d 1y2 Te T3eT T3eT
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nh gi ch&ng Vi hiOn tr]ng WiFn truc BOnh ViOn !&n n y t+nh ^ng ThZ \c thCnh 7#Z ta nSm 2ff4 trDn c8 ,c t#n kng c8 ,c h] t/ng VC Wh0a ZhXng cR c?a BOnh 1 B (h+ h&y !&n ,- T+nh Fn nay h/& hFt A %& niDn h]n ,9 kng h0"c ang trDn C 1&'ng c5Z nghiDm tr3ngb )iOn naye mt ,' ZhXng 'c cXn t#n kng j 7Cm Wh& Whm VC ii& tr< ch0 bOnh nhn nh: Wh'i ZhXng Whm trOte NhC ii& tr< 2 t/nge nhC gi"t = ,n Zh8ie nhC 1ge nhC c cng Vkb D0 ii& WiOn c8 ,c V#t ch5t %& ch#t hZe ta nSm 2ff t+nh A ch0 tiFn
trang 1
hCnh /& t 1y -ng NhC Whm VC ii& tr< a Wh0a ca0 T t/ng j Z Hng nh& c/& Whm VC ii& tr< c?a BOnh ViOnb Fn naye VJi %&y m 1ff ging qgiai 0]n 1 A 1y -ng \c 4f gingre t$ng iOn t>ch ,Cn 1y -ng c?a bOnh ViOn 7C Tbd1eyT m2e tr0ng 2 c2 4dfeT m 2 g^m Wh& ZhXng Whm trOt A 1&'ng c5Z nghiDm tr3ng VC cc Ay nhC t07g 1y -ng ta nhYng nSm f A h hhng n"ngb Nh V#ye VJi iOn t>ch ,Cn hiOn c2: Tb3dfem 2 q,a& Whi tra iOn t>ch cc Wh'i cng tr`nh cR - WiFn th0 re bOnh ViOn ch+ ]t Wh0Lng T4 ,0 VJi iOn t>ch ch&Nn %&i <nh q iOn t>ch ,Cn tr&ng b`nh c?a bOnh ViOn a Wh0a 14f ging ta yf = y4 m2vging bOnhrb
b. Min tr2ng h2 tng E_ thu9t
: Yi)o thngL Uh& 5t 1y -ng n_m c tr&ng tm thCnh Zh' (a0 PAnhe tiFZ giZ ng Tn Hc Th6ng VC ng Ng Thi Nh#me th&#n tiOn ch0 ViOc tiFZ nh#ne 7& ch&yjn bOnh nhnb BDn tr0ng Wh&n ViDn bOnh ViOn hiOn A c2 mt ,' t&yFn ng b_ng a7g BT(T ng j 7iDn hO giYa cc Wh0ab : Fp nTcL *9 kng ng&^n nJc 0 (ng ty c5Z nJc th< thCnh Zh' (a0 PAnh c&ng c5Ze n_m 3c thg0 ng Tn Hc Th6ngb )iOn bOnh ViOn c2 1 bj nJc ng/m 32 m2 VC f1 giFng Wh0anb : Fp inL *9 kng ng&^n iOn h] thF c?a thCnh Zh'e Lm bL0 ,inh h0]t ch0 bOnh ViOn qcng ,&5t tr]m biFn Z hiOn hY& 32f UMrb Ng0Ci rae BOnh ViOn cXn c2 mt my Zht iOn j - ZhXng Whi cuZ iOne nhng cng ,&5t r5t th5Z q1b4ff Gr ch+ c&ng c5Z iOn chiF& ,ng cc Wh& V-c tr3ng yF&e Whng ch? ng \c iOn ch0 ZhXng m$ Whi c/n thiFtb : !hot nTcL (2 b' tr> hO th'ng th0t nJc qm8ng n$i VC c'ng BT(Tre nhng cha 1y -ng tr]m 19 7Q nJc thLi ch0 c8 ,cb NJc thLi ,inh h0]t cha %&a 19 7Q th0t tr-c tiFZ VC0 hO th'ng c'ng ch&ng gy Lnh hcng 7Jn Fn mi trng ch&ng %&anhb : `hang chy chb) chyL (2 b' tr> cc b`nh chYa chy c8 nge nhng cha c2 hO th'ng nJc - ZhXngb : = :inh mi trngL y 7C bOnh ViOn a Wh0a h]ng e nDn c2 nhii& 70]i rc "c biOt c h]i nhng BOnh ViOn cha c2 biOn ZhZ j Zhn 70]i VC tiD& h?y cc 70]i rc y tFe gy Lnh hcng Fn VO ,inh mi trngb Kc thLi y tF hiOn \c gci c BOnh ViOn a Wh0a T+nh j 19 7Qb
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"#$#+#4# ,h-i cng tr<nh cAi t2o BAng 4# Fc h2ng m&c cng tr<nh hin tr2ng d Ei5n :; d&ng] :Up I5p .2i Zp D. T*/$ 31JKn3 kn H# $1Gn /} Zp 31JKn3 \p ()* -a1
Z((
Tn F$`, ]$yn3
D! F15n F$`, ]$yn3 \p ()* -a1
)]ng mkc - WiFn ,9 kng 7]i VC h0n $i chHc nSng NhC Whm ii& tr< a Wh0a qT t/ngr : T/ng trOt qWh'i Whm a Wh0a Wh0a @[t nghiOme chNn 0n h`nh Lnhr : P/& 1 qWh0a Iy mD = giLi Zh& Wh0a Ng0]ir : P/& 2 qWh0a Nhi Wh0a Ni 1r : P/& 3 qWh'i )Cnh chnh %&Ln tr< Wh0a Ni 2r
Tb3dfe 3b3T df 3y 3T 2T
4f 4f (Li t]0 thCnh Uh'i ii& tr< ni tru Uh0a ;hk = *Ln Uh0a Ng0]i Uh0a Nhi Ni 1 Uh0a Ni 2 PiDn ch&yDn Wh0a Di ie cLi t]0 thCnh Uh'i Whm ii& tr< ng0]i tru VC Wh0a (h'ng nhixm Wh&Nn qWhng c2 gi"t Zh8ir : T/ng trOt: Uh'i Whm VC ii& tr< ng0]i tru
132 132
NhC ii& tr< q2 t/ngr : T/ng trOt
Te T3eT
trang 1d
Z((
Tn F$`, ]$yn3
Zp D. T*/$ 31JKn3 kn H# $1Gn /} T3eT 2 T 12
D! F15n F$`, ]$yn3 \p ()* -a1
Zp 31JKn3 \p ()* -a1
: P/& 1 3 T 4 y 1 2 3 T 4 NhC 1g qnhC c5Z Me t07gr NhC gi"t = ,n Zh8i NhC "t my Zht iOn - ZhXng Bj nJc ng/m 32 m2 )NI M( D UN T)|. D Uh& ZhXng Whm trOt NhC c qt07g t]mr NhC 1g (Sn tin Uh& G( cR Ton3 /0n3
: T/ng 7/&: Uh'i Whm VC ii& tr< ng0]i tru = Wh0a (h'ng nhixm Wh&Nn Di ie cLi t]0 IiY ng&yDn IiY ng&yDn IiY ng&yDn
4dfeT 1y2 1ff y 244 yeT 4.cz1R6

trang 2f
Z((
Tn F$`, ]$yn3
Zp D. T*/$ 31JKn3 kn H# $1Gn /} 4
D! F15n F$`, ]$yn3 \p ()* -a1
Zp 31JKn3 \p ()* -a1
trang 21
"#$#+#$# ,h-i cng tr<nh Iy mTi )# Fc h2ng m&c cng tr<nh Iy dng 6? :ung : Uh'i Whm bOnh ng0]i tru : Uh'i hCnh ch>nh %&Ln tr< : Uh'i Ww th&#t nghiOZ Vk qUh0a 1[t nghiOmo Uh0a chNn 0n h`nh Lnho 8n V< Zh& th&#to Uh0a hî ,Hc c5Z cH& qd gingro Uh0a \co Uh0a inh ngo Uh0a ch'ng nhixm Wh&Nnrb : Uh'i ii& tr< ni tru : Uh0a giLi Zh& bOnh 7Q : Uh0a ii& tr< !&n nhn : (c h]ng mkc Whc: cSn tine c$ng = hCng rC0 = nhC bL0 VOe nhC 1g cn b nhn ViDne nhC j 7X 't rce tr]m 19 7Q nJc thLie bj nJc ng/mb : )0Cn ch+nh Zh/n h] t/ng Ww th&#t: ,n : ng ni be hO th'ng c5Z = th0t nJc ng0Ci nhCe hO th'ng iOn ng&^n chiF& ,ng ng0Ci nhCe cy 1anh = thLm chb
b. Quy m ging 6nh cn 6? :ung
*' ging bOnh ,a& Whi ii& ch+nhe ,6Z 1FZ 7]i: 132 gingb *' ging c/n 1y -ng b$ ,&ng 7C 1 gingb BAng $# B- tr[ ging 6nh trong 6nh vin ZTT q1r 1 : Ni : E h3c c$ tr&yin 2 3 T 4 y Ng0]i ;hk = *Ln Nhi K)M : TM) = M6t Tr&yin nhixm (5Z cH& hî ,Hc TNG CDNG 33 21 1 d d d 167 13# 33 21 1 d d d 1z 8gu nL d n u t
Tn F$`, q2r Ni = E h3c c$ tr&yin
f24 HI 31JKn3 \Gn$ ($` T/$2n q3r 41
Zp 31JKn3 k,2 F$1 kw] L5]R 31~ -a1 qTr 41
Zp 31JKn3 \Gn$ /vn \o k2n3 q4r q3 = Tr
trang 22
"#$#+#*# % tA 6in php] Eh-i ./ng thi cng Iy dng cng tr<nh c() d n )# `hOng n 6- tr[ mct 6dng e"f# 7nh hTng 6- tr[ mct 6dng chung (c Wh'i cng tr`nh ch? yF& \c b' tr> thg0 hJng ng Nam qhJng ra ng Tn Hc Th6ngr VC hai bDn trkc cLnh %&an \c mc thmng g2c ta ng Tn Hc Th6ng Fn nhC Whm VC ii& tr< a Wh0a T t/ngb )Jng ch>nh cng tr`nh \c thiFt WF 2 c$ng q1 c$ng ch>nh VC 1 c$ng Zhkro hJng Ty Nam mc mt c$ng Zhkb : ($ng ch>nh: V< tr> Wh0Lng giYa Wh& 5t c m"t ng Tn Hc Th6nge 7C c$ng hCnh ch>nh VC 7C 7'i ra VC0 c?a nhn ViDne bOnh nhn VC Whch VC0 thSm bOnhb ($ng nCy \c Zhn hai 7Cn ng: mt ng ch0 ngi i 1ge mt ,9 kng ch0 ngi i bb : ($ng Zhk mc ,0ng ,0ng VJi c$ng ch>nh trDn ng Tn Hc Th6ng: Cnh ch0 Wh0a c5Z cH&b (5Z cH& 7C b Zh#n h0]t ng nh#n bOnh nhn ,&'t 2T tiFngb P'i ra VC0 ch0 Wh& V-c nCy c/n thng th0ng j c2 thj nhanh ch2ng c5Z cH& bOnh nhn nDn \c tch riDng Whhi 7'i i c?a bOnh nhn thng thng nh_m trnh ,- t#Z tr&ng ngi ng ucb : ($ng Zhk c m"t ng Ng Thi Nh#m 7C c$ng ra VC0 Cnh ch0 bOnh nhn Wh0a Nhixme c&ng Hng V#t te V#n ch&yjn ch5t thLie Ww th&#t Zhk tr\ VC Zhkc Vk tang 7xb : (c cng tr`nh hiOn tr]ng giY 7]i g^m c2: cLi t]0 Wh'i Whm VC ii& tr< a Wh0a T t/ng thCnh Wh'i ii& tr< ni truo i ie cLi t]0 Wh'i Whm ii& tr< 2 t/ng thCnh Wh'i Whm a Wh0a VC Wh0a (h'ng nhixm Wh&Nno i i nhC 1g Whch Vi bDn ZhLi c$ng ch>nho giY ng&yDn nhC gi"t = ,n Zh8ie bj nJc ng/m ,inh h0]te nhC "t my Zht iOn - ZhXngb : (c Wh'i cng tr`nh \c 1y -ng mJi g^m c2: Wh'i nhC T t/ng 7C cng tr`nh h\Z Wh'i c?a Wh'i Ww th&#t nghiOZ Vke Wh0a ii& tr< !&n nhn VC Wh'i hCnh ch>nh = %&Ln tr<e V< tr> c Zh>a tri trkc ch>nho Wh0a Nhixme Wh0a IiLi Zh& bOnh 7Q VC cc Wh'i cng tr`nh Zhk tr\ qWh& 19 7Q nJc thLie 7X 't rc y tF 1y mJi WFt h\Z cc cng tr`nh hiOn hY&: nhC gi"t = ,n Zh8ie bj nJc ng/me nhC "t my Zht iOn - ZhXngo tr]m h] Zr \c b' tr> c Wh& V-c W>n 0 nh5t tr0ng bOnh ViOne cng VJi Wh'i h#& c/n c2 ng i riDng ra ng0Cie Whng %&a c$ng ch&ng bOnh ViOn nh_m trnh gy Lnh hcng Fn h0]t ng Whm chYa bOnh c?a bOnh ViOnb Uh0a inh ng WFt h\Z cSn tin \c b' tr> g/n nhC 1g Zh>a ng0Ci c$ng ch>nh Zhkc Vk ch&ng ch0 nhn ViDn VC thn nhn bOnh nhnb : (c Wh'i cng tr`nh \c b' tr> 7iDn h0Cne th&#n 7\i ch0 ViOc i 7]ie tr0ng 2 Wh'i nhC 1y mJi T t/ng \c b' tr> c V< tr> tr&ng tm Wh& 5tb IiYa cc Wh'i ii& tr<e chNn 0n 7m ,Cng VC c#n 7m ,Cng \c n'i VJi nha& b_ng hCnh 7ang c2 mi chge t]0 m'i 7iDn hO ch"t ch giYa cc Wh0ab (c cng tr`nh ch? yF& b' tr> hCnh 7ang giYa WFt h\Z ch ch \ib
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: NhC 1g nhn ViDn \c b' tr> g/n c$ng Zhk ng Ng Thi Nh#me nhC 1g Whch \c b' tr> g/n c$ng ch>nhe th&#n tiOn ch0 ngi n Fn Whm bOnhb : T#n kng t5t cL Zh/n 5t cXn 7]i b' tr> cy 1anh VC ,n Vne t]0 ,th0ng mt VC yDn t+nh ch0 Wh& V-c cRng nh g2Z Zh/n cLi t]0 Vi Wh> h#& ch0 Wh& V-cb BAng *# FO cu :; d&ng t Z(( 1 # D1n 31^1 x( Lb4 !n3 /In3 ()in$ x( /In3 P1n $ nJ|/ A x( /In3 P1n A x( $ nJ|/ 3 x( 31,` ($In3 A JKn3 -"( ,- A Hn$ -,n3 np1 TNG CDNG
b. `hOng n 6- tr[ tSng Eh-i cng tr<nh
D1Gn (*/$ H# 3.6c4R4 6.z1zR3 6.S76R3 113 4.z#4R3 4.436Rz 3zzR6 14.33S
T -G #6RSS 47R6z
33R66
177
e"f# B- tr[ c?ngL BM thiFt WF f3 c$ng g^m f1 c$ng ch>nh VC f2 c$ng Zhkb ($ng ch>nh qU14r \c b' tr> c Wh0Lng giYa Wh& 5t hJng Vi ng Tn Hc Th6nge 7C 7'i ra VC0 ch>nh ch0 nhn ViDn VC Whch Fn 7iDn hO cng tce ^ng thi cRng 7C 7'i ra VC0 c?a bOnh nhn VC thn nhn ngi bOnhb e+f# M)i c?ng ph& : Mt c$ng Zhk mc ,0ng ,0ng VJi c$ng ch>nh c m"t ng Tn Hc Th6ng 7C c$ng c5Z cH& nh_m tch ri 7&^ng 1g c5Z cH& VJi 7&^ng bOnh nhn Whm ng0]i tru VC Whch Fn thSm bOnh qU1yrb : ($ng Zhk cXn 7]i mc ra m"t ng Ng Thi Nh#m 7C c$ng Cnh riDng ch0 bOnh nhn Wh0a Nhixme 1g c c?a cc <ch Vk c5Z VC ch&yjn: hCng h2ae ^ nge V#t ZhNme th-c ZhNme th&'c mgne rc VC ch5t thLilbo VC Wh& nhC giLi Zh& bOnh 7Q cRng \c thiFt WF g/n ngay c$ng nCy j tiOn i ch&yjn thi thj mC Whng gy Lnh hcng tm 7Q ch0 bOnh nhn qU1rb e4f# ,h-i cng tr<nh hin hbu gib .2i Ba0 g^m: nhC "t my Zht iOn - ZhXng qUdre bj nJc ng/m my b8m hiOn tr]ng qU11 U13re tr]m h] thF qU12re nhC gi"t ,n Zh8i qU1Trb e$f# ,h-i cng tr<nh hin hbu di di] cAi t2o : Uh'i U2: (Li t]0 Wh'i Whm VC ii& tr< a Wh0a thCnh Wh'i ii& tr< ni tru
trang 2T
q132 gingrb PC Wh'i chYa bOnh ni tru ca0 fT t/nge n_m trDn trkc ch>nh bOnh ViOnb (ng tr`nh ,a& Whi cLi t]0e ba0 g^m: T/ng trOt: Wh0a Ng0]i q33 gingr P/& 1: Wh0a *Ln q21 gingr P/& 2: Wh0a Ni q32 gingr P/& 2: Wh0a Nhi q1 gingro Wh0a E h3c c$ tr&yin q1d gingr VC Wh0a 7iDn ch&yDn Wh0a M6t = TM) = K)M qd gingr : Uh'i U3: Uh'i nhC ii& tr< 2 t/ng c2 V< tr> hiOn hY& n_m Zh>a trJc Wh'i Whm VC ii& tr< a Wh0ae g/n ng Tn Hc Th6ngb D- WiFn cLi t]0 Wh'i nCy thCnh Uh'i Whm ii& tr< ng0]i tru = Wh0a (h'ng nhixm Wh&Nn VC i i Vi Zh>a ,a& g/n c$ng Zhk j th&#n tiOn ch0 ViOc tiFZ 7iO&b Uh& 5t tr'ng cXn 7]i ,a& Whi i i ng j 1y -ng Wh'i T t/ng mJib (ng tr`nh ,a& Whi cLi t]0 g^m: T/ng trOt: Uh'i Whm ii& tr< ng0]i trub qZhXng Whm nie ZhXng Whm ng0]ie Whm nhie ZhXng Whm m6te TM)e K)Me Whm y h3c n tce Whm a 7ix& VC b Zh#n tiFZ nh#ne th& ViOn Zhurb T/ng 7/&: Uh'i Whm ii& tr< ng0]i tru = Wh0a (h'ng nhixm Wh&Nnb q(2 nhiOm Vk gi"t ,5y h5Z %&/n 0 bOnh nhn VC tNy trnge V trng cc kng cke thiFt b< y tF j ti ,9 kngb Ba0 g^m cc ZhXng: tiFZ nh#n Zhn 70]ie ZhXng h5Z ,5y tiOt trnge Zhn 70]i 2ng g2ie ZhXng c5Z Zht VC cc Wh0o Whng b' tr> ch gi"t = Zh8i t]i y 0 A c2 nhC gi"t ,n Zh8i hiOn hY& giY 7]irb Ni &ng cLi t]0 Wh'i U3: PCm m2ng 7]i c V< tr> i i mJi B' tr> 7]i m"t b_ng thg0 ni &ng mJi #Z bh Vch ngSn mt ,' ZhXng c t/ng trOt Pt nin mJi b_ng g]ch (gramic Trt ma,tic ,8n mJi 7]i t0Cn b ngi nhC Z g]ch mgn bDn tr0ng VC hCnh 7ang ca0 1e4m PCm mJi 7]i hO th'ng iOn = c5Z th0t nJc VC nhC VO ,inhb : Uh'i UT: Di ie cLi t]0 NhC 1g Whch NhC 1g hiOn hY& c2 V< tr> n_m c Wh0Lng giYa hCng rC0 giZ ranh ng Tn Hc Th6ngb D- WiFn i i Wh'i nCy Vi ,t g2c bDn ZhLi Wh& 5te Zh>a ,a& nhC bL0 VO q iOn t>ch th& nhh 7]irb e*f# ,h-i cng tr<nh Iy dng mTi : Uh'i U1: Uh'i nhC T t/nge n_m c V< tr> tr&ng tm Wh& 5t hJng Vi Zh>a trkc ch>nhe ch&ng %&anh \c tr^ng cy VC ,n ch nh_m t]0 b2ng mt VC ch'ng 7]i bHc 1] m"t trib y 7C cng tr`nh h\Z Wh'i g^m nhii& Wh0a Whc nha&e t&y cng "t ch&ng mt tXa nhC nhng \c b' tr> thCnh tang Wh0a riDng biOt VC c2
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cc h0]t ng c 7#Z VJi nha&b T/ng trOt b' tr> Wh0a )î ,Hc c5Z cH& VC Wh0a (hNn 0n h`nh Lnho 7/& 1 b' tr> Wh0a @[t nghiOm tr&ng tm VC 8n V< Zh& th&#to 7/& 2 7C b' tr> WFt h\Z c?a Wh0a D\ce Wh0a ii& tr< !&n nhno 7/& 3 7C Wh& V-c 7Cm ViOc c?a Wh'i )Cnh chnh %&Ln tr< VC Wh'i <ch Vkb : Uh'i UT: NhC 1g cn b nhn ViDn: b' tr> g/n c$ng Zhk ng Ng Thi Nh#m ng 7Cm ch j 1g ch0 cn b nhn ViDn bOnh ViOnb : Uh'i U4: Uh& 19 7Q nJc thLi VC nhC ii& hCnh: b' tr> g/n nhC gi"t = ,n Zh8i c c]nh tiFZ giZ Wh& ii& ng t+nhb : Uh'i Uy: \c thiFt WF f1 t/ng riDng biOt ch0 Wh0a Nhixme n_m c Zh>a Ty B6c Wh& 5t trDn cng mt trkc VJi Wh'i T t/ng 1y mJio \c b' tr> t8ng 'i c 7#Z VJi cc Wh'i Whce nh_m h]n chF t'i a ViOc 7y nhixm ch0 cc bOnh nhn Whcb Uh0a nhixm g^m cc ZhXng nh#n bOnhe trcng = Zh2 Wh0ae y t tr-ce bc ,B ii& tr<e y t ii& nge hi chNn gia0 bane Whm ii& tr< 7a0 VC 3 ZhXng 7& bOnh qfd gingrb M` Wh'i nCy g^m cc bOnh x 7y nhixm nDn b' tr> cc b&^ng 7& bOnh n_m riDng thCnh 1 Ayb T]i mi ZhXng y bc ,B VC b&^ng bOnh i& c2 nhC VO ,inh riDngb : Uh'i U: Uh0a IiLi Zh& bOnh 7Q b' tr> c&'i Wh& 5t c hJng Tye Wh& V-c W>n 0 VC >t ngi %&a 7]ie \c ngSn cch VJi cc Wh'i Whc b_ng Li cy 1anh cch 7yb ED& c/& 'i VJi h]ng mkc nCy 7C ZhLi c2 Wh0 trY 7]nh j c2 thj giY 1c Ci ngCyb : Uh'i U: NhC chHa rc 7X 't rc y tF: b' tr> g/n tr]m 19 7Q nJc thLie ,9 kng j tiD& h?y cc 70]i rc y tF c h]i trnh 7y nhixm ch0 mi trng ch&ng %&anhb : Uh'i U1f: Uh0a inh ng (Sn tin: c2 V< tr> g/n hai c$ng ng Tn Hc Th6nge th&#n 7\i ch0 ViOc tiFZ 7iO& VC a rc ra ng0Cib : Uh'i U11: Bj nJc ng/m ,inh h0]t tr]m b8m: b' tr> b$ ,&ng bj chHa nJc ng/m ,inh h0]t bDn c]nh bj nJc ng/m hiOn c2b e3f# Fy I)nh :n vn Tr^ng cy 1anh 3c thg0 ng VC cy 1anh t#Z tr&ng j cch 7y cc cng tr`nh c h]i nh Wh& nhC 1ce Wh& 7y nhixme Wh& 19 7Q nJc thLi = rc thLib (h&ng %&anh Wh& ii& tr< c/n c2 ,n Vne cy 1anh j t]0 b2ng rm mte ngSn bJt gi2 n2nge bkie tiFng ^n ta ng0Ci tc ng VC0 cc b&^ng bOnhb Tr0ng Vn cy c2 thj b' tr> cc bSng ghF ch0 bOnh nhn ngîe cc 7'i i ]0 VC cc bAi t#Z thj kc ch0 bOnh nhnb Ba0 %&anh t0Cn bOnh ViOn 7C mt Li cy 1anh cch 7y VJi bDn ng0Cie bi rng 4 = 14m j h]n chF bJt bkie tiFng ^ne h8i Wh> c ta ng0Ci tJi VC ch'ng n6nge n2ng tr0ng ma hb
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1.4.2.6. Quy m cng tr<nh Iy dng
BAng 3# Quy m din t[ch cc h2ng m&c cng tr<nh Z(( 8 1 2 3 T 4 y d 88 D1n 31^1 :$p1 /In3 ()in$ Lb4 !n3 H|1 Uh'i nhC T t/ng Uh0a Dinh ng : (Sn tin Uh0a Nhixm Uh0a IiLi Zh& bOnh 7Q NhC 1g (BNM NhC j 7X 't rc y tF Uh& 19 7Q nJc thLi Bj nJc ng/m NhC bL0 VO :$p1 n$ $1Gn ()an3 kt un3 -a1 P ($,4 +o1 \o k2n3 /$Q/ n{n3 DT +x( Lb4 !n3 #.#36R7 1bfd1ef T1yef 331ef 1e4 14fef Tfef 12ef e4 def 1.46cR4 DT kn Lb4 !n3 6.#6SR7 Tb113ef T1yef 331ef 1e4 14fef Tfef 12ef e4 def 4.3c7Rz 13#R7 def G1JKn3 +1E2 ()' 1zR7 def T 1 1 1 1 1 1 Tvn3 /,`
b1 (c cng tr`nh giY ng&yDn hiOn tr]ng 1 2 3 1 2 NhC gi"t ,n Zh8i NhC "t my Zht iOn - ZhXng Bj nJc ng/m 32 m2 qyT m3r
yfef Tef 12ef 1b3ddeT dfef T3eT
yfef Tef 12ef Tb33fe 3b3Tef Te 132ef 132ef
b2 (ng tr`nh cLi t]0 (Li t]0 Wh& Whm VC ii& tr< a Wh0a thCnh Uh'i ii& tr< ni tru Di ie cLi t]0 Uh& ii& tr< 2 t/ng thCnh Uh'i <ch Vk t$ng h\Z Di ie cLi t]0 nhC 1g Whch CDNG
2ef 3.6c4R4
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: Trt ma,tic ,8n mJi 7]i t0Cn b ngi nhCb : .Z g]ch mgn bDn tr0ng VC hCnh 7ang ca0 1e4mb : PCm mJi 7]i hO th'ng iOn = c5Z th0t nJc VC nhC VO ,inhb g Di di] cAi t2o nh0 Ii hin hbu th0nh nh0 Ii Ehch : Th& nhh iOn t>ch nhC 1g hiOn hY& q2 m2rb : PCm 7]i Zh/n m2ng mJib : IiLi ZhZ m2ng: m2ng nng BT(T "t trDn nin t- nhiDn gia c' b_ng ca 1ff11ffe P1e2mo m#t d cyvm2b : IiY ng&yDn hO Wh&ng th[Z tiin chFb Mi 7\Z t07g ,2ng V&ng m] mC& D fbTmme Xn tay th[Ze W0 th[Zb : PCm mJi Zh/n nin: 7ng VYa 1i mSng M1ff Cy t'i thij& 2fe t]0 'c th0t nJc ra bDn ng0Cio an BT(T Mb14fe Cy yfo BT(T Tf1yfe Mb14fe Db1ffo ct gn tJi nJc /m ch"to 5t t- nhiDn 3n ,]chb c# Fng tr<nh Iy dng mTi Uh'i 1y mJi T t/ngo Wh0a Nhixmo Wh0a IiLi Zh& bOnh 7Qo Wh0a Dinh ng = (Sn tin : !&y m 1 trOte 3 7/&o cng tr`nh 1y -ng n knge nhC c5Z b T$ng iOn t>ch ,Cn 1y -ng Tb113 m2b : (hii& ca0 nin nhC ,0 VJi m"t ,n h0Cn thiOn 7C feT4mo chii& ca0 cc t/ng Tefm VC t/ng mi Te3mo t$ng chii& ca0 t0Cn b nhC ,0 VJi nin nhC 1ym qt>nh ta Zh/n ,n th\ngro 2fe3m qt>nh ta ,D n Zh>a trDn ,n th\ngrb (c t/ng b' tr> ZhXng nghiOZ Vke Zhkc Vke Wh& Zhk tr\b : Iia0 thng: Wh& V-c ,Lnh ch>nh rng 12eTmo thg0 Zh8ng ngang ,9 kng hCnh 7ang giYa rng 3efmo gia0 thng thg0 Zh8ng Hng ,9 kng 3 c/& thang b VC 2 c/& thang myb d# Fc h2ng m&c cng tr<nh ph& tr/ e"f# 8h0 Ii cn 6 nhn vi'n : (hii& ca0 nin nhC ,0 VJi m"t ,n h0Cn thiOn 7C fe2fmb (hii& ca0 mi ,0 VJi nin nhC 7C 3edmb : (t th[Z c giYae mi chg a ra 2 bDne mi bDn rng 2efb : IiLi ZhZ m2ng 8n BT(T trDn nin t- nhiDn \c gia c' b_ng ca 1ff11ffe P1e2mo m#t d cyvm2b : Mi 7\Z t07g ,2ng V&ng m] mC& D fbT4mme 1C g^ th[Z hZ Tf1f12 a dffe V` W0 th[Z df Cy 3mme thanh ch'ng th[Z df Cy 3mmb : Nin: 7ng VYa 1i mSng M1ff Cy t'i thij& 2fe t]0 'c th0t nJc ra bDn ng0Cie 7Sn r m"to BT(T Tf1yfe Mb2ffe Db12fo ct gn tJi nJc /m ch"to 5t t- nhiDn 3n ,]chb
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e+f# 8h0 Q .a -t rc (ng tr`nh n knge nhC c5Z Me 1 t/ngb T$ng iOn t>ch Tf m2b : (hii& ca0 nin nhC ,0 VJi m"t ,n h0Cn thiOn 7C fe3ffmb (hii& ca0 t0Cn nhC: 3e3mb : UFt c5& ch<& 7-c ch>nh: hO cte /me C b_ng BT(T thng thng $ t]i chb Mch ba0 chg VC Vch ngSn 1y g]chb : IiLi ZhZ m2ng 8n bD tng c't th[Z trDn nin t- nhiDne gia c' b_ng ca 1ff11ffe P1e2mo m#t d cyvm2b : Nin BT(Te 7ng VYa @M M4 Cy 2fo bD tng Tf1yf M14f D1ffo ct gn tJi nJc /m ch"t tang 7JZ Cy 1ffo nin ct ,an 75Zb Mi 7\Z t07g ,2ng V&ng m] mC& DbTmme 1C g^ th[Z hZ Tf1f11eb : )O th'ng c9a: c9a i : c9a ,6t W[0o c9a ZhXng : Za n ,6to c9a ,$: 7 chJZ 7#t i ngb e4f# 8h0 iDu h0nh P !r2m I; .B nTc thAi g 8h0 iDu h0nh tr2m I; .B nTc thAiL (ng tr`nh n knge nhC c5Z Me 1 t/ngb T$ng iOn t>ch ,Cn 12 m2b : (hii& ca0 nin nhC ,0 VJi m"t ,n h0Cn thiOn 7C fe2fmb (hii& ca0 t0Cn nhC: 3e3mb : UFt c5& ch<& 7-c ch>nh: hO cte /me C b_ng BT(T thng thng $ t]i chb Tng ba0 chg 1y g]chb : @9 7Q m2ng: m2ng nng BT(T trDn nin t- nhiDne gia c' b_ng ca 1ff11ffe P1e2mo m#t d cyvm2b : Nin 7t g]ch (gramic 3ff13ff mC& nh]to bDn Ji 7C 7JZ bD tng Tf1yf Mb14f Cy 1ffo 7JZ ct ,an 75Zb : B#c tam c5Z 1y g]ch the m"t b#c 7t g]ch cgramic 3ff13ffb : Mi 7\Z t07g ,2ng V&ng DbfbTmme Xn tay th[Z hZ yf112f11eT (U 12ffe tng th& hî 1y g]ch th Db1ffb : Tng tr[t ma,tic ,8n nJc tr0nge ng0Cib : (9a ch>nh ra VC0: c9a Za n ,6tb (9a ,$: 7 ,ch th[Ze Wh&ng th[Zb g !r2m I; .B nTc thAi ecng :ut tr2m I; .B "+K m4jng0y 'mf : UFt c5& ch<& 7-c: hO Wh&ng BT(Tb : Mch BT(T mc 24fe Cy 2ff %&[t Wg0 ch'ng th5m c t5t cL cc Vcho : Nin: %&[t 7JZ h^ /& VYa 1i mSng Mac 4 Cy 2fe t]0 'c Vi Zh>a th0t nJco %&[t ,8n ch'ng th5mo an BT(T mc 24f Cy 2ffo bD tng Tf1yf mc 14f Cy 1ffo ct gn tJi nJc /m ch"t tang 7JZ D1ffo bDn Ji gia c' b_ng ca trCm ng3n 4fe P4mo m#t 24 cyvm2b
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: N6Z b_ng a7g bD tng c't th[Zb e$f# BQ ch@) nTc ngm :inh ho2t g BQ ch@) nTcL Tch riDng bj chHa nJc ,]ch VC bj chHa nJc ;(((b Tr0ng 2: : Bj chHa nJc ,inh h0]t %&y m 12f m3 qh^ nJc 1y mJir : Bj chHa nJc chYa chy %&y m yf m3 qh^ nJc hiOn hY&r : UFt c5&: a77g n6Z BT(Te Vch b^n BT(T mc 24fe Cy 14f %&[t Wg0 ch'ng th5m c t5t cL cc Vcho nin BT(T t0Cn Wh'i mc 24f Cy 2ffo bDn Ji gia c' b_ng ca trCm ng3n 4fe P4mo m#t 24 cyvm2b e*f# F?ng k M0ng r0o k 8h0 6Ao vL * Cng : ($ng ch>nh: g^m c9a ch>nh ra VC0 rng yeTme 7C 70]i c9a ,6t ch]y trDn ng ray VC 1 c9a Zhk rng 1eyme 70]i c9a 1 cnh mcb : ($ng c5Z cH&: rng efme 7C 70]i c9a ,6t 2 cnh mcb : ($ng Zhk Cnh ch0 Wh'i h#& c/n: rng yefme 7C 70]i c9a ,6t 2 cnh mcb * Hng ro: ca0 2e3m g^m 2 70]i: : )Cng rC0 2 m"t tiFZ giZ ng gia0 thng: hCng rC0 ,0ng ,6te c2 t$ng chii& Ci d4e3mb (te Wiinge gi_ng ,9 kng BT(To chn hCng rC0 1y g]ch th qtng Cy 2ffe ca0 fe4mre bDn trDn hCng rC0 Wh&ng ,6t ca0 1em 7iDn WFt VJi ct BT(Tb Tng rC0 ,8n ;e ct BT(T c2 trang tr> hZ n /& cte nh<Z ct b`nh %&n Te4mb : )Cng rC0 ba m"t cXn 7]i tiFZ giZ nhC ne BM ii& ng VC Zhkc hî chHc nSnge m8ng nJc: hCng rC0 , 1y tnge c2 t$ng chii& Ci T2Teymb (te Wiinge gi_ng ,9 kng BT(Tb (hn hCng rC0 1y g]che trDn /& tng g6n ,0ng ,6t nh3n ca0 fe2mb (t BT(T c2 trang tr> hZ n /& cte nh<Z ct b`nh %&n Te4mb * Nh bo v: iOn t>ch d m2e b' tr> c]nh c$ng ch>nhb (ng tr`nh 1y -ng th&c 70]i cng tr`nh n knge nhC c5Z Mb i# M th-ng tr)ng thi5t 67 E_ thu9t e"f# M th-ng in trong nh0 (c t? iOne ng&^n c5Z iOne $ c6m tang ZhXng \c bL0 VO b_ng a&t0matb (c t? iOn thiFt b< \c n'i tiFZ 5tb e+f# M th-ng iDu ha) Ehng Eh[ Tr0ng bOnh ViOne my ii& hXa Whng Wh> \c b' tr> t]i cc ZhXng ,a&: : ;hXng m$ q]i Zh& VC h#& Zh&ro ;hXng VC ng nhio ;hXng Zha chF V trngo ;hXng j my c2 ch>nh 1c ca0 VC Wh0 th&'c %&Qo ;hXng bOnh nhn tr0ng Wh0a hî ,Hc c5Z cH&b
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: )O th'ng ch'ng ,[t ta Wim Fn b Zh#n n'i 5t ZhLi Lm bL0 ch6c ch6ne n iOn 7iDn tkcb e>f# `hang chy chb) chy T5t cL cc ng ni b VC ng0]i Vi 1&ng %&anh cng tr`nh i& \c thiFt WF c2 chii& rng Zh h\Z VJi cc 70]i 1g cH& hhae Lm bL0 i 7]i thng ,&'t Whi c2 ,- c' hha h0]nb M"c Whce hCnh 7ang VC cc ZhXng c2 76Z thiFt b< b0 chy Whi nhiOt %& giJi h]n ch0 Zh[Zb Trang b< kng ck chYa chy nh: b`nh chYa chye 'ng nJc thg0 ung %&y <nh c?a ;(((ebbo t]i /& m'i gia0 thng c?a mi cng tr`nh c2 g6n hZ chYa chye nJc \c n ta W[t nJc mi Fn cc hZ chYa chy b_ng 'ng th[Z Zhkc Vk ch0 ViOc chYa chy t- ng trJc Whi 1g cH& hha Fnb Ng0Ci rae j chYa chy WhNn c5Z q7uc mJi Zht ,inh chye hO th'ng chYa chy cha h0]t ng W<Z thire cXn ,9 kng cc b`nh (. 2 "t g/n cc t? chYa chy j chYa chy W<Z thib eCf# Fu th)ng thot hiQm )O th'ng c/& thang ch>nh Lm bL0 yD& c/& th0t ngi Whi c2 ,- c' qWh0Lng cch 1a nh5t ta cc ZhXng Fn V< tr> c/& thang Whng %& 3f m thg0 %&y ch&Nnrb P'i th0t n]n t]i t/ng trOt: c2 >t nh5t 2 7'i th0t n]n ch0 tang Wh'i cng tr`nh t]i t/ng trOtb eWf# M th-ng gi)o thng )O th'ng gia0 thng \c b' tr> th&#n 7\i ch0 ;((( VC gia0 thng 7iDn 7]cb ng a7g BT(T 7C hO th'ng ng trkc ch>nhe ng ba0 %&anh VC i 7]i giYa cc Wh& chHc nSng Zhkc Vk ch0 ViOc 7& thng VC chYa chy c?a bOnh ViOnb DiOn t>ch TbT34e m2b e"Kf# M th-ng thot nTc BOnh ViOn , tch riDng hO th'ng th0t nJc ma VC th0t nJc ,inh h0]tb : NJc ma: ,9 kng hO th'ng rAnh 1y g]che trDn #y a7g bD tng c't th[Z kc 7 j th& nJc m"t 1&ng %&anh tang Wh'i cng tr`nhe ,a& 2 th0t ra c'ng ch&ng bDn ng0Ci Whng %&a 19 7Qb : NJc ,inh h0]t: T0Cn b nJc thLi ta cc Wh0ae ZhXng ii& tr< VC b Zh#n Zhkc Vk i& \c th& VC0 hO th'ng 'ng nh-a ;M( Wh[Z W>n "t ng/m rî %&y tk Vi tr]m 19 7Q nJc thLi j 19 7Q thCnh V h]i trJc Whi thLi ra c'ng ch&ng thCnh Zh' (a0 PAnh ,a& 2 th0t ra K]ch (/& Iiy qnJc thLi ZhLi ]t tiD& ch&Nn 70]i !(MN 2v2f1fvBTNMTrb 1.4.3. D,n$ Hu/ (),n3 ($15( \' /%, ! "n Trang thiFt b< c?a - n Whi i VC0 h0]t ng , \c trang b< cc 70]i thiFt b< y tF thiFt yF& thg0 %&y m bOnh ViOn h]ng q anh mkc my m2c thiFt b< \c >nh Wm tr0ng Zh/n Zhk 7kcr c8 bLn g^m cc thiFt b< nh ,a&: : ;h8ng tiOn c5Z cH&e hî ,Hce chNn 0n nh: my thce my gy mDe
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my t]0 01ye my @:%&ange my ,iD& me my ni ,i ] Cye my iOn time bCn m$e kng ck m$b : (c thiFt b< chSm ,2c ,Ln Wh0ae tr ,8 ,inhe thiFt b< TM) = K)M : M6te Ni : Nhie Tr&yin nhixmb : (c thiFt b< 1[t nghiOm nh my Zhn t>ch ,inh h2a t- nge bn tnge my Zhn t>ch h&yFt h3ce my Zhn t>ch nJc tij&e my 0 iOn giLie my 0 ng m&b : : (c Zh8ng tiOn c5Z cH&e 1g c5Z cH&lb Trang thiFt b< Zhk tr\ Whc Zhkc Vk ch0 h0]t ng c?a bOnh ViOn:
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CHNG #. 89U :8;N M8 T<=NG T NH8>N &? :8NH T@ A BC HD8 :HU &C THC H8;N D N ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: #.1. 1E2 F1Gn HI1 ()JKn3 (! n$1n #.1.1. 1E2 F1Gn PE +', -.R +', /$x( +#"#"#"# 7) h<nh Uh& 5t 1y -ng a Zh/n A \c ,an 75Z b_ng Zhmng c2 ca0 ta 2eTfm 2efmo <a h`nh Zh>a ,a& c2 a0 m8ng ch]y 3c rng 12m VC ,& 2m ,0 VJi m"t 5t t- nhiDnb +#"#"#+# 7) cht Mang "c ijm ch&ng c?a <a h`nh ^ng b_ng Nam Be ch? yF& 7C 5t ,[te WhL nSng ch<& tLi th5Zb )iOn Vn cha c2 ,' 7iO& WhL0 ,t <a ch5t ck thj t]i Wh& V-c 1y -nge nhng %&a WFt %&L WhL0 ,t t]i cc Wh& V-c 7n c#n ch0 th5y <a t/ng Wh& V-c c2 thj Zhn thCnh T 7JZe "c ijm c?a mi 7JZ ta trDn 1&'ng nh ,a&: : PJZ 1: 7C 7JZ c2 0 ,an 75Z m"t b_nge 7JZ nCy , b2c bh i tr0ng %& tr`nh thi cng m2ng nDn Whng c2 gi tr< 7Cm 7JZ ch<& tLi ch0 cng tr`nhb : chLyb : PJZ 2: 5t ,[t 7n bkie ,[t 7n h]t cte mC& 1m gne tr]ng thi 0
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: Ma ma ta thng 4 Fn thng 11 chiFm df 7\ng ma cL nSm : Ma Wh ta thng 11 Fn thng Tb (c thng 1e 2e 3 h/& nh Whng c2 mae 7\ng ma ngCy 7Jn nh5t Whng %& 122mmb : P\ng ma tr&ng b`nh ca0 nh5t 1b4yf mm qthng 1fr : P\ng ma tr&ng b`nh th5Z nh5t dyf mm qthng 2r (hF ma 7iDn %&an m#t thiFt VJi chF gi2 mae tr0ng Vng c2 mt ma ma VC mt ma Wh t8ng ZhLn ,& ,6cb *- Zhn b' 7\ng mae ngCy ma Wh i& VC 7\ng ma hCng nSm ch+ c mHc th5Z tr&ng b`nh ,0 VJi ^ng b_ng ,ng (9& P0ngb Ta thng 4 trc i 7\ng ma thng ]t 13mm 7C mt th&#n 7\i j giLm nh ch'ng h]nb *a& thi gian mae nJc WDnh r]ch c]n /nb T&y nhiDne 7\ng ma cc thng e VC d r5t 7Jn , gy ung ng#Z tr0ng Wh& V-cb +#"#+#4# 8Ung k 6-c hOi : T$ng ,' gi n6ng tr0ng nSm ]t 24fT gie ch0 ng&^n nSng 7\ng Wh î C0 VJi ch+ ,' b`nh %&n 1f Wca7vcm2b : : *' gi n6ng tr&ng b`nh ca0 nh5t ngCy de2 gib *' gi n6ng tr&ng b`nh th5Z nh5t ngCy 4 gib
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: Ma 7R: B6t /& ta thng Fn thng 11e 7R ta ,ng MD Ung $ Vi cng VJi m-c nJc ng ca0 0 trii& cng 7Cm ch0 ,- chDnh 7Och m-c nJc th5Z nDn WhL nSng th0t nJc 7R W[mb Thi gian 7R 7Jn 'i VJi Wh& V-c thng &y tr` tr0ng 3 thng qede1frb Thg0 ,' 7iO& th'ng WD +nh 7R thg0 tr]m UTTM t+nh ^ng ThZ ghi nh#n ,' 7iO& m-c nJc 7R nSm 2fff t]i mt ,' Wh& V-c c?a thCnh Zh' (a0 PAnh nh ,a&: Uh& V-c Tr/n !&'c T0Ln ) 7R 2efmb Uh& V-c tr&ng tm thCnh Zh' qt]i (/& uc = ,ng (a0 PAnhr ) 7R 3ef1mb Uh& V-c Vgn ,ng Tiin qt]i bFn ZhC (a0 PAnhr ) 7R 2eymb j giLi %&yFt V5n i ng#Z 7Re ca0 Wh'ng chF c't 1y -ng c?a thCnh Zh' (a0 PAnh \c Wh'ng chF nh ,a&: 'i VJi Wh& V-c A 1y -ng VJi m#t ca0 qWh& tr&ng tm thCnh Zh'e Wh& thj kc thj tha0e mt Zh/n Wh& V-c Zhng 3 VC Zhng Te lr ca0 1y -ng Wh'ng chF )1 2efm VC 1y -ng D ba0 j ch'ng ng#Z 7Rb (a0 Wh'ng chF c?a D ba0 ) D ba0 3eyfmb 'i VJi Wh& V-c Tr/n !&'c T0Ln ca0 Wh'ng chF )1 3e2fmb 'i VJi cc Wh& V-c - WiFn Zht trijn %&anh Wh& tr&ng tm thCnh Zh' hiOn hY& )1 3eyfmb : Ma WiOt: B6t /& ta thng 12 Fn thng 4 nSm ,a&e m-c nJc +nh trii& h/& nh th5Z h8n cc ca0 tr`nh ^ng r&ng nDn ZhLi ,9 kng b8m tJi j tJi b$ ,&ng nJc ch0 cy tr^ngb 2.1.4. H1Gn trng cc thnh phn mi trng t nhin vt l j nh gi ch5t 7\ng mi trng Wh& V-ce Nh2m 7#Z b0 c0 A WFt h\Z VJi Tr&ng tm ;hn t>ch th> nghiOm VC ng kng Wh0a h3c cng nghO t+nh ^ng ThZ tiFn hCnh 0 ]c WhL0 ,te Zhn t>ch cc ch+ tiD&e n^ng cc ch5t nhixm tr0ng mi trng Whng Wh> VC mi trng nJc 1&ng %&anh Wh& V-c - nb +#"#$#"# Min tr2ng cht ./ng mi trng Ehng Eh[ BM n_m c V< tr> tr&ng tm ThCnh Zh'e cch 7y VJi cc c8 ,c ,Ln 1&5t cng nghiOZ 0 2 Whng Wh> c?a Wh& V-c Whng b< Lnh hcng bci Wh> thLi ta h0]t ng ,Ln 1&5t cng nghiOZb T&y nhiDne - n n_m trDn trkc ng Tn Hc Th6ng m#t 1g 7& thng ca0e Whi 2 Wh2i thLi VC ^n ta cc Zh8ng tiOn , 7Cm hcng Fn mi trng ch&ng Wh& V-ce Lnh hcng Fn %& tr`nh ii& tr< bOnhb M"c V#ye nhng Whng gian Wh& V-c r5t th0ng mte nhii& cy 1anhe 7]i g/n cng ViDn MSn MiF& c2 h^ Uh$ng t9 ii& h0C Whng Wh>e t]0 nDn mt b/& mi trng tr0ng 7Cnh r5t t't ch0 ,Hc Wh0 c?a bOnh nhnb UFt %&L %&an tr6c Whng Wh> Wh& V-c - n 0 Tr&ng tm Uw th&#t th> nghiOm VC ng kng U)(N ^ng ThZ th-c hiOn ngCy 2y thng nSm 2f11 nh ,a&:
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BAng "K# ,5t 1uA 1u)n trUc Ehng Eh[ Ehu vc B= nqm +K"" :. $1G2 H2 UU !(MN f4:2ffdvBTNM T !(MN 2y:21ffvBTNM T Yhi ch^L : !(MN f4:2ffdvBTNMT = !&y ch&Nn Ww th&#t %&'c gia Vi ch5t 7\ng Whng Wh> 1&ng %&anh qtr&ng b`nh 1 girb !(MN fy:2ffdvBTNMT = !&y ch&Nn Ww th&#t %&'c gia Vi mt ,' ch5t c h]i tr0ng Whng Wh> 1&ng %&anh : : N$Nn LO(d Tra ^ne t5t cL cc ch+ tiD& %&an tr6c mi trng Whng Wh> 1&ng %&anh Wh& V-c BM i& n_m tr0ng giJi h]n ch0 Zh[Zb ii& nCy ch0 th5y mi trng Whng Wh> t]i y Whng b< nhixmb ^n 7C 0 bOnh ViOn n_m c trkc gia0 thng nDn b< Lnh hcng bci cc Zh8ng tiOn gia0 thngb +#"#$#+# Min tr2ng mi trng nTc e"f# 8Tc mctL UFt %&L %&an tr6c nJc m"t K]ch (/& Dy 0 Tr&ng tm Uw th&#t th> nghiOm VC ng kng U)(N ^ng ThZ th-c hiOn ngCy 2y thng nSm 2f11 nh ,a&: BAng ""# ,5t 1uA phn t[ch cht ./ng nTc mct ZTT 1 2 3 T T$In3 kp Z) (.D B.D4 T** hn P' : mgv7 mg.2v7 mgv7 :5( j2^ ]$bn (*/$ NM e14 12e44 e43 14f fC&N 7zd#77zBTNMT C0( A# y = e4 14 y 3f
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: Trijn Whai th-c hiOn cng tc ch&Nn b< /& t - n nng c5Z th< ta ng&^n V'n Vay Ngn hCng thF giJib D- n c2 t$ng mHc /& t 1b421 t ^nge t8ng 8ng f triO& U*D q1U*D1dbfffMNDrb Tr0ng 2 V'n GB d tp qyTe2re V'n 'i Hng c?a ngn ,ch VC ta ng&^n 2ng g2Z c?a nhn n 7C q4TT tpr 34eb D- WiFn thng 12v2f11 , h0Cn thCnh b0 c0 WhL thie thNm <nh ne Cm Zhn VC WQ WFt hiOZ <nhb : D- n t&yFn n c ng ThiDn ) D8ng qn'i Cir VC Ng&yxn MSn Trg qn'i Cire ang tr`nh y ban nhn n T+nh ZhD &yOt ii& ch+nh %&y m iOn t>ch - n ta dbT4m2 7Dn 1TbffTm2 VC 7#Z th? tkc WD& g3i /& t thg0 Thng t ,' f3v2ffdvTT:BU) ngCy 1yvTv2ffd c?a B UF h0]ch VC /& tb \. &{n $}, A BM $01 : 8g0nh gio d&c: T$ chHc ,8 WFt h3c W 1 nSm h3c 2f1f : 2f11e WFt %&L h3c ,inh c5Z tij& h3c 1FZ 70]i h3c 7-c tr&ng b`nh trc 7Dn de c5Z tr&ng h3c c8 ,c e1e tSng 4 ,0 VJi nSm h3c trJco c8 ,c V#t ch5t trng h3c ngCy cCng \c /& t 1y -ng Whang trange tr`nh ch&Nn gi0 ViDn V\t ca0 ,0 VJi %&y <nhe t0Cn thCnh Zh' c2 dv31 trng h3c ]t ch&Nn %&'c gia qtSng 3 trng ,0 VJi nSm 2f1fro tiFZ tkc trijn Whai ch8ng tr`nh h3c W VC Zh'i h\Z ch&Nn b< hi thi gi0 ViDn ]y gihi c5Z tij& h3c 0 t+nh t$ chHcb : 8g0nh x t5L T#Z tr&ng th-c hiOn cng tc ZhXnge ch'ng <ch bOnhe tSng cng cng tc Wijm tra an t0Cn VO ,inh th-c ZhNm tr0ng <Z tFte Whng j <ch bOnh VC ng c th-c ZhNm 1Ly ra trDn <a bCnb : 8g0nh G)o ng !hOng 6inh v0 IH hiL T$ chHc i thSm VC t"ng %&C TFt ch0 cc 'i t\ng VJi t$ng Winh Zh> 7C 1b4bf4bfff ^nge tr0ng 2: Winh Zh> Tr&ng 8ng 2bTffbfff ^nge T+nh 1db2ffbfff ^nge ThCnh Zh' 33ybfffbfff ^ng VC Winh Zh> c?a cc t$ chHce c nhn 1bfy2bT4bfff ^ngb T$ chHc thSm VC t"ng %&C ch0 3bfy3 'i t\ngo h tr\ c5Z Zht %&C ch0 yb4d4 h ngh0e h th0t ngh0e h c#n ngh0e h c2 h0Cn cLnh Wh2 WhSn VC 3f 'i t\ng bL0 tr\ 1A hib BDn c]nh 2 A tiFn hCnh V#n ng VC c5Z Zht cc Zh/n %&C ch0 d1 tr gme VJi t$ng ,' tiin 7C 1yfbyd4bfff ^ngb "c biOt 7C ThCnh Zh' t$ chHc h3Z m"t cc Tn gi0e nh_m chia , nhYng Wh2 WhSn VC %&a 2 ghi nh#n nhYng 2ng g2Z c?a cc tn gi0 tr0ng ViOc tham gia 1y -ng <a Zh8ng g2Z Zh/n ch0 ,- Zht trijn ch&ng ch0 thCnh Zh'b (c Tn gi0 r5t Zh5n Whci VC bCy th m0ng m&'n ch>nh %&yin c/n g6n b2 m#t thiFt h8n nYae j cng nha& 1y -ng thCnh Zh' ngCy cCng Zht trijnb MiOc 1y -ng nhC c ch0 h ngh0 thg0 !&yFt <nh 1yv2ffv!:TTg c?a Th? tJng (h>nh Zh? \c trijn Whai th-c hiOn ch"t che %&a trijn Whai th-c hiOn ta nSm 2ffd Fn naye thCnh Zh' A 1y -ng \c 2yvT2d cSn qthg0 i n &yOt t$ng ,' 7C T2d cSnrb (Xn 7]i 1y2 cSn , h0Cn thCnh i ne nhng %&a WFt %&L Wijm trae rC ,0t ch+ cXn 1ff 'i t\ng ? ii& WiOne thCnh Zh' ang tiFZ tkc 1y -ng 1ff cSn cXn 7]i thg0 i n \c &yOte - WiFn , h0Cn thCnh tr0ng thng y nSm 2f11 tJi qy2 cSn trL ch+ tiD& Vi t+nhrb
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M#n ch&yjn ng&yDn V#t 7iO&e ;h8ng tiOn V#n 5t e V#t 7iO& 1y -nge thiFt ch&yjn b< Zhkc Vk D- n T#Z WFt V#t 7iO& 1y -ng VC cc my m2ce thiFt b< Zhkc Vk thi cng Fn cng trng @y -ng cc h]ng mkc cng tr`nh nh: Wh'i nhC T t/ng qU1re cc Wh'i nhC UTe U4e Uye Ue Ue Ude U11e VC hO th'ng gia0 thng ni b )0]t ng c?a cc Zh8ng tiOn V#n ch&yjn V#t 7iO& VC thiFt b< thi cng )0]t ng c?a cc Zh8ng tiOn thi cng *inh h0]t c?a cng nhn (c h0]t ng 1y -ng
: : (c 70]i Wh> thLi ta Zh8ng tiOn V#n ch&yjn ng&yDn V#t 7iO& Tai n]n gia0 thng : : (c 70]i ch5t thLi 1y -ng r8i VLi : (c ch5t thLi ta Zh8ng tiOn V#n ch&yjnb qWh> thLir : Uh2i bki ta V#t 7iO& : (h5t thLi ta 1y -ng q1C b/ne g]chlr : Tai n]n 7a0 ng : TSng m#t gia0 thnge tai n]n gia0 thng : I2Z Zh/n nhixm Whng Wh> : (c ,- c' thi cng tijm Nn : UhL nSng gy chy n$
: (h5t thLi ,inh h0]t qnJc thLie ch5t : Iy nhixm mi trng thLi r6nr : (c V5n i 1A hi : TiFng ^ne Wh> thLie bki ta cc Zh8ng tiOn thi cng 8gu nL Fng ty !8MM D=P!= %)i Nnh t?ng h/p
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)# B&i v0 Eh[ thAi Tc nhn gy nhixm Whng Wh> ch>nh tr0ng gia 0]n 1y -ng 7C bki 5te e cte 1i mSng VC Wh2i thLi c?a cc Zh8ng tiOn V#n ch&yjne thiFt b< thi cng , 7Cm Lnh hcng tr-c tiFZ Fn cng nhn trDn cng trng VC mi trng Whng Wh> 1&ng %&anhb (2 thj Zht ,inh ta cc ng&^n: : Bki 0 V#t 7iO& 1y -ng hay 0 th0 nhC 1cng cRb : @g chc ng&yDn V#t 7iO& Zhkc Vk ch0 cng tc 1y -ng t]i cng tr`nh Whng \c chg Zh? W>nb : Bki ta Ji 5t b< gi2 c&'n bay 7Dn VC Zht tn VC0 Whng Wh> 1&ng %&anhb Bki nCy Whng nhYng 7Cm nhixm mi trng tr0ng Wh& V-c cng trng 1y -ng mC cXn 7Cm nhixm nhYng t&yFn ng mC cc 1g nCy i %&ab Thng thng hCm 7\ng bki 78 79ng 0 \c t]i Wh& V-c b'c thng a0 ng tr0ng Wh0Lng fed = 2e mgvm 3 tHc ca0 h8n tiD& ch&Nn Whng Wh> 1&ng %&anh 3 = d 7/n q!(MN f4v2ffvBTNMTe %&y <nh n^ng bki fe3 mgvm3rb g ,hVi thAi tS cc phOng tin v9n chuyQn v9t .iu Iy dng v0 cc my mVc thi5t 67 thi cngL my [Z c3ce 1g c&'c 5te my trn bD tngb Ng&yDn nhn gy nhixm 7C 0 ,9 kng nhiDn 7iO& 't q1Snge /&e D.r Whng ]t ch&Nne n^ng 7& h&nh ca0 hay 0 cc my m2c thiFt b< cR Wwe 7]c h&e Whng \c bL0 tr` bL0 ng thng 1&yDn Whi V#n hCnh thLi Wh2i gy nhixm mi trngb : Uh2i thLi ta cc Zh8ng tiOn V#n tLie cc my m2c ,9 kng trDn cng trng chHa cc thCnh Zh/n gy c h]i nh (.e N. 1e *.1e ;be T)(e cc ch5t hY& c8 bay h8i VC bkil : N^ng cc ch5t nhixm ty th&c VC0 tang 70]i nhiDn 7iO& ,9 knge t`nh tr]ng V#n hCnh VC t&$i th3 c?a cc ng c8b ;h8ng tiOn V#n ch&yjn VC my m2c cCng cRe n^ng cc ch5t nhixm tr0ng Wh2i thLi cCng 7Jne 0 2 tc ng Fn mi trng cCng 7Jnb : NF& 1c <nh \c ,' 1g h0]t ng hCng ngCy VC ,' 7\ng nhiDn 7iO& tiD& thke ta ViOc Zhn t>ch thCnh Zh/n Wh2i thLi 0 h0]t ng c?a 1g ta c2 thj t>nh \c mt cch t8ng 'i tLi 7\ng cc ch5t nhixm Whng Wh> thLi VC0 mi trng ta cc h0]t ng gia0 thng V#n tLib Mt cch Whc nF& c2 biFt \c 7\ng 1Sng tiD& thk hCng ngCy c?a Zh8ng tiOn gia0 thng h0]t ng trDn cng trng chung ta c2 thj t>nh \c 7\ng cc ch5t nhixm Whng Wh> thLi VC0 mi trng -a thg0 hO ,' nhixm Ji y: BAng "*# 8 ng cc cht ti'u nhiRm c() Eh[ thAi tS ng cO -t trong Tin$ ()an3 PNn $n$ (h]y Whng tLi (h]y ch#m CLH4 ]]H 4f 3ff C 4e2 fe N# ]]H 3f 1b4ff C# de4 12e4
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Tin$ ()an3 PNn $n$ (h]y tSng t'c (h]y giLm t'c
CLH4 ]]H Tff Tbfff
C 4e2 Te2
N# ]]H 3bfff yf
C# 1fe2 de4
8gu nL zM{] "WW4 BAng "3# !h0nh phn Eh[ thAi c() mt :- .o2i ng cO HG kp (^1 -Jsn3 I n$1H 3FH Z(( C$ (12 Bki *.2 N.2 (. M. ( ;b Tr0ng 2: * 7C hCm 7\ng 7& h&nh tr0ng nhiDn 7iO& qr ; 7C hCm 7\ng ch` tr0ng nhiDn 7iO& qr fefT BAng "># !Ai ./ng nhiRm Ehng Eh[ do phOng tin gi)o thng trong gi)i o2n Iy dng n/ +1_H HG kp I n$1H T^1 -Jsn3 I n$1H C$1E2 1 (245n +JKn3 ^n$ $Jn3 1.777 FH 1ef fe3y :$p1 -Jsn3 /$x( I n$1H F3 Bu1 fef4 fef1 Z# 1e1 feT2 NL 3e1T 1e13 C yedd 2e4 THC 1ef4 fe3 ng c8 1bTff cc fef 1ed * 1eyT T4ey 3ey fe13 ; 1bTff cc ng c8 2bfff ng c8 2bfff cc cc fef 2e22 * 1e T4ey 3ey fe14 ; fef 2eT * 2e24 T4ey 3ey fe1d ; 8gu nL zM{] "WW4
1 2 3 T 4 y
: *- Wh&yFch tn ch5t nhixm tr0ng Whng Wh> cXn ty th&c VC0 thi gian Zht thLie n^ng Zht thLi VC mHc nh]y cLm VC WhL nSng ^ng h2a c?a mi trng tiFZ nh#nb Ng&^n gy nhixm nCy Whng tc ng nghiDm tr3ng Fn ch5t 7\ng mi trng Whng Wh> 1&ng %&anhb T&y nhiDn c/n c2 biOn ZhZ Whng chF cc ng&^n nhixm nCy Whi tiFn hCnh 1y -ng nh chg ch6ne cch 7y ng&^n bki nh_m giLm Zht tn bki ra mi trng 1&ng %&anh
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g ,h[ thAi tS 1u tr<nh h0n] cUt Eim .o2iL %& tr`nh gia cng hCne c6t Wim 70]i , ,inh ra cc ch5t nhixm Whng Wh> nh cc 01>t Wim 70]i: g 2.3e *i.2e U2.e (a.el t^n t]i c ]ng Wh2i bkib Ng0Ci ra cXn c2 cc Wh> thLi Whc nh: (.e N.1b T&y nhiDne cc ng&^n gy nhixm nCy \c b' tr> Zhn tne Whng t#Z tr&ng nDn WhL tc ng Fn mi trng 1&ng %&anh r5t th5Zb BAng "C# M :- pht thAi nhiRm @ng vTi ng E[nh 1ui h0n C$x( I n$1H Uh2i hCn (. N.1 HG kp I n$1H H31j2 $n Qn3 P|1 +JKn3 F*n$ j2 $n 3e2 mm T mm 4 mm y mm 4f fy 1b1ff 1b4d 14 24 34 4f 2f 3f T4 f
BHc 1] nhiOt ta cc %& tr`nh thi cng c2 gia nhiOte Wh2i hCn ta %& tr`nh c6te hCn ,6t th[Ze c6te hCn 76Z rZ thiFt b< l 6# | nhiRm mi trng nTc nhixm ch? yF& 0 nJc thLi ta cc h0]t ng ,inh h0]t c?a cng nhn VC 7\ng nJc ma chLy trCn trDn bi m"t cng trng 1y -ngb e"f# 8Tc thAi tS :inh ho2tL P\ng nJc thLi ,inh h0]t tr&ng b`nh Tf = yf7vngibngCyb NF& Jc t>nh 7\ng cng nhn tr-c tiFZ 7C 34 ngi th` thg0 tiD& ch&Nn 1L thLi thg0 B 1y -ng ch0 Zh[Z 'i VJi 1 ngi 7C f ,0 VJi 7\ng nJc c5Z 7C yf 7>tvngivngCyb M#y t$ng 7\ng nJc thLi ,inh h0]t c?a giai 0]n 1y -ng , 7C: fZH 36 n3JK1 L 7Rz L 67 -*(n3JK1n34 1.6z H3n34 NJc thLi ,inh h0]t thng chHa ch5t r6n 78 79nge ch5t hY& c8 hXa tan VC Vi Wh&Nne c2 WhL nSng 7y 7an cc bOnh <ch tLe 7-e th8ng hCn VC cc bOnh ng r&t %&a mi trng nJc ch0 c0n ngib NJc thLi ,inh h0]t c2 n^ng cc ch5t nhixm Whng ca0e nhng ZhLi 19 7Q ]t tiD& ch&Nn trJc Whi thLi ra ng&^n tiFZ nh#nb BAng "W# 8 ng cc cht nhiRm trong nTc thAi :inh ho2t ech) 1u) I; .Bf Z(( f1 f2 f3 f4 fy f f C$x( I n$1H B.D4 (.D q icr0matgr (h5t r6n 78 79ng q**r T$ng nit8 qNr mni qN:N)Tr T$ng Zh0tZh0 q;r (07i0rm qMN;v1ffm7r HG kp I n$1H 3n3JK1.n34 T4 = 4T 2 = 1f2 f = 1T4 y = 12 2eT : Te fe : Tef 1fy : 1fd T^1 -Jsn3 3n34 144 : 1df 242f : 34f 2T4f : 4f4 21f : T2f T : 1y 2 : 1Tf 34b1fy = 34b1fd
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8gu^nL zM{] "WW4 e+f# 8Tc thAi do cc ho2t ng Iy dngL !& tr`nh thi cng 1y -ng , Zht ,inh mt 7\ng nJc thLi ta cc Wh&: trn bD tnge 2ng c3ce r9a 1gb ThCnh Zh/n nJc thLi ch? yF& 7C cte cc t]Z ch5t 1y -nge mang t>nh "c th riDngb e4f# 8Tc m) chAy tr0nL P\ng ma chLy trCn c2 7& 7\ng Zhk th&c VC0 chF Wh> h#& c?a Wh& V-cb NF& Whng %&Ln 7Q t'te nJc ma c2 thj nhixm /& 0 chLy trCn %&a Wh& V-c c2 chHa nhiDn 7iO&e %&a Wh& V-c #& 1g hay nhixm bNn c8 h3c 0 W[0 thg0 nhYng bkie 5t ct VC cc 70]i V#t 7iO& 1y -nglP0]i nhixm nCy t8ng 'i nhe >t gy Lnh hcngb NJc ma nhixm bNn VC nJc thLi ,inh h0]t Zht ,inh tr0ng %& tr`nh 1y -ng nF& Whng c2 biOn ZhZ tiD& th0t t't VC 19 7Q ,8 b gy nDn t`nh tr]ng H 3nge Zht ,inh mi hi gy Lnh hcng tr-c tiFZ tJi ,Hc Wh0 c?a cng nhn 1y -ngo cLnh %&an Wh& V-co mi trng to nJc ng/m Wh& V-cb c# Fht thAi rUn e"f# }c thAi :inh ho2tL Kc thLi ,inh h0]t ch? yF& Zht ,inh 7C hZ -ng c8me th-c ZhNm thaae b3c ni70ne gi5ye 70ne chaibbb,inh ra ta cc Wh& 7n tr]i t]m thi VC ,inh h0]t c?a cng nhn 7a0 ng tr-c tiFZ trDn cng tr`nh thi cngb P\ng ch5t thLi r6n c2 thCnh Zh/n ch? yF& 7C cc ch5t hY& c8 x Zhn h?yb Jc t>nh tr&ng b`nh mi ngCy 1 ngi , thLi ra Wh0Lng ta fe3 = fe4 Wg rc ,inh h0]tb M#y 7\ng rc ,inh h0]t hCng ngCy 7C: 36 n3JK1 L 7R3 F3n3JK1n34 17R6F3n34 M"c e Wh'i 7\ng ch5t thLi r6n ,inh h0]t Whng nhii& nhng nF& Whng c2 biOn ZhZ th& g0m t#Z tr&ng h\Z 7Q th` WhL nSng t>ch tk tr0ng thi gian 1y -ng ngCy cCng nhii& gy nhixm ckc b mi trng 5t tr0ng Wh& V-c VC tc ng Fn ch5t 7\ng Whng Wh> 0 Zhn h?y ch5t thLi hY& c8 cRng nh tc ng Fn ng&^n nJc m"t 0 tSng kc ng&^n nJce cLn trc Xng chLyebbb e+f# }c thAi trong 1u tr<nh Iy dngL Kc thLi Zht ,inh tr0ng %& tr`nh 1y -ng c2 Zht ,inh ch5t thLi r6n nh g]ch Ve 5t cte Vh ba0 1i mSnge 'ng nh-a thaal NhYng Vh ba0 1i mSnge 'ng nh-a c/n \c th& g0m VC bn ch cc 8n V<e cXn ct 5te g]ch Vl \c t#Z tr&ng 7]i j Cnh VC0 ViOc 6Z ninb e4f# Fht thAi nguy h2iL (h5t thLi ng&y h]i Zht ,inh c giai 0]n nCy 7C cc thng -ng ,8nb (/n ZhLi th& g0m cc thng nCy VC 19 7Q thg0 ung %&y <nh 'i VJi ch5t thLi ng&y h]ib 4#"#+#+# 8hbng ngu n gy tc ng Ehng .i'n 1u)n 5n cht thAi )# n v0 rung nhixm Vi tiFng ^n VC r&ng ch? yF& Zht ,inh ta cc Zh8ng tiOn VC my m2c thi cnge ^n 0 Wh0an c6t bD tngb Ng&^n nhixm nCy thng r5t 7Jn VC WhL nSng tc ng Fn mi trng ca0b M` tr0ng giai 0]n nCy cc my m2c thiFt b<
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h0]t ng 7iDn tkc VC thng 1&yDnb ^n c?a mt ,' my m2c thiFt b< thi cng 1y -ng \c 7iOt WD tr0ng bLng ,a&b BAng +K# %@c n :inh r) tS ho2t ng c() cc thi5t 67 thi cng ZTT T$15( \' f1 f2 f3 fT f4 fy f f fd 1f 11 12 13 1T My ?i My /m n[n q1g 7&r My 1uc g/& trJc My c]Z 5te my ,an My 7t ng @g tLi My trn bDtng B8m bDtng My #Z bDtng (/n trkc i ng My Zht iOn My n[n Bua chn VC my Wh0an My 2ng c3c 4ef fef 4ef yef = ef 2ef = 2e4 4ef = ef 1ef = def d4ef = 1fyef 4ef MQ/ n BAR /"/$ n32n 16 H TCi 7iO& q1r d3ef 2ef = Tef 2ef = Tef fef = d3ef ef = e4 2ef = dTef 4ef = ef fef = 3ef TCi 7iO& q2r
8gu nL !0i .iu e"fL 8guyRn inh !un v0 cng :] +KKK !0i .iu e+fL %)cEirni~i] G#d)] "WC* MHc ^n c?a cc 70]i my m2c thiFt b< C0 6Z 5t q1g tLie 1g 7&e 1g 1uc 5tlr a0 ng tr0ng Wh0Lng ta 2 = dy Be cc my m2c ng j b8me trn cc 70]i V#t 7iO& 1y -ng qmy trn bDtnge b8m bDtnge c/n cN&e lr c2 a0 ng ta 4 = Be cc thiFt b< nh b8me my Zht iOne my n[n Wh> c2 ^n ta y = Bb (c thiFt b< Whc nh bua chne my Wh0an VC my 2ng c3cl c2 thj Zht ,inh tiFng ^n 7Dn tJi 1fy Bb Nh`n ch&ng mHc tc ng c2 thj Zhn 7Cm 3 c5Z 'i VJi nhYng 'i t\ng ch<& tc ng nh ,a&: : N"ng: cng nhn tr-c tiFZ thi cng VC cc 'i t\ng Whc c c- 7y g/n qtr0ng Vng bn W>nh ch<& Lnh hcng 1ff mrb : Tr&ng b`nh: t5t cL cc 'i t\ng ch<& tc ng c c- 7y 1a qtr0ng Vng bn W>nh ta 1ff = 4ffmb
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: Nh: ngi i ng D0 - n n_m tr0ng thCnh Zh' r5t g/n n c nDn tr0ng %& tr`nh thi cng 1y -ng (h? - n ZhLi c2 biOn ZhZ Wh6c Zhkce Wh'ng chF tiFng ^n VC r&ng ng j Whng Lnh hcng Fn cng nhn t]i cng trnge n c 7n c#nb 6# | nhiRm 8hit NhiOt Zht ,inh tr0ng %& tr`nh t#Z tr&ng Zh8ng tiOn V#n tLi my m2c thiFt b< thi cng c8 giJi c m#t ca0e 0 cc %& tr`nh gia nhiOt tr0ng 1y -ng nh: hCn Wim 70]ie th? cnglNhiOt Zht ,inh nCy c2 thj WFt h\Z VJi bHc 1] m"t tri tr0ng nhYng ngCy n6ng n2ng c2 thj thay $i ii& WiOn Vi Wh> h#& t]i Wh& V-cb c# o c- chy n? Tr0ng %& tr`nh thi cng c2 thj 1Ly ra ,- c' chy n$ 0 rX r+ hay t^n chHa nhiDn 7iO& Whng an t0Cno hO th'ng iOn t]m thi Whng an t0Cn gy ch#Z chyo %& tLi cc ng c8 iOno MiOc ,9 kng cc thiFt b< gia nhiOt tr0ng thi cng q&ne 't n2ng chLy Bit&m j trLi nh-a nge c6te hCnbbbr c2 thj gy ra chye bhng hay tai n]n 7a0 ng nF& nh Whng c2 cc biOn ZhZ ZhXng ngaab d# !)i n2n gi)o thng Tai n]n gia0 thng c2 WhL nSng 1Ly ra 0 tSng m#t 1g 0 cc Zh8ng tiOn V#n ch&yjn V#t 7iO& Zhkc Vk thi cnge 1g c?a cng nhno (c Zh8ng tiOn V#n ch&yjn Whng Lm bL0 Ww th&#t Whi 7& thnge Whng Wijm <nh an t0Cno D0 Pi 1g Whng t&n th? cc ng&yDn t6c an t0Cn gia0 thngb i# =n D )n to0n .)o ng Tai n]n 7a0 ng c2 thj 1Ly ra VJi nhii& ng&yDn nhn Whc nha&: : (ng tr`nh 1y -ng g^m nhii& h]ng mkc Whc nha& ch0 nDn ng&y c8 1Ly ra tai n]n tr0ng %& tr`nh thi cng t8ng 'i 7Jnb D0 2e (ng ty , chu Q Fn V5n i an t0Cn 7a0 ng Whi V#n ch&yjn VC 76Z "t cc my m2c c2 tr3ng tLi 7Jn VC Whi thi cng cc cng tr`nh trDn ca0b : MiOc thi cng cc cng tr`nh trDn ca0 c2 WhL nSng gy ra tai n]n 7a0 ng ca0 h8n 0 tr\t t[ trDn cc giCn gi0e V#n ch&yjn V#t 7iO& 1y -ng q1imSnge cte lr 7Dn cc t/ng ca0 VC nhii& ng&yDn nhn Whcb : M#t 7iO& 1y -ng ch5t 'ng ca0 c2 thj gy ng&y hijm ch0 cng nhn nF& $e ngAl : (c cng tc tiFZ c#n VJi iOn nh thi cng hO th'ng iOn chiF& ,nge iOn ng 7-c h0"c 0 Va ch]m VC0 ng y iOnb : NhYng ngCy thi cng VC0 ma mae WhL nSng tai n]n 7a0 ng trDn cng trng tSng ca0 h8n 0 5t tr8ne x 7Cm tr\t t[e 5t mime 7un x gy ,- c' ch0 c0n ngi VC cc my m2c thiFt b< thi cnge gi2 bA0 7Jn x gy ra t`nh tr]ng m5t iOne h0"c Ht y n iOn gy ng&y hijm Fn t>nh m]ng c0n ngib : B5t cNn c?a cng nhn tr0ng V#n hCnh my m2ce thiFt b<b
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: Uhng C0 t]0 Vi an t0Cn ch0 cng nhn trJc Whi gia0 ViOcb : thHc ch5Z hCnh ni %&y Vi an t0Cn 7a0 ng W[mo : T`nh tr]ng ,Hc Wh0 c?a cng nhn Whng t'te ng? g#t tr0ng 7uc 7Cm ViOce 7Cm ViOc %& ,Hc gy ch0nge l : (c my m2ce thiFt b< cR Wwe 7]c h#& Whng \c Wijm <nh an t0Cn hay bL0 trè bL0 ng <nh Wo : D0 thiF& trang b< bL0 h 7a0 ng h0"c trang b< bL0 h 7a0 ng Whng Zh h\Z VJi tang ii& WiOn 7a0 ngo Nh`n ch&ng cc tc ng n2i trDn Lnh hcng Fn mi trng Whng ng Wj VC tr0ng thi gian c2 h]nb T&y nhiDne cRng c/n c2 cc biOn ZhZ th>ch h\Z j Wijm ,0t V` cc tc ng nCy Lnh hcng r5t 7Jn Fn ,Hc Wh0 VC t>nh m]ng c?a cng nhn tham gia 1y -ng cng tr`nhb 4#"#+#4# 8hbng tc ng c() gi)i o2n Iy dng 5n ho2t ng c() Bnh vin hin tr2ng v0 ngi dn Iung 1u)nh Tr0ng thi gian tiFn hCnh thi cng 1y -nge Zh/n cng tr`nh \c cLi t]0e 1y -ng mJi Lnh hcng ng Wj Fn cc cng tr`nh hiOn tr]nge cRng nh 7C Lnh hcng Fn t`nh h`nh h0]t ng Whm ii& tr< c?a bOnh ViOnb (c tc ng ck thj nh ,a&: : BOnh nhne thn nhn cRng nh i ngR y bc ,B ZhLi ch<& Lnh hcng tr-c tiFZ c?a bki q5te ctre Wh> thLi q(.1e *.1e N.1e hy r0cacb0n thLilr VC bHc 1] nhiOt ta cc %& tr`nh thi cng c2 gia nhiOte Wh2i hCn qta %& tr`nh c6te hCne 't n2ng chLy Bit&m j trLi nh-a ngrb T& thg0 mHc nhixm VC thi gian tiFZ 1uc mC c0n ngi c2 thj nhixm bOnh bki Zh$i hay cc 70]i bOnh ViDm ng h h5Z qViDm mRie h3nge ZhF %&Lnebbre bOnh ng0Ci a qnhixm trng ae Wh ae ViDm aelre bOnh Vi m6t qbki b6n VC0 m6t gy ra W>ch th>ch mCn tiFZ h\Ze ViDm mi m6telre bOnh ng tiD& h0el"c biOt 'i VJi nhYng bOnh nhn ang ii& tr< cc bOnh 7iDn %&an Fn ng h h5Ze nF& h>t ZhLi cc 70]i Wh> thLi VC bki trDn th` c2 thj tSng thDm mHc nghiDm tr3ng ch0 ViOc ii& tr< bOnhb : BDn c]nh 2e tiFng ^n tr0ng thi gian 1y -ng cRng 7C mt tr0ng nhYng tc nhn gy Lnh hcng Fn i ngR y bc ,B VC "c biOt 7C bOnh nhn ang Whm VC ii& tr< tr0ng bOnh ViOnb Uh& V-c BM "c biOt c/n yDn tBnhe ch>nh V` thF tr0ng thi gian thi cng 1y -nge ch? /& t , c2 nhYng biOn ZhZ thi cng j Lm bL0 ,a0 ch0 mHc ^n tr0ng nhYng Wh& V-c c/n "c biOt yDn tBnh: 4f Bb : *- gia tSng m#t 1g tr0ng mt Wh0Lng thi gian ng6n , 7Cm tSng WhL nSng 1Ly ra tai n]n gia0 thng tr0ng Wh& V-c - ne gy Zht ,inh bkie tiFng ^n trDn ng V#n ch&yjne gy Lnh hcng tJi c&c ,'ng c?a nhn n 3c thg0 cc t&yFn ng V#n ch&yjnb
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: Ng0Ci rae h0]t ng c?a cng nhn cRng c2 nhYng Lnh hcng nh5t <nh Fn %& tr`nh Whm VC ii& tr< c?a bOnh nhnb D0 Zh/n 7Jn cng nhn 7C nhYng 7a0 ng Zh$ thnge nDn Q thHc Vi ViOc giY g`n tr#t t- c2 h]n chFb NhYng tc ng nCy cRng mang t>nh %&a 7]ib 'i VJi cc cng nhn 7Cm ViOc trDn cng trnge nF& b< tai n]n 7a0 ng ng tiFc 1Ly rae , \c BM ii& tr< W<Z thie 7Cm giLm \c nhYng i chHng VC 1c ,&5t t9 V0ngb Nh`n ch&nge mHc tc ng c?a h0]t ng thi cng 1y -ng 'i VJi h0]t ng c?a BM hiOn tr]ng 7C Wh 7Jnb Ng&^n tc ng ch>nh Fn h0]t ng c?a BM hiOn tr]ng 7C tiFng ^n VC nhixm 0 bkie Wh> thLib T&y nhiDn thi gian tc ng ng6n qch+ 1Ny ra tr0ng thi gian thi cngrb M"t Whce ch? /& t , a ra nhYng biOn ZhZ giLm thij& nhixm th>ch h\Ze nh5t 7C mi trng Whng Wh> j trnh Lnh hcng Fn bOnh nhn cRng nh nhn ViDne i ngR y bc ,w tr0ng bOnh ViOnb 4#"#+#$# 8hbng tc ng c() gi)i o2n Iy dng 5n cc cng tr<nh Ei5n tr^c v0 mi trng trong Ehu vc (c h0]t ng 1y -ng Whng ch+ tc ng tJi c0n ngi mC cXn tc ng tJi Whng nhh tJi cng tr`nh WiFn truc 7n c#ne nhYng tc ng c2 thj Wj Fn 7C: )# !c ng 5n cng tr<nh Ei5n tr^c trong Ehu vc (c nhC ne bOnh ViOn Wh& V-c 7n c#n , b< Lnh hcng bci bki q7Cm ' VCng tng nhCre ch5n ng qc2 thj 7Cm nHt 7un nhC c9a tr0ng Wh& V-c g/n n8i 2ng c3crb !ua tr`nh t#Z WFt cng nhne i ch&yjn my m2c thiFt b< thi cng cRng gy Lnh hcng nh5t <nh Fn mi trng 1&ng %&anhb MiOc i ch&yjn my m2ce thiFt b< n"ng c2 thj 7Cm hhng mt c' c0n ng %&anh Wh& V-cb 6# !c ng 5n mi trng :inh thi Bki ch? yF& 7C bki V c8e chg Zh? thne 7e cy 7Cm giLm WhL nSng %&ang h\Z c?a cy 1anh tr0ng Wh& V-ce cLn trc ,- Zht trijn b`nh thng c?a chungb (c Wh> *.1e N.1 b< 01y h0 tr0ng Whng Wh> VC WFt h\Z VJi nJc ma , t]0 nDn ma aci gy Lnh hcng Fn ,- Zht trijn c?a cy tr^ng VC thLm th-c V#to *. 1 7Cm Lnh hcng tJi ,- Zht trijn c?a cy c'i Whi c2 n^ng tr0ng Whng Wh> b_ng 3ZZme c n^ng ca0 h8n c2 thj gy rkng 7 VC gy chFt cyb NJc thLi ,inh h0]t c?a cng nhn thi cng c2 chHa nhii& c"n bAe ch5t 78 79nge ch5t hY& c8e ch5t inh ng VC m/m bOnhb NJc ma chLy trCn %&a bi m"t cng trng 1y -ng mang thg0 nhii& t]Z ch5t nh /& me Vkn V#t 7iO& 1y -nglnF& Whng \c %&Ln 7Q ch"t ch , 7C ng&^n gy nhixm mi trng 5t VC ng&^n tiFZ nh#n nJcb Kc thLi 1y -ng VC rc thLi ,inh h0]t nF& Whng \c %&Ln 7Q ch"t che VHt bh Whng ung n8i %&y <nh , gy nhixm mi trng Lnh hcng Fn ,Hc Wh0 cng nhn VC 7Cm m5t cLnh %&an Wh& V-cb
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c# !c ng 5n t<nh h<nh Einh t5 v0 IH hi trong Ehu vc Iiai 0]n 1y -ng c?a - n , t#Z tr&ng Wh0Lng 34 cng nhn Zh/n 7Jn 7C 7a0 ng Zh$ thngb *- c2 m"t VC h0]t ng c?a cc cng nhn nCy c2 thj gy tc ng nh ,a&: : M& th&n giYa cng nhn 1y -ng VJi ngi n <a Zh8ng 0 ,Whc biOt Vi VSn h0e t#Z %&ne 7'i ,'ngb : Iia tSng cc tO n]n 1A hi tr0ng Wh& V-c: c b]ce r\& che trm c6Zl 3.1.3. "n$ 31" ("/ +0n3 HI1 ()JKn3 ()`n3 31,1 +àn $à( +0n3 /%, ! "n 4#"#4#"# 8hbng ngu n tc ng cV .i'n 1u)n 5n cht thAi )# | nhiRm mi trng Ehng Eh[ !&a nghiDn cH& - n ch0 th5y ng&^n gy nhixm Whng Wh> Whi bOnh ViOn i VC0 h0]t ng 7C Whng ng Wjb Uh> thLi \c ,inh ra ch? yF& ta my Zht iOne 7X 't rc y tF VC cc Zh8ng tiOn ra VC0 bOnh ViOn thLi ra mt 7\ng Wh> thLi nh (.e *.2e N.1lbki VC tiFng ^nb e"f# | nhiRm Ehng Eh[ do ho2t ng gi)o thngL (c ch5t gy nhixm Whng Wh> gy ra ta h0]t ng gia0 thng 7C ng&^n Zhn tn VC Wh2 Wijm ,0t \cb NF& Whng c2 biOn ZhZ %&Ln 7Q ck thj , gy Lnh hcng Fn ,Hc Wh0 c?a bOnh nhne t#Z thj (NM tr0ng bOnh ViOn VC Wh& V-c n c 7n c#nb nhixm Whng Wh> ta h0]t ng gia0 thng \c thj hiOn tr0ng bLng 21b BAng +"# !h0nh phn Eh[ c h2i trong EhVi thAi c() ng cO t T$n$ ]$vn F$* +0/ $a1 7 C$5 +0 -H P1G/ /%, +0n3 /h C$a4 /$NH @Sng Uh> (. )y r0cacb0n N.1e ZZm 7 ghy ge ZZm ef fe4 3f 3f Digg n MFt fefT yf 1f T{n3 (p/ +0 @Sng 2e4 fe2 1f4f 2f Digg n fe1 fef2 4f 2f n +'n$ @Sng 1e fe1 y4f 1f Digg n MFt fef1 24f 1f G1^H (p/ +0 @Sng Diggn 2ef 1ef 2f 3ff MFt fef3 3f 3f
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BAng ++# 8 ng cht nhiRm tS .a -t cht thAi rUn y t5 &' ()* -y +p( BMU !&Ang NgAi BMU ;hu EDn BMU C Nnng BM TG )&F fC&N 76#77cBTNMT CH3H3 NL H3H3 Z# H3H3 HC H3H3 TrJc 1ed2 2ef2 1e2 2ef2 37 *a& TrJc *a& TrJc *a& TrJc fey3 fe32 feT2 fey3 A *a& fe24 feT2 feT2 feT
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BM ZhLi Z kng cc biOn ZhZ Wh9 mi j trnh 7Cm nhixm Whng Wh> ch&ng c?a bOnh ViOnb 6# | nhiRm mi trng nTc Thg0 t>nh t0n c ch8ng 1 th` 7\ng nJc c5Z ch0 BM 7C 14fm 3vngCyb Thng thng 7\ng nJc thLi b_ng f Wh'i 7\ng nJc c5Ze nh V#y 7\ng nJc thLi 7C: !thLi 14ff 12f m3vngCyb Thg0 WFt %&L nghiDn cH& cRng nh ta %& tr`nh WhL0 ,t th-c tF t]i mt ,' bOnh ViOnb P& 7\ng nJc thLi y tF ! thLi y tF 24 ! t$ng thLi Nh V#y thg0 Jc t>nh: !thLi ,inh h0]t df m3vngCy ! y tF 3 f m3vngCy e"f 8Tc thAi y t5L NJc thLi y tF Zht ,inh ta nhii& ng&^n Whc nha& tr0ng bOnh ViOn nh Wh& Whm chYa bOnh nh m$e giLi ZhN& ta thie tij& ZhN&e ,uc r9a r&te ba0 tao ,uc r9ae h5Z VC tiOt trng kng ck y tFo Wh& 1[t nghiOmb NJc thLi y tF c2 "c t>nh 7C Whi cha b< Zhn h?y c2 mC& h n&e chHa nhii& c"n 78 79ng VC c2 mi tanh Wh2 ch<&e tr0ng nJc thLi y tF c2 cc ch5t r6n 78 79nge h2a ch5te th&'c mgne Vi Wh&Nne m/m bOnh VC cc ZhF thLi Whc ,a& Whi Zhkc Vk ch0 cng tc Whme chYa bOnhb T*n$ /$x( /%, nJ|/ ($^1 4 (5 : P0]i nJc nCy b< nhixm hY& c8 qB.D 4e (.De ch5t r6n 78 79ngr VC chHa nhii& Vi trng gy bOnh nh5t tr0ng ,' cc Xng thLi Whc c?a bOnh ViOnb Tr0ng nJc thLi y tF chHa nhii& ch5t thLi nhixm Wh&Nn nh: V#t 7iO& th5m m&e th5m <cho cc ch5t bCi tiFt c?a ngie cc m VC c8 %&an ngi nh t5t cL cc m c8 thje cc c8 %&an chn taye nha& thaie bC0 thaib Ng0Ci rae cXn chHa mt 7\ng Vi Wh&Nn gy bOnh VC cCc ch5t c h]ie ch5t Whng ,inhe ch5t Wh9 trnge tNy r9al : Mt ,' Wh& V-c c2 mHc nhixm Vi ,inh gy bOnhe c"n 78 79nge cc ch5t hY& c8 r5t ca0 nh: NJc thLi Wh& m$: chHa m& VC bOnh ZhNm NJc thLi Wh& 1[t nghiOm: chHa nhii& Vi trng gy bOnh Ii tr< B.D c cc Wh& V-c nCy thng V\t nhii& 7/n tii& ch&Nn ch0 Zh[Zb (.D Tff mgv7e c"n 2ff mgv7b : Ng0Ci ra nJc thLi cXn c2 WhL nSng nhixm 1] ta Wh& chkZ @:%&ang r9a Zhimb (c ch5t n2i trDn VJi 7& 78ng nhhe n^ng Zha 70Ang nDn mHc nhixm Whng Fn mHc ZhLi b0 ngb MiOc 19 7Q nJc thLi b< nhixm ZhXng 1] r5t Wh2 WhSn VC t'n W[m q 0 ch& W Zhn h?y cc ch5t thLi Zh2ng 1] r5t 7&rb Tr0ng ii& WiOn hiOn nay cha i c#Z Fn ViOc 19 7Q 70]i nJc thLi nCye mC ch+ mJi 19 7Q ch&ng VJi hO th'ng 19 7Q nJc thLi c?a bOnh ViOnb
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: NJc thLi ta Wh& gi"t ^ bOnh nhne rc: chHa Vi trng (70,tri i&me ;,g& 0m0nae c07ie *trgZt0c0cc&,e *a7m0ng77ae *higg77alVC nhii& 70]i Vi Wh&Nn gy bOnh Whcb Ng0Ci rae tr0ng nJc thLi b< nhixm cc ch5t h0]t bi m"tb : NJc thLi ta ZhXng r9a Zhime h5Z tNy: chHa Vi trnge 7& 7\ng >te chHa cc ch5t 78 79nge ch5t V c8b : Thg0 WFt %&L WhL0 ,te nJc thLi bOnh ViOn trJc Whi 19 7Q c2 hCm 7\ng cc ch5t nhixm a0 ng tr0ng Wh0Lng ,a&: )Cm 7\ng (.D )Cm 7\ng B.D4 (h5t 78 79ng (h+ ,' Vi trng : 2ff : Tff mgv7 : 14f : 3ff mgv7 : f : 12f mgv7 : 1f : 1fd
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%&Ln 7> ch"t che Whng thLi VC Whng 7Cm r8i VAi ra 5t nDn , Whng gy nhixm mi trng 6# %i trng nTc Mi trng nJc m"t VC nJc ng/m t]i Wh& V-c - n c2 thj b< Lnh hcng nF& Whng %&Ln 7Q cc ng&^n nJc thLie hO th'ng c'ng n nJc thLi VC cc 70]i ch5t thLi y tFb MiOc rX r+ hO th'ng c'nge 19 7Q nJc thLi Whng ]t tiD& ch&Nn thLi , 7Cm Lnh hcng Fn ch5t 7\ng nJc m"t VC nJc ng/m Wh& V-cb Nh A tr`nh bCye Whi - n h0Cn thCnh t5t cL cc Xng thLi , \c th& g0m VC 19 7Q t]i tr]m 19 7Q t#Z tr&ng c?a bOnh ViOne Lm bL0 ]t tiD& ch&Nn trJc Whi thLi ra mi trng nJc m"t t]i <a Zh8ngb NJc thLi ,a& Whi 19 7Q ]t tiD& ch&Nn thLi ra mi trng , Whng 7Cm Lnh hcng Fn ch5t 7\ng nJc m"t VC nJc ng/m c?a Wh& V-cb BAng +W# nh hng c() cc cht nhiRm trong nTc thAi tTi mi trng T$In3 kp (.De B.D ** Wh> BOnh 7an tr&yin b_ng ng nJc M5t mw %&an 8gu nL Fng ty !8MM !=PD= %)i Nnh t?ng h/p BAng 4K# %@c nhiRm mi trng do nTc thAi T)JKn3 $s] T$n$ ]$vn nJ|/ ($^1 MQ/ +0 I n$1H NghiDm tr3ng Tr&ng b`nh MHc th5Z
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CHNG 4. B8;N THT G8M TH8UU TC DNG BVUR THWNG NGXA &? YNG TH Z C[ M8 T<=NG ::::::::::::::::::::::::::::::::::::::::::::::: 4.1. C"/ \1Gn ]$"] 31^H ($1_2 ()`n3 31,1 +àn ($1 /In3 Lb4 !n3 4.1.1. :$pn3 /$5 /"/ ("/ +0n3 -1n j2,n +5n /$x( ($^1 $#"#"#"# ,h-ng ch5 nhiRm mi trng Ehng Eh[ !ua tr`nh 1y -ng \c th-c hiOn tr0ng mt thi gian Cie Wh& V-c thi cng rng V` V#y c/n ZhLi %&an tm Fn cc biOn ZhZ hiOn hY& j bL0 VO mi trnge an t0Cn 7a0 ng VC Lm bL0 ,Hc Wh0 cng nhn 7Cm ViOc t]i cng trng cRng nh n c ,'ng t]i Wh& V-c 1&ng %&anhb NhYng biOn ZhZ t$ng h\Z c/n thiFt mC nhC th/& VC ch? /& t c/n 1gm 1[t Z kng ba0 g^m: )# Fc 6in php t? ch@c thi cng Iy dng : |Z kng cc biOn ZhZ thi cng tiDn tiFne c8 giJi h0 cc tha0 tc VC %& tr`nh thi cng 1y -ng cng tr`nho : P#Z cc t$ thi cng 1y -ng thg0 tang h]ng mkc cng tr`nh c8 bLn j %&Ln 7Q VC ch<& trch nhiOm t0Cn iOn tr0ng %& tr`nh thi cng 1y -ngo : |Z kng biOn ZhZ thi cng c&'n chiF& thg0 tang giai 0]n 1y -ng ck thje nhanh g3n thg0 tr`nh t- trJc : ,a& h\Z 7Q giYa ViOc thi cng cc h]ng mkc cng tr`nh c8 bLn j bL0 Lm rut g3n thi gian thi cnge bL0 Lm an t0Cn gia0 thng VC h]n chF cc tc ng c2 h]i 0 bkie Wh> thLiel giYa cc Wh& V-c thi cng trDn cng trngo : P#Z WF h0]ch tiFn thi cng VC b' tr> nhn 7-c h\Z 7Qe t&/n t-e trnh ch^ng ch[0 giYa cc cng 0]n thi cng: ,an 75Z VC C0 6Ze 76Z "t cc cng tr`nh ng/me cc cng tr`nh gia0 thnge c5Z iOne nJce thng tine bbb 6# Bin php giAm thiQu 6&i : @g V#n ch&yjn 1i mSnge cte \c chg Zh?e trnh r8i VAi gy bki VC 7Cm m5t mB %&ang ng Zh'b : Thg0 tiFn 1y -nge cc t&yFn ng ni b , \c 1y -ng 7Cm ng a7g trJc Whi ch0 1y -ng cc cng tr`nh h] t/ng Whc nh_m giLm thij& bki ng VC Lm bL0 th&#n tiOn ch0 cc Zh8ng tiOn V#n ch&yjn ra VC0 x Cnge th&#n tiOn ch0 %& tr`nh thi cngb : (h0 1g b^n tJi nJc cc 0]n ng V#n ch&yjn g/n Wh& - n VC cc t&yFn ng ni b VC0 nhYng 7uc Wh n2ng Zht ,inh nhii& bkib TJi nJc giLm bki t]i Wh& V-c 7Cm ViOc trDn cng trng VC0 cc thi ijm Zht ,inh nhii& bkib
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: & tiDn ch3n ng&^n c&ng c5Z V#t 7iO& g/n Wh& - n j giLm %&Ang ng V#n ch&yjn VC giLm cng tc bL0 %&Ln nh_m giLm thij& t'i a bki VC cc ch5t thLi Zht ,inh cRng nh giLm ng&y c8 1Ly ra cc ,- c'b : (hg ch6n cng tr`nh nh_m cLn trc Zht tn bki Fn Wh& V-c bOnh ViOn hiOn hY& VC Wh& n c 1&ng %&anhb : B' tr> thi gian V#n ch&yjn ch0 Zh h\Ze trnh V#n ch&yjn VC0 gi ca0 ijme trnh h0]t ng cng 7uc nhii& 70]i 1g V#n ch&yjnb : !& tr`nh thi cng ZhLi chg ch6n Whng j r8i VAi cte bki bay ra cc Wh& V-c 1&ng %&anhb : 'i VJi ViOc 7& trY V#t 7iO& 1y -ng: 1i mSng \c t#Z WFt VC bL0 %&Ln t]i Wh0 chHae ct \c bL0 %&Ln ng0Ci tri c2 b]t chg ma VC ch'ng Zht tn bkie cc 70]i e g]chebbb >t Zht ,inh bki \c j ng0Ci trie Whng c/n bL0 %&Lnb : (ng nhn 7Cm ViOc \c trang b< WhN& trange n2n bL0 hb 6# Bin php Eh-ng ch5 ti5ng n : B' tr> thi gian V#n ch&yjn ch0 Zh h\Ze Whng V#n ch&yjn VC0 gi ca0 ijme trnh h0]t ng cng 7uc nhii& 70]i 1g V#n ch&yjnb : Uhng V#n ch&yjn ta 1f gi Dm Fn 4 gi ,ng hm ,a& nh_m h]n chF gy tiFng ^n Lnh hcng Fn n c Wh& V-cb : Uhng thi cng cc h]ng mkc gy tiFng ^n ta 1f gi Dm Fn 4 gi ,ng hm ,a&b : Thng 1&yDn Wijm tra bi tr8n cc /& my VC thiFt b< nh_m giLm tiFng ^n Whi h0]t ngb c# ,h-ng ch5 nhiRm tS nTc thAi e"f# 8Tc m)L NJc ma chLy trCn trDn bi m"t thi cng tr0ng ma ma c2 thj 7Cm ng#Z ung tr0ng Wh& C0 m2nge j 19 7Q c2 thj ng b8m j hut t0Cn b nJc $ VC0 c'ng th0t nJc h0"c C0 rAnh th0t nJc trDn bi m"t n h' 76ng t]m thi VC ra h' ga th0t nJcb e+f# 8Tc thAi :inh ho2tL B' tr> nhYng nhC VO ,inh ,mn c2 c?a bDnh ViOn j cng nhn ,9 kngb d# ,h-ng ch5 nhiRm cht thAi rUn : (h5t thLi r6n Zht ,inh tr0ng giai 0]n nCy ch? yF& 7C 5te e 1C b/ne ,6t th[Z Vknlc2 thj giLm thij& b_ng cch yD& c/& cng nhn th& g0me VO ,inh 7a0 ng c&'i b&$i h0"c c&'i ngCy VC t#Z tr&ng ch5t thLi t]i bAi chHab : Kc ,inh h0]t c?a cng nhn cRng \c th& g0m VC Sng WQ VJi 8n V< th& g0m t]i <a Zh8ng Lm bL0 tr0ng thi gian thi cng Whng j rc thLi baa bAi gy m5t mB %&ane 7Cm 3ng nJc gy mi VC 7Cm Zht ,inh m&ib
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: D\c ZhNm %& h]n ,9 knge \c ZhNm W[m ZhNm ch5t: Thg0 !&yFt <nh T3v2ffv! : BET Vi %&Ln 7Q ch5t thLi y tFe 70]i \c ZhNm nCy \c 19 7Q nh ch5t thLi ng&y h]ie th& g0m riDng VC a VC0 7X 't ch5t thLi y tFb KiDng 'i VJi ch5t thLi \c ZhNm ]ng 7hng \c Zha 70Ang VC thLi VC0 hO th'ng 19 7Q nJc thLi c?a bOnh ViOnb (h5t thLi r6n y tF: y 7C 70]i rc thLi c h]i nDn ZhLi \c th& g0m riDng biOt tr0ng nhYng thng chHa riDng biOt j 19 7Qb ;h8ng ZhZ 19 7Q th>ch h\Ze hiO& %&L VC triOt j nh5t j 19 7Q (TK y tF 7C 't b_ng 7X ch&yDn kngb Ngu#;n 9: v<n hnh c,/ 9= 2t : (h5t thLi r6n \c a VC0 b_ng tay thng %&a c9a a ch5t thLi 't VC0 b&^ng 't ,8 c5Z q;(( = ;rimary (0mb&,ti0n (hambgrr ,9 kng nhiOt 't chy VC 01y h2a ch5t thLie 7\ng Wh> b'c h8i ta b&^ng ,8 c5Z \c a Fn b&^ng thH c5Ze t]i ye t5t cL cc Wh> thLi nCy \c 't q01y h2ar mt 7/n nYa j t]0 thCnh (.2e tr0ng ii& WiOn nhiOt ca0e 1fff0(b : ;h>a trDn c?a b&^ng 't thH c5Z c2 hO th'ng %&]t th0ng Wh> j /y Wh> ta b&^ng 't ,8 c5Z VC thH c5Z %&a bNy Wh> VC %&a cc ng 'ng 106n ^ng tmb !&]t th0ng Wh> giuZ giLm nhiOt Wh> 't ta 1fff 0( 1&'ng cXn 24f0( trJc Whi Wh> 't nCy \c a ra 'ng Wh2ib !&]t nCy t]0 Z 7-c m c t]i b&^ng 't ,8 c5Z VC b&^ng 't thH c5Zb : )O th'ng Wh2a 7iDn ng \c c&ng c5Z c2 chHc nSng b0 7i b_ng n h0"c m thanh h0"c giuZ my ngang h0]t ng tr0ng mt ,' trng h\Z Whng an t0Cn h0"c nhiOt cCi "t Whng Lm bL0 thg0 yD& c/&b
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ChB thCch: 1b B&^ng 't ,8 c5Z 2b B&^ng chHa Wh2i 3b M< tr> 't ,8 c5Z Tb B&^ng 't thH c5Z 4b M< tr> 't thH c5Z yb M< tr> th0t Wh2i b !&]t thng gi2 q%&]t 79ar b Thng chHa ng&yDn 7iO& db Ii thng chHa /& 1fb BLn ii& Whijn 11b Ii bLn ii& Whijn 12b (9a a rc VC0 13b (9a 75y tr0 1Tb Uh&ng my 14b By Wh> 1yb Thng Wh2i q'ng Wh2ir
Bn thLi ta hO th'ng 19 7Q nJc thLi <nh W \c V#n ch&yjn Fn 7X 'tb MJi Zh8ng thHc nh trDne 1ff ch5t thLi bOnh ViOn , \c th& g0m VC 19 7Q ung %&y <nhe Whng 7Cm Lnh hcng Fn mi trng 1&ng %&anhb 4.#.#. C"/ \1Gn ]$"] 31^H ($1_2 F$In3 -1n j2,n +5n /$x( ($^1 $#+#+#"# =n D 6i5n ?i vi Eh[ h9u BOnh ViOn , tiFn hCnh 0 ]ce 75y m& Zhn t>ch ch5t 7\ng Whng Wh> 1&ng %&anhb BDn c]nh 2 cRng chu tr0ng cng tc giLm thij& ch5t thLie tiFt WiOm ng&yDn nhiDn 7iO& VC %&Ln 7Q ch"t ch cc ng&^n thLi nh_m giLm tc ng Fn ch5t 7\ng Vi Wh> h#&b )O th'ng cy 1anh cRng 7C mt giLi ZhZ mi trng giuZ 73c bJt bki Wh> nhixme giLm nhiOt VC0 ma he h]n chF biFn $i Vi Whi h#&b Dn A Cnh h8n Tf iOn t>ch ch0 cy 1anh : thLm che Vaa t]0 VCnh ai Vaa t]0 cLnh %&an ch0 bOnh ViOne Vaa 2ng Vai trX ii& hXa Vi Wh> h#& ch0 Wh& V-cb $#+#+#+# -i vTi : c- mi trng
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e"f# Fng tc phang ch-ng : c- chy n?L j Lm bL0 cng tc ;(((e bOnh ViOn , th-c hiOn cc cng tc ,a&: : Lm bL0 /y ? cc thiFt b< ;((( c cc ZhXng ban nh b`nh (. 2e 'ng n nJc cH& hhab ;h8ng tiOn cH& hha 76Z "t ung ung yD& c/& c?a cng an ;(((e th&#n tiOn ch0 ViOc ,9 kngb : B' tr> VC 76Z "t hO th'ng iOn thg0 tiD& ch&Nn an t0Cn Vi iOnb : )&5n 7&yOn ;((( ch0 (NMb : P& trY nhiDn 7iO& b`nh ga,e 1Sng /& c Wh& V-c riDng thng th0ng c2 c9a cch 7yb e+f# Fng tc )n to0n .)o ngL j Lm bL0 an t0Cn 7a0 nge bOnh ViOn , th-c hiOn cc biOn ZhZ ,a&: : Uijm tra ,Hc Whhg <nh W ch0 t0Cn thj cn b (NMb : Trang b< /y ? %&/n 0 bL0 h 7a0 ng ch0 cng nhn th& g0m rc nh: ba0 taye WhN& trangel 4.#.3. C"/ \1Gn ]$"] $ ()s Ng0Ci cc giLi ZhZ Ww th&#t VC cng nghO 7C ch? yF& VC c2 t>nh ch5t %&yFt <nh j 7Cm giLm nh cc nhixm gy ra ch0 c0n ngi VC mi trnge cc biOn ZhZ h tr\ cRng g2Z Zh/n h]n chF nhixm VC cLi t]0 mi trng: : Dn bLng %&y <nh nh_m gi0 kc Q thHc VO ,inh mi trng ch0 bOnh nhn VC thn nhn Whi VC0 bOnh ViOnb Th-c hiOn thng 1&yDn VC c2 Wh0a h3c cc ch8ng tr`nh VO ,inhe %&Ln 7Q ch5t thLi c?a bOnh ViOnb : TSng cng tr^ng cy 1anh tr0ng Wh&n ViDn bOnh ViOnb (y 1anh c2 tc kng r5t c2 >ch 'i VJi Wh> h#& VC mi trngb (y 1anh c2 tc kng chg n6nge hut bJt bHc 1] m"t trie hut VC giY bkie 73c ,]ch Whng Wh>e hut tiFng ^n VC chg ch6n tiFng ^ne m"t Whc n2 cXn t]0 thNm mw cLnh %&ane t]0 ra cLm gic x ch<& Vi mC& ,6c ch0 mi trngb )O ,' ZhLn bHc 1] c?a cy 1anh thng nhhe b_ng Wh0Lng cch fe2 = fe3 tr0ng Whi 2 hO ,' ZhLn bHc 1] c?a m"t bDtng VC m"t tng 7C fey = feb (y 1anh c2 tc kng 73c ,]ch Whng Wh>b (y 1anh cXn c2 tc kng 7Cm giLm tiFng ^nb *2ng m tr&yin %&a cc Ay cy 1anh , b< ,&y giLm nSng 7\nge mHc cng m thanh b< giLm nhii& hay >t Zhk th&c VC0 m#t 7e Wij& 7e W>ch thJc 7m cy VC chii& rng Ay 5t tr^ng cyb (c Ay cy 1anh cXn c2 tc kng 7Cm giLm bJt ZhLn 1] mb D0 2e j h]n chF cc tc ng tiD& c-c Fn mi trng t- nhiDne cLi thiOn ,Hc Whhg ch0 bOnh nhn ^ng thi 7Cm tSng thDm V mw %&ane c/n %&an tm tJi ViOc %&y h0]ch hCng rC0 cy 1anh VC tSng ,' 7\ng cy tr^ng tr0ng Wh&n ViDn bOnh ViOnb
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CHNG 6d CHNG T<eNH fUN Lg &? G8M ZT T<=NG ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 6.1. C$Jhn3 ()in$ j2^n -. HI1 ()JKn3
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BAng 44# D)nh m&c cc cng tr<nh I; .B mi trng v0 thi gi)n thc hin T T A NhC VO ,inh i ng CIn3 ()in$ Lt -. HI1 ()JKn3 :5 $à/$ ($!/ $1Gn G1,1 +àn Lb4 !n3 Trang b< Whi - n b6t /& \c trijn Whai 1y -ng VC WFt thuc Whi hO th'ng 19 7Q nJc thLi cLi t]0 10ng VC a VC0 V#n hCnhb
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BAng 4$# FhOng tr<nh 1uAn .B mi trng TT N01 2n3 ($!/ $1Gn Ch j2,n ($!/ $1Gn Ch j2,n 31"H k"( (h? /& t Dn c 1&ng %&anh bOnh ViOn (NMe bOnh nhn t]i bOnh ViOn *c TNMT *c @y -ng t+nh ^ng ThZ
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Th-c hiOn biOn ZhZ giLm thij& nhixm (h? /& t 2 0 nJc thLi ,inh h0]t VC ch5t thLi r6n VC B!PBM ,inh h0]tb Th-c hiOn biOn ZhZ giLm thij& nhixm (h? /& t VC B!PBM 3 0 ch5t thLi 1y -ngb T Th-c hiOn ch8ng tr`nh an t0Cn 7a0 (h? /& t ngb VC B!PBM 4 Th-c hiOn cc biOn ZhZ Whcb B G1,1 +àn $à( +0n3 (h? /& t VC B!PBM (h? /& t VC B!PBM (h? /& t VC B!PBM (h? /& t VC B!PBM (h? /& t VC B!PBM (h? /& t VC B!PBM (h? /& t VC B!PBM (h? /& t VC B!PBM
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6.#.
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: (c ch+ tiD& gim ,t: Z)e cHnge TD*e ge *. T2:e N.3:e ,gne (07i0rmb : T/n ,&5t gim ,t: y thngv1 7/n : ThiFt b< th& m& VC Zh8ng ZhZ Zhn t>ch: ;h8ng ZhZ tiD& ch&Nn : TiD& ch&Nn ,0 ,nh: !&y ch&Nn !(MN fd : 2ffv BTNMT: !&y ch&Nn Ww th&#t %&'c gia Vi ch5t 7\ng nJc ng/mb . G1"H k"( (1, \Q/ Lad : TiD& ch&Nn ,0 ,nh: T(MN: yyd:2ff1 = n t0Cn bHc 1]e chiF& 1] y tF : %&y <nh ch&ngb : M< tr> 75y m&: T]i Wh& V-c chkZ @ = !&ang c?a bOnh ViOn : Tn ,' gim ,t: f3 thngv7/n 6.#.3. C$5 +0 \"` /"` UFt %&L th-c hiOn cng tc bL0 VO mi trng VC WFt %&L gim ,t ch5t 7\ng mi trng \c c#Z nh#t /y ? VC <nh W b0 c0 Vi c8 %&an %&Ln 7Q mi trng j Wijm trae gim ,t thg0 ung %&y <nhb T/n ,&5t b0 c0 gim ,t ch5t 7\ng mi trng: y thngv7/n qVC0 thng y VC thng 12 h_ng nSmrb 6.#.4. D! () F1n$ ]$* /$` /"/ /In3 ()in$ \^` PG HI1 ()JKn3 Uinh Zh> ch0 cc cng tr`nh bL0 VO mi trng c?a t0Cn b BOnh ViOn \c Jc t>nh nh ,a&: ,. p1 P|1 P1G/ Lt -. CT< : Thng chHa rc ,inh h0]t: mi ZhXnge t0i7gt t'i thij& c2 mt thng nhh 70]t 1f 7>t chHa rc ,inh h0]t j ch&yjn Fn cc thng 7Jne thng chHa rc 70]i 7Jn 2Tf 7>t VC cc V#t kng Whc nh ba0 ni7ngel Jc t>nh chi Zh> Wh0Lng 4fbfffbfff b : Thng chHa rc y tF: mi ZhXng c2 mt thng rc y tF nhhe h_ng ngCy ch&yjn Fn thng rc 7Jn j a Fn 7X 't rc y tFe Wh0Lng thng rc 7Jn 70]i 1Tf 7>t c2 n6Z #y VC cc V#t kng WhceJc t>nh chi Zh> Wh0Lng 3fbfffbfff b \. Ly '( )"/ 4 (F : (hi Zh> V#n hCnh: Ii iOn t>nh ch0 c8 %&an E tF: 1bfff v U Ii /& D. ang bn 7 t]i cc c9a hCng 7C: 1ybfff vP eFng :ut ti'u th& in nqng cc 2i Ehi to0n 6 cc thi5t 67 h th-ng Du v9n h0nh ng thiL "#C ,zjgi] Du D{ tu thio Eh-i ./ng v0 cht .iu rc tS *P"K .[tf# : (hi Zh> /&: P 1 1ybfff vP 12bfff
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: (c giLi ZhZe biOn ZhZ bL0 VO mi trng , \c th-c hiOn tr0ng giai 0]n ta Whi - n i VC0 V#n hCnh ch>nh thHc ch0 Fn Whi WFt thuc - no : (am WFt Vi in b VC Wh6c Zhkc nhixm mi trng tr0ng trng h\Z cc ,- c'e r?i r0 mi trng 1Ly ra 0 trijn Whai - no : (am WFt Zhkc hî mi trng thg0 %&y <nh c?a ZhZ 7&#t Vi bL0 VO mi trng ,a& Whi - n WFt thuc V#n hCnh - nb : (h? /& t cam WFt tr0ng %& tr`nh 1y -ng VC h0]t nge D- n Lm bL0 ]t cc TiD& ch&Nn mi trng MiOt Name ba0 g^m: TiD& ch&Nn (h5t 7\ng Whng Wh> 1&ng %&anh q!(MN f4:2ffdvBTNMTro TiD& ch&Nn N^ng t'i a ch0 Zh[Z c?a mt ,' ch5t c h]i tr0ng Whng Wh> 1&ng %&anh q!(MN fy:2ffdvBTNMTro !&y ch&Nn Ww th&#t %&'c gia Vi Wh> thLi 7X 't ch5t thLi r6n y tF q!(MN f2:2ffvBTNMTrb NJc thLi bOnh ViOn Lm bL0 ]t !(MN 2:2f1fvBTNMTe mHc trJc Whi thLi ra mi trngb : (h5t thLi r6n: \c th& g0me h\Z ^ng V#n ch&yjn VC 19 7Q thg0 ung yD& c/& an t0Cn VO ,inhb Lm bL0 th-c hiOn ung Thng t ,' 12v2f11vTT:BTNMT ngCy 1TvTv2f11 c?a B TCi ng&yDn VC Mi trng %&Ln 7Q ch5t thLi ng&y h]io Ngh< <nh ,' 4dv2ffvND:(; ngCy fdvfTv2ff Vi %&Ln 7Q ch5t thLi r6nb : ^n ,inh ra ta D- n , ]t !(MN 2y:2f1fvBTNMTb : T&n th? t&yOt 'i m3i ng&yDn t6c an t0Cn 7a0 nge ;(((b : T&n th? th-c hiOn ch8ng tr`nh gim ,t thg0 <nh Wb : *a& Whi ch? - n 1y -ng h0Cn thCnh cc cng tr`nh 19 7Q ch5t thLi , b0 c0 ch0 *c TCi Ng&yDn Mi Trng j Wijm tra cc cng tr`nh 19 7Q ch5t thLie ^ng thi 0 ]ce Zhn t>ch cc ch+ tiD& nhixm mi trng j 1c nh#n hO th'ng 19 7Q ch5t thLi ]t tiD& ch&Nn mi trng Whi i VC0 h0]t ngb (h? D- n cam WFt ch<& h0Cn t0Cn trch nhiOm trJc ZhZ 7&#t MiOt Nam nF& Vi Zh]m cc (ng Jc !&'c tFe cc TiD& ch&Nn MiOt Nam VC nF& j 1Ly ra ,- c' gy nhixm mi trngb ng !hp] ng0y######### thng ###### nqm +K"" C$% ! "n
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Bo co nh gi tc ng mi trng D n u t nng cp Bnh vin Qun dn y ng !

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Bo co nh gi tc ng mi trng D n u t nng cp Bnh vin Qun dn y ng !hp

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