最新SIXSIGMA教学讲义ppt.ppt

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1、SIXSIGMAWhatisSixSigma?GeneralViewoftheconcept.HistoricalViewoftheconcept.TechnicalViewoftheconcept.GeneralViewat6sigmaHighqualitybusinessprocessesDefect-freebusinessprocesses=Happycustomers+Phase1Establishingmanagementcommitmenttrainingtheprinciplesandt

2、oolstoseniormanagementdevelopmentofamanagementinfrastructurePhase2Informationgatheringintensivecommunicationwithcustomers,suppliers,andemployees.Phase3TrainingBlackBeltAndGreenBelt?Phase4DevelopingMonitoringSystemsPhase5businessimprovementThecurrentkeypr

3、ocessesingenerallevelaremappedandproblemsidentifiedPhase6–FinalConducting6sigmaprojectsImprovetheprocessesandvalidatethembysimulationsandstatisticalmethodsmodifyingthemanagementsystemEstablishaproperdocumentationsystemLimitationsto6sigma?MindlimitationsK

4、nowledgelimitationsManagementlimitationsMindLimitationsFearTimepressureResistanttochangeLackoftrustPoorcommunicationKnowledgeLimitationsLackof6sigmatrainingLackofknowledgeamongteammembersLackofstatisticalknowledgeManagementLimitationsLackofleadershipLack

5、ofhandsinvolvementUnprofessionalmanagementbehaviorLackofmanagementsupportCompaniesUsed6sigmaABBinc.Americanexpress.GeneralElectric.Lockheedmartin.Honda.HitachiNokiaPolaroidSonyTexasinstrumentEffectsof6sigma?GeneralElectricannualsavingsestimatedtobe$6.6bi

6、llions.Motorolareducedmanufacturingcostsby$1.4billions.AlliedSignalscostreductionby$2billions.Summary6sigmaisacollectionofpracticestoachieveimprovement.Wayofsuccessforcompanies.Makesmanagementinvolvementanecessity.Astrategytoachieve3.4defectofanoutputof1

7、,000,000.Worldclasslevelofqualityandcustomersatisfaction.AndFinalyQuestions?特殊甲状腺功能亢进症的诊断和处理主要内容一、甲亢合并肝损二、甲亢合并粒缺三、甲亢合并妊娠四、甲亢危象五、甲亢合并糖尿病六、亚临床甲亢七、甲亢围手术期的处理一、甲亢合并肝损（一）发生率临床比较常见，文献报道不一，发生率45%～90%不等。黄疸：20%左右多数为肝酶轻到中度升高极少数可发生急性或亚急性肝坏死AKP升高?(二)原因及机制1甲亢性：甲亢本身所致

8、A：肝脏相对缺氧（尤其肝小叶中央区）B：甲亢并发甲亢心和心力衰竭（右心），加重缺氧。C：甲亢合并营养不良（多见长期未获控制者）D：甲亢合并胆红素代谢障碍E：甲状腺素直接作用于肝脏。F：病理：肝脏淤血，肝细胞脂肪变性，中心性或局灶性坏死、肝实质萎缩乃至肝硬化。（二）原因及机制2甲亢合并药物性肝损A：PTU：以肝细胞损伤为主。转氨酶升高的发生率15%左右，多数在用药2个月内，绝大多数较轻，临床明显的症状性肝炎的发生率约1%，偶可导致肝坏死。B：