CN102652689A - Central venous catheter (CVC) puncture system and use method thereof - Google Patents
Central venous catheter (CVC) puncture system and use method thereof Download PDFInfo
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- CN102652689A CN102652689A CN2012101696374A CN201210169637A CN102652689A CN 102652689 A CN102652689 A CN 102652689A CN 2012101696374 A CN2012101696374 A CN 2012101696374A CN 201210169637 A CN201210169637 A CN 201210169637A CN 102652689 A CN102652689 A CN 102652689A
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- central venous
- venous catheter
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Abstract
The invention discloses a central venous catheter (CVC) puncture system and a use method thereof, and is used for solving the problem that the traditional ascites puncture methods cause heavy workload, high expenses and high abdominal infection probability. The system is mainly formed by a CVC puncture needle, a dilator and a catheter, wherein the CVC puncture needle is used for forming a puncture hole; the dilator is used for dilating the puncture hole; and the catheter is inserted into the puncture hole. The use method mainly comprises the following steps: (1) inserting the CVC puncture needle from a puncture point to form the puncture hole and leading a guide wire into the puncture hole along the CVC puncture needle; (2) taking out the CVC puncture needle; (3) inserting the dilator into the puncture hole along the guide wire and dilating the puncture hole with the dilator; and (4) taking out the dilator and putting the catheter end of a CVC into the puncture hole. The system avoids the problem of ascites exosmosis and has the advantages that the medical expenses are saved and the patient pains are relieved.
Description
Technical field
What the present invention relates to is a kind of lancing system, specifically is meant the central venous catheter lancing system; The invention still further relates to the method for using of this abdominal paracentesis system.
Background technology
OHSS (OHSS) is the common complication of test-tube baby (IVF), mainly shows as the formation of ovary increase, a large amount of ascites, often needs drain ascites to alleviate the compressing of ascites to important organs such as the heart, lung, kidneys.But traditional ascites drain is to adopt puncture needle to carry out disposable puncture, when using this puncture needle to carry out the ascites drain, usually causes ascites to exosmose, and can cause also that sometimes positions such as perineal position, thigh are treating serious edema caused.And often in the process of whole hydroabdomen, need adopt traditional puncture needle to carry out repeatedly puncture drainage repeatedly, the drain number of times can not only increase operator's workload and operating cost up to 8 times the most for a long time, has also increased the infection probability of puncture place simultaneously.
Summary of the invention
The objective of the invention is to solve traditional ascites puncture method and cause problems such as workload is big, expense is high, the infection probability is big, a kind of central venous catheter lancing system and method for using thereof of avoiding the problems referred to above is provided.
Realize that technical scheme of the present invention is following:
The central venous catheter lancing system, the conduit that dilator of mainly expanding by the central venous catheter puncture needle that is used to form puncturing hole, to puncturing hole and catheter end insert puncturing hole is formed.
Preferably, said conduit is a central venous catheter.
Further, the drain end of said central venous catheter is connected with aseptic drainage bag.
Further, also comprise the seal wire that is used for inserting puncturing hole along the central venous catheter puncture needle.
The method for using of central venous catheter lancing system mainly may further comprise the steps:
(1) the central venous catheter puncture needle is inserted the formation puncturing hole from point of puncture, seal wire is introduced puncturing hole along the central venous catheter puncture needle;
(2) take out the central venous catheter puncture needle;
(3) along seal wire dilator being inserted puncturing hole also expands puncturing hole with this dilator;
(4) take out dilator, the catheter end of central venous catheter is inserted puncturing hole.
As a kind of preferred, said step (4) comprises that also the drain end of central venous catheter connects aseptic drainage bag.
The present invention has the following advantages and beneficial effect:
1, the invention solves the problem that existing abdominal paracentesis method often causes ascites to exosmose, through system of the present invention and method for using thereof, central venous catheter is inserted the abdominal cavity, this central venous catheter is close to each layer of stomach wall, thereby has avoided ascites to exosmose.
2, through the combined effect of central venous catheter of the present invention and aseptic drainage bag, only only need one-time puncture can realize continuing of ascites or be interrupted drain, open valve gets final product when putting ascites, thereby has reduced workload; Simultaneously, because the number of times of puncture reduces, its medical expense also reduces accordingly.
3, owing to utilize the present invention only to need one-time puncture can solve the problem of hydroabdomen,, also alleviated patient's misery so can effectively reduce the abdominal cavity infection probability through design of the present invention.
4, the reasonable utilization of central venous catheter of the present invention both can realize the CD of intraperitoneal hydrops, also can block this central venous catheter, stoped the outflow of intraperitoneal hydrops; Can also control the speed of drain.
5, of the present invention simple in structure, easy and simple to handle, be fit to apply.
The specific embodiment
Below in conjunction with embodiment the present invention is described further, but embodiment of the present invention is not limited to the following example.
Embodiment
The central venous catheter lancing system comprises the central venous catheter puncture needle that is used to form puncturing hole, and to the dilator that puncturing hole is expanded, along the seal wire of central venous catheter puncture needle insertion puncturing hole, catheter end inserts the conduit of puncturing hole along seal wire.Through the setting of above-mentioned seal wire, make operation more convenient.
For the CD of realizing intraperitoneal hydrops and be interrupted opening, conduit is preferably central venous catheter.Through the above-mentioned central venous catheter also speed of may command drain also, thereby realize effective control to the patient's condition.
For accurate recording drain ascites volume, the drain end of said central venous catheter is connected with aseptic drainage bag, can realize the metering of hydroabdomen through this aseptic drainage bag.
The invention also discloses the method for using of central venous catheter lancing system; With tension ascites drain patient is example, and its drainage method is following:
At first, confirm point of puncture;
(1) patient makes even and crouches or semireclining position, and the routine disinfection drape selects umbilicus and a left side or right anterior superior iliac spine line China and foreign countries 1/3rd to be point of puncture.
Secondly, utilize system of the present invention to carry out puncture drainage, it uses step following:
(2) with 0.5% each layer of lignocaine local anaesthesia stomach wall, vertically thrust stomach wall with the central venous catheter puncture needle and form puncturing hole, when obvious breakthrough sense, be the central venous catheter puncture needle and got into the abdominal cavity; At this moment, adopt syringe to carry out pumpback, fixing puncture needle after no blood, intestinal juice, urine;
(3) seal wire is inserted from the puncture needle tail end, after it extends into the abdominal cavity, withdraw from puncture needle, insert dilator skin expansion and subcutaneous tissue to the abdominal cavity, withdraw from dilator along seal wire;
(4) insert central venous catheter along seal wire, the conduit of keeping somewhere the degree of depth and be 15~20cm is extracted seal wire to the abdominal cavity, and folder closes conduit, connects joint, applies ointment or plaster to cover conduit and be fixed in stomach wall, and the catheter drainage end connects the drainage bag drain and puts ascites.
Through the valve setting of central venous catheter, can close this conduit at any time, the purpose that realization stops drain and changes aseptic drainage bag at any time can make patient's safety spend ascites formation peak period thereby make the doctor need not to remove conduit; Promptly form in the process on peak, only only need can realize continuing of hydroabdomen or be interrupted drain by one-time puncture, effectively practice thrift medical expense, alleviate the sufferer misery in whole ascites.This central venous catheter select the speed that can also control drain for use, thereby better ascites is carried out drain.
Through above design, just can realize the present invention preferably.
Claims (6)
1. central venous catheter lancing system is characterized in that: dilator of mainly expanding by the central venous catheter puncture needle that is used to form puncturing hole, to puncturing hole and the conduit that inserts puncturing hole are formed.
2. central venous catheter lancing system according to claim 1 is characterized in that: said conduit is a central venous catheter.
3. central venous catheter lancing system according to claim 2 is characterized in that: the drain end of said central venous catheter is connected with aseptic drainage bag.
4. according to each described central venous catheter lancing system of claim 1~3, it is characterized in that: also comprise the seal wire that is used for inserting puncturing hole along the central venous catheter puncture needle.
5. the method for using of central venous catheter lancing system is characterized in that, mainly may further comprise the steps:
(1) the central venous catheter puncture needle is inserted the formation puncturing hole from point of puncture, seal wire is introduced puncturing hole along the central venous catheter puncture needle;
(2) take out the central venous catheter puncture needle;
(3) along seal wire dilator being inserted puncturing hole also expands puncturing hole with this dilator;
(4) take out dilator, the catheter end of central venous catheter is inserted puncturing hole.
6. the method for using of central venous catheter lancing system according to claim 5 is characterized in that: said step (4) comprises that also central venous catheter connects aseptic drainage bag.
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CN2012101696374A CN102652689A (en) | 2012-05-29 | 2012-05-29 | Central venous catheter (CVC) puncture system and use method thereof |
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CN2012101696374A CN102652689A (en) | 2012-05-29 | 2012-05-29 | Central venous catheter (CVC) puncture system and use method thereof |
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Citations (6)
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---|---|---|---|---|
CN88202006U (en) * | 1988-03-21 | 1988-11-23 | 安民 | Arteriovenous puncture appliance |
CN2623183Y (en) * | 2003-03-13 | 2004-07-07 | 王志刚 | Intravenous air-passage combined opening bag |
CN201115732Y (en) * | 2007-11-15 | 2008-09-17 | 程丽莉 | Chest cavity embedded drainage device |
US20080262431A1 (en) * | 2007-04-18 | 2008-10-23 | Access Scientific, Inc. | Access device |
US7729735B1 (en) * | 2006-11-30 | 2010-06-01 | Dartmouth-Hitchcock Clinic | System and method for venous oximetry using a catheter |
CN202052185U (en) * | 2011-04-05 | 2011-11-30 | 王玉娟 | Novel abdominal drainage device |
-
2012
- 2012-05-29 CN CN2012101696374A patent/CN102652689A/en active Pending
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
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CN88202006U (en) * | 1988-03-21 | 1988-11-23 | 安民 | Arteriovenous puncture appliance |
CN2623183Y (en) * | 2003-03-13 | 2004-07-07 | 王志刚 | Intravenous air-passage combined opening bag |
US7729735B1 (en) * | 2006-11-30 | 2010-06-01 | Dartmouth-Hitchcock Clinic | System and method for venous oximetry using a catheter |
US20080262431A1 (en) * | 2007-04-18 | 2008-10-23 | Access Scientific, Inc. | Access device |
CN201115732Y (en) * | 2007-11-15 | 2008-09-17 | 程丽莉 | Chest cavity embedded drainage device |
CN202052185U (en) * | 2011-04-05 | 2011-11-30 | 王玉娟 | Novel abdominal drainage device |
Non-Patent Citations (2)
Title |
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王敏: "中心静脉导管在心包积液穿刺和引流中的应用", 《中华全科医学》, vol. 10, no. 4, 3 April 2012 (2012-04-03), pages 525 - 526 * |
王晓林: "改进型一次性使用引流袋的安全性及实用性研究", 《医药卫生科技辑》, no. 10, 15 October 2011 (2011-10-15) * |
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Application publication date: 20120905 |