CN100496420C - Emergency treatment device for secondary massive hemorrhage after anus operation and operation method - Google Patents
Emergency treatment device for secondary massive hemorrhage after anus operation and operation method Download PDFInfo
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- CN100496420C CN100496420C CNB2007100254385A CN200710025438A CN100496420C CN 100496420 C CN100496420 C CN 100496420C CN B2007100254385 A CNB2007100254385 A CN B2007100254385A CN 200710025438 A CN200710025438 A CN 200710025438A CN 100496420 C CN100496420 C CN 100496420C
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- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
本发明公开了用于肛门病术后继发性大出血的急救治疗装置和操作方法，该治疗装置包括三腔球囊导尿管(1)，引流容器(10)、与三腔球囊导尿管注水扩张支囊管(14)相连的牵引绳(13)，在三腔球囊导尿管的引流支管(3)的出口设有三腔冲洗引流管(6)。本发明与现有技术相比，具有操作方便，便于观察，疗效确切可靠，一人即可进行操作、观察和治疗等特点，只要治疗及时，措施得当，可在较短的时间内使病人转危为安，如在出血早期使用，可减少或甚至杜绝因大量出血而造成生命危险，以及因需输血而易招致患者感染血源性疾病，从而对提高医疗质量、减少医疗纠纷和防范医疗事故等大有裨益的优越性。
The invention discloses an emergency treatment device and operation method for secondary massive bleeding after anal disease operation. The treatment device comprises a three-chamber balloon catheter (1), a drainage container (10), and a three-chamber balloon catheter The traction rope (13) that tube water injection expands branch tube (14) links to each other, and the outlet of the drainage branch pipe (3) of three-chamber balloon catheter is provided with three-chamber flushing and drainage tube (6). Compared with the prior art, the present invention has the characteristics of convenient operation, convenient observation, exact and reliable curative effect, and one person can operate, observe and treat. As long as the treatment is timely and the measures are appropriate, the patient can be saved from danger in a relatively short period of time. If it is used in the early stage of hemorrhage, it can reduce or even eliminate the danger of life caused by massive hemorrhage, and the risk of blood-borne diseases caused by blood transfusion, which is of great benefit to improving medical quality, reducing medical disputes and preventing medical accidents. superiority.
Description
Technical field:
The invention belongs to the emergency treatment device and the operational approach that are used for secondary massive hemorrhage after anus, be specially adapted to the emergency treatment of secondary massive hemorrhage after anus, operational approach is easy flexibly, especially be suitable for the emergency treatment of the critically ill patient of the clear and definite inadequately Secondary cases massive hemorrhage in anus (pipe) operation back, last pectus position or petechia, when as long as treatment is anxious, appropriate measures can make patient pull through in the short period of time.As in hemorrhage early stage use, can reduce or even stop to cause life danger because of bleeding profusely, and because of need blood transfusion easily causing patient infection's blood borne disease, thereby to improving quality of medical care, reducing superioritys of great advantage such as medical tangle and strick precaution malpractice.
Background technology:
Common anal disease postoperative massive hemorrhage case, mainly be that the hemorrhoid postoperative patient exists fluke mind against medical advice and suffer from habitual constipation, big dry stool, be subjected to the art position and wound surface (mouth) torn to cause deeply defecate hemorrhage or bleed profusely by anus firmly, thick, rough, this mainly is to have damaged due to the thicker artery and vein blood vessel in wound surface deep.Massive hemorrhage is in case take place, a large amount of blood flow into rectum and colon, when reaching a certain amount of, expand sense, desire defecate feeling may appear weighing down in lower abdomen and anus, during defecation, discharge hundreds of milliliters of blood or black clot suddenly, patient's pale complexion, dizzy dusk, nervous, blood pressure descend suddenly, as untimely rescue, will cause shock even dead.
The conventional at present massive hemorrhage therapy equipment of using comprises three chamber saccule urinary catheters, drainage container, the pull rope that links to each other with three chamber saccule urinary catheter water injection holes, its using method is with three chamber saccule urinary catheters, the patient gets the both legs flexing position of lying on the back, slowly insert internal rectum 7～10cm by podex, subsequently under assistant's assistance, the water filling expansion diverticulum pipe that connects tight three-cavity catheter with the syringe that pumps sterile saline, 30～60ml is injected in pressurization, and (the more loose person of anal canal need pour into 80ml, make the passive expansion of three chamber saccule urinary catheter head end core space sacculus portions, play fixedly hemostasis by compression effect), advise patient's two lower limbs to stretch separately flat crouching and the fixed position then, slowly the pull rope tied up of the afterbody of stretching three chamber saccule urinary catheters draws to the head of a bed to patient foot direction and fixes, and the placement drainage container is convenient to observe enteral ejection color under patient's hip, character, alternately poured into metronidazole injection by three chamber sacculus transfusion arms to internal rectum every 30 minutes～1 hour by the assistant then, levofloxacin injection and 0.9% normal saline etc., and above-mentioned alternately flushing or perfusion (instillation) rectum of medicinal liquid more than 2 kinds or 2 kinds of usefulness frequently, to keep pipeline unobstructed and pumpback internal rectum medicinal liquid and hematocele, to observe amount of bleeding, color, the character of intestinal contents and haemostatic effect etc., and can reach decompression and deflated purpose, make the patient not press and increase the uncomfortable and unnecessary misery of bringing because of the increase of enteral gas and inadequate drainage cause enteral, above-mentioned therapy equipment needs the multidigit medical personnel in turn at bedside monitoring, and operation is frequent inconvenient.
Summary of the invention:
Technical problem to be solved by this invention provides a kind of emergency treatment device that is used for secondary massive hemorrhage after anus simple to operate.
The technical scheme of technical solution problem of the present invention is: the emergency treatment device that is used for secondary massive hemorrhage after anus, comprise three chamber saccule urinary catheters, drainage container, the pull rope that links to each other with three chamber saccule urinary catheter water fillings expansion diverticulum pipes are provided with three chamber irrigation drainage tubes in the outlet of the drain arm of three chamber saccule urinary catheters.
The drain arm of three chamber saccule urinary catheters links to each other with the entrance point sealing of three chamber irrigation drainage tubes by union joint, and the port of export of three chamber irrigation drainage tubes links to each other with drainage container.
Flushing thing for fear of intestinal stops up irrigation drainage tube, is provided with the arm that is used for cleaning intestinal on three chamber irrigation drainage tubes.
In order to cushion the influence to drainage container of enteric drainage thing, the port of export of three chamber irrigation drainage tubes links to each other with drainage container by curved portions; The curved portions density of material is greater than irrigation drainage tube other parts density, thereby the outflow direction of control enteral irrigation thing is difficult for polluting.
For the ease of the speed of control drain, be provided with the sealing valve in irrigation drainage tube outlet stage casing, three chambeies.
Be provided with union joint in the arm outfan of three chamber irrigation drainage tubes, can utilize syringe to pass through union joint (valve piston) and in syringe pipe, pour into normal saline and prevent that the enteric drainage thing from stopping up drainage tube.
For the ease of coloclysis, the transfusion arm of three chamber saccule urinary catheters links to each other with the sealing of transfusion device outfan by union joint.
For the ease of adjusting and increase and decrease the tension force of pull rope flexibly, described pull rope links to each other with several counterweights by assembly pulley, and counterweight is 1.4-1.6kg.
The present invention compared with prior art, have easy to operate, determined curative effect is reliable, one people can operate, characteristics such as observation and treatment, as in hemorrhage early stage use, can reduce or even stop to cause life danger because of bleeding profusely, as long as treatment in time, appropriate measures, can patient be pulled through, as in hemorrhage early stage use, can reduce or even stop to cause life danger because of bleeding profusely, and because of need blood transfusion easily causing patient infection's blood borne disease, thereby to improving quality of medical care, reduce superioritys of great advantage such as medical tangle and strick precaution malpractice.
The outstanding advantage of this emergency treatment device is: the one, in the traction hemostasis by compression, be convenient to patient's exhaust decompression, and quite useful for the abdominal distention that alleviates patient and hypogastric region and podex discomfort; The 2nd, be convenient to the patient and in intestinal, inculcate (notes) medicine, drainage wash hematocele, excrement slag and clinical observation; The 3rd, as in hemorrhage early stage use, can reduce or even stop to cause life danger because of bleeding profusely, and because of need blood transfusion easily causing patient infection's blood borne disease; The 4th, alleviate the financial burden of patient family; The 5th, reduce unnecessary medical tangle and stop malpractice; The 6th, comparatively science and adequate solution a still unsolved at present difficult problem, solved frequent manipulation in vitro especially and brought a lot of inconvenience and painful to patient; The 7th, the present invention not only has novelty and creativeness, more is added with the suitability and popularization, can be widely used in our vast rural area and community medicine.Variant is operating as the bedside operation outward, become opening and be operating as semiclosed operation, become contaminative and be operating as the cleanliness operation, become " disturbing residents " property and be operating as the operation of quiet happy and auspicious property, become the painful big operation that is operating as slightly painful or no pain, the psychentonia that becomes the nervous horse unrest of medical personnel is operating as the operation of heart bromazolam, alleviated the burden that patient and relatives thereof and the mental pressure through controlling medical personnel and labor intensity increase simultaneously, become the patient curing the disease under the nervous ambient condition, more help patient's early recovery under the quiet environment state, recuperating.
Description of drawings:
Fig. 1 is a structural representation of the present invention.
In Fig. 1,1 is three chamber saccule urinary catheters, and 2 is the transfusion arm of three chamber saccule urinary catheters, 3 is the drain arm of three chamber saccule urinary catheters, and 4 is union joint, and 5 is transfusion device, 6 is three chamber irrigation drainage tubes, water valve till 7, and 8 is arm, 9 is the curved portions of irrigation drainage tube, 10 is drainage container, and 11 is assembly pulley, and 12 is several counterweights, 13 is pull rope, and 14 is the water filling expansion diverticulum pipe of three chamber saccule urinary catheters.
The specific embodiment:
Below in conjunction with accompanying drawing the present invention is described in detail.
Embodiment 1
As shown in Figure 1, the emergency treatment device that is used for the secondary hemorrhage of podex postoperative, comprise three chamber saccule urinary catheters 1, drainage container 10, the pull rope 13 that links to each other with three chamber saccule urinary catheter water filling expansion diverticulum pipes 14, outlet at three chamber saccule urinary catheter drain arms 3 is provided with three chamber irrigation drainage tubes 6, the drain arm 3 of three chamber saccule urinary catheters, link to each other with the entrance point sealing of three chamber irrigation drainage tubes 6 by union joint 4, the port of export of three chamber irrigation drainage tubes 6 links to each other with drainage container 10, and described union joint is silica gel water filling (gas) valve piston.
Speed for the ease of the control drain is provided with sealing valve 7 on three chamber irrigation drainage tubes 6, in order to cushion the influence to drainage container 10 of enteric drainage thing, the port of export of three chamber irrigation drainage tubes 6 links to each other with drain container 10 by curved portions 9; The curved portions material is a metal material, and the other parts material is a medical grade rubber, and the design of curved portions 9 can be controlled the outflow direction of enteric drainage thing, is difficult for polluting; Flushing thing for fear of intestinal stops up three chamber irrigation drainage tubes 6, is provided with the arm 8 that is used for cleaning intestinal on three chamber irrigation drainage tubes 6; Arm 8 outfans are built-in with union joint 4, can utilize syringe to prevent that to three chamber irrigation drainage tubes, 6 perfusion normal saline the enteric drainage thing from stopping up drainage tube 6 by union joint 4.
For the ease of coloclysis, the transfusion arm 2 of three chamber saccule urinary catheters links to each other with the sealing of transfusion device 5 outfans by union joint 4.
For the ease of adjusting and increase and decrease the tension force of pull rope 13 flexibly, described pull rope 13 links to each other with several counterweights 12 by assembly pulley 11, and the weight of several counterweights 12 is 1.4-1.6kg.
Prepare before the art of the present invention:
At first when promptly carrying out every health check-ups such as internal medicine and routine examination (testing), advise the patient to drain hematocele and feces or exhaust hematocele with suction pump, carry out the conventional preserved skin sterile drape of crissum and be equipped with a little senior antiseptic hygiene paper more, take comfortable posture and positions easy to operate such as lateral position or calculi position, fully expose podex.
Operational approach of the present invention is:
The first step: the sterilization three chamber saccule urinary catheters of making by soft elastic silica gel for No. 18 or No. 20 1 of checking and choosing, the head section of three chamber saccule urinary catheters 1 is smeared lubricant, slowly insert internal rectum 7～10cm by podex, subsequently, with getting the water filling expansion diverticulum pipe 14 that the syringe that pumps 30～60ml sterile saline connects tight three chamber saccule urinary catheters ready, 30～60ml is injected in pressurization, and (the more loose person of anal canal need pour into 80ml, make the passive expansion of three chamber saccule urinary catheter head end sacculus, play fixedly hemostasis by compression effect), press from both sides the drain arm 3 that closes three chamber saccule urinary catheters and transfusion arm 2 respectively approximately apart from the middle section of hole outer rim 2.5cm with two medium size mosquito formula curved hemostatic forceps simultaneously, do like this is to make things convenient for next step operation and promptly to prevent intrarectal hematocele, gas and feces overflow because of increasing of internal rectum pressure and pollute treatment towel, sheet and medicated clothing etc., advise the patient to lie on the back then and two lower limbs stretch separately flat fixed position of crouching, the patient can not be shifted to lead, the afterbody of slow stretching three chamber saccule urinary catheter water filling arms 14 is also tied up pull rope 13, draw and be fixed on the assembly pulley 11 to patient foot direction, counterweight is about 1.5kg, doing a tight pine in traction pulls 3～4 times back and forth gently, the purpose of doing like this is because of being subjected to the stimulation of tractive compressing, can cause the reflexive enhancing lifting anus of anal sphincter and the anus effect of contracting, thereby reach the enhancing anastalsis, especially to the loose massive hemorrhage patient of anal sphincter, more have anti-slip and reach and draw the hemostasis by compression purpose.
Second step: respectively the drain arm 3 of three chamber saccule urinary catheters is linked to each other with the entrance point of three chamber irrigation drainage tubes 6 by union joint 4 subsequently, the transfusion arm 2 of transfusion device 5 with three chamber saccule urinary catheters linked to each other, and attention prevents seepage and slippage, the curved portions 9 of taking advantage of a situation three chamber irrigation drainage tubes 6 is connected with drainage container 10, unclamp vascular forceps, observe the unobstructed situation behind unobstructed situation of drain and the infusion in order successively, block if any three chamber saccule urinary catheter drain arm tube chambers, with the disposable syringe that pumps medicinal liquid or sterile saline solution 30～50ml, union joint 4 by the arm 8 of three chamber irrigation and drainage conduits carries out irrigation and pumpback, close the stage casing and the arm 2 of infusing of the drainage catheter of three chamber irrigation drainage tubes, 6 belows simultaneously with sealing valve 7 folders, in case the irrigation mediation is invalid or the rectum Dissolve things inside flows in the infusion bottle of irritating (dripping) notes because of increased pressure is anti-.
The 3rd step: utilized transfusion device 5 alternately to drip (filling) every 30 minutes～1 hour by three chamber saccule urinary catheter transfusion arms 2 and annotate 0.5% metronidazole injection, 30～50ml, 0.2% ofloxacin injection, 20～30ml and normal saline or an amount of retention enema of other enema to internal rectum, and usefulness frequently above-mentioned more than two kinds or 3 kinds medicinal liquid alternately flushing to keep pipeline unobstructed and pumpback internal rectum medicinal liquid and hematocele, with the character of observing amount of bleeding, color, intestinal contents and haemostatic effect etc., and carry out simultaneously and take the other therapies treatment to prepare and the treatment of transferring from one hospital to another is prepared.During the indwelling of three chamber saccule urinary catheters, as the patient who urinates in bed and be the devil or can not urinate, to in time give placement catheter retention catheterization under the routine disinfection, and close observation patient's change of illness state at any time, changes of vital signs situations such as blood pressure, blood volume, breathing, heart rate, body temperature, microcirculation and amount of urine discharge particularly, and take corresponding effective treatment measures, as shock, dilatation, oxygen uptake and infection etc., generally in 12～24 hours, just can reach haemostatic effect.
The 4th step: after the clinical observation through 12～24 hours reaches haemostatic effect and purpose, can remove this survival kit, concrete operation method is: 1, remove counterweight; 2, the water filling expansion diverticulum 14 that connects tight three chamber saccule urinary catheters with the disposable empty syringe of 30～50ml sterilization, with negative pressure the liquid in the sacculus is taken out to the greatest extent, make that sacculus is flat to contract, slowly rotation and vertically carrying is gently inserted and it to be separated be convenient to take out then, prevents that again anorectal region internal hemorrhage wound surface and mucosa from drawing for a long time and oppress adhesion because of being subjected to the sacculus part.Must guard against rough direct taking-up, otherwise, will be sustained damage hemorrhage once more by the anorectal region internal hemorrhage point wound surface of adhesion and mucosa; 3, behind the taking-up three chamber saccule urinary catheters, the orientation of the former petechia of sacculus part of scrutiny traction compressing, and on case history, make labelling and record, help the summary and the raising of clinical experience, lesson like this.
Claims (4)
1, the emergency treatment device that is used for secondary massive hemorrhage after anus, comprise three chamber saccule urinary catheters (1), drainage container (10), with the pull rope (13) that three chamber saccule urinary catheter water fillings expansion diverticulum pipes (14) link to each other, it is characterized in that: the outlet at the drain arm (3) of three chamber saccule urinary catheters (1) is provided with three chamber irrigation drainage tubes (6);
The drain arm (3) of three chamber saccule urinary catheters (1) links to each other with the input sealing of three chamber irrigation drainage tubes (6) by union joint (4), the outfan of three chamber irrigation drainage tubes (6) links to each other with drainage container (10) by curved portions (9), and curved portions (9) density of material is greater than three chamber irrigation drainage tube (6) other parts density;
Three chamber irrigation drainage tubes (6) are provided with prevention and avoid the flushing thing of intestinal to stop up the arm (8) of three chamber irrigation drainage tubes;
The transfusion arm (2) of three chamber saccule urinary catheters links to each other with the sealing of transfusion device (5) outfan.
2, the emergency treatment device that is used for secondary massive hemorrhage after anus according to claim 1 is characterized in that: be provided with sealing valve (7) on three chamber irrigation drainage tubes (6).
3, the emergency treatment device that is used for secondary massive hemorrhage after anus according to claim 1, it is characterized in that: be provided with union joint (4) in the outfan of the arm of three chamber irrigation drainage tubes (8), the union joint (4) that is provided with in the described outfan is silica gel water filling or gas injection valve piston.
4, the emergency treatment device that is used for secondary massive hemorrhage after anus according to claim 1 is characterized in that: described pull rope (13) links to each other with several counterweights (12) by assembly pulley (11).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNB2007100254385A CN100496420C (en) | 2007-07-21 | 2007-07-21 | Emergency treatment device for secondary massive hemorrhage after anus operation and operation method |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNB2007100254385A CN100496420C (en) | 2007-07-21 | 2007-07-21 | Emergency treatment device for secondary massive hemorrhage after anus operation and operation method |
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| Publication Number | Publication Date |
|---|---|
| CN101120886A CN101120886A (en) | 2008-02-13 |
| CN100496420C true CN100496420C (en) | 2009-06-10 |
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| CNB2007100254385A Expired - Fee Related CN100496420C (en) | 2007-07-21 | 2007-07-21 | Emergency treatment device for secondary massive hemorrhage after anus operation and operation method |
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Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
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| JP6150533B2 (en) * | 2013-01-23 | 2017-06-21 | オリンパス株式会社 | Cardiac treatment device |
| CN106693150B (en) * | 2017-01-19 | 2023-07-25 | 西安西京医疗用品有限公司 | Three-cavity drainage tube capable of being washed |
| CN111281464B (en) * | 2020-03-09 | 2024-08-02 | 南京市中医院 | Anorectal postoperative fixing trousers |
| CN112426610A (en) * | 2020-06-29 | 2021-03-02 | 张丽娜 | Catheter front end lubricating arrangement |
| CN112245785B (en) * | 2020-11-21 | 2022-08-23 | 南阳市中心医院 | Transurethral implanted type catheter medicine injection flushing device |
| CN113180769A (en) * | 2021-05-20 | 2021-07-30 | 赵刚 | Disposable multifunctional rectum hemostatic exhaust pipe |
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2007
- 2007-07-21 CN CNB2007100254385A patent/CN100496420C/en not_active Expired - Fee Related
Non-Patent Citations (1)
| Title |
|---|
| 三腔二囊管治疗下消化道出血的护理体会. 陈亚飞.现代中西医结合杂志，第16卷第7期. 2007 * |
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| CN101120886A (en) | 2008-02-13 |
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