CN103007419A - Pressurized drainage tube for chest - Google Patents

Pressurized drainage tube for chest Download PDF

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Publication number
CN103007419A
CN103007419A CN2012105678337A CN201210567833A CN103007419A CN 103007419 A CN103007419 A CN 103007419A CN 2012105678337 A CN2012105678337 A CN 2012105678337A CN 201210567833 A CN201210567833 A CN 201210567833A CN 103007419 A CN103007419 A CN 103007419A
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CN
China
Prior art keywords
air bag
thoracic cavity
chest
ductus thoracicus
drainage tube
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Pending
Application number
CN2012105678337A
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Chinese (zh)
Inventor
倪斌
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First Affiliated Hospital of Suzhou University
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First Affiliated Hospital of Suzhou University
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Publication date
Application filed by First Affiliated Hospital of Suzhou University filed Critical First Affiliated Hospital of Suzhou University
Priority to CN2012105678337A priority Critical patent/CN103007419A/en
Publication of CN103007419A publication Critical patent/CN103007419A/en
Pending legal-status Critical Current

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Abstract

The invention discloses a pressurized drainage tube for a chest. Air bags are arranged on a chest tube; the air bags are aerated to be expanded continuously, a shape of the aerated air bags is matched with the shape of lung lobes, or matched with the shape of other spleens; when an organ is removed, the chest tube is inserted into the chest and then the air bags on the chest tube are aerated, so that the air bags effectively fill the chest to ensure equalization of the pressure in a human body, reduce even avoid the phenomenon of exudation of a chest wall; the pressure in the air bags can be increased or reduced according to the situation of exudation in the chest after operation, the pressure in the air bags is gradually reduced along with post operation time, then residual lung is expanded correspondingly, and finally the aim of removing the pressurized drainage tube is achieved; and meanwhile, the air bags companion the chest tube, once the air bags leak or air and blood exist in a cavity, the air and the blood can be drained by drainage holes in the chest tube through the chest tube timely, and the problems of discharge of pneumatosis and dropsy in the chest are also effectively solved.

Description

A kind of pressurization drainage tube for the thoracic cavity
Technical field
The drainage technology field, rear thoracic cavity that the present invention relates to perform the operation is specifically related to a kind of pressurization drainage tube for the thoracic cavity.
Background technology
Behind the open chest surgery, because after lobectomy of lungs or full pneumonectomy, the residual huge cavity in thoracic cavity, and by the postoperative breathing suction function in the thoracic cavity that produces, may cause that oozing of blood sepage amount increases in the thoracic cavity, severe patient needs secondary even repeatedly opens the breast hemostasis, increases patient's medical expense, prolongs the hospital stays.
The mode of extensive oozing of blood is that sliver is filled in traditional processing thoracic cavity: by adopting medical uterus sliver, clog in certain sequence intrathoracic residual cavity, postoperative 2-3 days sliver is extracted out gradually again, the problem that this mode exists is, open the causing easily in thoracic cavity infected in the thoracic cavity in after the operation, and the process of extracting simultaneously sliver in the thoracic cavity out can cause the huge misery of patient, and if sliver extraction metathorax intracavity hemorrhage again, can't again clog, can only again open the breast hemostasis.
Therefore, be necessary to propose a kind ofly can effectively solve the thoracic cavity oozing of blood, and can carry out effective drain to blood, simultaneously, be difficult for causing infection, avoid the generation of multiple complications, reduce patient's misery, reduce the hemostasis drainage system of medical expense and demand urgently occurring.
Summary of the invention
In view of this, the invention provides a kind of problem that can effectively solve thoracic cavity oozing of blood behind the organ excising operation, to reach effective control thoracic cavity oozing of blood, can carry out effective drain to blood, simultaneously, be difficult for causing infection, avoid the generation of multiple complications, reduce patient's misery, reduce the purpose of medical treatment cost.
A kind of pressurization drainage tube for the thoracic cavity according to purpose proposition of the present invention, comprise ductus thoracicus, be arranged at the air bag on the described ductus thoracicus, one side of described ductus thoracicus is provided with the air inlet pipe of inflating for to described air bag, and the front end that is positioned at described air bag on the described ductus thoracicus offers at least one conduction hole; The profile of at least one organ coupling can be filled the thoracic cavity with the pressure in balance thoracic cavity in shape behind the described airbag aeration and the thoracic cavity behind the described airbag aeration.
Preferably, described air bag is to be positioned at of described ductus thoracicus one side, described ductus thoracicus front end downward bending, and described conduction hole is distributed in the bending end of described ductus thoracicus, so that drain.
Preferably, described air bag is to be positioned at two of described ductus thoracicus both sides, and the air bag of described both sides is spliced to form whole organ.
Preferably, be provided with mark line on the described air bag, be used for determining the size of air bag.
Preferably, described air bag is bonded on the described ductus thoracicus, and described air bag covers described ductus thoracicus circumference half when tightening up state.
Preferably, an end of described air inlet pipe is provided with the automatic-sealed valve.
Preferably, described automatic-sealed valve is rubber valve or silica gel valve.
Preferably, described air bag is rubber.
Compared with prior art, the advantage of the pressurization drainage tube for the thoracic cavity of the present invention is: the present invention is by arranging air bag in ductus thoracicus, by airbag aeration is constantly enlarged, shape behind the airbag aeration can be designed to mate with the lobe of the lung, or with other spleen form fit, after organ is extractd, by in the thoracic cavity, inserting ductus thoracicus, and the air bag on the ductus thoracicus inflated, so that air bag is effectively filled the thoracic cavity, guarantee the equilibrium of human body internal pressure, reduce even avoid the phenomenon of thoracic wall oozing of blood to occur, postoperative can increase and decrease the pressure in the air bag according to the situation of oozing of blood in the thoracic cavity, along with the prolongation of Post surgery duration reduces pressure in the air bag gradually, and promote the remaining corresponding expansion of lung, and finally reach the purpose of pulling out the pressurization drainage tube; Simultaneously, air bag and ductus thoracicus companion row, in case occur in air bag gas leakage or the cavity have gas, blood the time, can by the conduction hole on the ductus thoracicus gas-liquid be gone out through the ductus thoracicus drain timely, also efficiently solve the discharge problem of pneumatosis in the thoracic cavity, hydrops.
Description of drawings
In order to be illustrated more clearly in the embodiment of the invention or technical scheme of the prior art, the below will do to introduce simply to the accompanying drawing of required use in embodiment or the description of the Prior Art, apparently, accompanying drawing in the following describes only is some embodiments of the present invention, for those of ordinary skills, under the prerequisite of not paying creative work, can also obtain according to these accompanying drawings other accompanying drawing.
Fig. 1 is a kind of structural representation for the pressurization drainage tube after the upper lobe excision disclosed by the invention.
Fig. 2 is a kind of structural representation for the pressurization drainage tube after lower lobe or the lower lobe excision disclosed by the invention.
Fig. 3 is the structural representation of a kind of pressurization drainage tube for post total pneumonectomy disclosed by the invention.
The title of the numeral among the figure or the corresponding component of alphabetical representative:
1, ductus thoracicus 2, air bag 3, air inlet pipe 4, conduction hole
The specific embodiment
Problem for open chest surgery metathorax intracavity oozing of blood in the prior art mainly is by the mode that adopts medical uterus sliver to fill the thoracic cavity bleeding position to be sealed hemostasis, but open the causing easily in the thoracic cavity in thoracic cavity infected after the operation, the process of extracting sliver in the thoracic cavity out simultaneously can cause the huge misery of patient, if and sliver extraction metathorax intracavity is hemorrhage again, can't again clog, can only again open the breast hemostasis, cause the increase of medical expense, prolong the problems such as hospital stays.
The present invention is directed to deficiency of the prior art, by in ductus thoracicus air bag being set, after organ is extractd, by in the thoracic cavity, inserting ductus thoracicus, and the air bag on the ductus thoracicus inflated, so that air bag is effectively filled the thoracic cavity, guarantee the equilibrium of human body internal pressure, reduce even avoid the phenomenon generation of thoracic wall oozing of blood; Postoperative can increase and decrease the pressure in the air bag according to the situation of oozing of blood in the thoracic cavity, along with the prolongation of Post surgery duration reduces pressure in the air bag gradually, and promotes the remaining corresponding expansion of lung, and finally reaches the purpose of pulling out the pressurization drainage tube; Simultaneously, air bag and ductus thoracicus companion row in case when occurring having gas, blood in air bag gas leakage or the cavity, can by conduction hole gas-liquid be gone out through the ductus thoracicus drain timely, also efficiently solve the discharge problem of pneumatosis in the thoracic cavity, hydrops.
The below will be clearly and completely described technical scheme of the present invention by the specific embodiment.Obviously, described embodiment only is the present invention's part embodiment, rather than whole embodiment.Based on the embodiment among the present invention, those of ordinary skills belong to the scope of protection of the invention not making the every other embodiment that obtains under the creative work prerequisite.
Embodiment 1
See also Fig. 1, Fig. 1 is disclosed by the invention a kind of for the pressurization drainage tube structural representation after the upper lobe excision, as shown in the figure, a kind of pressurization drainage tube for the thoracic cavity according to purpose proposition of the present invention, this pressurization drainage tube comprises ductus thoracicus 1, be arranged at the air bag 2 on the ductus thoracicus 1, a side of ductus thoracicus 1 is provided with for the air inlet pipe 3 that air bag 2 is inflated, and the front end that is positioned at air bag 2 on the ductus thoracicus 1 offers at least one conduction hole 4; Upper lobe profile coupling in shape after air bag 2 inflations and the thoracic cavity can be filled the thoracic cavity with the pressure in balance thoracic cavity after air bag 2 inflations.By the shape behind the airbag aeration being designed to the shape of upper lobe, with the patient who is applicable to the upper lobe excision use of stopping blooding, with the intrathoracic pressure of balance.
Air bag 2 is arranged at a side of ductus thoracicus 1 top, and the front end downward bending of ductus thoracicus 1, conduction hole 4 are distributed in the bending end of ductus thoracicus 1, in order to the intrathoracic blood that oozes out is carried out timely and effectively drain, reduces the residual of thoracic cavity inner blood.
Be provided with the mark line (not shown) on the air bag 2, by length that mark line can be by detector certification mark line and thickness situation being set to determine the size behind the airbag aeration.Be convenient to determine the aeration quantity of air bag.
Air bag 2 is bonded on the ductus thoracicus 1 with fixing, covers half of ductus thoracicus circumference when air bag tightens up state, so that the position behind the airbag aeration is certain, can not occur rotating or the problem such as skew.Large I when air bag tightens up state is decided according to concrete organ size or according to the material of air bag, also can be 40% or 45% etc. of ductus thoracicus cross section size, does not specifically limit.
One end of air inlet pipe 3 is provided with automatic-sealed valve (not shown).By the automatic-sealed valve is set to behind the airbag aeration, but the air inlet pipe automatic-sealed is avoided the leakage of gas in the air bag, guarantees that the required aeration quantity of certain air bag size is certain, avoids occurring error, and impact is to the airbag aeration amount.
The automatic-sealed valve can be rubber valve or silica gel valve or elasticity gags somebody etc., does not specifically limit.
Wherein, also can clamp by clip with an end of air inlet pipe after charging gas, to avoid gas leakage, concrete mode does not limit.
Air bag 2 is rubber.The elasticity of rubber is larger, and toughness is better, and the situation of avoiding air bag to occur breaking when air bag is used, and the variation that can bear internal gas are suddenly big or suddenly small, still keep its good elasticity and toughness.
Operation principle of the present invention is as follows:
At first, to be inserted into the ductus thoracicus 1 of air bag 2 position corresponding to thoracic cavity, inflate by 3 pairs of air bags 2 of air inlet pipe, constantly monitor the variation of mark line on the air bag 2 by detector, to determine the size of air bag, after air bag arrives a certain size, stop its inflation, self seal valve goalkeeper air inlet pipe is closed or is used clamp, has certain interval between thoracic wall and the air bag, the blood that oozes out can amass at this gap location, with air bag the thoracic cavity is effectively filled, the thoracic wall bleeding position is sealed, avoid continuing hemorrhage, gas and blood in the cavity, or the gas leakage that air bag produces all can be discharged through ductus thoracicus by conduction hole; Postoperative can increase and decrease the pressure in the air bag according to the situation of oozing of blood in the thoracic cavity, along with the prolongation of Post surgery duration reduces pressure in the air bag gradually, and promotes the remaining corresponding expansion of lung, and finally reaches the purpose of pulling out the pressurization drainage tube, finishes hemostasis.
Embodiment 2
As shown in Figure 2, all the other are identical with embodiment 1, and difference is that air bag is arranged at below one side of ductus thoracicus, and the profile coupling of lower lobe or middle lower lobe in the shape after air bag 2 inflations and the thoracic cavity can be filled the thoracic cavity with the pressure in balance thoracic cavity after air bag 2 inflations.By the shape behind the airbag aeration being designed to the shape of lower lobe or middle lower lobe, with the patient who is applicable to the excision of lower lobe or the middle lower lobe use of stopping blooding, with the intrathoracic pressure of balance.
Embodiment 3
As shown in Figure 3, all the other are identical with embodiment 1, and difference is, air bag is to be positioned at 2 of ductus thoracicus 1 both sides, and the air bag of both sides is spliced to form whole pulmonary, with the profile coupling of full lung, can fill the thoracic cavity with the pressure in balance thoracic cavity after air bag 2 inflations.By with the shape that is spliced to form full lung behind the airbag aeration, with the patient who the is applicable to full pneumonectomy use of stopping blooding, with the intrathoracic pressure of balance.
The present invention is except being used for the excision filling of thoracic cavity pulmonary, also can be used for other abdominal organs such as spleen and extract use etc., as long as the bladder shape of upper and lower sides is designed to corresponding organ shape, splicing can form corresponding organ shape after the inflation, does not specifically limit.
The invention discloses a kind of pressurization drainage tube for the thoracic cavity, the present invention is by arranging air bag in ductus thoracicus, by airbag aeration is constantly enlarged, shape behind the airbag aeration can be designed to mate with the lobe of the lung, or with other spleen form fit, after organ is extractd, by in the thoracic cavity, inserting ductus thoracicus, and the air bag on the ductus thoracicus inflated, so that air bag is effectively filled the thoracic cavity, guarantee the equilibrium of human body internal pressure, reduce even avoid the phenomenon of thoracic wall oozing of blood to occur, postoperative can increase and decrease the pressure in the air bag according to the situation of oozing of blood in the thoracic cavity, along with the prolongation of Post surgery duration reduces pressure in the air bag gradually, and promote the remaining corresponding expansion of lung, and finally reach the purpose of pulling out the pressurization drainage tube; Simultaneously, air bag and ductus thoracicus companion row, in case occur in air bag gas leakage or the cavity have gas, blood the time, can by the conduction hole on the ductus thoracicus gas-liquid be gone out through the ductus thoracicus drain timely, also efficiently solve the discharge problem of pneumatosis in the thoracic cavity, hydrops.
To the above-mentioned explanation of the disclosed embodiments, make this area professional and technical personnel can realize or use the present invention.Multiple modification to these embodiment will be apparent concerning those skilled in the art, and General Principle as defined herein can in the situation that does not break away from the spirit or scope of the present invention, realize in other embodiments.Therefore, the present invention will can not be restricted to these embodiment shown in this article, but will meet the widest scope consistent with principle disclosed herein and features of novelty.

Claims (8)

1. pressurization drainage tube that is used for the thoracic cavity, it is characterized in that, comprise ductus thoracicus, be arranged at the air bag on the described ductus thoracicus, one side of described ductus thoracicus is provided with the air inlet pipe of inflating for to described air bag, and the front end that is positioned at described air bag on the described ductus thoracicus offers at least one conduction hole; The profile of at least one organ coupling can be filled the thoracic cavity with the pressure in balance thoracic cavity in shape behind the described airbag aeration and the thoracic cavity behind the described airbag aeration.
2. the pressurization drainage tube for the thoracic cavity as claimed in claim 1 is characterized in that, described air bag is to be positioned at of described ductus thoracicus one side, described ductus thoracicus front end downward bending, and described conduction hole is distributed in the bending end of described ductus thoracicus, so that drain.
3. the pressurization drainage tube for the thoracic cavity as claimed in claim 1 is characterized in that, described air bag is to be positioned at two of described ductus thoracicus both sides, and the air bag of described both sides is spliced to form whole organ.
4. the pressurization drainage tube for the thoracic cavity as claimed in claim 1 is characterized in that, is provided with mark line on the described air bag, is used for determining the size of air bag.
5. the pressurization drainage tube for the thoracic cavity as claimed in claim 1 is characterized in that described air bag is bonded on the described ductus thoracicus, and described air bag covers described ductus thoracicus circumference half when tightening up state.
6. the pressurization drainage tube for the thoracic cavity as claimed in claim 1 is characterized in that, an end of described air inlet pipe is provided with the automatic-sealed valve.
7. the pressurization drainage tube for the thoracic cavity as claimed in claim 6 is characterized in that, described automatic-sealed valve is rubber valve or silica gel valve.
8. such as each described pressurization drainage tube for the thoracic cavity of claim 1-7, it is characterized in that described air bag is rubber.
CN2012105678337A 2012-12-24 2012-12-24 Pressurized drainage tube for chest Pending CN103007419A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105125392A (en) * 2015-07-02 2015-12-09 青岛市市立医院 Respiration assistance thoracic cavity saccule counterpulsation drainage device and respiration assistance drainage method

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2217995Y (en) * 1994-12-01 1996-01-24 徐强 Drainage tube for pneumatothorax
CN2910149Y (en) * 2006-04-17 2007-06-13 于长海 Intrathoracic radiactive filling airsac for preventing multi-kind of complication
CN102740920A (en) * 2009-12-29 2012-10-17 阿克拉伦特公司 System for treating target tissue within the eustachian tube
CN203001663U (en) * 2012-12-24 2013-06-19 苏州大学附属第一医院 Pressure drainage tube used for thoracic cavity

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2217995Y (en) * 1994-12-01 1996-01-24 徐强 Drainage tube for pneumatothorax
CN2910149Y (en) * 2006-04-17 2007-06-13 于长海 Intrathoracic radiactive filling airsac for preventing multi-kind of complication
CN102740920A (en) * 2009-12-29 2012-10-17 阿克拉伦特公司 System for treating target tissue within the eustachian tube
CN203001663U (en) * 2012-12-24 2013-06-19 苏州大学附属第一医院 Pressure drainage tube used for thoracic cavity

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105125392A (en) * 2015-07-02 2015-12-09 青岛市市立医院 Respiration assistance thoracic cavity saccule counterpulsation drainage device and respiration assistance drainage method

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Application publication date: 20130403