CN103212129A - Bi-directional circulating combined-type subcutaneous washing drainage tube - Google Patents
Bi-directional circulating combined-type subcutaneous washing drainage tube Download PDFInfo
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- CN103212129A CN103212129A CN2013101360122A CN201310136012A CN103212129A CN 103212129 A CN103212129 A CN 103212129A CN 2013101360122 A CN2013101360122 A CN 2013101360122A CN 201310136012 A CN201310136012 A CN 201310136012A CN 103212129 A CN103212129 A CN 103212129A
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Abstract
A bi-directional circulating combined-type subcutaneous washing drainage tube comprises a liquid supplying tube section, a porous tube section and a drainage tube section. One end of the liquid supplying tube section is a single head plastic needle, a taper connector is arranged between the other end of the liquid supplying tube section and one end of the porous tube section, a flow controlling valve is arranged on the liquid supplying tube section, the other end of the porous tube section and one end of the drainage tube section are connected into a whole through a fixing connector, and the other end of the drainage tube section is provided with a taper connector. According to the bi-directional circulating combined-type subcutaneous washing drainage tube, one end of the drainage tube is used for washing, the other end of the drainage tube is used for drainage, the washing and the drainage are synchronously conducted, incision infection can be prevented and treated, the technical operation is simple, and the pain and the psychological burdens of a patient and the work loads of medical staff can be lightened.
Description
Technical field
The present invention relates to the technical field of medical catheter, particularly relate to the subcutaneous irrigation drainage tube of a kind of combination type that two-way circulates.
Background technology
For many years, medical personnel constantly inquire into the factor that causes infection of incisional wound both at home and abroad, have also used some measure prevention infections of incisional wound, though certain effect is arranged, a lot of methods are more loaded down with trivial details, also increase patient's misery and medical personnel's workload.For example, the method for delayed suture subcutaneous tissue and skin is arranged, the patient need experience two operations on the one hand, has increased misery and psychological burden; In addition, the subcutaneous tissue and the general sepage of skin of opening wide are more, and the otch adjuvant is easy to soak, and the number of times of changing dressings obviously increases.The method of keeping somewhere subcutaneous drainage strip in addition, otch sepage also are obvious increases, need frequently change dressings.We all used these methods clinically, and because of it has various shortcoming, we also study the method that new prevention infection of incisional wound is arranged always.Have and report that much the negative pressure treatment technology of wound closure is one of various acute injuries, the state-of-the-art technology of various intractable chronic wounds for the treatment of at present.Be referred from this technology, we adopt ventricular drainage tube to cut side opening from the method for having created a kind of new prevention infection of incisional wound, and operation is embedded in when closing abdomen before subcutaneous tissue and the abdominal muscle between the fascia, an end normal saline washing, and the other end keeps continuous negative pressure suction.We estimate that to some abdominal cavity severe contaminations the higher patient of postoperative wound infection rate adopts the method in clinical practice, and the patient of generation infection of incisional wound as a result expection obviously reduces.We have also designed corresponding perspective study, and are verified: can effectively reduce the abdominal incision infection rate after abortion operation and accelerate the abdominal infection wound healing by making this way of subcutaneous drainage tube by oneself.At present existing corresponding article is at home and abroad delivered.But the used drainage tube of present technique is a ventricular drainage tube to be cut side opening and makes, and certain limitation is arranged.Be subjected to the restriction of ventricular drainage tube specification during use, such as model, length etc.And when using this technology clinically, because of there not being finished product, all need when using to have prolonged the time of operation and strengthened medical worker's I-shaped amount by ventricular drainage tube being cut processing such as side opening at every turn.So we can produce the subcutaneous drainage tube of the various models, quality and the length that more meet clinical needs by batch, promote the use of clinically, not only shortened operating time but also can exempt the link that the each all need of medical worker are processed drainage tube.
Summary of the invention
To the objective of the invention is in order addressing the above problem, to provide a kind of combination type that two-way circulates subcutaneous irrigation drainage tube.
Technical scheme of the present invention is: the subcutaneous irrigation drainage tube of a kind of combination type that two-way circulates, comprise feed flow pipeline section, porous tube section, drain pipeline section, described feed flow pipeline section one end is that single head is moulded pin, be provided with the matching taper joint between one end of the other end of feed flow pipeline section and porous tube section, described feed flow pipeline section is provided with flow control valve, the other end of described porous tube section links into an integrated entity by an end of anchor tip and drain pipeline section, and the other end of drain pipeline section is provided with the tapering joint.
Described feed flow pipeline section, porous tube section, drain pipeline section are flexible hose.
Described single head is moulded pin, two tapering joints, anchor tip materials are ABS; Flow control valve is PP; Antipriming pipe is PU.
Beneficial effect of the present invention
This drainage tube one end flushing, an end drain, flushing and drain are carried out simultaneously, can prevent and treat infection of incisional wound, and technical operation is simple, can alleviate patient's misery and psychological burden and medical worker's workload.
This drainage tube is the system of a sealing, can guarantee the dried clean of cut surface, has avoided the process that sepage seriously must often be changed dressings after the infection of incisional wound, reduces patient's misery.
Subcutaneous indwelling drainage tube washes and vacuum suction has following effect:
1. initiatively drain of continuous negative pressure suction, hydrops or slough can in time be drawn in the wound, have reduced the inflammatory mediator of culture medium and amount of bacteria
2. reduce the pressure in the otch, helped improving the blood confession, accelerated the granulation tissue growth.
3. alleviate tissue edema.
4. stimulate cellular proliferation mechanically.
5. under the vacuum suction, can eliminate hypodermic dead space.
6. airtight drainage system can reduce retrograde infection.
7. flushing can prevent that drainage tube from stopping up, in order to avoid slough is residual and drainage tube is interior or become the source of infection.
Description of drawings
Fig. 1 is the subcutaneous irrigation drainage tube structural representation of this combination type that two-way circulates;
1. single heads are moulded pin, 2. flow control valve, 3. feed flow pipeline section, 4. tapering joint A, 5. porous tube section, 6. anchor tip, 7. drain pipeline section, 8. tapering joint B among the figure.
The specific embodiment
Embodiment: referring to Fig. 1, the subcutaneous irrigation drainage tube of a kind of combination type that two-way circulates among the figure, comprise feed flow pipeline section, porous tube section, drain pipeline section, described feed flow pipeline section one end is that single head is moulded pin, be provided with the matching taper joint between one end of the other end of feed flow pipeline section and porous tube section, described feed flow pipeline section is provided with flow control valve, and the other end of described porous tube section links into an integrated entity by an end of anchor tip and drain pipeline section, and the other end of drain pipeline section is provided with the tapering joint.Described feed flow pipeline section, porous tube section, drain pipeline section are flexible hose.Described single head is moulded pin, two tapering joints, anchor tip materials are ABS; Flow control valve is PP; Antipriming pipe is PU.
Concrete using method is as follows:
One. the placement of subcutaneous drainage tube:
When being applied to prevent infection of incisional wound: select the porous tube section of respective diameters for use according to the hypodermic thickness of otch, the tension force of principle when not increasing skin suture.Incision length is according to actual needs cut out porous tube section, porous tube section is connected with tapering joint A to be positioned over before the abdominal muscle between the fascia and subcutaneous fat then, from the otch upper and lower side in addition puncture draw, have the porous tube section of side opening part can not exceed skin.Sew up subcutaneous tissue and skin again, need closely can not leak.Sew up and finish, encrypt if any leaking to sew up separately with normal saline examination flushing.Sewing up two punctures at last fixes the drain pipeline section.The direction that the drain pipeline section is placed is generally an end that connects flushing liquor and is positioned at the otch proximal part.
When infection of incisional wound taking place: all patients wash otch with 3% hydrogenperoxide steam generator and III type An Er iodine solution after removing subcutaneous slough, the 500-1500ml normal saline flushing is clean.Select the porous tube section of respective diameters for use according to the hypodermic thickness of otch, the tension force of principle when not increasing skin suture.Incision length according to actual needs partly carries out cutting with porous tube section, then porous tube section is connected with the tapering joint and is positioned over before the abdominal muscle between the fascia and subcutaneous fat, draw from other puncture of otch upper and lower side, have the porous tube section of side opening part can not exceed skin.Sew up subcutaneous tissue and skin again, need closely can not leak.Sew up and finish, encrypt, sew up two punctures at last the drain pipeline section is fixed if any leaking to sew up separately with normal saline examination flushing.The direction that the drain pipeline section is placed is generally an end that connects flushing liquor and is positioned at the otch proximal part.
Two. the flushing of subcutaneous drainage tube and vacuum suction:
Second day after operation begins to mould the pin reason saline continual rinsing of delivering a child with single head.Single head is moulded the joint that pin is similar to transfusion device, use clinically more convenient, similar with clinical transfusion, mould the rubber stopper that pin directly inserts infusion bottle by single head.Flow control valve can be regulated the flow velocity of flushing liquor, and is similar to clinical transfusion.Lower end tapering joint connects the central negative pressure that negative pressure drainage vessel connects hospital.By regulating the pressure of hospital's negative pressure device, can realize the adjusting of otch internal pressure.Keep between the negative pressure 100 ~ 150mmHg(1mmHg=0.133kPa) and continue aspirating.Flushing liquor is adjusted and is dripped speed and be about 40-50 and drip/min.
Three, pulling out of subcutaneous drainage tube:
Wash after 3 days and to pull out this drainage tube in the 4th day.If the slough that drainage tube is drawn is more, the time of pulling out drainage tube can be prolonged according to actual needs.Of the present invention be designed to the tapering joint and porous tube section separable, drainage tube can be divided into two parts.So firmly pull out simultaneously at two ends up and down from otch when pulling out drainage tube, the tapering joint separates in otch with porous tube section, extract at two ends up and down from otch respectively, after extracting, a little sepage is often arranged in the subcutaneous tissue tunnel, can push otch with gauze from top to bottom, a small amount of hydrops in the otch is extruded, cause infection of incisional wound after avoiding gathering.
Four. the placement of subcutaneous drainage tube, the main points of flushing and vacuum suction:
1. peritoneum and skin closure are tight, after the placement drainage tube connects negative pressure, make subcutaneous tissue become one " negative pressure cavity ", but can not leave dead space, play sufficient active drainage, prevent fluid accumulation, bacterial reproduction.
2. the big I of porous tube section diameter is suitably selected according to hypodermic thickness, and the tension force when not increasing skin closure is advisable, and there is no fixed standard in.
3. Chong Xi purpose is to keep the unobstructed of drainage system, guarantees to keep under suction function in the otch moistening exsiccant environment.The portion of tissue that subcutaneous tissue still has after surgery continues downright bad, if simple vacuum suction is easy to make drainage tube to stop up, behind the normal saline washing, the Chang Kejian slough is gone out.Spill from otch but have liquid during the excessive and vacuum suction insufficient pressure of pressure of flushing, make the cut surface humidity, increase infection rate on the contrary, the height of scalable rinsing bottle is regulated the pressure of flushing.
4. pressure is advisable with 100 ~ 150mmHg during vacuum suction.Because the quality of porous tube section is softer, and tube chamber subsides, and side opening presses off, effectively porous tube section reduced when pressure was excessive, and subcutaneous tissue also is close to porous tube section too greatly because of suction and is stopped up side opening, and drainage effect reduces on the contrary.When pressure was too small, drainage effect was weak and have liquid to spill from cut surface.
5. obesity or postoperative subcutaneous tissue are discharged more slough person, carry out I ﹠ A though placed subcutaneous drainage tube, but subcutaneous drainage tube ratio is easier to stop up, slough easily remains in the subcutaneous antipriming pipe, so should postoperative in 3 days every day repeatedly strengthen flushing flow rate and negative pressure, get express developed the slough in the porous tube section gone out in several minutes after slowly flushing again.
6. drainage tube should not be placed for a long time, and general 3-5 days, drainage tube itself was as foreign body, and the surface has bacteria planting easily, places on the contrary as the source of infection for a long time.
Claims (3)
1. subcutaneous irrigation drainage tube of the combination type that two-way circulates, comprise feed flow pipeline section, porous tube section, drain pipeline section, it is characterized in that: described feed flow pipeline section one end is that single head is moulded pin, be provided with the matching taper joint between one end of the other end of feed flow pipeline section and porous tube section, described feed flow pipeline section is provided with flow control valve, the other end of described porous tube section links into an integrated entity by an end of anchor tip and drain pipeline section, and the other end of drain pipeline section is provided with the tapering joint.
2. the subcutaneous irrigation drainage tube of the combination type that two-way circulates according to claim 1 is characterized in that: described feed flow pipeline section, porous tube section, drain pipeline section are flexible hose.
3. the subcutaneous irrigation drainage tube of the combination type that two-way circulates according to claim 1 is characterized in that: described single head is moulded pin, two tapering joints, anchor tip materials are ABS; Flow control valve is PP; Antipriming pipe is PU.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2013101360122A CN103212129A (en) | 2013-04-19 | 2013-04-19 | Bi-directional circulating combined-type subcutaneous washing drainage tube |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2013101360122A CN103212129A (en) | 2013-04-19 | 2013-04-19 | Bi-directional circulating combined-type subcutaneous washing drainage tube |
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| CN103212129A true CN103212129A (en) | 2013-07-24 |
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| CN2013101360122A Pending CN103212129A (en) | 2013-04-19 | 2013-04-19 | Bi-directional circulating combined-type subcutaneous washing drainage tube |
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2798954Y (en) * | 2005-06-09 | 2006-07-26 | 广元市四一零医院 | Enclosed type two-tube thorax lavage drainage device |
| CN201631763U (en) * | 2010-03-04 | 2010-11-17 | 杨佐明 | Irrigating tube |
| CN201921286U (en) * | 2010-12-30 | 2011-08-10 | 雷林革 | Sealed negative-pressure bidirectional drainage tube |
| CN202459528U (en) * | 2012-02-09 | 2012-10-03 | 杨佐明 | Automatic control pulse type lavage pipe |
| CN203235071U (en) * | 2013-04-19 | 2013-10-16 | 郑州迪奥医学技术有限公司 | Double-direction-circulating combined subcutaneous flushing drainage tube |
-
2013
- 2013-04-19 CN CN2013101360122A patent/CN103212129A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2798954Y (en) * | 2005-06-09 | 2006-07-26 | 广元市四一零医院 | Enclosed type two-tube thorax lavage drainage device |
| CN201631763U (en) * | 2010-03-04 | 2010-11-17 | 杨佐明 | Irrigating tube |
| CN201921286U (en) * | 2010-12-30 | 2011-08-10 | 雷林革 | Sealed negative-pressure bidirectional drainage tube |
| CN202459528U (en) * | 2012-02-09 | 2012-10-03 | 杨佐明 | Automatic control pulse type lavage pipe |
| CN203235071U (en) * | 2013-04-19 | 2013-10-16 | 郑州迪奥医学技术有限公司 | Double-direction-circulating combined subcutaneous flushing drainage tube |
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Application publication date: 20130724 |