A kind of medical treatment anesthesia is entered formula tracheal intubation with climing
Technical field
The invention belongs to medical anaesthesia technology field, particularly relate to mankind's anesthesia for inserting endotracheal tracheal intubation.
Technical background
The tracheal intubation of using at present, is all plastic productions, is fixing cast, flexible, can not bounce back.
When being applied to general anesthesia and promptly rescuing, tracheal intubation sets up the situations such as artificial airway, the technical staff that must be Anaesthesia speciality technical staff or process Special Training could correctly use, also will be under the laryngoscope that has light source be auxiliary, patient lies on the back, head is swung back, pass through oral cavity, eyes direct-view sees that air pipe inlet is glottis, inserts tracheal intubation in trachea.
But the factors such as part patient's mouth opening is too little, glottis position is too high, head layback is limited, the obvious prolapse of front tooth, are used under the direct-view of laryngoscope eyes, still can't see glottis, and glottis difficult exposure patient, has been difficult to trachea built-in pipe.This kind of situation, Anaesthesia speciality technical staff uses optical wand class apparatus, can complete comparatively smoothly tracheal intubation and insert in trachea.Branchofiberoscope can complete all difficulties situation trachea built-in pipe, but because of expensive, must be that the technical staff of professional training could correctly use.
Electric video laryngoscope is to settle visual probe at laryngoscope front end, is connected with external screen, by watching external screen to adjust laryngoscope, observes glottis position, completes trachea built-in pipe.But because visiting camera lens, easily by vapor adhesion in respiratory tract, caused the reasons such as screen is fuzzy, tracheal intubation traveling is inaccurate, expensive, can not extensive use.
In a word, under present condition, complete in time, smoothly tracheal intubation operation, must possess Anaesthesia speciality personnel and necessary auxiliary facilities just can complete simultaneously at the scene.Therefore, during first aid, set up reliable airway, must wait for that anesthesia personnel carries relevant device and arrives, easily lose the Best Times of successful rescue.
Summary of the invention
Trachea built-in pipe is subject to personnel and device-restrictive problem when solving the limited and first aid of trachea built-in pipe equipment, provides a kind of and inserts without auxiliary facilities, the trachea that just can complete trachea built-in pipe without Anaesthesia speciality training, general curative personnel.
In order to solve technical problem to be solved by this invention, design a kind of medical treatment anesthesia and enter formula tracheal intubation with climing, it is characterized in that: comprise oropharynx pipe, climingly enter formula pipe, serpentine pipe, climingly enter the gas tube of formula tube airbag, the gas tube of glossopharyngeum air bag, climingly enter formula tube airbag, glossopharyngeum air bag, the gas tube of serpentine pipe, pressure-control valve; Described oropharynx pipe is positioned at this climing leading portion that enters formula tracheal intubation; Described climingly enter formula pipe and be positioned at this climing back segment that enters formula tracheal intubation, and oropharynx pipe and climingly enter formula pipe and join end to end; In the described climing tube wall that enters the gas tube of formula tube airbag and the gas tube insert port pharyngeal canal of serpentine pipe; Described serpentine pipe is arranged in and climingly enters in formula tube wall, and in serpentine pipe, is provided with pressure-control valve; The gas tube of described glossopharyngeum air bag is directly connected with glossopharyngeum air bag; Described climingly enter formula tube airbag and be located at the climing formula pipe end that enters; Described glossopharyngeum air bag is arranged at the end of oropharynx pipe.
The described climing gas tube 9 that enters the gas tube 3 of formula tube airbag, the gas tube 5 of glossopharyngeum air bag and serpentine pipe is all provided with charging valve 6 in outer end.
The internal ventilation pipeline of described oropharynx pipe 2 adopts tubulose, and collar extension can closely be connected with standard respiratory organ.
The described climing radian entering after formula pipe full extension is identical with oropharynx pipe 1 radian, and arc length is to glottis; For keep straight on pipe, enter trachea, be shorter than trachea length thereafter.
Described serpentine pipe 2 is to be positioned at climingly to enter formula tube wall 4 around climingly entering formula pipe, along its major axis single tube spiral close-packed arrays.
Describedly climingly enter formula pipe, climingly enter the gas tube 3 of formula tube airbag, the making material of serpentine pipe 2, meet airtight, waterproofly, bear 2000 kPas of tension force, softness is plastotype arbitrarily.
Open when the pressure of described pressure-control valve 10 reaches 60 centimeter water column, not enough this pressure keeps closing; Climing enter formula pipe and launch after, along its tube wall major axis, at interval of 0.5 centimetre, serpentine pipe 2 is interior arranges a pressure-control valve 10, described glossopharyngeum air bag 8, after inflation, expand and protrude from oropharynx pipe 1 outer wall and be greater than 1 centimetre in front side.
Described climing enter formula tube airbag 7 far-ends be positioned at climingly enter formula pipe end 1 centimeters, along climingly entering formula pipe range axle 2 centimetres~3 centimeter length, around evenly expand, 5 milliliters~10 milliliters of capacity.
Described glossopharyngeum air bag 8, climingly enter formula tube airbag 7, serpentine pipe 2 is negative pressure state before use, serpentine pipe 2 will reach and under negative pressure state, make climingly to enter formula pipe and be retracted in oropharynx pipe 1 front end with minimum volume.
The invention has the beneficial effects as follows:
The present invention is that the inflation serpentine pipe of take in tracheal intubation wall is skeleton and power, makes softness, retractable tracheal intubation after serpentine pipe inflation, keeps tubulose form, and moves forward with climing formula motion mode, oneself enters the device of trachea.Climingly enter formula tracheal intubation and insert trachea, have simple, convenient, reliable advantage, without auxiliary facilities, non-professional healthcare givers also can complete the operation of trachea built-in pipe smoothly, not limited by airway conditions, equipment, personnel, can be widely used in the first aid of anesthesia and respiratory arrest.
While utilizing the present invention to carry out trachea built-in pipe, do not need auxiliary facilities just can complete smoothly, comprise glottis difficult exposure patient's the pipe of putting; Urgent rescue while needing trachea built-in pipe, does not have the general curative personnel of Special Training, uses the present invention can complete in time, smoothly trachea built-in pipe yet, carries out in time effective artificial respiration, for effective treatment is raced against time.
Accompanying drawing explanation
Below in conjunction with accompanying drawing and the specific embodiment, the invention will be further described.
Fig. 1 is climing inlet pipe retraction structure schematic diagram of the present invention.
Fig. 2 is climing inlet pipe deployed configuration schematic diagram of the present invention.
1-oropharynx pipe in figure, 2-serpentine pipe, 3-be climing enters that gas tube, the 4-of formula tube airbag is climing enters that formula tube wall, the gas tube of 5-glossopharyngeum air bag, 6-charging valve, 7-are climing enters formula tube airbag, 8-glossopharyngeum air bag, the gas tube of 9-serpentine pipe, 10-pressure-control valve.
The specific embodiment
Work process of the present invention is such: dispatch from the factory product or use before, as shown in Figure 1, glossopharyngeum air bag 8, climingly enter formula tube airbag 7, serpentine pipe 2 is negative pressure state, serpentine pipe 2 negative pressure make climingly to enter formula pipe and be retracted in oropharynx pipe 1 front end with minimum volume.During use, hand-held oropharynx pipe 1 external tapping end, inserts patient through patient's mouth oropharynx pipe front end pharyngeal, and as shown in Figure 2, through 5~10 milliliters of charging valve 6 inflations, glossopharyngeum air bag 8 gassies, make patient's root of the tongue and epiglottis reach.The charging valve 6 of hanging oneself is afterwards inflated, and the blowing pressure is controlled in 70~100 centimeter water columns, cannot be greater than 100 centimeter water columns.Serpentine pipe 2 is under pressure-control valve 10 effects, and segmentation is inflated forward; Along with gas continues to be charged into, serpentine pipe 2 continues forward to stretch, and climingly enters formula pipe and continues to move forward along the radian of making in advance.Pressure in serpentine pipe 2 can keep having expanded, and climing form and the walking radian that enters formula pipe can make again its choice direction that moves ahead have natural active, through glottis, enters trachea.Climingly enter after formula pipe full extension, serpentine pipe 2 internal pressures maintain 500~1000 kPas, to keep the climing tubular state of formula of entering.Finally by 3~5 milliliters of charging valve 6 injecting gas, airtight trachea and the climing space of entering between formula pipe, guarantee air flue seal.External tapping connects respiratory organ, can carry out Artificial Control breathing.Described parts are non-toxic material and make.Oropharynx pipe 2 adopts oropharyngeal airway shape and the length of application at present, and internal ventilation pipeline adopts tubulose, and collar extension can closely be connected with standard respiratory organ.