A kind of medical treatment anesthesia with climing enter formula tracheal intubation
Technical field
The invention belongs to technical field of medical anesthesia, particularly relating to mankind's anesthesia for inserting endotracheal tracheal intubation.
Technical background
The tracheal intubation of current use is all plastic productions, is fixing cast, flexible, can not bounce back.
The situations such as artificial airway are set up when tracheal intubation is applied to general anesthesia and urgent rescue, must be that Anaesthesia speciality technical staff or the technical staff's ability through Special Training are proper use of, also will under having the laryngoscope of light source auxiliary, patient lies on the back, head is swung back, pass through oral cavity, air pipe inlet and glottis are seen in eyes direct-view, and tracheal intubation is inserted tracheal strips.
But the factors such as some patients's mouth opening is too little, glottis position is too high, head layback is limited, the obvious prolapse of front tooth, under using the direct-view of laryngoscope eyes, still can't see glottis, i.e. glottis difficult exposure patient, have been difficult to trachea built-in pipe.This kind of situation, Anaesthesia speciality technical staff uses optical wand class apparatus, can complete tracheal intubation comparatively smoothly and insert tracheal strips.Branchofiberoscope can complete all difficulties situation trachea built-in pipe, but because of expensive, must be that the technical staff of professional training could be proper use of.
Electric video laryngoscope settles visual probe in laryngoscope front end, is connected with external screen, by watching external screen adjustment laryngoscope, observing glottis position, completing trachea built-in pipe.But easily caused the reasons such as screen is fuzzy, tracheal intubation traveling is inaccurate, expensive by vapor adhesion in respiratory tract because visiting camera lens, can not extensive use.
In a word, under present condition, tracheal intubation operation to be completed in time, smoothly, just can complete at the scene the while that Anaesthesia speciality personnel and necessary auxiliary facilities must being possessed.Therefore, set up reliable airway during first aid, must wait for that anesthesia personnel carries relevant device and arrives, easily lose the Best Times of successful rescue.
Summary of the invention
During in order to solve the limited and first aid of the built-in tube apparatus of trachea, trachea built-in pipe is by personnel and equipment restricted problem, provide a kind of without the need to auxiliary facilities, just can complete trachea built-in pipe without the need to Anaesthesia speciality training, general curative personnel trachea slotting.
In order to solve technical problem to be solved by this invention, a kind of medical treatment of design anesthesia with climing enter formula tracheal intubation, it is characterized in that: comprise oropharynx pipe, climing enter formula pipe, serpentine pipe, climing enter the gas tube of formula tube airbag, glossopharyngeum air bag gas tube, climing enter formula tube airbag, glossopharyngeum air bag, the gas tube of serpentine pipe, pressure-control valve; Described oropharynx pipe be positioned at this climing enter the leading portion of formula tracheal intubation; Described climing enter formula pipe be positioned at this climing enter the back segment of formula tracheal intubation, and oropharynx pipe and climing enter formula pipe join end to end; Described climing enter the gas tube of formula tube airbag and the gas tube insert port pharyngeal canal of serpentine pipe tube wall in; Described serpentine pipe be arranged in climing enter in formula tube wall, and in serpentine pipe, be provided with described pressure-control valve; The gas tube of described glossopharyngeum air bag is directly connected with glossopharyngeum air bag; Described climing enter formula tube airbag be located at climing enter formula pipe end; Described glossopharyngeum air bag is arranged at the end of oropharynx pipe.
Described climing enter radian after formula pipe full extension identical with oropharynx pipe radian, arc length is to glottis; Thereafter be pipe of keeping straight on, enter trachea, be shorter than air tubing length.
Described serpentine pipe be positioned at climing enter formula tube wall around climing enter formula pipe, along its major axis single tube spiral close-packed arrays.
The pressure of described pressure-control valve opens when reaching 60 centimeter water column, and this pressure not enough keeps closing; Climing enter after formula pipe launches, along its tube wall major axis at interval of 0.5 centimetre, arrange a pressure-control valve (10) in serpentine pipe (2), after described glossopharyngeum airbag aeration, expand and protrude from oropharynx pipe outer wall and be greater than 1 centimetre in front side.
Described glossopharyngeum air bag, climing enter formula tube airbag, serpentine pipe be negative pressure state before use, serpentine pipe make under will reaching negative pressure state climing enter formula pipe be retracted in oropharynx pipe front end with minimum volume.
The invention has the beneficial effects as follows:
The present invention be with the inflation serpentine pipe in tracheal intubation wall for skeleton and power, make softness, retractable tracheal intubation after serpentine pipe inflation, keep tube-like condition, and to move forward with climing formula motion mode, oneself enter the device of trachea.Climing enter formula tracheal intubation insert trachea, have simple, convenient, reliable advantage, without the need to auxiliary facilities, non-professional healthcare givers also can complete the operation of trachea built-in pipe smoothly, do not limit by airway conditions, equipment, personnel, the first aid of anesthesia and respiratory arrest can be widely used in.
When utilizing the present invention to carry out trachea built-in pipe, do not need auxiliary facilities just can complete smoothly, what comprise glottis difficult exposure patient puts pipe; When urgent rescue needs trachea built-in pipe, there is no the general curative personnel of Special Training, use the present invention can complete trachea built-in pipe in time, smoothly yet, carry out effective artificial respiration in time, for effective treatment is raced against time.
Accompanying drawing explanation
Below in conjunction with accompanying drawing and detailed description of the invention, 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-climing enter the gas tube of formula tube airbag, 4-climing enter formula tube wall, the gas tube of 5-glossopharyngeum air bag, 6-charging valve, 7-climing enter formula tube airbag, 8-glossopharyngeum air bag, the gas tube of 9-serpentine pipe, 10-pressure-control valve.
Detailed description of the invention
Work process of the present invention is such: dispatch from the factory product or before using, as shown in Figure 1, glossopharyngeum air bag 8, climing enter formula tube airbag 7, serpentine pipe 2 be negative pressure state, serpentine pipe 2 negative pressure make climing enter formula pipe 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, as shown in Figure 2, inflates 5 ~ 10 milliliters through charging valve 6, glossopharyngeum air bag 8 gassy, makes patient's root of the tongue and epiglottis reach.Charging valve 6 of hanging oneself afterwards is inflated, and the blowing pressure is controlled in 70 ~ 100 centimeter water columns, cannot be greater than 100 centimeter water columns.Serpentine pipe 2 pressure-control valve 10 act under, segmentation forward inflatable; Along with gas continues to be charged into, serpentine pipe 2 continues extending forwards, climing enter formula pipe and continue move forward along the radian made in advance.Pressure in serpentine pipe 2 can keep having expanded climing enter the form of formula pipe and walking radian its choice direction that moves ahead can be made again to have natural active, enter trachea through glottis.Climing enter after formula pipe full extension, in serpentine pipe 2, pressure maintains 500 ~ 1000 kPas, with keep climing enter the tubular state of formula.Finally by charging valve 6 injecting gas 3 ~ 5 milliliters, airtight trachea and climing enter space between formula pipe, ensure 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 at present application, and internal ventilation pipeline adopts tubulose, collar extension can with standard respiratory organ compact siro spinning technology.