CN104921774B - A kind of Liver Trauma pressure type hemostasis device - Google Patents
A kind of Liver Trauma pressure type hemostasis device Download PDFInfo
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Abstract
The invention belongs to medical instruments field, a kind of Liver Trauma pressure type hemostasis device is disclosed, main body is body, and body is made up of diaphragmatic surface layer and visceral surface layer, and junction is body edge；At least three position lines and at least one restraint zone are fixed with body, described position line includes free segment and pull section again；Wherein the first position line end point is fixed on edge outside；Second position line and the 3rd position line pull section end points are distributed in body edge inner side, the pull section of the second position line inclines fixation laterally along diaphragmatic surface 5 °~15 ° of tangent line of layer, and the 3rd position line pull section inclines fixation laterally along diaphragmatic surface 5 °~15 ° of tangential direction of layer；Described restraint zone is circumferentially fixed along body, wherein the first restraint zone is located at body pars intermedia.Beneficial effects of the present invention have, it is to avoid liver is too dissociated, operation wound is reduced, while uniform Compressive Hemostasis can be played persistently.
Description
Technical field
The invention belongs to technical field of medical instruments, and in particular to a kind of Liver Trauma pressure type hemostasis device.
Background technology
Liver is substantial viscera maximum in human body, and Liver Trauma accounts for 20% of trauma of abdomen or so, is more typical belly
Damage, the 6 grades of stagings of (AAST) to hepar damnification are learned according to traumatology department of the U.S., more than III grade of damage is serious liver
Wound, up to more than 50%, its death rate is up to 80%-90% to its death rate during injury of inferior vena cava after merging vena hepatica or liver.
The most thoroughly treatment method is excision impaired hepatic segments or lobe of the liver to Liver Trauma, after being avoided to greatest extent while effectively hemostasis
The complication such as infection, courage leakage that the phase is likely to occur.But severe hepatic trauma often merges other visceral organ injuries, or even low body occurs
The pathophysiological changes such as temperature, acid poisoning and coagulation disorders, cause vital sign unstable, and damage location is uncertain in addition
Property, a phase hepatectomy is often difficult to carry out.Especially under basic hospital or condition of battlefield, more feasible method is that the surface of a wound is entered
Row debridement, to using gauze or bandage hemostasis by compression after obvious blood vessel and the ligation suture of the biliary tract broken ends of fractured bone, and be transferred quickly to
The hospital of condition carries out successive treatment, but due to coagulation disorders under the conditions of severe trauma, the treated liver surface of a wound is still
Lasting oozing of blood is possible to, gauze and the bandage displacement oppressed during being sent after transhipment, massive haemorrhage is dead again may to cause the wounded.
The method fixed with liver week desmorrhaphy using the mesh sheet parcel liver surface of a wound is to generally acknowledge to play preferably at present
One of method of Compressive Hemostasis.Publish《Mesh sheet parcel operative treatment severe hepatic trauma 23》（《It is Chinese common outer
Scientific literature》, the 2nd phase of volume 6, in April, 2012）In disclose the use of mesh sheet pack, generally by foursquare mesh sheet root
Suitable shape is pruned according to damage location and scope, " u "-shaped mesh sheet is first wrapped up into left liver, after liver is fixed in the upper end of mesh sheet facies posterior hepatis
Diaphram below inferior caval vein left side, proximal part 1/3 sutures the diaphram being fixed on the left of inferior caval vein, distal end 2/3 after left liver
It is fixed on posterior peritoneum；" U " type mesh sheet other end is fixed with inferior caval vein left side side's diaphram on the upper side, and diaphragmatic surface is justified with falciform ligament, liver
Ligament polypropylene linear slit is closed to be fixed, and visceral surface cuts camber and bypasses porta hepatis.When right liver is wrapped up, the mesh sheet after cutting is fixed
Net is made in right liver surrounding ligaments and peritonaeum, inferior caval vein lower right-hand side after liver is fixed in the suture of right liver rear proximal part 1/3
Diaphram, is not fixed after right liver at a distant place 1/2~2/3；It is right that mesh sheet suture is fixed on liver top inferior caval vein by right liver front upper place
Side top diaphram, the left side mesh sheet edge that diaphragmatic surface polypropylene line is fixed at falciform ligament.
Mesh sheet pack fixes mesh sheet and reaches the effect of hemostasis by compression by many places, but has problems with：（1）Mesh sheet bag
Pack needs out after abdomen, it is necessary to while one group of healthcare givers stops blooding, another group of healthcare givers enters according to damage location to mesh sheet
Row cuts, and increases operating time, wastes resource in art；（2）Need fully to dissociate liver in art, many places suture is so as to solid
Determine mesh sheet, reduce procedure efficiency, increase art risk；（3）" being cut out in art " and suture operation have larger randomness, objective
On to be likely to result in parcel " mismatch " and pressure uneven, and cut whether whether suitable and fixation is actually subjected to operative doctor warp
The limitation tested, operates relative complex, human factor easily to influence the effect of hemostasis by compression.
The content of the invention
It is an object of the invention to overcome the deficiencies in the prior art, there is provided one kind can be avoided too dissociating liver, subtracted
Few operation wound, while the hemostasia sleeve of uniform Compressive Hemostasis can be played persistently.
In order to realize foregoing invention purpose, the invention provides a kind of Liver Trauma adding pressure type hemostasis right side set, main body is set
Body, at body opening be running-on, body by curved surface diaphragmatic surface layer and plane visceral surface layer constitute, visceral surface layer and diaphragmatic surface layer junction
It is the edge of body；At least three position lines and at least one are along the circumferentially fixed restraint zone of body pars intermedia on body；
Wherein the first position line is made up of a fixed endpoint and free segment, and fixed endpoint is located at edge outside；
The free segment of second position line and the 3rd position line respectively by pull section and positioned at pull section both sides is constituted, described
Pull one end points of section is located at edge inner side, and another end points is along diaphragmatic surface layer（5 °~15 ° of tangent line inclined projecting direction laterally
It is fixed on body.
Preferably, described diaphragmatic surface layer cross section is arch.
Preferably, described visceral surface layer is incomplete ellipse, and the end points of the first position line is fixed on oval rim
Outside, near running-on, its end points forms angle theta with the short axle of ellipse1It is 30 ° ± 5 °, the second position line and the 3rd position line
The end points of pull section on the inside of oval rim, the pull broken ends of fractured bone point of the second position line and transverse angle theta2It is 30 ° ± 5 °,
The end points of the 3rd position line and transverse angle theta3It is 60 ° ± 5 °.
Described incomplete ellipse, can be the ellipse more than 1/2 formed after being cut parallel to short axle, or along short
The irregular ellipse more than 1/2nd that axle is formed after the direction cutting less than 45 °, for irregular ellipse, with ellipse
On the basis of shape major axis, arc length of the arc length more than inner side on the outside of ellipse.
Described position line is used to fix body, makes body be difficult to be come off from smooth liver surface, and pull section is along diaphragmatic surface
When the angle of layer tangent line ensure that free segment is fixed on liver surface, the position line that pull section is constituted with free segment can be formed
One plane, when the second position line pull section with diaphragmatic surface layer tangent line angle in the range of 5 °~15 °, the 3rd position line pull section with
In 5 °~15 ° of scopes, position line can reach the effect of fixed body to diaphragmatic surface layer tangent line angle, it is preferred that the second position line
Pull section and diaphragmatic surface layer tangent line angle be 10 °, the pull of the 3rd position line section is when being 10 ° with the angle of diaphragmatic surface layer tangent line, energy
Enough reach preferable effect.
, for tightening up body in the length and art that adjust position line, the formation of pull section can for the pull section of described position line
Reached with by various conventional fastening positioning means, for example, be available for the interspersed slideway of position line in set volume surrounding sewing, preferably
Be by position line with plain, back stitching method of sewing be sewn on the diaphragmatic surface of body layer on, sewing unit be divided into pull section, stretching two ends from
Sleeve body portion as where section can make pull section is tightened up.
When described position line is more than three, position line can uniformly divide according to the position of the second position line, the 3rd position line
Cloth, because liver size varies with each individual, can select in art with position line by doctor more, show that more appropriate position line is used
To position.
It is preferred that described visceral surface layer has V-notch in running-on side.
It is preferred that body is double-decker, internal layer is hemostasis material layer.
Described pull segment length line length is conducive to matching somebody with somebody for that between 4cm~12cm, can reach the effect that regulation positions line length
Close free segment and a plane fastening body is formed in art.
When described restraint zone is more than three, remaining restraint zone can be uniformly distributed in body week in the first restraint zone both sides
On face.Restraint zone is used for hemostasis by compression, and a plurality of restraint zone can be conducive to doctor according to the injured position selection compressing of liver
Restraint zone.Preferably, restraint zone is three.
Present invention also offers a kind of Liver Trauma adding pressure type hemostasis left side set, main body is body, body by curved surface diaphragmatic surface
The visceral surface layer composition of layer and plane, visceral surface layer and diaphragmatic surface layer junction are the edge of body, are running-on at body opening；On body
At least two position lines and at least one restraint zone for being fixed on running-on circumference；
Wherein the 4th position line is made up of a fixed endpoint and free segment, and fixed endpoint is located at edge outside near set
Mouthful；
Free segment of 5th position line respectively by pull section and positioned at pull section both sides is constituted, described one end of pull section
Point is located at edge inner side, and another end points is fixed on body along diaphragmatic surface layer 5 °~15 ° inclined projecting direction in inside side of tangent line.
Described visceral surface layer is incomplete ellipse, and diaphragmatic surface layer cross section is arch；It is more long on the basis of transverse
Side is edge outside.Preferably, described position line is three, and restraint zone is three, wherein the 4th position line end point is fixed
In oval rim outside, near running-on, angle γ is formed with oval short axle1It is 20 ° ± 5 °, the 5th position line pull section one
End points is fixed on oval rim inner side, with transverse angle γ2It is 60 ° ± 5 °, the 6th position line pull section one end solid point
Due to oval rim outside, with oval major axis angle γ3It is 45 ° ± 5 °；The 5th restraint zone in described restraint zone and
6th restraint zone respectively uniformly with body side face on.6th position line pull section pull section is along visceral surface 10 °~20 ° of tangential direction of layer
It is outward-dipping；The 5th restraint zone in described restraint zone and the 6th restraint zone respectively uniformly with body liver section outer rim on.
Each orientation of Liver Trauma adding pressure type hemostasis right side set is defined according to the position of liver, described body diaphragmatic surface layer correspondence
The diaphragmatic surface of liver, the visceral surface of the corresponding liver of described body visceral surface layer, the running-on of right side set is left towards the left side for being defined as body
The running-on direction of side set is defined as the outside that the right side of body, liver or so two leaf surface directions are defined as body.
The described left side set left liver outer lobe of correspondence, described right side set correspondence right liver and left liver inner lobe.
Described circumference is the body periphery formed perpendicular to visceral surface layer.
Described edge is that diaphragmatic surface layer and visceral surface layer sew the regular boundary line formed after connection.
Overall structure of the present invention is body, and shape is close with liver shape, laminating liver can be fitted over, to liver
Stop blooding at injury, remove the process cut out from；Position line on body by sutures at position such as free segment and liver ligaments and
Pull section fixes body to the regulation of body, and angle of the pull section on jacket surface makes close to the curvature of liver or so leaf
Position line forms a tangent plane for stabilization in use, makes the body liver surface smooth on surface difficult for drop-off；Fastening
Band can strengthen the compressing to liver, reach the effect of firm hemostasis.
Beneficial effects of the present invention have, it is to avoid liver is too dissociated, operation wound is reduced, while can persistently play
Even Compressive Hemostasis.
Brief description of the drawings
Fig. 1 is the structural representation of Liver Trauma hemostasis right side set of the present invention；
Fig. 2 is Liver Trauma of the present invention hemostasis right side set visceral surface upward view；
Fig. 3 is the left view of Liver Trauma hemostasis right side set of the present invention；
Fig. 4 is diaphragmatic surface structural representation when Liver Trauma hemostasis right side set of the present invention is used；
Fig. 5 is visceral surface structural representation when Liver Trauma hemostasis right side set of the present invention is used；
Fig. 6 is the structural representation of Liver Trauma hemostasis left side set of the present invention；
Fig. 7 is Liver Trauma of the present invention hemostasis left side set visceral surface upward view；
Fig. 8 is the right view of Liver Trauma hemostasis left side set of the present invention；
Fig. 9 is diaphragmatic surface structural representation when Liver Trauma hemostasis left side set of the present invention is used；
Figure 10 is visceral surface structural representation when Liver Trauma hemostasis left side set of the present invention is used.
Wherein：1- body 11- diaphragmatic surfaces layer 12- visceral surface layers
2- running-on 3- edges 4- position lines
The position lines of 41- the first position line the second position lines of 42- 43- the 3rd
Six position lines of the position line 46- of the 4th position line 45- of 44- the 5th ground
5- restraint zones 51- the first restraint zone the second restraint zones of 52-
The restraint zones of the 3rd the 4th restraint zone 55- of restraint zone 54- of 53- the 5th
The restraint zone 6- breach 71- right triangular ligaments of 56- the 6th
72- does deltoid ligament 73- falciform ligament 74- hepatorenal ligaments
75- ligamentum hepatogastricum
The first position lines of the A- pull section position line of terminal B-the second pull section end points
The position line pull section end points of the position line pulls of C- the 3rd section end points D- the 4th
The position line pull section end points of the position line pulls of E- the 5th section end points F- the 6th
Specific embodiment
The present invention is described in further detail with reference to the accompanying drawings and examples, but implementation of the invention is not limited only to
This.
Embodiment 1：
As shown in Figures 1 to 3, a kind of Liver Trauma adding pressure type hemostasis right side set, generally body 1, body by curved surface diaphragmatic surface
The visceral surface layer 12 of layer 11 and plane is constituted, and diaphragmatic surface layer 12 constitutes the edge 3 of body, edge along the curved edge suture of visceral surface layer 11
3 is incomplete ellipse, does not suture side for running-on 2, and the cross section of body 1 is arch, set roughly the same with liver shape
Body can cover right liver and left liver inner lobe, there is the breach 6 of V-arrangement on the visceral surface of body, when right liver is entangled on right side, Hilar
Blood vessel and biliary tract can pass through body 1 by V-notch 6.Each orientation of the dry trauma hemostasis right side set of adding pressure type is absorbed according to liver
Dirty position definition, the diaphragmatic surface of the described correspondence liver of body diaphragmatic surface layer 11, the described correspondence liver of body visceral surface layer 12 it is dirty
Face, towards the left side for being defined as body, two leaf surface directions of liver or so are defined as the outside of body to the running-on 2 of right side set.By
Be primarily directed to the leaf of liver or so two in liver hemostasis, thus described visceral surface layer 12 the both sides length of oval rim line 3
Difference, the outside of correspondence body 1 in side more long, the body as edge line suture can wrap up liver lobus dexter, more meet
The shape of liver.
Body is double-decker, and outer layer is absorbable mesh sheet, and mesh sheet is the conventional absorbability of glycan amine-lactic acid complex 910
Mesh sheet, internal layer is absorbable hemostasia material.Three position lines 4 and a restraint zone 5 are fixed with body.Position line 4 is can
Suture is absorbed, by taking the second position line 42 as an example, is divided into pull section 421 and the two parts of free segment 422, set is fixed in pull section suture
On body 1, position line 4 is set to tighten up body, and adjust the length of position line；Free segment is used clinically for consolidating position line
The corresponding position of liver is scheduled on, makes body difficult for drop-off, reach the effect of fixed body.As shown in Fig. 2 the end of the first position line 41
Point A is located at the outside of body edge 3, the angle theta between running-on 2, the short axle of terminal A to visceral surface 12 ellipse of layer1It is 30 °, the
The other end of one position line 41 can freely activity；The pull of second position line 42 section end point B is located at the inner side of edge 3, terminal B to visceral surface
Angle theta between the major axis of 12 ellipse of layer2It is 30 °, α in Fig. 31Represent the angle of pull section and diaphragmatic surface tangential direction, pull section edge
Inclined projecting direction is fixed on body 1 10 ° of diaphragmatic surface tangential direction laterally；The pull of 3rd position line 43 section end point C
Angle theta between the inner side of edge 3, the major axis of end points C to visceral surface 12 ellipse of layer3It is 60 °, α in Fig. 32Represent pull section and diaphragmatic surface
The angle of tangential direction, pull section is in the 10 ° of inclined projecting direction fixations and body 1 laterally of diaphragmatic surface tangential direction.Pull
The angle that section is fixed on diaphragmatic surface is close with liver lobus dexter radian, and beneficial to the positioning of liver, described pull section is positioning sewer
One section on body, more fixed compared with free segment.Described fastening line 5 is absorbable strap, a width of 0.5cm, fastening
Band 5 is circumferentially fixed along body 1, and the first restraint zone 51 is located at body pars intermedia.Restraint zone 5 is used to fasten body, adjustment body with
The gap of liver, is conducive to liver to stop blooding.
Embodiment 2：
A kind of Liver Trauma adding pressure type hemostasis right side set as depicted, remaining has put three with embodiment 1, described right side
Bar position line 4 and three restraint zones 5, wherein the second restraint zone 52 and the 3rd restraint zone 53 are distributed in the first fastening 51 with both sides
On the side face of body 1.Three position lines 4 and three restraint zones 5 can reach optimal hemostasis fixed effect.Second position line 42
Pull section inclines fixation for 8 ° laterally along visceral surface tangent line, and the pull section of the 3rd position line 43 is solid along the 8 ° of inclinations laterally of visceral surface tangent line
It is fixed.
Embodiment 3：
A kind of Liver Trauma adding pressure type hemostasis left side set as depicted, generally body 1, body by curved surface diaphragmatic surface layer 11
Visceral surface layer 12 with plane is constituted, and visceral surface layer 12 is incomplete ellipse, and diaphragmatic surface layer 11 is stitched along the curved edge of visceral surface layer 12
The edge 3 for constituting body 1 is closed, is running-on 2 at opening, the cross section of body 1 is micro- arch, set roughly the same with liver shape
Body 1 can cover left liver outer lobe.Each orientation for absorbing the dry trauma hemostasis left side set of adding pressure type is defined according to the position of liver, institute
The diaphragmatic surface of the correspondence liver of body diaphragmatic surface layer 11 stated, the visceral surface of the corresponding liver of described body visceral surface layer 12, the running-on 2 of left side set
Towards the right side for being defined as body 1, two leaf surface directions of liver or so are defined as the outside of body.Due to the liver main pin of hemostasis
To be the leaf of liver or so two, therefore the oval rim line both sides length of described visceral surface layer 12 is different, side correspondence more long
The outside of body 1, the body as edge line suture can wrap up liver lobus sinister, more meet the shape of liver.
Body is double-decker, and outer layer is absorbable mesh sheet, and mesh sheet is the conventional absorbability of glycan amine-lactic acid complex 910
Mesh sheet, internal layer is absorbable hemostasia material.Two position lines 4 and 5 bands of fastening are fixed with body.Position line 4 is can
Suture is absorbed, is divided into pull section and free segment two parts,
Pull section is fixed on body 1, position line 4 is tightened up body 1, and free segment is used clinically for position line
The corresponding position of liver is fixed on, makes body difficult for drop-off, reach haemostatic effect.The end points of the pull section of position line 4 is distributed in
The both sides of body edge 3, as shown in fig. 7, the end points D of the 4th position line 44 is located at body edge outside, near running-on 2, end points D is to dirty
Angle γ between the short axle of the ellipse of surface layer 121It it is 20 °, the pull of the 5th position line 45 section end point E is located at edge inner side, end points
E to the angle γ between the major axis of visceral surface 12 ellipse of layer2It is 60 °, the β shown in Fig. 81Represent pull section and diaphragmatic surface tangential direction
Angle, pull section inwardly rolls oblique fixation for 10 ° along diaphragmatic surface tangential direction.Pull section is fixed on the angle and liver lobus sinister arc of diaphragmatic surface
Degree is close, beneficial to the positioning of liver.Described fastening line 5 is absorbable strap, and a width of 0.5cm, restraint zone 5 is circumferential along body 1
Fixed, the 4th tight 54 solid band is located at body running-on 2.Restraint zone 5 is used to fasten body, adjustment body and the gap of liver, has
Beneficial to liver hemostasis.
Embodiment 4
A kind of Liver Trauma adding pressure type hemostasis left side set as depicted, remaining has three with embodiment 3 on the body of left side set
Bar position line 4 and three restraint zones 6, wherein the pull of the 6th position line 46 section end point F is located at edge outside, end points F and visceral surface
Angle γ between the oval major axis of layer 123It it is 45 °, as shown in fig. 7, the β in Fig. 82Represent pull section along diaphragmatic surface tangent line with
The angle in running-on diaphragmatic surface portion, pull section inclines fixation, the pull section edge of the 5th position line 45 for 10 ° laterally along diaphragmatic surface tangential direction
Visceral surface tangent line β110 ° inwardly roll oblique fixation.The 5th described restraint zone 55 and the 6th tight 56 solid band are evenly distributed in respectively
On the body 1 on the right side of the 4th restraint zone 54.Three position lines 4 and three restraint zones 5, the haemostatic effect of beneficial liver.
Embodiment 5：
As shown in Figure 4,5, a kind of Liver Trauma adding pressure type hemostasis right side set, during Clinical practice, when Liver Trauma position position
When falciform ligament right side, debridement is carried out to the liver surface of a wound and the obvious blood vessel of suture and the biliary tract broken ends of fractured bone is ligatured, use gauze pressure
Compel the surface of a wound, liver right triangular ligament is simply dissociated, gall-bladder can be cut off if necessary, covered the right side using Liver Trauma hemostasis right side
Liver is inserted in, and the breach 6 on visceral surface 12 is used to avoid Hilar blood vessel and biliary tract, and the free segment of position line 4 is tough with liver respectively
Band is connected, wherein the first 41 line two ends of positioning connect ligamentum teres hepatis and the outside of hepatorenal ligament 74, the two ends of the second position line 42 respectively
The midpoint of falciform ligament 73 and the midpoint of hepatorenal ligament 74 are connected respectively, and the two ends of the 3rd position line 43 connect falciform ligament 73 with the right side respectively
The intersection point of deltoid ligament 71 and the inner side of hepatorenal ligament 74.According to Liver Trauma position, tight first restraint zone 51, the second restraint zone are taken out
52nd, the 3rd restraint zone 53, is ligatured in liver outer rim respectively, plays contention effect, and restraint zone can be ligatured all, can also be ligatured wherein
2-3, depending on damaged portion and scope.
Embodiment 6：
As shown in Fig. 9,10, a kind of Liver Trauma adding pressure type hemostasis left side set, when Liver Trauma position is located at falciform ligament left side
When, debridement is carried out to the liver surface of a wound and the obvious blood vessel of suture and the biliary tract broken ends of fractured bone is ligatured, it is left to liver using the gauze pressing surface of a wound
Deltoid ligament is simply dissociated, and be inserted in for left liver by use left side hemostasia sleeve, by the 4th position line 44, the 5th position line 45, the
Six position lines 46, by the free segment of position line respectively with liver desmorrhaphy, wherein the two ends of the 4th position line 44 connect liver respectively
Ligamentum teres and the inner side of ligamentum hepatogastricum 75, the 5th position line 45 connect intersection point of the falciform ligament 73 with left triangular ligament 72 and liver respectively
The outside of stomach ligament 75, plays a part of fixed hemostasia sleeve.According to Liver Trauma position, tight 4th restraint zone 54, the 5th restraint zone are taken out
55th, the 6th restraint zone 56, is ligatured in liver outer rim respectively, plays contention effect, and restraint zone 5 can be ligatured all, can also ligature it
In 2-3, depending on damaged portion and scope.
Embodiment 7：
A kind of Liver Trauma pressure type hemostasis device, including Liver Trauma adding pressure type hemostasis right side set, the main body of right side set is set
Body 1, is running-on 2 at body opening, and body 1 12 is made up of the diaphragmatic surface layer 11 of curved surface and the visceral surface layer of plane, visceral surface layer 12 and diaphragm
The junction of surface layer 11 is the edge 3 of body；At least three position lines 4 and at least one are along the pars intermedia circumference of body 1 on body 1
Fixed restraint zone 5；Wherein the first position line 41 is made up of a fixed endpoint and free segment, and fixed endpoint is located at edge 3
Outside；The free segment of second position line 42 and the 3rd position line 43 respectively by pull section and positioned at pull section both sides is constituted, described
Pull one end points of section be located at the inner side of edge 3, another end points is along 15 ° of 11 tangent line of diaphragmatic surface layer inclined projecting direction laterally
It is fixed on body 1；
Also include Liver Trauma adding pressure type hemostasis left side set, left side set main body be body 1, body by curved surface diaphragmatic surface layer 11
Visceral surface layer 12 with plane is constituted, and visceral surface layer 12 and diaphragmatic surface 11 junction of layer are the edge 3 of body, are running-on 2 at body opening；
At least two position lines 4 and at least one restraint zone 5 for being fixed on running-on circumference on body 1；Wherein the 4th position line 44
It is made up of a fixed endpoint and free segment, and fixed endpoint is located at the outside of edge 3 near running-on 2；5th position line 45 is distinguished
Free segment by pull section and positioned at pull section both sides is constituted, and described pull one end points of section is located at the inner side of edge 3, another
End points is fixed on body 1 along the diaphragmatic surface layer inside inclined projecting direction in side of 15 ° of 11 tangent line.
When Liver Trauma position is located at liver both sides, while use right side set and left side set.
Below the preferred embodiment to the invention is illustrated, but the invention be not limited to it is described
Embodiment, those of ordinary skill in the art can also make a variety of equivalent on the premise of without prejudice to the invention spirit
Modification or replacement, these equivalent modifications or replacement are all contained in the application claim limited range.
Claims (11)
1. a kind of Liver Trauma adding pressure type hemostasis right side covers, it is characterised in that main body is body (1), is running-on at body opening
(2), body (1) is made up of diaphragmatic surface layer (11) of curved surface and visceral surface layer (12) of plane, and visceral surface layer (12) and diaphragmatic surface layer (11) are even
It is the edge (3) of body to meet place；At least three position lines (4) and at least one are along body (1) pars intermedia circumference on body (1)
Fixed restraint zone (5)；
Wherein the first position line (41) is made up of a fixed endpoint and free segment, and fixed endpoint is located at edge (3) outside；
The free segment of second position line (42) and the 3rd position line (43) respectively by pull section and positioned at pull section both sides is constituted, institute
Pull one end points of section stated is located at edge (3) inner side, and another end points is inclined laterally along diaphragmatic surface 5 °~15 ° of (11) tangent line of layer
Projecting direction be fixed on body (1).
2. Liver Trauma adding pressure type hemostasis right side according to claim 1 covers, it is characterised in that described diaphragmatic surface layer (11) is horizontal
Section is arch.
3. Liver Trauma adding pressure type according to claim 1 hemostasis right side set, it is characterised in that described visceral surface layer (12) is
Incomplete ellipse, described the first position line (41) end points is fixed on oval rim (3) outside, is close to running-on (2), with
Oval short axle forms angle theta1It is 30 ° ± 5 °；Pull section one end end points of the second position line (42) and the 3rd position line (43)
In oval rim (3) inner side, end points and the transverse angle theta of the second position line (42)2It is 30 ° ± 5 °；3rd position line
(43) end points and transverse angle theta3It is 60 ° ± 5 °.
4. Liver Trauma adding pressure type hemostasis right side according to claim 1 covers, it is characterised in that described visceral surface layer (12) exists
There is V-notch (6) running-on side.
5. Liver Trauma adding pressure type hemostasis right side according to claim 1 is covered, it is characterised in that described body is tied for double-deck
Structure, internal layer is hemostasis material layer.
6. Liver Trauma adding pressure type hemostasis right side according to claim 1 covers, it is characterised in that the second described position line
(42) it is 10 ° along the angle of diaphragmatic surface layer (11) tangent line；The 3rd described position line (43) along diaphragmatic surface layer (11) tangent line angle be
10°。
7. the Liver Trauma adding pressure type hemostasis right side according to any one of claim 1~6 covers, it is characterised in that described takes out
Drawing segment length is 8cm ± 4cm.
8. the Liver Trauma adding pressure type hemostasis right side according to any one of claim 1~6 covers, it is characterised in that described fastening
Band (5) is three, and remaining two restraint zone (5) is uniformly distributed in body circumference positioned at the first restraint zone (51) both sides.
9. a kind of Liver Trauma adding pressure type hemostasis left side set, it is characterised in that main body is body (1), body by curved surface diaphragmatic surface layer
(11) and plane visceral surface layer (12) composition, visceral surface layer (12) and diaphragmatic surface layer (11) junction be body edge (3), body is opened
It is running-on (2) at mouthful；At least two position lines (4) and at least one restraint zone for being fixed on running-on circumference on body (1)
(5)；
Wherein the 4th position line (44) is made up of a fixed endpoint and free segment, and fixed endpoint is located at edge (3) outside and leans on
Nearly running-on (2)；
Free segment of 5th position line (45) respectively by pull section and positioned at pull section both sides is constituted, described one end of pull section
Point is located at edge (3) inner side, and another end points is fixed on along diaphragmatic surface layer 5 °~15 ° inclined projecting direction in inside side of (11) tangent line
On body (1).
10. Liver Trauma adding pressure type hemostasis left side according to claim 9 covers, it is characterised in that described visceral surface layer (12)
It is incomplete ellipse, diaphragmatic surface layer (11) cross section is arch；The 4th described position line (44) end point is fixed on ellipse
Shape edge (3) outside, near running-on (2), its end points forms angle γ with the short axle of ellipse1It is 20 ° ± 5 °；5th position line
(45) pull section end point is fixed on oval rim (3) inner side, its end points and transverse angle γ2It is 60 ° ± 5 °；6th
Position line (46) is divided into pull section and free segment, and pull section end point is fixed on oval rim (3) outside, its end points and ellipse
Shape major axis angle γ3It it is 45 ° ± 5 °, the 6th position line (46) another end points is outward-dipping along diaphragmatic surface 10 °~20 ° of (11) tangent line of layer
Projecting direction be fixed on body (1)；The 5th restraint zone (55) and the 6th restraint zone (56) in described restraint zone are respectively
It is distributed in body (1) circumference.
11. a kind of Liver Trauma pressure type hemostasis devices, it is characterised in that including the Liver Trauma described in any one of claim 1~8
Adding pressure type hemostasis right side set, also including Liver Trauma adding pressure type hemostasis left side set, the main body of left side set is body (1), and body is by song
Diaphragmatic surface layer (11) in face and visceral surface layer (12) composition of plane, visceral surface layer (12) and diaphragmatic surface layer (11) junction are the edge of body
(3) it is, running-on (2) at body opening；At least two position lines (4) and at least one are fixed on running-on week on body (1)
To restraint zone (5)；
Wherein the 4th position line (44) is made up of a fixed endpoint and free segment, and fixed endpoint is located at edge (3) outside and leans on
Nearly running-on (2)；
Free segment of 5th position line (45) respectively by pull section and positioned at pull section both sides is constituted, described one end of pull section
Point is located at edge (3) inner side, and another end points is fixed on along diaphragmatic surface layer 5 °~15 ° inclined projecting direction in inside side of (11) tangent line
On body (1).
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| CN201410103703.7A CN104921774B (en) | 2014-03-19 | 2014-03-19 | A kind of Liver Trauma pressure type hemostasis device |
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| CN201410103703.7A CN104921774B (en) | 2014-03-19 | 2014-03-19 | A kind of Liver Trauma pressure type hemostasis device |
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| CN104921774B true CN104921774B (en) | 2017-06-06 |
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| CN108420476B (en) * | 2017-02-15 | 2023-09-22 | 李楠 | Liver wound hemostatic stitching instrument |
| WO2019178691A1 (en) * | 2018-03-23 | 2019-09-26 | Unity Health Toronto | Device, method, and kit for perihepatic packing |
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| CN2712286Y (en) * | 2004-07-05 | 2005-07-27 | 王长芹 | Compression hemostasis device on puncture point after heart intervene surgery |
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| CN203852392U (en) * | 2014-03-19 | 2014-10-01 | 中国人民解放军第二军医大学 | Pressurization type liver injury hemostasis sleeve |
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| US5057117A (en) * | 1989-04-27 | 1991-10-15 | The Research Foundation Of State University Of New York | Method and apparatus for hemostasis and compartmentalization of a bleeding internal bodily organ |
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| CN2712286Y (en) * | 2004-07-05 | 2005-07-27 | 王长芹 | Compression hemostasis device on puncture point after heart intervene surgery |
| CN101431970A (en) * | 2004-07-08 | 2009-05-13 | 詹姆士·V·西茨曼 | Hemostatic device and methods |
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