CN1051676A

CN1051676A - Colon disease therapeutic divice

Info

Publication number: CN1051676A
Application number: CN 89108493
Authority: CN
Inventors: 王明璋
Original assignee: Individual
Current assignee: Individual
Priority date: 1989-11-14
Filing date: 1989-11-14
Publication date: 1991-05-29
Anticipated expiration: 2004-11-14
Also published as: CN1028351C

Abstract

A kind of colon disease therapeutic divice that utilizes the mucous membrane of colon function of human body self and develop, by dialysis apparatus, inject electromagnetic pump, discharge electromagnetic valve, analyse the liquid case, heater, pump control circuit system form, in therapeutic process, have no side effect, make the patient avoid the misery of performing the operation and being brought, do not cause infection because of implementation and operation.Not only renal failure there is significant curative effect, and to medicine, alimentary toxicosis, the acute frequency diarrheal of toxic severe diarrhea, cirrhotic ascites, ascites due to the heart, the kidney disease patient, abdomen are swollen etc., and disease has significant curative effect.Its armarium cost is low, is convenient to operation.

Description

Colon disease therapeutic divice

The technical field of the invention is a medical apparatus and instruments.Particularly developing the human colon mucosal function is that diseases such as clinical treatment renal failure have been opened up a new treatment approach.

Present books both domestic and external, data, Therapeutic Method all find no this kind medical apparatus and instruments for the treatment of multiple disease with the technical measures of same approach.There are following three kinds with the medical apparatus and instruments of its treatment renal failure is approximate with the proximate method of purpose: one, colonic dialysis; Two, peritoneal dialysis; Three, hemodialysis; Ask for an interview " acute renal " book that Shanghai science tech publishing house 1977 publishes, first Affiliated Hospital writes by Zhejiang Medical university, enumerated in the book should disease symptom and the structure of equipment needed thereby.

One, colonic dialysis. because that Dialysis tubing enters the degree of depth is not enough, only 30 centimetres, the dialysis fluid flow quantity not sufficient fails to set up effective dialysis system in enteric cavity circulation process, and disadvantages such as the anus place leaks are arranged simultaneously.Because of its weak curative effect, scholars think that the method is " scratch every boots and disturb " in national nephropathy meeting in 1986, and majority is passed into disuse.

Two, peritoneal dialysis; Though certain curative effect is arranged, be the medical care of dipped type to patient's body, for patient additionally increases misery.The first, need to operate at abdominal part, cut peritoneum and insert Dialysis tubing to the abdominal cavity, cause stomachache.The second, dialysis solution a large amount of in the dialysis enter the abdominal cavity, and a large amount of intravital egg matter of people are separated out external losing, and patient's resistance is descended.The patient becomes thin, anemia is so that cause the material want syndrome.Meet the patient of high decomposing state, protein is separated out often in bulk, stops up Dialysis tubing, makes dialysis interrupt the dialysis position that need more renew.The patient who has does abdominal incision intubate operation 2-3 time continuously, often ends in failure.The 3rd, because the influences such as decline, intubate and otch of resistance, and aseptic concept is not good enough in the implementation and operation, makes abdominal cavity infection easily, part patient causes death.The 4th, owing to be the dipped type measure, dialysis opportunity needs to select, but often is difficult to accomplish apt.

Three, hemodialysis (hereinafter to be referred as hemodialysis): be the best measure to the renal failure patient treatment of generally acknowledging both at home and abroad at present, but its deficiency is: the first, hemodialysis equipment and medical expense are very expensive.Chinese large-sized hospital could be equipped with this kind equipment at present.Most patients limit because of residence and economic situation, and it is subjected to cure rate extremely low.The second, hemodialysis is a kind of to the invasive treatment measure of patient's body, need have an operation at patient's wrist before the dialysis, carries out the artery and vein place and makes leakage intubate.To the patient of height shallow lake and the concurrent renal failure of epidemic hemorrhagic fever, the outer fistula of artery and vein often takes place stop up, thereby operation repeatedly, increased patient's misery.The 3rd, the dialysis indication needs to select opportunity.Hemodialysis be subjected to the dialysing constraint of indication, yet because many change of illness state complexity, even if experienced doctor also often is difficult to estimate and accurate best opportunity certainly.Such as diseases such as the concurrent renal failures of epidemic hemorrhagic fever, due to illness moment of desperation progress is fast, the slow slightly chance that will lose redemption life.Its change of illness state impermanence simultaneously has it again from renaturation, and hemodialysis can increase unnecessary misery of patient and financial burden too early.The 4th, dialysis reaction usually appears during hemodialysis, as fear of cold, heating, headache, feel sick, vomiting, twitch, cause hypotension, cardiac arrhythmia, angina pectoris, heart failure etc.Uneven syndrome takes place sometimes, can cause death.The 5th, need many professional's operating equipments.In addition,, often have because of nursing mistake or patient are not intended to cause the artery and vein vascular of outer fistula to throw off and cause massive hemorrhage at the hemodialysis tempus intercalare, in addition dead.The 6th, in the hemodialysis in the body blood composition through long-time, be interrupted extracorporeal circulation, be subjected to colliding the back and break away from environment in the normal physiological, must exert an influence and its resistance is descended body.

Purpose of the present invention just provides a kind of simple to operate, and is cheap, do not make patient body be subjected to the invasive misery in therapeutic process, can control the colon disease therapeutic divice that exceedes diseases such as acute renal failure.Design of the present invention and explanation are provided by accompanying drawing.

Figure one: the dialysis apparatus structural map.

Among the figure: 1, liquid injection pipe head 2, analyse that liquid hole 3, liquid injection pipe 4, air bag 5, air injection pipe outlet 6, waste liquid precipitation tube 7, waste liquid ooze out hole 8, waste liquid precipitation tube wall 9, fluid injection tube wall 10, air injection pipe import 11, gas injection device, 12, observe a bag air inlet 13, air bag is observed bag 14, liquid injection pipe import 15, waste liquid separate out mouthfuls 16, the waste liquid precipitation tube head.

Figure two: the Duckbill type dialysis apparatus.

Among the figure: 17, Duckbill type waste liquid precipitation tube head 18, piston.

Figure three: the colon disease therapeutic divice fundamental diagram.

Figure four: colon disease therapeutic divice pump control circuit system flow chart.

Figure five: colon disease therapeutic divice pump control circuit schematic diagram

Among the figure: D10 fluid injection display lamp Ji potentiometer

D11 discharge opeing display lamp 1t fluid injection electromagnetic pump socket

D13 stops liquid display lamp 2t draining solenoid valve socket

The D14 thermostatical pilot lamp

Colon disease therapeutic divice by dialysis apparatus, analyse liquid case, heater fluid injection electromagnetic pump, draining solenoid valve, pump control circuit system and form.Pump control circuit system comprises: electric contact thermometer TK, current rectifying and wave filtering circuit, delay circuit, on and off switch, fluid injection gauge tap, discharge opeing gauge tap, delay control switch.Dialysis apparatus comprises waste liquid precipitation tube, inserts the liquid injection pipe of its intracavity and imbed air injection pipe in the fluid injection tube wall through the waste liquid precipitation tube wall, also has air bag, gas injection pin, and air bag is observed bag.Dialysis solution is placed on analyses in the liquid case, system carries out thermostatic control by the pump control circuit, and temperature keeps 37 degree Celsius after 10 to 15 minutes, and delay circuit is started working, through priming electromagnetic pump (dialysis apparatus has entered interior about 60 centimetres of body through patient's anus at this moment).When temperature is that Celsius 37 dialysis solution of spending are through liquid injection pipe and by annotating the colonic that the liquid orifice flow is gone into the patient of analysing of pipe front end wall, dialysis solution contacts with the blood vessel group that enrich on the colonic surface, the utility that the exchange needed by human body is wanted, discharge noxious substance and moisture, flow to external by colon, through gasbag outer surface, by the waste liquid on the waste liquid precipitation tube ooze out gap between hole and waste liquid precipitation tube head and liquid injection pipe flow out external, approach draining solenoid valve then.The duty of fluid injection electromagnetic pump and draining solenoid valve is controlled by the delay circuit in the pump control circuit system.When time-delay during automatic control, order is through three kinds of states: 1, fluid injection and not discharge opeing; 2, not fluid injection and discharge opeing; 3, also not discharge opeing of not fluid injection.Each state delay time can be regulated automatically.When according to practical situation, when manually controlling, fluid injection, discharge opeing state can be selected (comprising fluid injection discharge opeing simultaneously state) arbitrarily, and each state delay time of this moment can the people be arbitrary decision.The effect of air bag is the speed that the control dialysis solution flows out, and is fully absorbed by patient's body to guarantee the utility in the dialysis solution.Gas in the air bag is pushed gas in the air injection pipe by the gas injection device, enters air bag observation bag and air bag respectively through air bag observation bag air inlet and air injection pipe outlet, and whether air bag observation bag is to make the medical worker directly monitor air bag to inflate.The liquid injection pipe head is spheroid, and the waste liquid precipitation tube head slips over and crosses, and wedge angle do not occur.Because children's's (half years old to 7 years old) anus is narrow and small, refuse tends to block in the intestinal, carry out for the ease of treatment work, the waste liquid precipitation tube head can be made the Duckbill type head, has a silica piston to be combined into one with liquid injection pipe and relative not slip in the middle part of liquid injection pipe with before duck chews head.When refuse blocks, can make piston movable in the waste liquid discharge pipe at external pulling liquid injection pipe, guarantee that waste liquid excretes along the earthing.

Embodiment one: (adult is with 1)

1, dialysis apparatus: inject 1 meter to 1.2 meters of pipe range, 0.54 centimetre of external diameter, 0.3 centimetre of internal diameter, top ovalize are 0.5 centimetre, adopt medical grade rubber.Analyse 0.1 centimetre of liquid bore dia, 3 centimetres distribute 6 to 8 apart from the top.The waste liquid discharge pipe adopts medical grade rubber, 65 centimetres of pipe ranges, 1.5 centimetres of externals diameter of pipe, 1.2 centimetres of internal diameters.The hole that 0.7 cm diameter is arranged on waste liquid precipitation tube wall 8 penetrates and uses for liquid injection pipe.There is the waste liquid of 0.8 to 1.0 centimetre of diameter to ooze out 5 to 6 in hole in distance waste liquid precipitation tube head 4 to 5 centimeters.The air injection pipe of injecting tube wall is special, 30 centimetres of its length.Air bag is observed bag and is adopted latex film to make.

2, pump control circuit system:

At the dialysis system that dialysis apparatus constituted and set up a pump control circuit system.This system is made up of two parts, i.e. constant temperature and delay control system.

Shown in figure (three), medicinal liquid is analysed the liquid case in injection, prepares to enter before the dialysis apparatus and after waste liquid discharges from dialysis apparatus, respectively by equipment such as " thermostatic control ", " time-delay are controlled ".

1, thermostatic control. form by heater electric contact thermometer etc.When on and off switch 1K closure, this moment, thermostatical pilot lamp was promptly bright, heater energising, the beginning of heating.Controlled by electric contact thermometer,, keep automatically " 10-15 minute ", heat immediately and interrupt automatically, illustrate that temperature arrives, the preparation end when constant temperature is Celsius 37 when spending.

2, time-delay control. by the fluid injection electromagnetic pump, draining solenoid valve and delay circuit are formed.The fluid injection electromagnetic pump is the electro-medical magnetic pumping, and draining solenoid valve is made by the electric magnet material.When the work beginning, earlier in order with fluid injection gauge tap 2K, discharge opeing gauge tap 3K, delay control switch 4K closure, power connection.At this moment, time-delay 1 is started working, and fluid injection is carried out, and discharge opeing stops.After time-delay a period of time, time-delay 2 is started working, and fluid injection stops, and discharge opeing is carried out.Start working when time-delay 3, cut off time-delay 1, time-delay 2, fluid injection and discharge opeing stop, and after time-delay a period of time, begin new circulation.To the whole injections of 10KG liquid medicine, the artificial shutdown.According to patient, when needing randomly changing time-delay state, delay control switch 4K can be disconnected, fluid injection, discharge opeing work still can independently be carried out simultaneously, and state is controlled arbitrarily.

3, delay circuit.By relay, potentiometer, electric capacity, BG2, BG3, compositions such as light emitting diode.Light emitting diode is display working condition at any time.Delay circuit can be divided into three tunnel time-delays again, promptly delays time 1, time-delay 2, time-delay 3, each road delay working principle be identical.To delay time 1 is example explanation: to capacitor C3 charging, the C3 cathode voltage progressively rises electric current, the speed of rising by J3_2-R5-W1, be decided by " the resistance size of R15 or W1 ", when being raised to certain numerical value, " 1.7 to 1.8V ", transistor BG2 becomes conducting by ending, moving BG3 conducting of generation, for relay J 1 adhesive, luminous tube D14 goes out, and the fluid injection electromagnetic pump quits work, J1_2 connects simultaneously, and time-delay 2 is started working.

Embodiment two: (children's uses)

1, dialysis apparatus: because children's's (half years old to 7 years old) anus is narrow and small, therefore the bore that inserts the dialysis apparatus pipeline of patient's anal must corresponding dwindling, but distance must not be less than 0.2 centimetre between the internal diameter of the external diameter of liquid injection pipe and waste liquid discharge pipe, otherwise not smooth by the waste liquid that enteric cavity is separated out to effluent stream, influence the foundation of dialysis system., become at this Study on Problems transformation of the way for this reason: 0.9 centimetre of waste liquid precipitation tube external diameter, 0.7 centimetre of internal diameter, and adopt silica gel material.Liquid injection pipe is divided into two parts, at first inserts making for medical grade rubber of anus, and length is 30-40 centimetre, and another part adopts " polyethylene from high pressure process " material to make.Two parts pipe docks fixed combination together, 0.25 centimetre of its external diameter, 0.03 centimetre of wall thickness.Be fixed with a silica piston on " polyethylene from high pressure process " pipe on the liquid injection pipe, slightly larger in diameter is in the waste liquid precipitation tube internal diameter.Purposes is in dialysis procedure, and when waste liquid precipitation tube got clogged, current drainage was inevitable not smooth, but push-and-pull " polyethylene from high pressure process " pipe makes piston in the activity of waste liquid precipitation tube intracavity, and the mediation waste liquid precipitation tube is discharged the waste liquid following current.In addition duck chew the type apical head slightly to abduction as open duckbilled so that liquid injection pipe when drawing outward piston can clamp-on waste liquid precipitation tube.

2, pump control circuit system is identical with embodiment one.

The invention has the advantages that the mucous membrane of colon function that has made full use of human body self, make the abundant blood vessel of dialysis solution and submucous layer of colon set up effective dialysis system, make that to be rejected no colonic dialysis developed and perfect.Because the prolongation of Dialysis tubing increases the dialysis position.Because the effect of air bag is fully utilized dialysis solution in enteric cavity.

The present invention is better than hemodialysis, the saturating characteristics of abdomen are: 1. pair invasive measure of patient's right and wrong, do not make patient additionally increase misery, not because of implementation and operation causes infection (often causing abdominal cavity infection, septicemia etc. thoroughly as abdomen), multiple pair of being taken place when also not having hemodialysis reaction and mortality imbalance syndrome.Increase the disadvantage of cardiac load and injury of blood cell, blood constituent consumption when more not having the hemodialysis extracorporeal circulation.2. dialysis indication of the present invention wide (must wait until thoroughly that unlike hemodialysis and abdomen conditions of patients weighs to a certain degree or the renal failure appearance, possessed the dialysis indication then just begin to dialyse).Can adopt the treatment of this machine in early days to the kidney damage due to the various causes of disease, strive blocking the course of disease, improve cure rate.In the clinical practice of apparatus to 200 routine epidemic hemorrhagic fever that the present invention is manufactured experimently according to invention under the situation of maintaining secrecy in nearly 2 years, case fatality rate drops to below 2%.Over nearly 5 years, a large amount of clinical practices of process confirm that the pyrogenic stage of hemorrhagic fever promptly begins to adopt the present invention to treat, and not only replace transfusion, reduce infusion reaction, and greatly reduce shock, the generation of renal failure complication.3. row simple to operate, easy not only can be implemented at large hospital, especially can extensively carry out application for following different medical unit at county level.The required expense of its equipment only is below 1% of hemodialysis equipment, and its medical expense is the 2-3% of hemodialysis treatment expense only, and operation is simple, safety, no pain.4, the present invention not only has significant curative effect to renal failure, and medicine and alimentary toxicosis and acute frequent diarrheal severe diarrhea shown efficient, quick-acting (can after half an hour antidiarrheal) immediately, edema ascites due to cirrhotic ascites, the heart, the nephropathy is all obtained produce effects, patient subsides a swelling soon, is better than the whole bag of tricks of existing traditional treatment.For this reason, the present invention has opened up new treatment approach to above-mentioned all treatment of diseases.

Claims

1, a kind of colon disease therapeutic divice, by dialysis apparatus, fluid injection electromagnetic pump, draining solenoid valve, analyse the liquid case, heater, pump control circuit system forms, it is characterized in that dialysis apparatus comprises waste liquid precipitation tube 6, through the liquid injection pipe 3 and the air injection pipe of imbedding in the fluid injection tube wall 9 11 of waste liquid precipitation tube wall 8 its intracavity of insertion.

2, according to the colon disease therapeutic divice described in the claim 1, it is characterized in that the head 1 of liquid injection pipe 3, be ellipsoid shaped.

3,, it is characterized in that waste liquid precipitation tube head 16 can be the rounding off state or makes open duck and chew type head 17 according to the colon disease therapeutic divice described in the claim 1.

4,, it is characterized in that liquid injection pipe 3 can be combined into one by medical rubber hose and " polyethylene from high pressure process " two kinds of pipes according to the colon disease therapeutic divice described in the claim 1.

5,, it is characterized in that being fixed with a silica piston 18 on " polyethylene from high pressure process " pipe on the liquid injection pipe 3 according to the colon disease therapeutic divice described in the claim 1.