CN105266792A - Intra-abdominal pressure monitoring system and monitoring method thereof - Google Patents
Intra-abdominal pressure monitoring system and monitoring method thereof Download PDFInfo
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- CN105266792A CN105266792A CN201510584937.2A CN201510584937A CN105266792A CN 105266792 A CN105266792 A CN 105266792A CN 201510584937 A CN201510584937 A CN 201510584937A CN 105266792 A CN105266792 A CN 105266792A
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Abstract
The invention provides an intra-abdominal pressure monitoring system, which comprises a catheter, a pressure sensor, a urine collecting container, a syringe, a monitor, a first three-way switch and a second three-way switch, wherein the connection end of the catheter and the first interface of the first three-way switch are communicated; the urine collecting container and the second interface of the first three-way switch are communicated; the third interface of the first three-way switch is communicated with the first interface of the second three-way switch via a first prolonging pipe; the syringe is communicated with the second interface of the second three-way switch; the input end of the pressure sensor is communicated with the third interface of the second three-way switch; and the signal output end of the pressure sensor is electrically connected with the signal input end of the monitor. The invention also discloses a method of pressure detection by adopting the above intra-abdominal pressure monitoring system. The system and the method of the invention have the advantages of accurate and reliable pressure measurement results, simple and convenient operation, convenient dynamic monitoring and the like.
Description
Technical field
The present invention relates to intra-abdominal pressure monitoring, particularly, relate to a kind of intra-abdominal pressure monitoring system and monitoring method thereof.
Background technology
The intra-abdominal pressure that Acute critical diseases patient causes due to a variety of causes clinically increase and the syndromic incidence rate of abdominal compartment and case fatality rate high, one of Main Basis of its diagnosis is increasing of intra-abdominal pressure, therefore the monitoring of intra-abdominal pressure is carried out to salvage grave patients very important, contribute to early discovery Intra-abdominal hypertension and early diagnosis abdominal compartment syndrome.For reducing wound, measure intra-abdominal pressure clinically and usually take indirect method, as measured intravesical, gastric, internal rectum or intravenous pressure to reflect intra-abdominal pressure, and per urethra intravesical pressure measures the goldstandard being considered to intra-abdominal pressure and measuring, its principle is when bladder capacity is less than 100ml, and bladder is only a passive storage vault, has higher compliance, a similar passive diaphram, can transmit intra-abdominal pressure and additional any point pressure from himself muscle.
Existing cystomanometry technology is connected with patient's indwelling catheter by pressure measurement pipeline, injects appropriate normal saline by catheter to emptying intravesical, horizontal position with pubic symphysis level for school zero point, the height of the direct high effluent column of measurement at patient exhales end.There is following shortcoming in actual applications in existing cystomanometry technology:
1, measurement result accuracy is poor.Pressure measurement pipeline be connected with catheter whether vertical, pressure conduction effectiveness is not easily determined, patient exhales end phase such as not easily to grasp at the factor directly will affect the accuracy of measurement result;
2, measurement result poor repeatability.Prior art is adopted to measure intravesical pressure anthropic factor impact when obtaining result data large, subjectivity is strong, lack and objectively confirm condition, cause the dependency between the METHOD FOR CONTINUOUS DETERMINATION result of same operator or different operating person poor, therefore the poor repeatability of measurement result, cannot ensure the reliability of data clinical practice;
3, dynamic monitoring is not easy to.Although prior art device is simple, repeatedly needs to repeat corresponding pipeline during monitoring at every turn and connect, trivial operations, and waste time and energy;
4, poor stability.Prior art needs repeatedly to connect catheter and pressure-measuring pipe when measuring intravesical pressure, due to operation link mainly with and the open state of urine drainage loop, very easily cause the generation infected, add the infection risk of the generally low critical patient of immunity.
Summary of the invention
For defect of the prior art, the object of this invention is to provide a kind of intra-abdominal pressure monitoring system and monitoring method thereof.
The intra-abdominal pressure monitoring system provided according to an aspect of the present invention, comprises catheter, and described catheter comprises link and for inserting the insertion end in human body; This abdominal pressure monitoring system also comprises pressure transducer, collection tank, syringe, monitor, the first three-way cock and the second three-way cock;
The link of described catheter is communicated with the first interface of described first three-way cock, second orifice of described collection tank and the first three-way cock, 3rd interface of the first three-way cock is communicated with the first interface of described second three-way cock by the first extension tube, second orifice of described syringe and the second three-way cock, the input of described pressure transducer and the 3rd orifice of the second three-way cock, the signal output part of described pressure transducer is electrically connected with the signal input part of monitor.
Preferably, the link of described catheter is communicated with the first interface of described first three-way cock by one second extension tube.
Preferably, the first described three-way cock and the second three-way cock are "T"-shaped three-way cock.
Preferably, described collection tank is urinal.
The intra-abdominal pressure monitoring system provided according to another aspect of the present invention carries out the method for pressure monitoring, it is characterized in that, comprises the following steps:
Step S1: allow patient be in horizontal position, inserts the insertion end of catheter in patient body, makes the first interface of the first three-way cock and the second orifice of the first three-way cock, by the urine drainage of patient to collection tank, and empty bladder;
Step S2: make the first interface of the 3rd interface of the first interface of the first three-way cock, the first three-way cock, the first extension tube, the second three-way cock and the second interface of the second three-way cock form path, then use syringe to Intravesical administration physiological saline solution;
Step S3: by pressure transducer school zero;
Step S4: make the 3rd interface of the first interface of the 3rd interface of the first interface of the first three-way cock, the first three-way cock, the first extension tube, the second three-way cock, the second three-way cock form path, realize pressure monitoring by the intravesical pressure waveform observing monitor display.
Preferably, also comprise the step of the effectiveness judging intravesical pressure waveform, this step comprises:
Observe the intravesical pressure waveform that monitor shows, if intravesical pressure waveform fluctuates with patient respiration, and, with palm while fast vibration is carried out in patient bladder area, when monitor also showing the waveform of fast vibration, then judge that the intravesical pressure waveform that monitor shows is effective pressure waveform.
Preferably, described pressure transducer is arranged on patient's horizontal position midaxillary line and the horizontal plane residing for ilium ridge intersection point.
Preferably, be 25 ~ 100ml with syringe to the physiological saline solution of Intravesical administration.
Compared with prior art, the present invention has following beneficial effect:
1, the accuracy of monitoring result is high.As long as in practical application of the present invention by working specification determination pressure transducer school zero level, measure before empty bladder, grasp correct physiological saline amount and pressure waveform and confirm condition, anthropic factor will to be reduced in prior art to a great extent on the impact of measurement result accuracy;
2, the favorable repeatability of monitoring result.By working specification application, the present invention measures intravesical pressure, and its result is accurately stablized, and between the METHOD FOR CONTINUOUS DETERMINATION result of same operator or different operating personnel, have strong correlation, therefore result data is reproducible, thus ensure that the reliability of clinical practice;
3, be convenient to realize dynamic monitoring.The present invention adopts three-way cock and extension tube to connect catheter and pressure transducer, as long as once connect in same patient, the conversion of pressure measurement and urine drainage only needs can realize by adjusting three-way cock, operates very convenient when therefore dynamically, repeatedly monitoring intra-abdominal pressure at clinical need;
4, the safety of monitoring is high.In closed state after connecting during intra-abdominal pressure monitoring system clinical practice of the present invention, single or repeatedly monitor the increase all not easily causing infection chance, farthest can reduce infection risk, be particluarly suitable for using in the relatively low critically ill patient of immunity, and prior art connects catheter and pressure-measuring pipe repeatedly due to needs, related link very easily causes the generation infected.
Accompanying drawing explanation
By reading the detailed description done non-limiting example with reference to the following drawings, other features, objects and advantages of the present invention will become more obvious:
Fig. 1 is structural representation of the present invention.
Detailed description of the invention
Below in conjunction with specific embodiment, the present invention is described in detail.Following examples will contribute to those skilled in the art and understand the present invention further, but not limit the present invention in any form.It should be pointed out that to those skilled in the art, without departing from the inventive concept of the premise, some distortion and improvement can also be made.These all belong to protection scope of the present invention.
With reference to figure 1.Intra-abdominal pressure monitoring system comprises catheter 1, pressure transducer 2, collection tank 3, syringe 4, monitor 5, first three-way cock 6, second three-way cock 7, first extension tube 8 and the second extension tube 9 according to an embodiment of the invention.
Catheter 1 comprises link 11 and for inserting the insertion end 12 in human body.The link 11 of catheter 1 is communicated with by the first interface 61 of one second extension tube 9 with the first three-way cock 6, collection tank 3 is communicated with the second interface 62 of the first three-way cock 6,3rd interface 63 of the first three-way cock 6 is communicated with by the first interface 71 of the first extension tube 8 with the second three-way cock 7, syringe 4 is communicated with the second interface 72 of the second three-way cock 7, the input of pressure transducer 2 is communicated with the 3rd interface 73 of the second three-way cock 7, and the signal output part of pressure transducer 2 is electrically connected with the signal input part of monitor 5.
In one embodiment, the first three-way cock 6 and the second three-way cock 7 are T-shaped three-way cock; Collection tank 3 is urinal.
Adopt above-mentioned intra-abdominal pressure monitoring system to carry out the method for pressure monitoring, comprise the following steps:
Step S1: allow patient be in horizontal position, the insertion end 12 of catheter 1 is inserted in patient body, regulates the first three-way cock 6, the first interface 61 of the first three-way cock is communicated with the second interface 62 of the first three-way cock, by the urine drainage of patient to collection tank 3, empty bladder;
Step S2: regulate the first three-way cock 6 and the second three-way cock 7, make the first interface 71 of the 3rd interface 63, first extension tube 8, second three-way cock of first interface 61, first three-way cock of the first three-way cock and the second interface 72 of the second three-way cock form path, then use syringe 4 to Intravesical administration 25 ~ 100ml (optimal injection amount is 50ml) physiological saline solution;
Step S3: by pressure transducer 2 school zero; Pressure transducer 2 is preferably disposed on patient's horizontal position midaxillary line and the horizontal plane residing for ilium ridge intersection point;
Step S4: regulate the second three-way cock, the 3rd interface 73 of first interface 71, second three-way cock of the 3rd interface 63, first extension tube 8, second three-way cock of first interface 61, first three-way cock of the first three-way cock is made to form path, thus be communicated with pressure transducer 2 and catheter 1, monitor 5 can show intravesical pressure waveform and numerical value, realizes pressure monitoring by the intravesical pressure waveform observing monitor display.
Adopt above-mentioned intra-abdominal pressure monitoring system to carry out the method for pressure monitoring, also comprise the step of the effectiveness judging intravesical pressure waveform, this step comprises:
Observe the intravesical pressure waveform of display on monitor 5, if intravesical pressure waveform fluctuates with patient respiration, and, with palm while fast vibration is carried out in patient bladder area, when monitor 5 also showing the waveform of fast vibration, then confirming that the intravesical pressure waveform that monitor shows is effective pressure waveform, is then final intravesical pressure testing result with the force value of corresponding respiratory waveform end-tidal; Otherwise, judge that the intravesical pressure waveform of display on monitor 5 is invalid pressure waveform.
After the present invention adopts pressure transducer to gather intravesical pressure force signal, pressure value is directly read by the analog-to-digital conversion of bedside monitor modular pressure, because display intravesical pressure waveform directly perceived on monitor display screen is with respirometric fluctuation, and confirm the validity pressure waveform by bladder area vibration test, the data therefore read are accurate, reliable, reproducible.
In above-mentioned pressure monitoring method, before use pressure transducer 2, should according to its operation instruction, with physiological saline solution Preliminary pressure-filled sensor 2 and the first extension tube 8, abundant aerofluxus.
Above specific embodiments of the invention are described.It is to be appreciated that the present invention is not limited to above-mentioned particular implementation, those skilled in the art can make various distortion or amendment within the scope of the claims, and this does not affect flesh and blood of the present invention.
Claims (8)
1. an intra-abdominal pressure monitoring system, comprises catheter, and described catheter comprises link and for inserting the insertion end in human body; It is characterized in that, this abdominal pressure monitoring system also comprises pressure transducer, collection tank, syringe, monitor, the first three-way cock and the second three-way cock;
The link of described catheter is communicated with the first interface of described first three-way cock, second orifice of described collection tank and the first three-way cock, 3rd interface of the first three-way cock is communicated with the first interface of described second three-way cock by the first extension tube, second orifice of described syringe and the second three-way cock, the input of described pressure transducer and the 3rd orifice of the second three-way cock, the signal output part of described pressure transducer is electrically connected with the signal input part of monitor.
2. intra-abdominal pressure monitoring system as claimed in claim 1, is characterized in that, the link of described catheter is communicated with the first interface of described first three-way cock by one second extension tube.
3. intra-abdominal pressure monitoring system as claimed in claim 1, it is characterized in that, the first described three-way cock and the second three-way cock are T-shaped three-way cock.
4. intra-abdominal pressure monitoring system as claimed in claim 1, it is characterized in that, described collection tank is urinal.
5. adopt intra-abdominal pressure monitoring system as claimed in claim 1 to carry out a method for pressure monitoring, it is characterized in that, comprise the following steps:
Step S1: allow patient be in horizontal position, inserts the insertion end of catheter in patient body, makes the first interface of the first three-way cock and the second orifice of the first three-way cock, by the urine drainage of patient to collection tank, and empty bladder;
Step S2: make the first interface of the 3rd interface of the first interface of the first three-way cock, the first three-way cock, the first extension tube, the second three-way cock and the second interface of the second three-way cock form path, then use syringe to Intravesical administration physiological saline solution;
Step S3: by pressure transducer school zero;
Step S4: make the 3rd interface of the first interface of the 3rd interface of the first interface of the first three-way cock, the first three-way cock, the first extension tube, the second three-way cock, the second three-way cock form path, realize pressure monitoring by the intravesical pressure waveform observing monitor display.
6. pressure monitoring method as claimed in claim 5, it is characterized in that, also comprise the step of the effectiveness judging intravesical pressure waveform, this step comprises:
Observe the intravesical pressure waveform that monitor shows, if intravesical pressure waveform fluctuates with patient respiration, and, with palm while fast vibration is carried out in patient bladder area, when monitor also showing the waveform of fast vibration, then judge that the intravesical pressure waveform that monitor shows is effective pressure waveform.
7. pressure monitoring method as claimed in claim 5, it is characterized in that, described pressure transducer is arranged on patient's horizontal position midaxillary line and the horizontal plane residing for ilium ridge intersection point.
8. pressure monitoring method as claimed in claim 5, is characterized in that, is 25 ~ 100ml with syringe to the physiological saline solution of Intravesical administration.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510584937.2A CN105266792A (en) | 2015-08-17 | 2015-09-14 | Intra-abdominal pressure monitoring system and monitoring method thereof |
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| CN201510504598 | 2015-08-17 | ||
| CN2015105045982 | 2015-08-17 | ||
| CN201510584937.2A CN105266792A (en) | 2015-08-17 | 2015-09-14 | Intra-abdominal pressure monitoring system and monitoring method thereof |
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| CN105266792A true CN105266792A (en) | 2016-01-27 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114632256A (en) * | 2022-03-10 | 2022-06-17 | 四川省医学科学院·四川省人民医院 | Bladder capacity expansion device |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2753288Y (en) * | 2004-12-23 | 2006-01-25 | 冯小行 | Intracranial pressure comprehensive monitoring instrument |
| CN1871997A (en) * | 2005-05-31 | 2006-12-06 | 成都维信电子科大新技术有限公司 | Testing method and testing device in dynamics of living body |
| CN200948136Y (en) * | 2006-03-01 | 2007-09-19 | 四川大学华西医院 | Dynamic monitoring device for abdominal pressure |
| CN201578235U (en) * | 2009-12-25 | 2010-09-15 | 山东省千佛山医院 | Connecting device for monitoring intra-abdominal pressure through bladder |
| CN102599892A (en) * | 2012-04-16 | 2012-07-25 | 许永华 | Intraperitoneal pressure monitoring system and monitoring method |
-
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- 2015-09-14 CN CN201510584937.2A patent/CN105266792A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2753288Y (en) * | 2004-12-23 | 2006-01-25 | 冯小行 | Intracranial pressure comprehensive monitoring instrument |
| CN1871997A (en) * | 2005-05-31 | 2006-12-06 | 成都维信电子科大新技术有限公司 | Testing method and testing device in dynamics of living body |
| CN200948136Y (en) * | 2006-03-01 | 2007-09-19 | 四川大学华西医院 | Dynamic monitoring device for abdominal pressure |
| CN201578235U (en) * | 2009-12-25 | 2010-09-15 | 山东省千佛山医院 | Connecting device for monitoring intra-abdominal pressure through bladder |
| CN102599892A (en) * | 2012-04-16 | 2012-07-25 | 许永华 | Intraperitoneal pressure monitoring system and monitoring method |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114632256A (en) * | 2022-03-10 | 2022-06-17 | 四川省医学科学院·四川省人民医院 | Bladder capacity expansion device |
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Application publication date: 20160127 |