CN106798962A - Optional formula bile reclaims turn of tidal stream EA device and its application method - Google Patents
Optional formula bile reclaims turn of tidal stream EA device and its application method Download PDFInfo
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- CN106798962A CN106798962A CN201710135449.2A CN201710135449A CN106798962A CN 106798962 A CN106798962 A CN 106798962A CN 201710135449 A CN201710135449 A CN 201710135449A CN 106798962 A CN106798962 A CN 106798962A
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- shunt tube
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- 210000000941 bile Anatomy 0.000 title claims abstract description 69
- 238000000034 method Methods 0.000 title claims abstract description 15
- 235000015097 nutrients Nutrition 0.000 claims abstract description 58
- 238000010438 heat treatment Methods 0.000 claims abstract description 47
- 210000001630 jejunum Anatomy 0.000 claims abstract description 13
- 235000016709 nutrition Nutrition 0.000 claims abstract description 13
- 230000035764 nutrition Effects 0.000 claims abstract description 13
- 210000003445 biliary tract Anatomy 0.000 claims abstract description 9
- 239000007788 liquid Substances 0.000 claims description 18
- 239000003814 drug Substances 0.000 claims description 13
- 210000002784 stomach Anatomy 0.000 claims description 7
- 206010061218 Inflammation Diseases 0.000 claims description 6
- 206010028980 Neoplasm Diseases 0.000 claims description 6
- 208000031481 Pathologic Constriction Diseases 0.000 claims description 6
- 230000004054 inflammatory process Effects 0.000 claims description 6
- 238000001802 infusion Methods 0.000 claims description 6
- 238000011084 recovery Methods 0.000 claims description 6
- 210000001198 duodenum Anatomy 0.000 claims description 5
- 239000000945 filler Substances 0.000 claims description 5
- 206010061974 Gastrointestinal obstruction Diseases 0.000 claims description 4
- 210000001953 common bile duct Anatomy 0.000 claims description 4
- 230000002980 postoperative effect Effects 0.000 abstract description 11
- 201000010099 disease Diseases 0.000 abstract description 6
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 abstract description 6
- 230000007774 longterm Effects 0.000 abstract description 3
- 235000011389 fruit/vegetable juice Nutrition 0.000 description 6
- 238000010586 diagram Methods 0.000 description 4
- 238000007789 sealing Methods 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 3
- 230000006872 improvement Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 239000003833 bile salt Substances 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 230000001079 digestive effect Effects 0.000 description 2
- 238000001914 filtration Methods 0.000 description 2
- 230000008717 functional decline Effects 0.000 description 2
- 238000011902 gastrointestinal surgery Methods 0.000 description 2
- 239000004816 latex Substances 0.000 description 2
- 229920000126 latex Polymers 0.000 description 2
- 230000004060 metabolic process Effects 0.000 description 2
- 150000003839 salts Chemical class 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 206010056375 Bile duct obstruction Diseases 0.000 description 1
- 206010008635 Cholestasis Diseases 0.000 description 1
- 206010019663 Hepatic failure Diseases 0.000 description 1
- 206010023129 Jaundice cholestatic Diseases 0.000 description 1
- 201000005267 Obstructive Jaundice Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000036760 body temperature Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000005868 electrolysis reaction Methods 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 230000003886 intestinal anastomosis Effects 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 208000019423 liver disease Diseases 0.000 description 1
- 230000005976 liver dysfunction Effects 0.000 description 1
- 208000007903 liver failure Diseases 0.000 description 1
- 231100000835 liver failure Toxicity 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 235000015816 nutrient absorption Nutrition 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 238000007458 percutaneous transhepatic cholangiography Methods 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 208000016853 pontine tegmental cap dysplasia Diseases 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
- A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
- A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
- A61M2027/004—Implant devices for drainage of body fluids from one part of the body to another with at least a part of the circuit outside the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0403—Gall; Bile
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/36—General characteristics of the apparatus related to heating or cooling
- A61M2205/366—General characteristics of the apparatus related to heating or cooling by liquid heat exchangers
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Otolaryngology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
Abstract
Turn of tidal stream EA device and its application method are reclaimed the present invention relates to a kind of optional formula bile, device includes from choledochus draining bile external drainage tube and bile is gone back to the shunt tube for flowing to internal jejunum, the first end of drainage tube is placed in choledochus, second end of drainage tube is connected by joint with the first end of shunt tube, and the second end of shunt tube is placed in jejunum.Bile is gone back to and flowed in enteron aisle by shunt tube, it is to avoid disease of biliary tract it is postoperative it is long-term puts the problem that pipe causes a large amount of bile to be lost in, make that patient is postoperative can preferably to recover；Turn of tidal stream heating bags heat up to bile, it is to avoid the relatively low bile of temperature causes discomfort after going back to and flowing to enteron aisle to patient after treatment；Drainage tube, shunt tube, turn of tidal stream heating bags and nutrient solution addition component family of four detachable form, the state of an illness and needs according to patient carry out selective assembling；Shunt tube is connected with the nutrient solution addition component for enteral nutrition treatment, convenient to supply nutrient solution to patient.
Description
Technical field
The invention belongs to surgical operation or diagnosis and treatment assistive device technical field, a kind of optional formula courage is related in more detail
Juice reclaims turn of tidal stream EA device and its application method.
Background technology
Because of distal common bile duct obstruction caused by the reasons such as tumour, calculus, inflammation, cicatricial stricture, obstructive jaundice can be caused,
Cause patient's liver dysfunction, severe patient causes constitutional symptom even liver failure and threat to life.Current treatment method
It is two kinds of drainage in bile and bile external drainage, Internal biliary drainage is choledochus intestinal anastomosis Intra drainage, choledochus jejunum
Intra drainage coincide because operation wound is larger, operation causes patient's physiology to dissect change greatly, does not use the modus operandi typically.Courage
One kind is T-shaped pipe external drainage in juice external drainage method, and another kind is that PTCD puts pipe external drainage (percutaneous transhepatic cholangiography and drainage)；Courage
Juice external drainage art method is relatively easy, wound is small, but shortcoming is to cause patient's water salt electrolyte disorderly after a large amount of biliary drainages are lost
Disorderly, digestive function decline, bile salt metabolism it is disorderly, and patient's post-operative recovery is poor, it is particularly long-term with pipe external drainage to patient with
Carry out many pains.
Additionally, patient's early postoperation can not take food, gut barrier function and nutrient absorption are have impact on, be unfavorable for rehabilitation, can
The complication of correlation can be caused.
The content of the invention
Turn of tidal stream EA device and its application method are reclaimed it is an object of the invention to provide a kind of optional formula bile, with
Solve patient's water salt electrolysis after a large amount of biliary drainages loss that existing External biliary drainage is present proposed in above-mentioned background technology
Matter is disorderly, digestive function declines, bile salt metabolism is disorderly, and the problems such as patient's post-operative recovery difference.
To achieve the above object, the present invention provides following technical scheme：
A kind of optional formula bile reclaims turn of tidal stream EA device, including bile is drained external drawing from choledochus
Flow tube and bile is gone back to the shunt tube for flowing to internal jejunum, the first end of the drainage tube is placed in choledochus, the drainage
Second end of pipe is connected by joint with the first end of the shunt tube, and the second end of the shunt tube is placed in jejunum.
Bile is gone back to by the shunt tube being connected with drainage tube is flowed in enteron aisle, it is to avoid disease of biliary tract is postoperative to put pipe for a long time
The problem that a large amount of bile are lost in, makes that patient is postoperative can preferably to recover.
In order to avoid the Bile extracorporeal bypass of lower temperature is to the discomfort caused to patient after enteron aisle, to the bile liter after treatment
Temperature, allows bile temperature to be approached with body temperature, and optional formula bile reclaims turn of tidal stream EA device also includes turn of tidal stream heating bags and threeway
Valve, the entrance of the triple valve is connected with the second end of the drainage tube, and the first outlet of the triple valve passes through pipeline and institute
The first end connection of shunt tube is stated, the second outlet of the triple valve is connected by pipeline with the arrival end of the turn of tidal stream heating bags
It is logical；The port of export of the turn of tidal stream heating bags is connected by pipeline with the outer body of the shunt tube.
In order to carry out selective assembling according to the state of an illness and needs of patient, between the turn of tidal stream heating bags and the drainage tube
Connecting line in be provided with the second joint, is provided with the connecting line between the turn of tidal stream heating bags and the shunt tube
Three joints.
Need to carry out EN support after enterogastric diseases or gastrointestinal surgery, in order to supply nutrient solution, institute to patient
State the nutrient solution that shunt tube is connected with for enteral nutrition treatment and add component, nutrient solution addition component includes that liquid collecting is held
Device, the liquid collecting container is provided with filler and medicine liquid outlet, and the medicine liquid outlet is external with the shunt tube by pipeline
Part connects.
The drainage tube, the shunt tube, the turn of tidal stream heating bags and the nutrient solution addition component constitute optional
Type family of four, medical personnel can as needed be selected and be assembled.For example, only needing bile drainage to be not required to back loser, only will
Drainage tube is put into choledochus；For the trouble that distal common bile duct caused by the reasons such as tumour, calculus, inflammation and cicatricial stricture blocks
Person, from two parts of drainage tube and shunt tube, and by two members；For biliary tract merge antrum portion, duodenum and
Other Gastrointestinal Obstructions situation person, need to simultaneously solve biliary recycle and enteral nutrition infusion, need to be by nutrient solution addition component connection
To upper shunt tube, three parts of component are added from drainage tube, shunt tube and nutrient solution.
Dismountable, is provided with the connecting line between the nutrient solution addition component and the shunt tube for convenience
4th joint.
In order to be heated to nutrient solution, the discomfort of patient is reduced, the nutrient solution addition component also includes nutrient solution heating bags,
The nutrient solution heating bags are arranged in the pipeline between the medicine liquid outlet and the shunt tube.
For the ease of the speed that the quantity delivered and nutrient solution that control nutrient solution instil, the nutrient solution addition component also includes
Instillation controller, the instillation controller is arranged in the pipeline between the nutrient solution heating bags and the shunt tube.
Further, the drainage tube is T-shaped pipe, is provided with two connecting portions on the T-shaped pipe, and the T-shaped pipe
Head is placed in choledochus.
In order to ensure that sealing property of the type family of four in various combination lower pipelines may be selected, type family of four courage may be selected
Juice reclaims turn of tidal stream and EA device also includes multiple enclosed switch, and the enclosed switch is arranged at the drainage tube, described
Shunt tube, the turn of tidal stream heating bags and the nutrient solution add the junction of component, for sealing and liquid flow in control device
Dynamic path.
Further, the drainage tube and the shunt tube are manufactured using latex material or silica gel material.
A kind of bile recovery method that turn of tidal stream EA device is reclaimed based on optional formula bile, is comprised the following steps：
S1：Drainage tube is put into choledochus；
S2：The fixed drainage tube of suture；
S3：Second end of drainage tube is drawn external from stomach wall stamp mouth；
S4：Second end of shunt tube is put into jejunum；
S5：The fixed shunt tube of suture；
S6：The first end of shunt tube is drawn external from stomach wall stamp mouth；
S7：For tumour, calculus, inflammation or distal common bile duct blocks caused by cicatricial stricture reason patient, connection draws
Flow tube and shunt tube.
Further, in S7, antrum portion, duodenum and other Gastrointestinal Obstructions situation person are merged for biliary tract, is needed
Biliary recycle and enteral nutrition infusion are solved simultaneously, also need to be communicated to nutrient solution addition component on shunt tube.
Further, in S7, for drain bile filtering after feed back or add medicine after feed back in the case of, in order to
Heating bile, also needs the bile for being drained drainage tube with turn of tidal stream heating bags to be imported in shunt tube after heating.
Beneficial effects of the present invention are：
(1) bile is gone back to and flowed in enteron aisle by the shunt tube by being connected with drainage tube, it is to avoid disease of biliary tract is postoperative long-term
The problem that pipe causes a large amount of bile to be lost in is put, makes that patient is postoperative can preferably to recover；
(2) turn of tidal stream heating bags heat up to bile, it is to avoid the relatively low bile of temperature goes back to and flows to what is patient caused after enteron aisle
It is uncomfortable；
(3) in the connecting line between turn of tidal stream heating bags and drainage tube and the connection between turn of tidal stream heating bags and shunt tube
Joint is provided with pipeline, the form of detachable, the state of an illness and needs according to patient carry out selective assembling；
(4) shunt tube is connected with the nutrient solution addition component for enteral nutrition treatment, convenient to supply nutrient solution to patient；
(5) nutrient solution addition component also includes instillation controller, is easy to control the quantity delivered and nutrient solution of nutrient solution to instil
Speed.
Brief description of the drawings
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing
The accompanying drawing to be used needed for having technology description is briefly described, it should be apparent that, drawings in the following description are only this
Some embodiments of invention, for those of ordinary skill in the art, on the premise of not paying creative work, can be with
Other accompanying drawings are obtained according to these accompanying drawings.
Fig. 1 is the structural representation that optional formula bile reclaims turn of tidal stream EA device；
Fig. 2 is that optional formula bile reclaims turn of tidal stream EA device and is positioned over schematic diagram when in human body；
Fig. 3 is schematic device when only doing biliary drainage；
Fig. 4 is that the bile that will need to be drained goes back to device connection diagram when flowing to enteron aisle；
Fig. 5 is need to be while device connection diagram when carrying out biliary recycle and enteral nutrition infusion；
Fig. 6 is device connection diagram when being fed back after feedback or addition medicine after the bile that will need to be drained is filtered.
1- drainage tubes in figure；2- shunt tubes；3- turn of tidal stream heating bags；4- nutrient solutions add component；41- liquid collecting containers；411-
Nutrient solution filler；42- nutrient solution heating bags；43- instillation controllers；50- major joints；The joints of 51- first；The joints of 52- second；
The joints of 53- the 3rd；The joints of 54- the 4th；6- choledochus；7- jejunums；8- triple valves；91- drainages are switched；92- first switches；93-
Second switch；94- the 3rd is switched；95- the 4th is switched；10- drainage side openings；11- turn of tidal stream side openings.
Specific embodiment
To make the object, technical solutions and advantages of the present invention clearer, technical scheme will be carried out below
Detailed description.Obviously, described embodiment is only a part of embodiment of the invention, rather than whole embodiments.Base
Embodiment in the present invention, those of ordinary skill in the art are resulting on the premise of creative work is not made to be owned
Other embodiment, belongs to the scope that the present invention is protected.
As depicted in figs. 1 and 2, turn of tidal stream EA device is reclaimed the invention provides a kind of optional formula bile, including will
Bile drains external drainage tube 1 from choledochus 6 and bile is gone back to the shunt tube 2 for flowing to internal jejunum 7, the drainage
The first end of pipe 1 is placed in choledochus 6, and multiple drainage side openings 10 are provided with the first end of the drainage tube 1；The drainage tube 1
The second end triple valve 8 is connected with by major joint 50, the first outlet of the triple valve 8 by the first joint 51 with described turn
The first end connection of flow tube 2, the second end of the shunt tube 2 is placed in jejunum 7, is provided with the second end of the shunt tube 2 many
Individual turn of tidal stream side opening 11.
Bile is gone back to by the shunt tube 2 being connected with drainage tube 1 is flowed in enteron aisle, it is to avoid disease of biliary tract is postoperative to be put for a long time
The problem that a large amount of bile are lost in is managed, makes that patient is postoperative can preferably to recover.
In order to the bile given after treatment heats up, the discomfort caused to patient after reduction Bile extracorporeal bypass to enteron aisle, optional formula courage
Juice reclaims turn of tidal stream EA device also includes turn of tidal stream heating bags 3, and the second outlet of the triple valve 8 passes through pipeline with described turn
Flow the arrival end connection of heating bags 3；The port of export of the turn of tidal stream heating bags 3 passes through the outer body of pipeline and the shunt tube 2
Connection.
In order to carry out selective assembling according to the state of an illness and needs of patient, the turn of tidal stream heating bags 3 and the drainage tube 1 it
Between connecting line in be provided with the second joint 52, set in the connecting line between the turn of tidal stream heating bags 3 and the shunt tube 2
It is equipped with the 3rd joint 53.
Need to carry out EN support after enterogastric diseases or gastrointestinal surgery, in order to supply nutrient solution, institute to patient
State the nutrient solution that shunt tube 2 is connected with for enteral nutrition treatment and add component 4, nutrient solution addition component 4 includes liquid collecting
Container 41, the liquid collecting container 41 is provided with nutrient solution filler and medicine liquid outlet, the medicine liquid outlet by pipeline with it is described
The outer body connection of shunt tube 2.
The drainage tube 1, the shunt tube 2, the turn of tidal stream heating bags 3 and the nutrient solution addition component 4 are constituted can
Selection type family of four, medical personnel can as needed be selected and be assembled.For example, only need bile drainage to be not required to back loser,
Only drainage tube 1 as shown in Figure 3 is put into choledochus 6；Caused by the reasons such as tumour, calculus, inflammation or cicatricial stricture
The patient of the lower end of choledochus 6 obstruction, as shown in figure 4, from 2 two parts of drainage tube 1 and shunt tube, and two parts are connected
It is logical；When needing heating to go back to the bile of stream, as shown in fig. 6, connection turn of tidal stream heating bags 3 in fig. 4；Merge antrum for biliary tract
Portion, duodenum and other Gastrointestinal Obstructions situation person, need to simultaneously solve biliary recycle and enteral nutrition infusion, need to be by nutrient solution
Addition component 4 is communicated to shunt tube 2, and component 4 three is added from drainage tube 1 as shown in Figure 5, shunt tube 2 and nutrient solution
Part.
Dismountable, is set in the connecting line between the nutrient solution addition component 4 and the shunt tube 2 for convenience
There is the 4th joint 54.
In order to be heated to nutrient solution, the discomfort of patient is reduced, the nutrient solution addition component 4 also includes nutrient solution heating bags
42, the nutrient solution heating bags 42 are arranged in the pipeline between the medicine liquid outlet and the shunt tube 2.
For the ease of the speed that the quantity delivered and nutrient solution that control nutrient solution instil, the nutrient solution addition component 4 is also wrapped
Instillation controller 43 is included, the instillation controller 43 is arranged between the nutrient solution heating bags 42 and the shunt tube 2
Pipeline in.
Used as the improvement of present embodiment, the drainage tube 1 is T-shaped pipe, and two connecting portions are provided with the T-shaped pipe,
And the head of the T-shaped pipe is placed in choledochus 6.
In order to ensure that sealing property of the type family of four in various combination lower pipelines may be selected, type family of four courage may be selected
Juice reclaims turn of tidal stream and EA device also includes multiple enclosed switch, and respectively drainage switch 91, first switch 92, second opens
Close the 93, the 3rd switch 94 and the 4th switch 95, on the pipeline of the outlet that drainage switch 91 is located at drainage tube 1, first switch 92
In the pipeline that the first outlet drainage tube 2 of triple valve 8 is connected, second switch 93 is located at the second outlet of triple valve 8 and turns
In the pipeline that stream heating bags 3 are connected, the 3rd switch 94 is located in the connecting line of turn of tidal stream heating bags 3 and shunt tube 2, and the 4th opens
Close 95 to be located in the connecting line of nutrient solution addition component 4 and shunt tube 2, multiple enclosed switch are used for sealing device, and control
The path of the liquid flowing in device.
Used as the improvement of present embodiment, the drainage tube 1 and the shunt tube 2 are using the manufacture of latex material.
A kind of bile recovery method that turn of tidal stream EA device is reclaimed based on optional formula bile, is comprised the following steps：
S1：Drainage tube 1 is put into choledochus 6；
S2：The fixed drainage tube 1 of suture；
S3：Second end of drainage tube 1 is drawn external from stomach wall stamp mouth；
S4：Second end of shunt tube 2 is put into jejunum 7；
S5：The fixed shunt tube 2 of suture；
S6：The first end of shunt tube 2 is drawn external from stomach wall stamp mouth；
S7：For the patient that the lower end of choledochus 6 caused by the reasons such as tumour, calculus, inflammation or cicatricial stricture is blocked, connection
Drainage tube 1 and shunt tube 2.
As the improvement of present embodiment, in S7, merge antrum portion, duodenum and other intestines and stomach for biliary tract and obstruct
Resistance situation person, need to simultaneously solve biliary recycle and enteral nutrition infusion, and nutrient solution addition component 4 is communicated on shunt tube 2,
Nutrient solution is added from nutrient solution filler 411.
In another embodiment, in S7, for drain bile filtering after feed back or add medicine after feed back
Situation, the bile for being drained drainage tube 1 with turn of tidal stream heating bags 3 is imported in shunt tube 2 after heating.
Optional formula bile reclaims turn of tidal stream EA device can immediately make bile reclaim turn of tidal stream in enteron aisle in postoperative, and can
Give patient's row enteral nutrition treatment in early stage, and there is the family of four that flexible and selectable selects type connection (drainage tube 1, shunt tube 2, to turn
Stream heating bags 3 and nutrient solution addition component 4), including joint, dosing mouth and constant heating apparatus.Bile reclaims turn of tidal stream and enteral
Nutrition treatment can be selected according to circumstances, and two kinds do not interfere with each other a kind of function that can be used alone using function.The method is outside bile
Bile is reclaimed and to a kind of preferable method of patient's EEN after drainage.
The above, specific embodiment only of the invention, but protection scope of the present invention is not limited thereto, and it is any
Those familiar with the art the invention discloses technical scope in, change or replacement can be readily occurred in, should all contain
Cover within protection scope of the present invention.Therefore, protection scope of the present invention should be based on the protection scope of the described claims.
Claims (10)
1. a kind of optional formula bile reclaims turn of tidal stream EA device, it is characterised in that including the drainage from choledochus by bile
Go out external drainage tube (1) and bile is gone back to the shunt tube (2) for flowing to internal jejunum, the first end of the drainage tube (1) is put
In choledochus (6), the second end of the drainage tube (1) is connected by joint with the first end of the shunt tube (2), described turn
Second end of flow tube (2) is placed in jejunum (7).
2. optional formula bile according to claim 1 reclaims turn of tidal stream EA device, it is characterised in that also including being used for
To the turn of tidal stream heating bags (3) and triple valve (8) of bile heating, the entrance of the triple valve (8) and the second of the drainage tube (1)
End connection, the first outlet of the triple valve (8) is connected by pipeline with the first end of the shunt tube (2), the triple valve
(8) second outlet is connected by pipeline with the arrival end of the turn of tidal stream heating bags (3)；The outlet of the turn of tidal stream heating bags (3)
End is connected by pipeline with the outer body of the shunt tube (2).
3. optional formula bile according to claim 2 reclaims turn of tidal stream EA device, it is characterised in that the turn of tidal stream adds
Be provided with the second joint (52) in connecting line between warm bag (3) and the drainage tube (1), the turn of tidal stream heating bags (3) with
The 3rd joint (53) is provided with connecting line between the shunt tube (2).
4. optional formula bile according to claim 3 reclaims turn of tidal stream EA device, it is characterised in that the shunt tube
(2) nutrient solution being connected with for enteral nutrition treatment adds component (4), and the nutrient solution adds component (4) to be held including liquid collecting
Device (41), the liquid collecting container (41) is provided with filler and medicine liquid outlet, and the medicine liquid outlet passes through pipeline and the turn of tidal stream
Manage the outer body connection of (2).
5. optional formula bile according to claim 4 reclaims turn of tidal stream EA device, it is characterised in that the nutrient solution
The 4th joint (54) is provided with connecting line between addition component (4) and the shunt tube (2).
6. optional formula bile according to claim 5 reclaims turn of tidal stream EA device, it is characterised in that the nutrient solution
Addition component (4) also includes nutrient solution heating bags (42), and the nutrient solution heating bags (42) are arranged at the medicine liquid outlet and institute
In stating the pipeline between shunt tube (2).
7. optional formula bile according to claim 6 reclaims turn of tidal stream EA device, it is characterised in that the nutrient solution
Addition component (4) also includes instillation controller (43), and the instillation controller (43) is arranged at the nutrient solution heating bags (42)
And in the pipeline between the shunt tube (2).
8. a kind of optional formula bile based on described in any one of claim 1 to 7 reclaims the bile time of turn of tidal stream EA device
Receiving method, it is characterised in that comprise the following steps：
S1：Drainage tube (1) is put into choledochus (6)；
S2：The fixed drainage tube (1) of suture；
S3：Second end of drainage tube (1) is drawn external from stomach wall stamp mouth；
S4：Second end of shunt tube (2) is put into jejunum (7)；
S5：The fixed shunt tube (2) of suture；
S6：The first end of shunt tube (2) is drawn external from stomach wall stamp mouth；
S7：For tumour, calculus, inflammation or caused by cicatricial stricture reason distal common bile duct block patient, connect drainage tube
And shunt tube (2) (1).
9. bile recovery method according to claim 8, it is characterised in that in S7, antrum portion, ten are merged for biliary tract
Two duodenum 12 and other Gastrointestinal Obstructions situation person, need to simultaneously solve biliary recycle and enteral nutrition infusion, also need to add nutrient solution
Plus component (4) is communicated on shunt tube (2).
10. bile recovery method according to claim 8, it is characterised in that in S7, the bile for draining is filtered
Situation about being fed back after medicine is fed back or added afterwards, in order to heat bile, also needs to use turn of tidal stream heating bags (3) by drainage tube (1) drainage
Imported in shunt tube (2) after the bile heating for going out.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107537089A (en) * | 2017-10-09 | 2018-01-05 | 江苏中炜医疗科技有限公司 | Intelligent digestive juice collection and refluxing device |
| WO2019073365A1 (en) * | 2017-10-09 | 2019-04-18 | Surgical Design Studio Limited | Nutrient recycling device |
| CN110575610A (en) * | 2019-09-26 | 2019-12-17 | 重庆大学附属肿瘤医院 | PTCD drainage-based bile-transfusion intestinal tract kit |
| CN110575609A (en) * | 2019-09-26 | 2019-12-17 | 重庆大学附属肿瘤医院 | external member for bile re-infusing into intestinal tract after external drainage |
| CN112618085A (en) * | 2020-12-15 | 2021-04-09 | 澎立生物医药技术（上海）有限公司 | Bile duct catheter device |
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| CN107537089A (en) * | 2017-10-09 | 2018-01-05 | 江苏中炜医疗科技有限公司 | Intelligent digestive juice collection and refluxing device |
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| CN110575610B (en) * | 2019-09-26 | 2021-11-09 | 重庆大学附属肿瘤医院 | PTCD drainage-based bile-transfusion intestinal tract kit |
| CN112618085A (en) * | 2020-12-15 | 2021-04-09 | 澎立生物医药技术（上海）有限公司 | Bile duct catheter device |
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Application publication date: 20170606 |