CN108744219A - A kind of atomization humidification device and its application method for tracheae cutting patient - Google Patents
A kind of atomization humidification device and its application method for tracheae cutting patient Download PDFInfo
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- 238000000889 atomisation Methods 0.000 title claims abstract description 30
- 238000000034 method Methods 0.000 title claims abstract description 11
- 206010036790 Productive cough Diseases 0.000 claims abstract description 23
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims abstract description 18
- 239000001301 oxygen Substances 0.000 claims abstract description 18
- 229910052760 oxygen Inorganic materials 0.000 claims abstract description 18
- 206010062717 Increased upper airway secretion Diseases 0.000 claims abstract description 3
- 208000026435 phlegm Diseases 0.000 claims abstract description 3
- 239000003814 drug Substances 0.000 claims description 16
- 229940079593 drug Drugs 0.000 claims description 5
- 239000012530 fluid Substances 0.000 claims description 5
- 238000005452 bending Methods 0.000 claims description 4
- 238000005516 engineering process Methods 0.000 abstract description 2
- 230000036541 health Effects 0.000 abstract description 2
- 239000006199 nebulizer Substances 0.000 description 19
- 208000024794 sputum Diseases 0.000 description 17
- 210000003802 sputum Anatomy 0.000 description 17
- 239000000243 solution Substances 0.000 description 8
- 239000007788 liquid Substances 0.000 description 7
- 210000002345 respiratory system Anatomy 0.000 description 5
- 239000002504 physiological saline solution Substances 0.000 description 4
- 230000028327 secretion Effects 0.000 description 4
- 230000000694 effects Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 230000000241 respiratory effect Effects 0.000 description 2
- 210000003437 trachea Anatomy 0.000 description 2
- 238000009736 wetting Methods 0.000 description 2
- 206010011224 Cough Diseases 0.000 description 1
- 208000000059 Dyspnea Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 206010039509 Scab Diseases 0.000 description 1
- 208000025865 Ulcer Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 230000036269 ulceration Effects 0.000 description 1
- 238000010792 warming Methods 0.000 description 1
Classifications
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- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
- A61M16/16—Devices to humidify the respiration air
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- 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
- A61M11/00—Sprayers or atomisers specially adapted for therapeutic purposes
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- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
-
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1025—Respiratory system
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
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Abstract
Description
技术领域technical field
本发明涉及医疗技术领域，具体涉及一种用于气管切割患者的雾化湿化装置及其使用方法。The invention relates to the field of medical technology, in particular to an atomizing and humidifying device for patients with tracheotomy and its application method.
背景技术Background technique
气管切开术系切开颈段气管，放入金属气管套管，气管切开术以解除喉源性呼吸困难、呼吸机能失常或下呼吸道分泌物滞留所致呼吸困难的一种常见手术。气管切开建立人工气道后，上呼吸道丧失了对吸入气体的湿化和加温作用，因此，要不断地为气管切开患者呼吸道进行湿化雾化治疗。因此，实施后气管切开术后的呼吸道畅通和防止肺内感染是保持气管切开术成功的关键所在，如果增湿呼吸处理不佳，易导致痰液粘稠形成痰痂，影响呼吸道通畅，将直接影响患者疾病的预后和康复。目前临床上只有单一的雾化装置，不能持续给药，也不能控制湿化的量，雾化器与气管切开口不能吻合，需要他人辅助，人工鼻价格昂贵且不利于痰液咳出，易使气管切开口皮肤被痰液浸渍，造成创口周围皮肤破溃损伤。因此设计一款集湿化和雾化与一体且能够调节湿化的量的装置很有必要。Tracheotomy is a common operation in which the cervical trachea is cut open, a metal tracheal cannula is placed, and tracheotomy is used to relieve dyspnea caused by laryngeal origin, respiratory dysfunction or retention of secretions in the lower respiratory tract. After the artificial airway is established by tracheotomy, the upper respiratory tract loses its humidification and warming effect on the inhaled gas. Therefore, it is necessary to continuously perform humidification and atomization treatment for the respiratory tract of patients with tracheotomy. Therefore, the smooth airway after tracheotomy and the prevention of pulmonary infection are the key to the success of tracheotomy. If humidified breathing is not handled well, it will easily lead to viscous sputum and phlegm scab, which will affect the smoothness of the airway. It will directly affect the prognosis and rehabilitation of patients. At present, there is only a single atomization device in clinical practice, which cannot continue to administer medicines, nor can it control the amount of humidification. The atomizer and the tracheotomy opening cannot be matched, requiring the assistance of others. The artificial nose is expensive and not conducive to coughing up sputum. It is easy to make the skin of the tracheotomy opening be soaked by sputum, causing ulceration and damage to the skin around the wound. Therefore, it is necessary to design a device that integrates humidification and atomization and can adjust the amount of humidification.
本发明提供的一种用于气管切割患者的雾化湿化装置既能够控制湿化的量，保证患者的安全，既能持续给药也可单一给药，可拆卸的套管接头能够很好地与气管套管吻合，保证病人的健康。The atomization and humidification device for patients with tracheotomy provided by the present invention can control the amount of humidification, ensure the safety of patients, and can continue to administer medicine or single administration, and the detachable cannula joint can be well It fits perfectly with the tracheal tube to ensure the health of the patient.
发明内容Contents of the invention
本发明的目的在于提供一种用于气管切割患者的雾化湿化装置及其使用方法，用以解决临床上的雾化装置功能单一，不能持续给药，也不能控制湿化的量的问题。The purpose of the present invention is to provide an atomization and humidification device for patients with tracheotomy and its use method to solve the problem that the clinical atomization device has a single function, cannot continue to administer drugs, and cannot control the amount of humidification .
为实现上述目的，本发明的技术方案为提供一种用于气管切割患者的雾化湿化装置，所述雾化湿化装置包括湿化器、雾化器、氧气罐和套管连接管，所述湿化器通过输送管连接至雾化器的上端，所述氧气罐通过输氧管连接至雾化器的底部，所述套管连接管的一端与雾化器相连，另一端连接至病人的气管套管，所述套管连接管上设置有排痰管，所述排痰管的出口连接有积痰器。In order to achieve the above object, the technical solution of the present invention is to provide an atomization and humidification device for tracheotomy patients, the atomization and humidification device includes a humidifier, a nebulizer, an oxygen tank and a cannula connection tube, The humidifier is connected to the upper end of the nebulizer through a delivery tube, the oxygen tank is connected to the bottom of the nebulizer through an oxygen delivery tube, one end of the cannula connection tube is connected to the nebulizer, and the other end is connected to the patient A tracheal cannula, the sleeve connecting tube is provided with a sputum discharge tube, and the outlet of the sputum discharge tube is connected with a sputum accumulator.
作为优选的技术方案，所述输送管与雾化器连接的部分为减流管，所述减流管的直径小于输送管的直径。As a preferred technical solution, the part where the delivery pipe is connected to the atomizer is a flow reduction pipe, and the diameter of the flow reduction pipe is smaller than that of the delivery pipe.
作为优选的技术方案，所述输送管上设置有控速开关，所述控速开关的下方设置有总开关。As a preferred technical solution, a speed control switch is provided on the conveying pipe, and a master switch is provided below the speed control switch.
作为优选的技术方案，所述雾化器的上端开口设置有加药器，所述加药器的上方设置有活动上盖。As a preferred technical solution, the upper opening of the atomizer is provided with a dosing device, and a movable upper cover is provided above the dosing device.
作为优选的技术方案，所述套管连接管内设置有滤芯，所述滤芯位于雾化器与排痰管之间的套管连接管内。As a preferred technical solution, a filter element is arranged in the cannula connecting pipe, and the filter element is located in the cannula connecting pipe between the nebulizer and the sputum discharge tube.
作为优选的技术方案，所述套管连接管通过套管接头与病人的气管套管相连，所述套管接头与套管连接管丝扣连接。As a preferred technical solution, the cannula connection tube is connected with the patient's trachea cannula through a cannula joint, and the cannula joint is threadedly connected with the cannula connection tube.
作为优选的技术方案，所述排痰管与套管连接管相交的地方设置有弯折部。As a preferred technical solution, a bending part is provided at the place where the sputum discharge tube intersects with the cannula connection tube.
提供一种用于气管切割患者的雾化湿化装置的使用方法，其特征在于，所述使用方法包括：在湿化器中加入湿化液；通过输送管上设置的调节控速开关调节输送管内湿化液的流量；通过雾化器的上端开口设置的加药器添加病人所需的药物；雾化器对湿化液和药物进行雾化；进入雾化器的氧气的流动将雾化后的湿化液和药物带入病人体内。Provided is a method for using an atomization and humidification device for patients with tracheotomy, characterized in that the method includes: adding humidification liquid into the humidifier; The flow of the humidification liquid in the tube; add the medicine required by the patient through the dosing device set at the upper opening of the nebulizer; the nebulizer atomizes the wetting liquid and medicine; the flow of oxygen entering the nebulizer will atomize The final humidification fluid and medicine are brought into the patient's body.
本发明具有如下优点：The present invention has the following advantages:
(1)本发明提供的雾化湿化装置具有控速开关和减流管，能够调节湿化的量，操作灵活；(1) The atomization and humidification device provided by the present invention has a speed control switch and a flow reducing tube, which can adjust the amount of humidification and is flexible in operation;
(2)本发明提供的雾化湿化装置的套管连接管内设置有滤芯，能够防止呼吸道的分泌物进入雾化器；(2) The casing connecting pipe of the atomization and humidification device provided by the present invention is provided with a filter element, which can prevent secretions of the respiratory tract from entering the atomizer;
(3)本发明提供的雾化湿化装置的套管接头与套管连接管丝扣连接，病人能够根据气管套管的规格更换不同规格的套管接头，适用性强。(3) The cannula joint of the atomization and humidification device provided by the present invention is connected with the cannula connecting pipe with threads, and the patient can replace the cannula joint of different specifications according to the specifications of the tracheal cannula, which has strong applicability.
附图说明Description of drawings
图1为本发明提供的一种用于气管切割患者的雾化湿化装置的结构示意图。Fig. 1 is a schematic structural diagram of an atomization and humidification device for patients with tracheotomy provided by the present invention.
图中：湿化器1、雾化器2、套管连接管3、氧气罐4、输送管5、控速开关6、总开关7、减流管8、加药器9、活动上盖10、滤芯11、排痰管12、积痰器13、套管接头14、输氧管15、弯折部16。In the figure: Humidifier 1, atomizer 2, bushing connecting pipe 3, oxygen tank 4, delivery pipe 5, speed control switch 6, main switch 7, flow reducing pipe 8, dosing device 9, movable upper cover 10 , filter element 11, sputum discharge tube 12, sputum accumulator 13, casing connector 14, oxygen delivery tube 15, bending part 16.
具体实施方式Detailed ways
以下实施例用于说明本发明，但不用来限制本发明的范围。The following examples are used to illustrate the present invention, but are not intended to limit the scope of the present invention.
实施例1Example 1
参考图1，本实施例提供一种用于气管切割患者的雾化湿化装置，包括湿化器1、雾化器2、氧气罐4和套管连接管3，所述湿化器1通过输送管5连接至雾化器2的上端，所述氧气罐4通过输氧管15连接至雾化器2的底部，所述套管连接管3的一端与雾化器2相连，另一端连接至病人的气管套管，所述套管连接管3上设置有排痰管12，所述排痰管12的出口连接有积痰器13。Referring to Fig. 1, the present embodiment provides an atomization and humidification device for patients with tracheotomy, including a humidifier 1, a nebulizer 2, an oxygen tank 4 and a cannula connection tube 3, and the humidifier 1 passes through The delivery pipe 5 is connected to the upper end of the nebulizer 2, the oxygen tank 4 is connected to the bottom of the nebulizer 2 through the oxygen delivery pipe 15, one end of the sleeve connection pipe 3 is connected to the nebulizer 2, and the other end is connected to the The patient's tracheal tube, the tube connecting tube 3 is provided with a sputum discharge tube 12, and the outlet of the sputum discharge tube 12 is connected with a sputum accumulator 13.
进一步地，湿化器1内一般存储有类似0.45％的生理盐水的湿化液，生理盐水通过输送管5被流进雾化器2内，输送管5与雾化器2连接的部分为减流管8，减流管8的直径小于输送管5的直径，能够减慢生理盐水的流速。另外，输送管5上设置有控速开关6，控速开关6可以调节生理盐水流下的速率，所述控速开关6的下方设置有总开关7，当遇到紧急情况时可以快速截止湿化液的下流，保证患者安全，另外，总开关7处于关闭状态时，工作人员可从加药器的活动上盖10处加药，可单独雾化给药。Furthermore, the humidifier 1 generally stores a humidification solution similar to 0.45% physiological saline, and the physiological saline flows into the nebulizer 2 through the delivery pipe 5, and the part of the delivery pipe 5 connected to the nebulizer 2 is a reducing Flow tube 8, the diameter of the flow reducing tube 8 is smaller than the diameter of the delivery tube 5, which can slow down the flow rate of physiological saline. In addition, the delivery tube 5 is provided with a speed control switch 6, which can adjust the flow rate of physiological saline, and a master switch 7 is provided below the speed control switch 6, which can quickly cut off the humidification in case of emergency. In addition, when the main switch 7 is in the closed state, the staff can add medicine from the movable upper cover 10 of the dosing device, and the medicine can be sprayed separately.
进一步地，雾化器2的上端开口设置有加药器9，加药器9的上方设置有活动上盖10。套管连接管3内设置有滤芯11，滤芯11位于雾化器2与排痰管12之间的套管连接管3内，滤芯11可以防止患者呼吸道的分泌物进入雾化器2污染药物。Further, the upper opening of the atomizer 2 is provided with a dosing device 9 , and a movable upper cover 10 is provided above the dosing device 9 . A filter element 11 is arranged in the cannula connecting tube 3, and the filter element 11 is located in the cannula connecting tube 3 between the nebulizer 2 and the sputum discharge tube 12. The filter element 11 can prevent the patient's respiratory secretions from entering the nebulizer 2 and contaminating the medicine.
进一步地，套管连接管3通过套管接头14与病人的气管套管相连，套管接头14与套管连接管3丝扣连接，不同的病情和不同的患者使用的气管套管的规格不尽相同，此设计能够根据气管套管的规格更换不同规格的套管接头14，具有较强的适用性。Further, the cannula connecting tube 3 is connected to the patient's tracheal cannula through the cannula joint 14, and the cannula joint 14 is threadedly connected to the cannula connecting tube 3. The specifications of the tracheal cannula used by different illnesses and different patients are different. In the same way, this design can replace the sleeve connector 14 of different specifications according to the specifications of the tracheal sleeve, and has strong applicability.
更进一步地，排痰管12与套管连接管3相交的地方设置有弯折部16，有利于患者呼吸道的分泌物从排痰管12流出，防止气管切开口皮肤被痰液浸渍，造成造口周围皮肤破溃损伤。Furthermore, the place where the sputum discharge tube 12 intersects with the cannula connection tube 3 is provided with a bending part 16, which facilitates the secretion of the patient's respiratory tract to flow out of the sputum discharge tube 12, and prevents the skin of the tracheotomy from being soaked by sputum, causing Lesions of the skin around the stoma.
本实施例提供一种用于气管切割患者的雾化湿化装置的使用方法，其特征在于，所述使用方法包括：在湿化器1中加入湿化液；通过输送管5上设置的调节控速开关6调节输送管5内湿化液的流量；通过雾化器2的上端开口设置的加药器9添加病人所需的药物；雾化器2对湿化液和药物进行雾化；进入雾化器2的氧气的流动将雾化后的湿化液和药物带入病人体内，达到既能对药物的雾化又能对患者吸入的氧气进行湿化的效果。This embodiment provides a method for using an atomization humidification device for patients with tracheotomy, characterized in that the method includes: adding humidification liquid into the humidifier 1; The speed control switch 6 adjusts the flow rate of the humidification liquid in the delivery pipe 5; the medicine required by the patient is added through the dosing device 9 provided at the upper opening of the nebulizer 2; the nebulizer 2 atomizes the wetting liquid and medicine; The flow of oxygen entering the nebulizer 2 brings the nebulized humidification liquid and medicine into the patient's body, achieving the effect of not only nebulizing the medicine but also humidifying the oxygen inhaled by the patient.
虽然，上文中已经用一般性说明及具体实施例对本发明作了详尽的描述，但在本发明基础上，可以对之作一些修改或改进，这对本领域技术人员而言是显而易见的。因此，在不偏离本发明精神的基础上所做的这些修改或改进，均属于本发明要求保护的范围。Although the present invention has been described in detail with general descriptions and specific examples above, it is obvious to those skilled in the art that some modifications or improvements can be made on the basis of the present invention. Therefore, the modifications or improvements made on the basis of not departing from the spirit of the present invention all belong to the protection scope of the present invention.
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| CN109513088A (en) * | 2018-11-14 | 2019-03-26 | 复旦大学附属华山医院 | Autogenous cutting oxygen supply humidification device |
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Application publication date: 20181106 |