CN110302443A - gastric gas drainage device - Google Patents

gastric gas drainage device Download PDF

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Publication number
CN110302443A
CN110302443A CN201910719660.8A CN201910719660A CN110302443A CN 110302443 A CN110302443 A CN 110302443A CN 201910719660 A CN201910719660 A CN 201910719660A CN 110302443 A CN110302443 A CN 110302443A
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China
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container
water storage
storage container
stomach
reflux
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葛昱
吕元红
周雀云
陈丽梅
余爽
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Shenzhen Childrens Hospital
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Shenzhen Childrens Hospital
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Priority to CN201910719660.8A priority Critical patent/CN110302443A/en
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    • A61M1/0001
    • A61M1/0023
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • A61M2210/1053Stomach

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  • External Artificial Organs (AREA)

Abstract

一种胃内气体引流装置,包括储水容器,储水容器侧壁或顶部开设有通气孔,储水容器内设有吸引容器,吸引容器的容积大于储水容器内的储水量,吸引容器底部设于储水容器的水面之下,吸引容器顶部贯穿储水容器并与设于储水容器外部的回流容器连接,回流容器底部与胃管连接。本发明主要应用于无创正压通气的新生儿,尤其是早产儿,其具有以下技术效果:减轻新生儿腹胀,减少因胃部过度充气引起的反流、呕吐、肠道炎症等胃肠道疾病及由此引起的窒息、休克等情况;使无创正压通气不影响新生儿的喂养进度,保证肠内营养供给;让医生放心的调节呼吸治疗参数,更好的治疗肺部疾病,减少正压通气治疗时间;减少护理操作,避免频繁回抽胃内气体对患儿的刺激。

A gas drainage device in the stomach, comprising a water storage container, the side wall or top of the water storage container is provided with a ventilation hole, the water storage container is provided with a suction container, the volume of the suction container is larger than the water storage capacity in the water storage container, and the bottom of the suction container is It is arranged under the water surface of the water storage container, the top of the suction container runs through the water storage container and is connected with the reflux container outside the water storage container, and the bottom of the reflux container is connected with the stomach tube. The invention is mainly applied to neonates with non-invasive positive pressure ventilation, especially premature infants, and has the following technical effects: reducing abdominal distension of neonates, reducing gastrointestinal diseases such as reflux, vomiting, and intestinal inflammation caused by excessive stomach inflation and the resulting suffocation, shock, etc.; make non-invasive positive pressure ventilation not affect the feeding progress of newborns, and ensure the supply of enteral nutrition; allow doctors to safely adjust the parameters of respiratory therapy, better treat lung diseases, and reduce positive pressure Ventilation treatment time; reduce nursing operations, avoid frequent back pumping of gas in the stomach to stimulate children.

Description

胃内气体引流装置gastric gas drainage device

技术领域technical field

本发明属于新生儿护理技术领域,尤其涉及一种胃内气体引流装置。The invention belongs to the technical field of neonatal care, and in particular relates to an intragastric gas drainage device.

背景技术Background technique

在对新生儿进行无创通气时,呼吸机通过鼻导管、口鼻面罩与患者相连进行正压通气。但是,由于会厌部的构造,即鼻、口、气管、食管均相通,在正压通气改善肺部呼吸肌做功与气体交换的同时,会将大量气体挤入新生儿的胃肠道,从而增加了胃肠负担,对于早产新生儿来说,会严重影响其喂养进度,增加了患胃肠疾病的风险;另外,医生为保护患儿胃肠系统,会降低治疗肺部疾病气体的压力,无创通气治疗失败率增加。住院时间延长。When performing non-invasive ventilation on newborns, the ventilator is connected to the patient through a nasal cannula and an oronasal mask for positive pressure ventilation. However, due to the structure of the epiglottis, that is, the nose, mouth, trachea, and esophagus are all connected, positive pressure ventilation improves the work of the lung respiratory muscles and gas exchange, and at the same time, a large amount of gas will be squeezed into the gastrointestinal tract of the newborn, thereby increasing For premature newborns, it will seriously affect their feeding progress and increase the risk of gastrointestinal diseases; in addition, in order to protect the gastrointestinal system of children, doctors will reduce the pressure of gas for lung diseases, non-invasive Increased rate of failure of ventilation therapy. Extended hospital stay.

发明内容Contents of the invention

本发明的目的在于克服上述现有技术的不足,提供一种可以排出因无创通气进入新生儿胃肠内气体的胃内气体引流装置。The purpose of the present invention is to overcome the shortcomings of the above-mentioned prior art, and provide a gastric gas drainage device that can discharge gas entering the gastrointestinal tract of newborns due to non-invasive ventilation.

本发明是这样实现的,一种胃内气体引流装置,包括一储水容器,所述储水容器侧壁或顶部开设有一通气孔,所述储水容器内设有一吸引容器,所述吸引容器的容积大于所述储水容器内的储水量所述吸引容器底部设于所述储水容器的水面之下,所述吸引容器顶部贯穿所述储水容器并与一设于所述储水容器外部的回流容器连接,所述回流容器底部与一胃管连接。The present invention is achieved in this way, a gas drainage device in the stomach, comprising a water storage container, the side wall or top of the water storage container is provided with a ventilation hole, a suction container is arranged in the water storage container, and the suction container The volume of the suction container is greater than the water storage capacity in the water storage container. The bottom of the suction container is arranged under the water surface of the water storage container. An external reflux vessel is connected, the bottom of which is connected to a stomach tube.

进一步地,所述吸引容器位于所述储水容器外部的顶端固设有一悬挂片,所述悬挂片上开设有一悬挂孔。Further, a suspension piece is fixed on the top of the suction container outside the water storage container, and a suspension hole is opened on the suspension piece.

进一步地,所述回流容器的侧壁上开设有一注食孔,所述注食孔通过一活塞密封。Further, a feeding hole is provided on the side wall of the reflux container, and the feeding hole is sealed by a piston.

具体地,所述回流容器的容积为10-20ml。Specifically, the volume of the reflux container is 10-20ml.

进一步地,所述回流容器的底部设置一胃管接口,所述胃管接口与所述胃管连接。Further, a stomach tube interface is provided at the bottom of the reflux container, and the stomach tube interface is connected with the stomach tube.

具体地,所述储水容器、吸引容器和回流容器均为塑料件。Specifically, the water storage container, the suction container and the return container are all plastic parts.

本发明提供的胃内气体引流装置具有以下技术效果:The gastric gas drainage device provided by the present invention has the following technical effects:

(1)减轻新生儿腹胀,减少因胃部过度充气引起的反流、呕吐、肠道炎症等胃肠道疾病及由此引起的窒息、休克等情况发生;(1) Reduce the abdominal distension of newborns, reduce gastrointestinal diseases such as reflux, vomiting, intestinal inflammation caused by excessive stomach inflation, and the resulting suffocation, shock, etc.;

(2)无创正压通气时,新生儿胃内的乳液或胃液不会因对胃排气而流失,不影响新生儿原有的喂养进度,保证肠内营养供给;(2) During non-invasive positive pressure ventilation, the emulsion or gastric juice in the newborn's stomach will not be lost due to gas exhaustion, which will not affect the original feeding progress of the newborn, ensuring the supply of enteral nutrition;

(3)胃内气体的排出,让医生放心的调节呼吸治疗参数,也为胸腔提供了更多充气空间,更好的治疗肺部疾病,减少正压通气时间;(3) The discharge of gas in the stomach allows the doctor to adjust the parameters of respiratory therapy with confidence, and also provides more inflation space for the chest cavity, which can better treat lung diseases and reduce the time of positive pressure ventilation;

(4)减少护理操作,避免频繁抽新生儿胃内气体导致对患儿的刺激;(4) Reduce nursing operations and avoid frequent pumping of gas in the newborn's stomach to cause stimulation to the patient;

(5)缩短住院时间,减少治疗费用。(5) Shorten hospital stay and reduce treatment costs.

附图说明Description of drawings

为了更清楚地说明本发明的技术方案,下面将对实施例中所需要使用的附图作简单的介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to illustrate the technical solution of the present invention more clearly, the accompanying drawings used in the embodiments will be briefly introduced below. Obviously, the accompanying drawings in the following description are only some embodiments of the present invention. As far as the skilled person is concerned, other drawings can also be obtained based on these drawings on the premise of not paying creative work.

图1是本发明实施例提供的胃内气体引流装置在对新生儿胃肠道进行排气时的示意图;Fig. 1 is a schematic diagram of the gas drainage device in the stomach provided by the embodiment of the present invention when exhausting the gastrointestinal tract of a newborn;

图2是本发明实施例提供的胃内气体引流装置在新生儿刚停止哭闹时的示意图。Fig. 2 is a schematic diagram of the gas drainage device in the stomach provided by the embodiment of the present invention when the newborn just stops crying.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the drawings in the embodiments of the present invention.

如图1所示,本发明实施例提供的一种胃内气体引流装置,包括一储水容器1,储水容器1侧壁或顶部开设有一通气孔11,储水容器1内设有一吸引容器2,吸引容器2的容积大于储水容器1内的储水量,吸引容器2底部设于储水容器1的水面之下,吸引容器2顶部贯穿储水容器1并与一设于储水容器1外部的回流容器3连接,回流容器3底部与一胃管4连接。As shown in Figure 1, a gas drainage device in the stomach provided by the embodiment of the present invention includes a water storage container 1, a vent hole 11 is opened on the side wall or top of the water storage container 1, and a suction container is arranged in the water storage container 1 2. The volume of the suction container 2 is greater than the water storage capacity in the water storage container 1, the bottom of the suction container 2 is set under the water surface of the water storage container 1, the top of the suction container 2 runs through the water storage container 1 and is connected to a water storage container 1 The external reflux container 3 is connected, and the bottom of the reflux container 3 is connected with a stomach tube 4 .

本发明提供的胃内气体引流装置的工作原理如下:The working principle of the intragastric gas drainage device provided by the present invention is as follows:

(1)如图1所示,首先,将储水容器1悬挂于新生儿头部上方,向储水容器1内倒入一定量的水,将吸引容器2底部设于储水容器1的水面之下,再将胃管4的外端置于新生儿胃内;当对新生儿进行无创通气时,大量气体挤入新生儿的胃肠道,此时新生儿的胃肠道内的气压大于大气压;由于储水容器1侧壁或顶部开设有一通气孔11,因此储水容器1内气压与大气压一致,新生儿胃肠道中的气体依次通过胃管4、回流容器3和吸引容器2排入位于储水容器1里的水内;接着,气体浮出水面,从储水容器1的通气孔11处排出,直到新生儿胃肠道内气压与大气压一致,则不再对新生儿胃肠道中的气体进行排气;在排气的过程中,新生儿胃中的一部分乳液或胃液5也会随着气体被排出,此时乳液或胃液5被储存在回流容器3中,排气完成后,乳液或胃液5在重力的作用下通过胃管4重新流回新生儿的胃内,保证了新生儿胃内的乳液或胃液5不会因对胃排气而流失;(1) As shown in Figure 1, at first, hang the water storage container 1 above the newborn's head, pour a certain amount of water into the water storage container 1, and set the bottom of the suction container 2 on the water surface of the water storage container 1 Next, place the outer end of the gastric tube 4 in the stomach of the newborn; when performing non-invasive ventilation on the newborn, a large amount of gas is squeezed into the gastrointestinal tract of the newborn, and at this time the pressure in the gastrointestinal tract of the newborn is greater than atmospheric pressure ; Since the side wall or top of the water storage container 1 is provided with a ventilation hole 11, the air pressure in the water storage container 1 is consistent with the atmospheric pressure, and the gas in the gastrointestinal tract of the newborn is discharged through the stomach tube 4, the reflux container 3 and the suction container 2 successively. In the water in the water storage container 1; then, the gas emerges from the water surface and is discharged from the vent hole 11 of the water storage container 1 until the air pressure in the gastrointestinal tract of the newborn is consistent with the atmospheric pressure, and the gas in the gastrointestinal tract of the newborn is no longer affected. Exhaust; during the exhaust process, a part of the emulsion or gastric juice 5 in the stomach of the newborn will also be discharged along with the gas. At this time, the emulsion or gastric juice 5 is stored in the reflux container 3. After the exhaust is completed, the emulsion or gastric juice Under the action of gravity, the gastric juice 5 flows back into the stomach of the newborn through the gastric tube 4, ensuring that the emulsion or gastric juice 5 in the stomach of the newborn will not be lost due to exhausting the stomach;

(2)如图2所示,当新生儿哭闹时,胃内压力增大,胃内的乳液或胃液5通过胃管4被挤入回流容器3,胃内气体依次通过胃管4、回流容器3和吸引容器2排入位于储水容器1里的水内,接着,气体浮出水面,从储水容器1的通气孔11处排出,直到新生儿胃内气压与大气压一致;当新生儿刚停止哭闹时,胃内压力减小,乳液或胃液5在重力的作用下通过胃管4重新回流入胃内,储水容器1中的水会随着气体进入吸引容器2,由于吸引容器2的容积大于储水容器1内的储水量,因此储水容器1中的水不会通过吸引容器2进入回流容器3进而通过胃管4倒吸至新生儿胃道内。吸引容器2中的水柱与储水容器1中的水面产生的压力差,减轻了新生儿胃内压力,更利于胃内气体的排出。(2) As shown in Figure 2, when the newborn is crying, the pressure in the stomach increases, and the emulsion or gastric juice 5 in the stomach is squeezed into the reflux container 3 through the gastric tube 4, and the gas in the stomach passes through the gastric tube 4, refluxes The container 3 and the suction container 2 are discharged into the water located in the water storage container 1, and then, the gas rises to the surface and is discharged from the vent hole 11 of the water storage container 1 until the pressure in the stomach of the newborn is consistent with the atmospheric pressure; Just when crying stops, the pressure in the stomach decreases, and the emulsion or gastric juice 5 flows back into the stomach through the gastric tube 4 under the action of gravity, and the water in the water storage container 1 will enter the suction container 2 along with the gas. The volume of 2 is greater than the water storage capacity in the water storage container 1, so the water in the water storage container 1 will not enter the reflux container 3 through the suction container 2 and then be sucked back into the neonatal gastric tract through the gastric tube 4. The pressure difference between the water column in the suction container 2 and the water surface in the water storage container 1 reduces the pressure in the stomach of the newborn and is more conducive to the discharge of gas in the stomach.

本发明提供的胃内气体引流装置具有以下技术效果:The gastric gas drainage device provided by the present invention has the following technical effects:

(1)减轻新生儿腹胀,减少因胃部过度充气引起的反流、呕吐、肠道炎症等胃肠道疾病及由此引起的窒息、休克等情况发生;(1) Reduce the abdominal distension of newborns, reduce gastrointestinal diseases such as reflux, vomiting, intestinal inflammation caused by excessive stomach inflation, and the resulting suffocation, shock, etc.;

(2)无创正压通气时,新生儿胃内的乳液或胃液不会因对胃排气而流失,不影响新生儿原有的喂养进度,保证肠内营养供给;(2) During non-invasive positive pressure ventilation, the emulsion or gastric juice in the newborn's stomach will not be lost due to gas exhaustion, which will not affect the original feeding progress of the newborn, ensuring the supply of enteral nutrition;

(3)胃内气体的排出,让医生放心的调节呼吸治疗参数,也为胸腔提供更多充气空间,更好的治疗肺部疾病,减少正压通气时间;(3) The discharge of gas in the stomach allows doctors to adjust the parameters of respiratory therapy with confidence, and also provides more inflation space for the chest cavity, better treating lung diseases, and reducing the time of positive pressure ventilation;

(4)减少护理操作,避免频繁抽新生儿胃内气体导致对患儿的刺激;(4) Reduce nursing operations and avoid frequent pumping of gas in the newborn's stomach to cause stimulation to the patient;

(5)缩短住院时间,减少治疗费用。(5) Shorten hospital stay and reduce treatment costs.

进一步地,如图1所示,吸引容器2位于储水容器1外部的顶端固设有一悬挂片6,悬挂片6上开设有一悬挂孔61;在使用过程中,便于将储水容器1悬挂起来,使储水容器1高于新生儿头部。Further, as shown in Figure 1, the top end of the suction container 2 located outside the water storage container 1 is fixed with a suspension piece 6, and a suspension hole 61 is provided on the suspension piece 6; during use, it is convenient to hang the water storage container 1 , make the water storage container 1 higher than the newborn's head.

进一步地,如图1所示,回流容器3的侧壁上开设有一注食孔31,注食孔31通过一活塞32密封;当需要喂养新生儿时,首先,将活塞32取下;然后,将新生儿营养所需的乳液从注食孔31处灌入回流容器3中;接着,在重力的作用下,乳液通过胃管4进入新生儿的胃内,保证了新生儿的营养所需;乳液喂养完成后,将活塞32放回注食孔31处,使注食孔31重新密封。在对新生儿进行无创通气时,活塞32始终将注食孔31密封。Further, as shown in Figure 1, a feeding hole 31 is provided on the side wall of the reflux container 3, and the feeding hole 31 is sealed by a piston 32; when it is necessary to feed the newborn, first, the piston 32 is removed; then, The emulsion required for the nutrition of the newborn is poured into the reflux container 3 from the feeding hole 31; then, under the action of gravity, the emulsion enters the stomach of the newborn through the gastric tube 4, ensuring the nutritional needs of the newborn; After the emulsion feeding is completed, the piston 32 is put back into the feeding hole 31, so that the feeding hole 31 is resealed. When performing non-invasive ventilation on newborns, the piston 32 always seals the feeding hole 31 .

具体地,回流容器3的容积为10-20ml;在使用过程中,可以根据新生儿不同的营养需求,选择不同容积的回流容器3,使得胃内气体引流装置适用于不同新生儿。Specifically, the volume of the reflux container 3 is 10-20ml; during use, the reflux container 3 with different volumes can be selected according to the different nutritional needs of newborns, so that the gas drainage device in the stomach is suitable for different newborns.

具体地,如图1所示,回流容器3的底部设置胃管接口7,胃管接口7与胃管4连接;胃管接口7可以直接接入各种型号的胃管4,使得胃内气体引流装置适用于不同新生儿。Specifically, as shown in Figure 1, a gastric tube interface 7 is provided at the bottom of the reflux container 3, and the gastric tube interface 7 is connected to the gastric tube 4; the gastric tube interface 7 can be directly connected to various types of gastric tubes 4, so that the gas in the stomach The drainage device is suitable for different newborns.

具体地,储水容器1、吸引容器2和回流容器3均为塑料件,塑料件价格低廉,降低了胃内气体引流装置的生产成本。Specifically, the water storage container 1, the suction container 2 and the reflux container 3 are all plastic parts, and the plastic parts are cheap, which reduces the production cost of the gas drainage device in the stomach.

以上所述是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也视为本发明的保护范围。The above description is a preferred embodiment of the present invention, and it should be pointed out that for those skilled in the art, without departing from the principle of the present invention, some improvements and modifications can also be made, and these improvements and modifications are also considered Be the protection scope of the present invention.

Claims (6)

1.一种胃内气体引流装置,其特征在于,包括一储水容器,所述储水容器侧壁或顶部开设有一通气孔,所述储水容器内设有一吸引容器,所述吸引容器的容积大于所述储水容器内的储水量,所述吸引容器底部设于所述储水容器的水面之下,所述吸引容器顶部贯穿所述储水容器并与一设于所述储水容器外部的回流容器连接,所述回流容器底部与一胃管连接。1. A gas drainage device in the stomach, characterized in that it comprises a water storage container, the side wall or top of the water storage container is provided with a ventilation hole, and a suction container is provided in the water storage container, the suction container The volume is larger than the water storage capacity in the water storage container, the bottom of the suction container is set under the water surface of the water storage container, the top of the suction container runs through the water storage container and connects with a An external reflux vessel is connected, the bottom of which is connected to a stomach tube. 2.根据权利要求1所述的胃内气体引流装置,其特征在于,所述吸引容器位于所述储水容器外部的顶端固设有一悬挂片,所述悬挂片上开设有一悬挂孔。2. The intragastric gas drainage device according to claim 1, wherein a suspension piece is fixed on the top end of the suction container outside the water storage container, and a suspension hole is opened on the suspension piece. 3.根据权利要求1所述的胃内气体引流装置,其特征在于,所述回流容器的侧壁上开设有一注食孔,所述注食孔通过一活塞密封。3. The intragastric gas drainage device according to claim 1, wherein a feeding hole is provided on the side wall of the reflux container, and the feeding hole is sealed by a piston. 4.根据权利要求1所述的胃内气体引流装置,其特征在于,所述回流容器的容积为10-20ml。4. The intragastric gas drainage device according to claim 1, characterized in that the volume of the reflux container is 10-20ml. 5.根据权利要求1所述的胃内气体引流装置,其特征在于,所述回流容器的底部设置一胃管接口,所述胃管接口与所述胃管连接。5. The intragastric gas drainage device according to claim 1, wherein a gastric tube interface is provided at the bottom of the reflux container, and the gastric tube interface is connected to the gastric tube. 6.根据权利要求1所述的胃内气体引流装置,其特征在于,所述储水容器、吸引容器和回流容器均为塑料件。6. The intragastric gas drainage device according to claim 1, wherein the water storage container, the suction container and the reflux container are all plastic parts.
CN201910719660.8A 2019-08-06 2019-08-06 gastric gas drainage device Pending CN110302443A (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2102752U (en) * 1991-09-09 1992-04-29 张正云 Disposable thoracic cavity close type negative pressure attract water sealed bottle
CN202342531U (en) * 2011-10-26 2012-07-25 汕头大学医学院第一附属医院 Device for draining gastric juice of newborn
CN205322875U (en) * 2016-02-01 2016-06-22 丽水市人民医院 Stomach drainage device
CN210750484U (en) * 2019-08-06 2020-06-16 深圳市儿童医院 Gastric Gas Drainage Device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2102752U (en) * 1991-09-09 1992-04-29 张正云 Disposable thoracic cavity close type negative pressure attract water sealed bottle
CN202342531U (en) * 2011-10-26 2012-07-25 汕头大学医学院第一附属医院 Device for draining gastric juice of newborn
CN205322875U (en) * 2016-02-01 2016-06-22 丽水市人民医院 Stomach drainage device
CN210750484U (en) * 2019-08-06 2020-06-16 深圳市儿童医院 Gastric Gas Drainage Device

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