CN110585562A

CN110585562A - Neurosurgery postoperative drainage tube fixing device

Info

Publication number: CN110585562A
Application number: CN201910867536.6A
Authority: CN
Inventors: 刘权; 邓东风; 张林林; 张绪新; 李彦钊; 李凯
Original assignee: Affiliated Zhongshan Hospital of Dalian University
Current assignee: Affiliated Zhongshan Hospital of Dalian University
Priority date: 2019-09-13
Filing date: 2019-09-13
Publication date: 2019-12-20

Abstract

The invention discloses a neurosurgery postoperative drainage tube fixing device which comprises a cylindrical tray base, a cylindrical tray top cover and a small cylinder fixed in the tray, wherein the outer edge of a tray opening is provided with threads, a circle of the outer edge of the tray opening is surrounded by the threads and is called as an outer opening of the tray, a disc is embedded at the periphery of the small cylinder in the tray, an inlet channel and an outlet channel are arranged on the base and the top cover, the tray is divided into an upper layer and a lower layer by the disc, a small round hole is formed in the outer edge of the disc, threads are arranged in the top cover, and the discs can. The beneficial effect of this device is: the drainage of the patient after the neurosurgery is prevented from being unsmooth due to winding and folding of the drainage tube; but also effectively prevents the influence on prognosis caused by the fact that the drainage tube is too long and the drainage tube is pulled out after the patient unconsciously pulls the drainage tube; still be more favorable to the implementation of clinical and nursing work, avoid intertwining between the drainage tube when the patient need place two drainage tubes because of the condition, make things convenient for clinician to discern or carry out operations such as antibiotic washing and drainage to it.

Description

Neurosurgery postoperative drainage tube fixing device

Technical Field

The invention belongs to the field of surgical supplies, and particularly relates to a drainage tube fixing device after a neurosurgery operation.

Background

Common external drainage tubes for neurosurgery comprise a subcutaneous drainage tube, an epidural drainage tube, a subdural drainage tube, a subarachnoid drainage tube (lumbar cisterna drainage tube), a lateral ventricle external drainage tube and a wound (tumor) cavity drainage tube.

The subcutaneous and epidural drainage tube is used mainly in preventing subcutaneous and epidural hematoma after craniotomy, and is used mainly for chronic subdural effusion or subdural hematoma to form complete envelope for continuous drainage after operation. The lumbar cisterna magna drainage tube is mainly used for intracranial infection, postoperative continuous cerebrospinal fluid leakage and patients needing to monitor and control intracranial pressure. Ventricular drainage is to puncture the lateral ventricle through a cranial drill, place a drainage tube and drain cerebrospinal fluid to the outside of the body, and is one of the commonly used treatment measures for reducing intracranial pressure, discharging ventricular hematocele and reducing wound cerebrospinal fluid leakage after craniocerebral operation. The wound (tumor) cavity drainage tube is mainly used for draining blood and gas in a residual cavity after intracranial tumor removal, and reducing the chance of local hydrops or pseudocyst formation. Therefore, correct drainage tube nursing is the key for success of neurosurgery, the nursing is mainly to pay attention to the height of the drainage tube, prevent retrograde contamination, whether the drainage tube is unobstructed and the like, the premise of the conditions is to keep the drainage tube in a protected state all the time before the drainage tube is pulled out, the phenomenon that drainage is not smooth or even is separated due to bending, winding, knotting or pressing is prevented, postoperative recovery of a patient is affected, and serious patients can cause intracranial infection to endanger life.

Therefore, the arrangement and fixation of the drainage tube play an indispensable role in the nursing of patients after neurosurgery operation. Clinically, after a patient returns to a ward after an operation, a nurse notes the name of the drainage tube and attaches a retention date to the drainage tube, and immediately selects a proper height to hang the drainage bag on a transfusion bottle rack to finish the operation. The above conventional methods have major disadvantages in that: firstly, the length of the neurosurgery drainage tube is about 180 cm-200 cm generally, only the drainage bag is hung on a transfusion bottle rack and the drainage tube is left alone, so that the drainage tube is easy to wind and fold and the drainage is not smooth; secondly, patients after neurosurgery are mostly accompanied with restless symptoms, and when the drainage tube is not properly arranged or the upper limb of the patient is not well bound by the restraint strap, the patient unconsciously pulls the head drainage tube to easily pull out the drainage tube, so that the prognosis of the patient is influenced; third, be unfavorable for the implementation of clinical and nursing work, two drainage tubes need to keep somewhere because of two side ventricles of brain hemorrhage or head tumour for some patients, and if unreasonable fixed and arrangement of drainage tube this moment, not only occupy the sick bed space but also two drainage tubes twine each other easily, are unfavorable for clinician to discern or carry out operations such as antibiotic washing and drainage to it, also do not be favorable to the placement of analgesia pump, decompression pump, bring the trouble for nursing work.

Some designs have been made to solve the above problems. For example, chinese patent No. 201721122144X discloses intracranial drainage fixing device of neurosurgery, which comprises a rotating shaft, the cradling piece, the swivel, extend board one, extend board two, the mainboard, the support ring, telescopic link one, telescopic link two and base, the swivel is installed in the pivot, the swivel right-hand member is equipped with the cradling piece, the cradling piece right-hand member is fixed with the mainboard, mainboard inside is provided with extends board two, extend board two internally mounted has the extension board one, this design can settle the drainage tube respectively, the pivot is installed to the base upper end, the base right-hand member is equipped with telescopic link two, the right-hand member of telescopic link two is equipped with telescopic link one, telescopic link one upper end is provided with the support ring, support ring and telescopic link one. The device can prevent the drainage tube from bending or knotting, but the telescopic rod of the device is easy to deform in use, so that the drainage tube on the telescopic rod cannot be supported, and the whole device fails.

Through continuous exploration and summary in clinic, the invention provides the neurosurgery postoperative drainage tube fixing device which is simple and convenient to operate, practical in clinic, space-saving, capable of solving the problem of unsmooth drainage and finally promoting recovery of a patient.

Disclosure of Invention

The object of the present invention is to provide a drainage tube fixing device after neurosurgery so as to solve the problems mentioned in the background art.

In order to realize the purpose, the following technical scheme is adopted:

neurosurgery postoperative drainage tube fixing device, by cylindrical tray base, cylindrical tray top cap, the inside fixed small circle cylinder of tray is constituteed, and dish mouth outer fringe has the screw thread to the screw thread encloses into the round and is called the outer mouthful of tray, has entry round hole and export round hole on base and the top cap, the internal diameter of entry round hole and export round hole all can satisfy the width that passes two honeycomb ducts simultaneously, two-layer about a disc of the inside small circle cylinder peripheral gomphosis of tray divide into the tray, the disc outer fringe has a small circle hole, the top cap is inside to have the screw thread, can be to closing the screw up with tray base screw thread, all parts are the plastics material, can hang to the head of a bed, save space tray base diameter be 10cm, small circle cylinder diameter is 7cm, the diameter of tray is 10cm, the diameter of disc is 9.5 cm.

The further improvement is that the inner edges of the inlet round hole and the outlet round hole at the edges of the top cover and the base are subjected to smoothing treatment, so that the guide pipe capable of avoiding abrasion in and out is formed

Compared with the prior art, the invention has the beneficial effects that: firstly, the drainage of a patient after neurosurgery is prevented from being blocked due to winding and folding of a drainage tube; secondly, the drainage tube is effectively prevented from being too long, so that the patient unconsciously pulls the drainage tube out to influence the prognosis; and thirdly, the implementation of clinical and nursing work is more facilitated, when a patient needs to place two drainage tubes according to the condition of the patient, the drainage tubes are prevented from being wound with each other, so that clinicians can conveniently identify or carry out operations such as antibiotic flushing and drainage on the drainage tubes, the placement of a postoperative pain relieving pump and a postoperative pressure reducing pump is not influenced, and the development of the nursing work is facilitated.

Drawings

FIG. 1 is a front view of an auxiliary fixing device for a drainage tube of the present invention;

FIG. 2 is a top view of the auxiliary fixing device of the drainage tube of the present invention.

Detailed Description

The present invention will be further described with reference to the following detailed description.

Example 1: referring to fig. 1-2, the drainage tube fixing device after neurosurgery operation comprises a cylindrical tray base 1, a cylindrical tray top cover 2 and a small cylinder 3 fixed in the tray, wherein the outer edge of the tray opening is provided with threads, and a circle is enclosed by the threads to form a tray outer opening, the diameter of the tray base is 10cm, the diameter of the small cylinder is 7cm, the diameter of the tray is 10cm, a disc 4 is embedded at the periphery of the small cylinder in the tray, the diameter of the disc is 9.5cm, an inlet round hole 5 and an outlet round hole 6 are arranged on the base 1 and the top cover 2, the inner diameters of the inlet round hole 5 and the outlet round hole 6 can meet the width of two drainage tubes which are simultaneously penetrated through, the tray is divided into an upper layer and a lower layer by the disc 4, a small round hole (not shown in the figure) is arranged at the outer edge of the disc 4, and threads are arranged in the; all parts are made of plastic materials and can be hung on the bed head, so that the space is saved.

The specific use method comprises the following steps: after a neurosurgery postoperative patient is sent to a ward by an operating room, a nurse notes the name of a drainage tube, a remaining date is pasted on the drainage tube, then a clinician fixes a traditional infusion support base in a bedside infusion support fixing hole of a sickbed on the head side of the patient, the drainage tube is adjusted to a proper height and then is arranged, the device is opened at the moment, a circle of the drainage tube is sequentially wound to a small cylinder 3 in the base, if the patient has two drainage tubes, one drainage tube can be wound to a lower layer, the other drainage tube is wound to the lower layer, the head end of the drainage tube is clamped in an inlet circular hole of a tray base 1, and the tail end is clamped in an outlet circular hole of the tray base 1 reasonably after winding. Finally, the tray top cover 2 is closed and screwed up in alignment with the screw thread. The device can be horizontally placed on the bed head and also can be hung on the bed head, so that the space is saved.

Claims

1. Neurosurgery postoperative drainage tube fixing device, its characterized in that: the tray is divided into an upper layer and a lower layer by the disc, the outer edge of the disc is provided with a small round hole, and the inside of the top cover is provided with threads which can be matched and screwed with the threads of the tray base; there are entry round hole and export round hole on base and the top cap, entry round hole and export round hole's internal diameter all can satisfy the width that passes two honeycomb ducts simultaneously.

2. The neurosurgical postoperative drain tube fixation device of claim 1, wherein: the diameter of the tray base is 10 cm; the diameter of the small cylinder is 7cm, the diameter of the tray is 10cm, and the diameter of the disc is 9.5 cm; all parts are made of plastic.

3. The neurosurgical postoperative drain tube fixation device of claim 1, wherein: the edges of the inlet circular hole and the outlet circular hole are smoothed.