CN111110488A

CN111110488A - Sub-low temperature treatment box for neonates

Info

Publication number: CN111110488A
Application number: CN202010066207.4A
Authority: CN
Inventors: 杨粉; 孟远翠; 张学策
Original assignee: Second Affiliated Hospital of Xian Medical University
Current assignee: Second Affiliated Hospital of Xian Medical University
Priority date: 2020-01-20
Filing date: 2020-01-20
Publication date: 2020-05-08

Abstract

The invention discloses a sub-low temperature treatment box for a newborn, which comprises a closed box body and a refrigerating system, wherein the newborn is placed in the box body, the interior of the box body is cooled through a color generation air cooler of the refrigerating system, so that the temperature reaches a sub-low temperature state, the body of the newborn can be uniformly cooled by adopting cold air flow, the phenomenon that the body is locally supercooled in the cooling process of an existing water blanket or ice bag is solved, the problem that ice water flows and clothes can be wetted is also avoided, secondly, the box body can play a sound insulation role, so that the newborn is in a quiet environment, and the functions of effectively relieving the dysphoria of infants and soothing the infants are achieved.

Description

Sub-low temperature treatment box for neonates

Technical Field

The invention relates to the field of medical instruments, in particular to a sub-low temperature treatment box for a newborn.

Background

Neonatal hypoxic-ischemic encephalopathy (HIE) is one of the important causes of neonatal death, and some surviving children have associated sequelae such as cerebral palsy, epilepsy, autism, severe vision and hearing impairment. A large amount of clinical practice evidences show that the sub-low temperature treatment can reduce the fatality rate and the disability rate of children with moderate and severe HIE, the sub-low temperature treatment is used as the conventional therapy of the HIE of the newborn in many countries, and the effective cooling control is also listed as the conventional management method after the asphyxia resuscitation of the newborn.

At present, most domestic hospitals adopt a water blanket type or ice cap type cooling method, but no matter which type of cooling method is adopted, the method has the following defects: firstly, the target temperature can not be effectively and rapidly reached, and after the target temperature is reached, the target temperature is easily influenced by the external environment, the temperature fluctuation is large, the recovery of the illness state of the infant is not facilitated, and the discomfort of the infant is aggravated. Secondly, because most hospitals carry out sub-low temperature operation on a radiation table at present, the safety of the operation environment can not be ensured, and the symptoms of dysphoria, irritation, shaking and even convulsion of the children are aggravated due to the stimulation of external strong light and noise; in addition, the local skin of the newborn is easily crushed.

Therefore, in view of the prior art, there is a need for a sub-hypothermia treatment kit for neonates that solves the above problems.

Disclosure of Invention

Aiming at the problem of large temperature fluctuation during the sub-low temperature treatment of the neonate, the invention provides a sub-low temperature treatment box for the neonate.

The invention is realized by the following technical scheme:

a sub-low temperature treatment box for neonates comprises a box body, a mattress, an airflow uniform distribution plate and a refrigerating system;

the box body comprises a bottom plate, a top plate and a baffle plate which is annularly closed, the baffle plate is arranged on the bottom plate, the top plate is arranged at the top of the baffle plate, so that the baffle plate forms a closed shell, and the top plate can rotate upwards to enable the top of the box body to form an open state;

the refrigerator comprises a box body, a mattress, an air flow equalizing plate, a guide rail, a mattress and a slide rail, wherein the guide rail is arranged on two sides of the box body in the length direction, the mattress is connected with the slide rail, the mattress can move along the guide direction of the slide rail, the air flow equalizing plate is positioned at the bottom of the mattress, a cold air outlet of a refrigeration system is connected with an air inlet of the air flow equalizing plate, a return air inlet is arranged on.

Preferably, the baffle plate comprises an end plate and a side plate;

the two end plates are vertically arranged at two ends of the bottom plate in the length direction, the two side plates are vertically arranged at two sides of the bottom plate in the length direction, and the lower ends of the end plates and the side plates are hinged to the bottom plate.

Preferably, the outer walls of the end plates and the side plates are provided with positioning devices for positioning the end plates and the side plates in a vertical state.

Preferably, a plurality of flow guide holes are formed in the mattress in an array mode, and a plurality of convex points are formed in the top of the mattress in an array mode.

Preferably, the top of mattress is provided with the shading band, and the both ends of shading band are connected with the mattress through magic subsides.

Preferably, the airflow uniform distribution plate is internally provided with an airflow cavity, the top of the airflow uniform distribution plate is provided with a plurality of air outlet holes, the bottom of the airflow uniform distribution plate is provided with an air inlet hole, and an outlet of the refrigeration system is connected with the air inlet hole.

Preferably, the rail comprises a U-shaped guide rail and a bracket, the U-shaped guide rail is horizontally provided with the tops of the brackets, the open sides of the U-shaped guide rails of the two rails are oppositely arranged, and a plurality of balls are arranged in the guide rail grooves of the U-shaped guide rail at intervals.

Preferably, the device also comprises a controller and a central temperature sensor probe for collecting the anal temperature of the neonate, wherein the central temperature sensor probe is connected with the input end of the controller, and the control end of the controller is connected with the refrigerating system.

Preferably, the oxygen generating device further comprises an oxygen generator and a heating device, an oxygen sensor is further arranged in the box body and connected with the input end of the controller, and the control end of the controller is connected with the oxygen generator and the heating device.

Preferably, the box body is arranged on the movable support, and the bottom of the movable support is provided with the roller.

Compared with the prior art, the invention has the following beneficial technical effects:

the invention provides a sub-low temperature treatment box for a newborn, which comprises a closed box body and a refrigerating system, wherein the newborn is placed in the box body, the interior of the box body is cooled through a color generation air cooler of the refrigerating system, so that the temperature reaches a sub-low temperature state, the body of the newborn can be uniformly cooled by adopting cold air flow, the phenomenon that the body is locally supercooled in the cooling process of an existing water blanket or ice bag is solved, the problem that ice water flows and clothes can be wetted is also avoided, secondly, the box body can play a sound insulation role, so that the newborn is in a quiet environment, the dysphoria of the baby is effectively relieved, and the baby is appealed.

Drawings

FIG. 1 is a block diagram of a sub-hypothermia treatment cabinet according to the present invention;

FIG. 2 is a view showing the internal structure of the sub-hypothermia treatment tank of the present invention;

FIG. 3 is a cross-sectional view of the air flow equalizer plate of the present invention;

FIG. 4 is a cross-sectional view of a mattress of the present invention;

fig. 5 is a top view of a mattress of the present invention.

In the figure: 1. a base plate; 2. an airflow uniform distribution plate; 3. a mattress; 4. an end plate; 5. a top plate; 6. a side plate; 7. a guide rail; 21. an airflow chamber; 22. an air outlet; 23. an air inlet; 31. a flow guide hole; 32. a roller; 33. a shading cloth.

Detailed Description

The present invention will now be described in further detail with reference to the attached drawings, which are illustrative, but not limiting, of the present invention.

Referring to fig. 1-5, a sub-low temperature treatment box for neonates comprises a box body, a mattress 3, an airflow equalizing plate 2 and a refrigerating system, wherein the refrigerating system is used for adjusting the temperature in the box body so as to enable the temperature in the box body to reach a sub-low temperature state.

The box body comprises a bottom plate 1, an end plate 4, a top plate 5 and a side plate 6; two end plates set up perpendicularly at bottom plate length direction's both ends, and two curb plates 6 set up perpendicularly in bottom plate length direction's both sides, and two end plates and lateral wall enclose into the hoop enclosed construction, and roof 5 sets up at the top of end plate 4 and curb plate 6, make end plate 4 and curb plate 6 form confined casing to roof 5 can the rotation upwards, make the top of box form open state.

Be provided with guide rail 7 in box length direction's both sides, mattress 4 and sliding connection, mattress 2 can move along the direction of slide rail, and air current equipartition board 2 is located mattress 3's bottom, and refrigerating system's air conditioning export is connected with the air inlet of air current equipartition board 2, and air current equipartition board 2 is provided with the return air inlet on the box with the even dispersion of air conditioning in the box, and the return air inlet is connected with the air inlet of refrigerator system.

The lower extreme of end plate 4 and curb plate 6 all is articulated with the bottom plate, and end plate 4 and curb plate 6 can expand like the outside of bottom plate, make the bottom plate expose completely, and the medical personnel of being convenient for nurses and inspects the neonate.

The outer walls of the end plates and the side plates are provided with positioning devices for positioning with the end plates and the side plates in a vertical state, the positioning devices comprise upper positioning holes, lower positioning holes and bolts, the upper positioning holes are arranged on the end plates and the bottom plates, the lower positioning holes are arranged on the side walls of the bottom plates, the upper positioning holes and the lower positioning holes are coaxially arranged, and the bolts are arranged in the upper positioning holes and the lower positioning holes to achieve vertical positioning of the end plates and the side plates.

The top plate 5 is of an arc-shaped structure, one side of the top plate is hinged with the top of one side plate, the other side of the top plate is clamped with the top of the other side plate, the top plate rotates upwards along the hinged end to open the top of the box body, so that medical workers can observe the state of a newborn in a short distance, at the moment, although the top of the box body is opened, the annular closed structure formed by the side wall and the end plate enables the newborn to be still in a low-temperature environment, and the phenomenon that the temperature difference is large due to the; when sub-hypothermic treatment is completed and transfer or nursing is performed, the end plates and the side plates are opened again, so that the newborn is completely exposed to the environment, and nursing and transfer operations are facilitated. Simultaneously, also can open the end plate of one side, take out the neonate from the box through the pull mattress and nurse and shift.

Still the interval is provided with two handle holes on the roof, and when medical personnel carried out preliminary inspection to the neonate, stretched into the handle hole with the arm, can inspect the neonate to be provided with the apron on the handle hole, after the inspection finishes, the apron covered, guaranteed the seal of box.

The end plate, the side plate and the top plate of the box body are all made of transparent materials, so that medical staff can observe the state of a newborn in the box body at any time.

Referring to fig. 4 and 5, a plurality of flow guide holes 31 are arranged on the mattress 3 in an array manner, meanwhile, a plurality of salient points are arranged on the top of the mattress in an array manner, the salient points are positioned between two adjacent flow guide holes, an airflow channel is formed between the salient points, cold airflow generated by the airflow halving plate 2 enters the airflow channel through the flow guide holes to cool the back of the neonate, and meanwhile, the cold airflow diffuses the cold airflow in the box body through the periphery of the mattress and the flow guide channels to cool the side and the front of the body of the neonate, so that the problem that the existing water blanket can only cool the contact part of the neonate and the contact part of the neonate is solved, and the temperature difference of the body is; simultaneously, the bump has reduced the contact nep of neonate with the mattress, reduces the incidence of bedsore and diaper rash, and the surface of mattress is laid the emulsion layer, improves the travelling comfort of neonate on the mattress.

Further, be provided with shading belt 33 at the top of mattress, lie in the mattress when the neonate, take the flatly to lay at the eye position of neonate with shading, shading belt 33's both ends are passed through the magic and are pasted with the mattress and be connected, avoid the neonate to rock the problem that leads to shading belt 33 to drop, adopt shading belt 33 to shelter from the eye of neonate, avoid the stimulation of external highlight, can effectively reduce the dysphoria of infant and the symptom of shake.

Referring to fig. 3, the airflow chamber 21 is arranged inside the airflow uniform distribution plate 2, the plurality of air outlets 22 are arranged at the top, the air inlets 23 are arranged at the bottom, a pipeline of an outlet of the refrigeration system penetrates through the bottom plate to be connected with the air inlets, cold airflow generated by the refrigeration system enters the airflow chamber 21 through the air inlets 23 and then is uniformly distributed in the box body through the air outlets 22, and the cooling rate can be effectively improved.

The return air inlet of the box body is arranged on the bottom plate, and the air inlet, the box body and the return air inlet form an air flow circulating system, so that the flowability of cold air flow of the box body is ensured.

The track includes U type guide rail and support, and the lower extreme and the bottom plate of support are connected, and U type guide rail level sets up the top of a plurality of supports, and the opening side of two orbital U type guide rails sets up relatively, sets up a plurality of balls at the guide rail groove intermediate spacing of U type guide rail, and the tip of mattress supports on the ball, reduces the frictional force when the pull.

The mattress has portable structure, the transfer operation of neonate of being convenient for, for example, when the neonate shifted between incubator and inferior low temperature treatment case, open the tip of incubator and inferior low temperature treatment case, make the both ends butt joint of incubator and inferior low temperature treatment case, move the mattress to the incubator along the slide rail, realize the transfer of neonate, the incubator is located aseptic branch of academic or vocational study indoor, the neonate shifts in the inside of two boxes, can effectually prevent to infect, isolated bacterium of maximum or virus.

Further, in order to improve the mobility of the sub-low temperature treatment box, the sub-low temperature treatment box is placed on the support, and rollers are arranged at the bottom of the support.

Furthermore, in order to control the rewarming rate of the neonate and the oxygen content in the box body, the heating device and the oxygen generator are further included, the heating device, the refrigerating system and the oxygen generator are all connected through controllers, and the working states of the heating device, the refrigerating system and the oxygen generator are controlled through the controllers.

The medical oxygen generator is characterized in that a central temperature sensor probe and an oxygen sensor are further arranged in the box body, the temperature sensor and the oxygen sensor are both connected with the controller, the central temperature sensor probe is used for measuring the anal temperature of a patient, and the controller controls the working states of the heating device, the refrigerating system and the oxygen generator according to parameters collected by the central temperature sensor probe and the oxygen sensor.

The central temperature sensor probe collects the anal temperature of the neonate and sends the anal temperature to the controller, when the anal temperature of the neonate is larger than or equal to a maximum temperature threshold which is the highest temperature of sub-low temperature, the controller generates a first electric signal, and the first electric signal controls the refrigeration system to work; when the anal temperature of the neonate is less than or equal to a minimum threshold value which is the lowest temperature of the hypothermia, the controller generates a second electric signal, and the second electric signal controls the refrigeration system to stop working.

Meanwhile, a temperature sensor is further arranged in the box body and connected with the controller and used for measuring the temperature inside the box body, when the temperature in the box body is smaller than the set value of the anal temperature of the neonate, the refrigeration system is controlled to stop working, and the phenomenon that the external temperature is too low and the neonate is injured is avoided. For example, when the temperature in the box body is less than 5 degrees of the anal temperature of the neonate, the refrigerating system stops working, the temperature of the neonate in the box body is cooled slowly, when the body temperature of the neonate reaches 33.5-34.0 ℃, the cooling is stopped and the temperature is maintained, the sub-low temperature treatment is finished, the body temperature of the neonate is recovered, the heating lamp is turned on, the temperature in the box body is increased, and the body temperature of the neonate is gradually restored to 36.5 degrees.

The oxygen sensor collects the oxygen concentration in the box body and sends the oxygen concentration to the controller, the controller judges whether the oxygen concentration in the box body is greater than or equal to a maximum threshold value or less than or equal to a minimum threshold value according to the oxygen concentration, when the oxygen concentration in the box body is greater than or equal to the maximum threshold value, the controller generates a third electric signal, and the third electric signal controls the oxygen generator to stop working; when the oxygen concentration in the box body is less than or equal to the minimum threshold value, the controller generates a fourth electric signal, and the fourth electric signal controls the oxygen generator to work to increase oxygen in the box body.

The refrigerating system comprises a compressor and a condenser, and cold air generated by the condenser is input to the airflow equalizing plate through a pipeline.

The heating system comprises a relay and a heating lamp, the heating lamp is hung on the top plate, the control end of the controller is connected with the relay, the relay is connected with the heating lamp, and the body temperature of the newborn is gradually raised in the box body through heating and the like, so that the body temperature recovery speed of the newborn is improved.

The sub-low temperature treatment box for the neonate, provided by the invention, has the advantages that the neonate is placed in the closed box body, the central temperature of the neonate is controlled through cold air flow, the temperature control is accurate, the operation is convenient, the temperature fluctuation is small, and the problem that the temperature change of a child patient is large is solved. Meanwhile, the neonate carries out sub-low temperature operation in the incubator, so that the safety of the surrounding environment of the sick child can be guaranteed, and the incidence rate of infection can be effectively reduced. Secondly, the air circulation mode is adopted for cooling, so that the damage of local cooling to the skin of the infant patient is avoided. In addition, set up the shading area in the box, shelter from neonate's eye, can effectually block the bad stimulus of external light and noise to the infant, be favorable to the infant state of an illness to resume. Finally, according to the requirements of the illness state of the newborn, different oxygen uptake concentrations can be selected by implementing the circulating gas with the sub-low temperature, which is beneficial to the recovery of the illness state.

The above-mentioned contents are only for illustrating the technical idea of the present invention, and the protection scope of the present invention is not limited thereby, and any modification made on the basis of the technical idea of the present invention falls within the protection scope of the claims of the present invention.

Claims

1. A sub-hypothermia treatment box for a newborn is characterized by comprising a box body, a mattress (3), an airflow uniform distribution plate (2) and a refrigerating system;

the box body comprises a bottom plate, a top plate (5) and a baffle plate which is annularly closed, the baffle plate is arranged on the bottom plate, the top plate (5) is arranged at the top of the baffle plate, so that the baffle plate forms a closed shell, and the top plate (5) can rotate upwards to enable the top of the box body to form an open state;

guide rails (7) are arranged on two sides of the box body in the length direction, the mattress (4) is connected with the slide rails, the mattress (2) can move along the guide direction of the slide rails, the air flow uniform distribution plate (2) is located at the bottom of the mattress (3), the cold air outlet of the refrigeration system is connected with the air inlet of the air flow uniform distribution plate (2), and the box body is provided with an air return opening which is connected with the air inlet of the refrigeration system.

2. A hypothermia treatment cabinet for neonates according to claim 1, characterized in that the baffle comprises end plates (4) and side plates (6);

the two end plates are vertically arranged at two ends of the length direction of the bottom plate, the two side plates (6) are vertically arranged at two sides of the length direction of the bottom plate, and the lower ends of the end plates (4) and the side plates (6) are hinged with the bottom plate.

3. The subhypothermia treatment kit for a newborn infant as claimed in claim 2, wherein the outer walls of the end plates and the side plates are provided with positioning means for positioning the vertical state of the end plates and the side plates.

4. A hypothermia treatment kit for neonates according to claim 1, characterized in that a plurality of deflector holes (31) are arranged in an array on the mattress (3) and a plurality of bumps are arranged in an array on the top of the mattress.

5. The hypothermia treatment kit for the neonate according to claim 1, wherein a light shielding tape (33) is provided on the top of the mattress, and both ends of the light shielding tape (33) are connected with the mattress by magic tapes.

6. The hypothermia treatment box for the neonate according to claim 1, wherein the air flow equalizing plate (2) is provided with an air flow chamber (21) inside, a plurality of air outlet holes (22) at the top, an air inlet hole (23) at the bottom, and an outlet of the refrigerating system is connected with the air inlet hole.

7. A hypothermia treatment kit for neonates according to claim 1, wherein the track (7) comprises a U-shaped rail and a bracket, the U-shaped rail horizontally arranged at the top of the plurality of brackets, the open sides of the U-shaped rails of the two tracks are oppositely arranged, and a plurality of balls are arranged at intervals in the rail grooves of the U-shaped rail.

8. The hypothermia treatment kit for the neonate of claim 1, further comprising a controller and a central temperature sensor probe for collecting the anal temperature of the neonate, wherein the central temperature sensor probe is connected with an input end of the controller, and a control end of the controller is connected with a refrigeration system.

9. The hypothermia treatment kit for the neonate according to claim 8, further comprising an oxygen generator and a heating device, wherein an oxygen sensor is further disposed in the kit body, the oxygen sensor is connected with an input end of the controller, and a control end of the controller is connected with the oxygen generator and the heating device.

10. The subhypothermia treatment kit for the neonate as claimed in claim 1, wherein the kit body is disposed on a movable support, and rollers are disposed at the bottom of the movable support.