CN111658929A - A simple breathing device suitable for patients with permanent stoma after total laryngectomy - Google Patents
A simple breathing device suitable for patients with permanent stoma after total laryngectomy Download PDFInfo
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
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- A—HUMAN NECESSITIES
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- A61M16/06—Respiratory or anaesthetic masks
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- A—HUMAN NECESSITIES
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- A61M16/0627—Means for improving the adaptation of the mask to the patient with sealing means on a part of the body other than the face, e.g. helmets, hoods or domes
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- A—HUMAN NECESSITIES
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
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Abstract
本发明涉及一种适用于全喉切除后永久造瘘口患者的简易呼吸装置,包括呼吸面罩和固定耳;所述呼吸面罩上表面的中心位置设置有进气孔,所述进气孔的上方固定设置进气管;所述呼吸面罩的底面边缘设置有圈气囊,所述气囊上设置有充气区域,所述的充气区域上设置有充气阀,所述充气阀的内部设置有橡胶垫;所述的充气阀一部分置入在气囊中,另一部分留置在充气区域上;所述呼吸面罩的两端还固定设置有固定耳。其优点表现在:本发明结构简单,操作方便,所述呼吸面罩底面的气囊和装置整体口罩式的结构设置能够提高患者的舒适度,同时增强该装置与患者颈部的气密性,保证患者接受合适的氧浓度和潮气量,利于患者的及时抢救和输氧的顺利进行。
The invention relates to a simple breathing device suitable for patients with permanent stoma after total laryngectomy, comprising a breathing mask and fixed ears; an air inlet hole is arranged at the center of the upper surface of the breathing mask, and the upper part of the air inlet hole is provided with an air inlet hole. An air intake pipe is fixedly arranged; a ring airbag is arranged on the bottom edge of the breathing mask, an inflation area is arranged on the airbag, an inflation valve is arranged on the inflation area, and a rubber pad is arranged inside the inflation valve; the A part of the inflation valve is placed in the air bag, and the other part is left on the inflation area; the two ends of the breathing mask are also fixedly provided with fixing ears. The advantages are as follows: the present invention is simple in structure and convenient in operation, the airbag on the bottom surface of the breathing mask and the overall mask-like structure of the device can improve the comfort of the patient, and at the same time enhance the air tightness between the device and the patient's neck, so as to ensure the patient's safety. Accepting the appropriate oxygen concentration and tidal volume is conducive to the timely rescue of patients and the smooth progress of oxygen delivery.
Description
技术领域technical field
本发明涉及救护设备技术领域,具体地说,是一种适用于全喉切除后永久造瘘口患者的简易呼吸装置。The invention relates to the technical field of rescue equipment, in particular to a simple breathing device suitable for patients with permanent stoma after total laryngectomy.
背景技术Background technique
当患者呼吸心跳暂停时,需要采用简易呼吸器对患者进行呼吸支持,为了保证患者接受合适的氧浓度和潮气量,需要简易呼吸器和患者口鼻紧密贴合。而全喉切除术后,患者的呼吸通道改变,颈部造瘘口为患者的呼吸道入口,因此传统的口鼻式简易呼吸器已不再适应,目前临床并未出现该类患者的简易呼吸装置,且文献也未检索到,导致该类患者的抢救存在极大风险。When the patient's breathing and heartbeat is paused, a simple respirator needs to be used to support the patient's breathing. In order to ensure that the patient receives the appropriate oxygen concentration and tidal volume, the simple respirator needs to be closely fitted to the patient's mouth and nose. After total laryngectomy, the patient's breathing passage changes, and the neck stoma is the patient's airway entrance. Therefore, the traditional oral-nose simple breathing apparatus is no longer suitable. At present, there is no simple breathing apparatus for such patients in clinical practice. , and the literature has not been retrieved, leading to great risks in the rescue of such patients.
所以综上所述,现亟需要一种能够满足患者颈部造瘘口吸氧,且密封性良好,能够提高患者舒适度,并适用于全喉切除后永久造瘘口患者的简易呼吸装置。但是关于这种新型的适用于全喉切除后永久造瘘口患者的简易呼吸装置,目前还未见报道。Therefore, to sum up, there is an urgent need for a simple breathing device that can satisfy the oxygen inhalation of patients with cervical stoma, has good sealing performance, can improve patient comfort, and is suitable for patients with permanent stoma after total laryngectomy. However, there is no report about this new simple breathing device suitable for patients with permanent stoma after total laryngectomy.
发明内容SUMMARY OF THE INVENTION
本发明的目的是能够解决全喉造瘘口患者在心跳呼吸暂停时人工通气设备缺乏的问题,以保证该类患者抢救及时和输氧的顺利进行,提供一种适用于全喉切除后永久造瘘口患者的简易呼吸装置。The purpose of the present invention is to be able to solve the problem of lack of artificial ventilation equipment in patients with total laryngeal stoma during cardiac apnea, to ensure timely rescue of such patients and smooth progress of oxygen delivery, and to provide a permanent stoma suitable for total laryngectomy after resection. Simple breathing apparatus for oral patients.
为实现上述目的,本发明采取的技术方案是:For realizing the above-mentioned purpose, the technical scheme that the present invention takes is:
一种适用于全喉切除后永久造瘘口患者的简易呼吸装置,所述简易呼吸装置由呼吸面罩和固定耳组成;所述呼吸面罩上表面的中心位置设置有一进气孔,所述进气孔的上方固定设置一进气管,所述的进气管为空心圆柱体结构;所述呼吸面罩的底面边缘设置有一圈气囊,所述气囊上设置有一充气区域,所述的充气区域上设置有充气阀,所述充气阀的内部设置有一橡胶垫;所述的充气阀一部分置入在气囊中,另一部分留置在充气区域上;所述呼吸面罩的两端还固定设置有固定耳,所述的固定耳上设置有一通孔,所述的通孔内还设置有一松紧系带。A simple breathing device suitable for patients with permanent stoma after total laryngectomy, the simple breathing device is composed of a breathing mask and fixed ears; an air inlet is provided in the center of the upper surface of the breathing mask, and the air An air intake pipe is fixed above the hole, and the air intake pipe is a hollow cylindrical structure; a circle of airbags is arranged on the bottom edge of the breathing mask, and an inflatable area is arranged on the airbag, and an inflatable area is arranged on the inflatable area. A rubber pad is arranged inside the inflation valve; a part of the inflation valve is placed in the airbag, and the other part is left on the inflation area; the two ends of the breathing mask are also fixedly provided with fixing ears, and the A through hole is arranged on the fixing ear, and an elastic band is also arranged in the through hole.
根据权利要求1所述的适用于全喉切除后永久造瘘口患者的简易呼吸装置,其特征在于,所述的呼吸面罩呈圆弧形结构设置,且中间较两边高耸,所述吸氧面罩最高点到底面的垂直高度为6-9cm,且底面左右两端点的距离为10-17cm,底面上下两端点之间的距离为6-10cm;且所述呼吸面罩底边与切线之间的夹角为30-60度。The simple breathing device suitable for patients with permanent stoma after total laryngectomy according to
在上述所述的适用于全喉切除后永久造瘘口患者的简易呼吸装置中,作为一个优选方案,所述的松紧系带的宽度为4-6cm,且松紧系带一端与其中一固定耳固定式连接,其松紧系带的另一端与另一固定耳活动式连接。In the above-mentioned simple breathing device suitable for patients with permanent stoma after total laryngectomy, as a preferred solution, the width of the elastic band is 4-6 cm, and one end of the elastic band is connected to one of the fixed ears. Fixed connection, the other end of the elastic band is movably connected with another fixed ear.
在上述所述的适用于全喉切除后永久造瘘口患者的简易呼吸装置中,作为一个优选方案,所述的气囊能够凸起的最大高度为1.2-1.8cm。In the above-mentioned simple breathing device suitable for patients with permanent stoma after total laryngectomy, as a preferred solution, the balloon can be raised to a maximum height of 1.2-1.8 cm.
在上述所述的适用于全喉切除后永久造瘘口患者的简易呼吸装置中,作为一个优选方案,所述的呼吸面罩、固定耳、进气管和气囊为一体式结构设置,且整体采用具有一定韧性的软硅胶材质制成。In the above-mentioned simple breathing device suitable for patients with permanent stoma after total laryngectomy, as a preferred solution, the breathing mask, the fixed ear, the air intake pipe and the air bag are set in an integrated structure, and the whole adopts a Made of soft silicone material with a certain toughness.
在上述所述的适用于全喉切除后永久造瘘口患者的简易呼吸装置中,作为一个优选方案,所述进气管的内径为2.0-2.4cm,外径为2.8-3.2cm,且所述进气管的直径大小要略大于外部装置的氧气输送管的直径大小。In the above-mentioned simple breathing device suitable for patients with permanent stoma after total laryngectomy, as a preferred solution, the inner diameter of the air inlet pipe is 2.0-2.4 cm, the outer diameter is 2.8-3.2 cm, and the The diameter of the intake pipe is slightly larger than the diameter of the oxygen delivery pipe of the external device.
在上述所述的适用于全喉切除后永久造瘘口患者的简易呼吸装置中,作为一个优选方案,所述的充气区域为一圆形的硬性塑性制成,且固定设置在气囊的一侧面位置。In the above-mentioned simple breathing device suitable for patients with permanent stoma after total laryngectomy, as a preferred solution, the inflatable area is made of a circular rigid plastic, and is fixedly arranged on one side of the airbag Location.
本发明优点在于:The advantages of the present invention are:
1、本发明结构简单,操作方便,安全稳定,舒服性良好,且整体采用软硅胶的结构设置,易清洗消毒,制作成本较低等特点。1. The present invention has the advantages of simple structure, convenient operation, safety and stability, good comfort, and the overall structure of soft silica gel is adopted, which is easy to clean and disinfect, and has the characteristics of low production cost.
2、本发明中所述呼吸面罩底面的气囊和整体口罩式的结构设置都能够给患者提供一定的舒适度,同时也能够增加与患者颈部的接触面积,增强装置的气密性,避免再给患者造瘘口输入氧气时造成氧气的流失,同时也可以避免尘埃等异物的进入给患者造成不必要的伤害。2. The airbag on the bottom surface of the breathing mask and the overall mask-like structure in the present invention can provide a certain degree of comfort to the patient, and at the same time, it can increase the contact area with the patient's neck, enhance the air tightness of the device, and avoid repeated use. Oxygen loss is caused when oxygen is injected into the patient's ostomy opening, and at the same time, the entry of dust and other foreign bodies can cause unnecessary harm to the patient.
3、本发明中所述固定耳以及松紧系带的设置能够方便医护人员对呼吸面罩进行固定,同时又能够增强呼吸面罩与患者颈部的固定效果,进而增强其气密性。3. The arrangement of the fixing ears and the elastic band in the present invention can facilitate the medical staff to fix the breathing mask, and at the same time can enhance the fixing effect of the breathing mask and the patient's neck, thereby enhancing its air tightness.
附图说明Description of drawings
附图1是本发明中所述适用于全喉切除后永久造瘘口患者的简易呼吸装置的结构示意图。FIG. 1 is a schematic structural diagram of the simple breathing apparatus according to the present invention, which is suitable for patients with permanent stoma after total laryngectomy.
附图2是本发明中所述适用于全喉切除后永久造瘘口患者的简易呼吸装置上呼吸面罩的结构示意图。2 is a schematic structural diagram of a breathing mask on a simple breathing apparatus for patients with permanent stoma after total laryngectomy according to the present invention.
附图3是本发明中所述适用于全喉切除后永久造瘘口患者的简易呼吸装置上呼吸面罩的部分截面示意图。FIG. 3 is a partial cross-sectional schematic view of the breathing mask on the simple breathing apparatus for patients with permanent stoma after total laryngectomy according to the present invention.
附图4是本发明中所述适用于全喉切除后永久造瘘口患者的简易呼吸装置上充气阀的结构示意图。4 is a schematic structural diagram of an inflation valve on a simple breathing apparatus for patients with permanent stoma after total laryngectomy according to the present invention.
具体实施方式Detailed ways
下面结合具体实施方式,进一步阐述本发明。应理解,这些实施例仅用于说明本发明而不用于限制本发明的范围。此外应理解,在阅读了本发明记载的内容之后,本领域技术人员可以对本发明作各种改动或修改,这些等价形式同样落于本申请所附权利要求书所限定的范围。The present invention will be further described below in conjunction with specific embodiments. It should be understood that these examples are only used to illustrate the present invention and not to limit the scope of the present invention. In addition, it should be understood that those skilled in the art can make various changes or modifications to the present invention after reading the contents described in the present invention, and these equivalent forms also fall within the scope defined by the appended claims of the present application.
附图中涉及的附图标记和组成部分如下所示:The reference numerals and components involved in the drawings are as follows:
1.呼吸面罩 2.固定耳 3.进气孔1.
4.进气管 5.气囊 6.充气区域4.
7.充气阀 8.橡胶垫 9.通孔7.
10.松紧系带10. Elastic tie
实施例1一种适用于造瘘口患者的简易呼吸装置Embodiment 1 A kind of simple breathing apparatus suitable for stoma patients
请参见附图1-4所示,附图1是本发明中所述适用于全喉切除后永久造瘘口患者的简易呼吸装置的结构示意图。附图2是本发明中所述适用于全喉切除后永久造瘘口患者的简易呼吸装置上呼吸面罩的结构示意图。附图3是本发明中所述适用于全喉切除后永久造瘘口患者的简易呼吸装置上呼吸面罩的部分截面示意图。附图4是本发明中所述适用于全喉切除后永久造瘘口患者的简易呼吸装置上充气阀的结构示意图。Please refer to Figures 1-4, Figure 1 is a schematic structural diagram of a simple breathing device suitable for patients with permanent stoma after total laryngectomy according to the present invention. 2 is a schematic structural diagram of a breathing mask on a simple breathing apparatus for patients with permanent stoma after total laryngectomy according to the present invention. FIG. 3 is a partial cross-sectional schematic view of the breathing mask on the simple breathing apparatus for patients with permanent stoma after total laryngectomy according to the present invention. 4 is a schematic structural diagram of an inflation valve on a simple breathing apparatus for patients with permanent stoma after total laryngectomy according to the present invention.
本发明是在现有口鼻呼吸面罩的基础上,对呼吸面罩的外观及形状进行更改,使之更适用于人体颈部结构及患者颈部造瘘口,保证挤压球囊时,氧气能够通过患者颈部造瘘口进入肺部,为全喉切除后永久造瘘口患者抢救提供器械支持,其具体为一种适用于全喉切除后永久造瘘口患者的简易呼吸装置,所述简易呼吸装置由呼吸面罩1和固定耳2组成;所述呼吸面罩1上表面的中心位置设置有一进气孔3,所述进气孔3的上方固定设置一进气管4,所述的进气管4为空心圆柱体结构,用于连接外部的输氧装置;所述呼吸面罩1的底面边缘设置有一圈气囊5,所述气囊5上设置有一充气区域6,所述的充气区域6上设置有充气阀7,在充气阀7的内部还设置有一橡胶垫8,所述的充气阀7一部分置入在气囊5中,另一部分留置在充气区域6上,所述的充气阀7可采用与篮球相似的一种充气阀门,其当充气装置进行充气时,位于充气阀内部的橡胶垫8会被外部装置巨大的压力冲开,而当充气装置从充气阀中拔出后,气囊5内的气会给充气阀内部的橡胶垫8一个向外的力,致使橡胶垫8还原成紧闭状态,从而减少气囊5内部气体的流出,且所述气囊上充气阀7的设置能够时刻保持气囊5内气体的充盈,在患者的颈部皮肤与气囊接触时,能够产生很好的弹性,提高患者的舒适性,同时充盈的气囊5能够增加呼吸面罩与人颈部皮肤的接触面积,减少氧气的流出,方便为患者提供充足的氧气,利于患者的及时抢救以及输氧的顺利进行;所述呼吸面罩1的两端还固定设置有固定耳2,所述固定耳上还设置有通孔9,所述通孔内还设置有一松紧系带10,所述固定耳2上的松紧系带10可以方便对患者的颈部进行固定,所述的松紧系带10也可采用带有魔术贴的系带或者带有弹性的其它系带与固定耳上的通孔9相连接,将呼吸面罩1固定在患者的造瘘口位置,以增加呼吸面罩的固定效果,增加装置的气密性,避免造成氧气的过度流失。The present invention modifies the appearance and shape of the breathing mask on the basis of the existing oral-nose breathing mask, so that it is more suitable for the human neck structure and the patient's neck stoma, and ensures that when the balloon is squeezed, the oxygen can Entering the lungs through the patient's neck stoma, providing instrument support for the rescue of patients with permanent stoma after total laryngectomy, which is specifically a simple breathing device suitable for patients with permanent stoma after total laryngectomy. The breathing apparatus is composed of a
在本实施例中,优选所述的呼吸面罩1呈圆弧形结构设置,且中间较两边高耸,所述吸氧面罩1最高点到底面的垂直高度为6cm,且底面左右两端点的距离为14cm,底面上下两端点之间的距离为8cm;且所述呼吸面罩底边与切线之间的夹角之间可以设置为α,且α的角度为30-60度,且该角度的设置,能够使该呼吸面罩与患者的颈部位置更容易吻合,同时使进气管能够更方便地连接到所述供气设备上,方便为患者的颈部造瘘口提供持续的氧气输送。In this embodiment, it is preferable that the
在本实施例中,优选所述的松紧系带的宽度为5cm,且松紧系带一端与其中一固定耳固定式连接,其松紧系带的另一端与另一固定耳活动式连接,该设置可以通过两侧的松紧系带使该呼吸面罩稳定固定在患者气管造瘘口处,其松紧系带一端的活动式连接,可以方便医护人员调节其松紧,提高患者的舒适度,满足不同患者的需求。In this embodiment, preferably the width of the elastic band is 5cm, and one end of the elastic band is fixedly connected to one of the fixing ears, and the other end of the elastic band is movably connected to the other fixing ear. The breathing mask can be stably fixed at the tracheostomy opening of the patient through the elastic straps on both sides, and the flexible connection at one end of the elastic strap can facilitate the medical staff to adjust the tightness, improve the comfort of the patient, and meet the needs of different patients. need.
在本实施例中,优选所述的气囊能够凸起的最大高度为1.5cm。In this embodiment, it is preferable that the maximum height that the airbag can bulge is 1.5 cm.
在本实施例中,优选所述的呼吸面罩1、固定耳2、进气管4和气囊5为一体式结构设置,且整体采用具有一定韧性和弹性的软硅胶材质制成,该设置能够提高患者的舒适度,并且佩戴拆卸操作方便;所述根据软硅胶的柔软性可以吻合患者表层皮肤,使该装置与患者的颈部皮肤相吻合,避免再给患者气管造瘘口输入氧气时造成氧气的流失,同时也可以避免尘埃等异物的进入给患者造成不必要的伤害。In this embodiment, it is preferable that the
在本实施例中,优选所述进气管的内径为2.2cm,外径为3.0cm,且所述的进气管4的直径大小要略大于外部装置的氧气输送管的直径大小,该设置能够将外部装置上的氧气输送管道与进气管4进行牢固贴合,避免输氧过程中因两者之间固定不牢靠而造成氧气的流失,影响对患者气管造瘘口的有效吸氧。In this embodiment, it is preferable that the inner diameter of the air inlet pipe is 2.2 cm and the outer diameter is 3.0 cm, and the diameter of the air inlet pipe 4 is slightly larger than the diameter of the oxygen delivery pipe of the external device. The oxygen delivery pipe on the device is firmly attached to the air intake pipe 4 to avoid the loss of oxygen caused by the unreliable fixation between the two during the oxygen delivery process, which affects the effective oxygen inhalation of the patient's tracheostomy opening.
在本实施例中,优选所述的充气区域6为一圆形的硬性塑性制成,且固定设置在气囊5的一侧面位置,该设置能够有利于外部充气装置受力并稳定对气囊5进行充气。In this embodiment, it is preferable that the inflatable area 6 is made of a circular rigid plastic, and is fixedly arranged on one side of the
本发明的使用方法:将该装置的吸氧口处对准患者颈部的造瘘口位置,将外部的吸氧装置套接在该呼吸面罩的进气管上,打开输氧装置对患者进行输气,当与患者颈部接触的气囊不在充盈时,用外部的充气装置对位于充气区域的充气阀进行充气,时刻保持气囊内部气体的充盈,提供患者的舒适度,同时降低氧气流失的可能性,为了更封闭的输氧环境也可将外部的辅助设备魔术贴或者固定系带固定在呼吸面罩的固定耳上,增强呼吸面罩与患者颈部的固定效果,提高装置的密封性,保证该类患者的及时抢救以及输氧的顺利进行。The method of use of the present invention: align the oxygen inhalation port of the device with the position of the stoma opening on the patient's neck, sleeve the external oxygen inhalation device on the air intake pipe of the breathing mask, and open the oxygen inhalation device to inflate the patient. , When the air bag in contact with the patient's neck is not inflated, use an external inflation device to inflate the inflation valve located in the inflation area, keep the air in the air bag full at all times, provide the comfort of the patient, and reduce the possibility of oxygen loss, For a more closed oxygen delivery environment, external auxiliary equipment Velcro or fixing straps can also be fixed on the fixed ears of the breathing mask to enhance the fixing effect of the breathing mask and the patient's neck, improve the sealing of the device, and ensure the safety of such patients. Timely rescue and smooth oxygen delivery.
需要说明的是:本发明主要适用于全喉切除后永久造瘘口心肺呼吸暂停需抢救的患者者,并采用现有口罩的技术原理,充分符合人颈部的佩戴环境,且设计结构合理,操作方便,安全稳定,舒服性良好,具有成本低下,易清洗消毒等特点;且本发明中所述的充气阀为现有技术所公开,并且市场上等各种生活用品中都有涉及,在此便不多加赘述;且本发明中所述充气气囊的设置能够给患者提供一定的舒适度,同时也能够增加与患者颈部的接触面积,增强装置的气密性,避免再给患者造瘘口输入氧气时造成氧气的流失,同时也可以避免尘埃等异物的进入给患者造成不必要的伤害。It should be noted that: the present invention is mainly suitable for patients who need to be rescued with permanent stoma cardiopulmonary apnea after total laryngectomy, and adopts the technical principle of the existing mask, which fully conforms to the wearing environment of the human neck, and has a reasonable design structure. It is easy to operate, safe and stable, has good comfort, low cost, easy cleaning and disinfection, etc.; and the inflatable valve described in the present invention is disclosed in the prior art, and is involved in various daily necessities on the market. This will not be repeated here; and the arrangement of the inflatable air bag in the present invention can provide a certain degree of comfort to the patient, and can also increase the contact area with the patient's neck, enhance the airtightness of the device, and avoid ostomy for the patient. Oxygen is lost when oxygen is input through the mouth, and at the same time, it can also prevent the entry of foreign objects such as dust and cause unnecessary harm to the patient.
以上所述仅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,在不脱离本发明原理的前提下,还可以做出若干改进和补充,这些改进和补充也应视为本发明的保护范围。The above are only the preferred embodiments of the present invention. It should be pointed out that for those of ordinary skill in the art, without departing from the principles of the present invention, several improvements and supplements can be made, and these improvements and supplements should also be regarded as It is the protection scope of the present invention.
Claims (7)
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| CN202010669328.8A CN111658929A (en) | 2020-07-13 | 2020-07-13 | A simple breathing device suitable for patients with permanent stoma after total laryngectomy |
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| CN202010669328.8A CN111658929A (en) | 2020-07-13 | 2020-07-13 | A simple breathing device suitable for patients with permanent stoma after total laryngectomy |
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