CN112057218A

CN112057218A - Hemostasis device for hepatobiliary surgery

Info

Publication number: CN112057218A
Application number: CN202011092875.0A
Authority: CN
Inventors: 郭伟胜; 郭芙莹; 付利然; 刘鹏; 潘徐彪; 张雨; 朱广灿
Original assignee: Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
Current assignee: Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
Priority date: 2020-10-13
Filing date: 2020-10-13
Publication date: 2020-12-11

Abstract

The invention relates to a hemostasis device, in particular to a hepatobiliary surgery hemostasis device, which can effectively prevent external force from pulling an operation opening, can automatically nurse and change medicine, and solves the problem of reducing the physical burden of medical staff when a compression hemostasis method is adopted when the operation opening bleeds.

Description

Hemostasis device for hepatobiliary surgery

Technical Field

The invention relates to a hemostasis device, in particular to a hemostasis device for a hepatobiliary surgery.

Background

The bleeding is treated in a certain way, so that the blood stops flowing outwards quickly, so that the hemostasis is realized, and under the normal condition, the bleeding caused by the damaged small blood vessels stops automatically within a few minutes.

When the hepatobiliary surgery is postoperative, the bleeding situation can also appear in the art mouth, how to avoid the postoperative hemorrhage to need to take effective measures, cause the hemorrhagic reason of postoperative to have: the operation mouth is pulled to crack due to the action of external force, so that blood vessels are ruptured to bleed, poor wound healing can be realized when wounds cannot be nursed, or bleeding can be caused by other reasons.

Therefore, how to avoid the wound from being pulled due to various factors, how to solve the problem that the operative incision can be cured well through effective nursing, and can effectively avoid bleeding, and how to reduce the physical burden of medical workers when the operative incision is in a bleeding state and a compression hemostasis method is adopted is also a problem.

Disclosure of Invention

Aiming at the situation, in order to overcome the defects of the prior art, the invention provides the hepatobiliary surgery hemostasis device, which can effectively prevent external force from pulling an operation opening, can automatically nurse and change medicine, and solves the problem of reducing the physical burden of medical staff when a compression hemostasis method is adopted during the bleeding of the operation opening.

The technical scheme for solving the problem is that the device comprises a positioning lining plate, the upper end of which is provided with a rectangular through groove, and a rectangular frame body which is communicated up and down is fixedly connected to the positioning lining plate;

the stop bleeding-preventing device comprises a rectangular frame body, wherein the left side and the right side of the rectangular frame body are respectively fixedly connected with a fixed plate which is horizontally arranged, the upper ends of the two fixed plates are respectively provided with a plurality of transverse through grooves which are uniformly arranged along the longitudinal direction at intervals, the left side wall and the right side wall of the rectangular frame body are respectively fixedly connected with one ends of a plurality of transverse rods which are oppositely arranged and correspond to the transverse through grooves, the other end of each transverse rod is hinged with a vertically arranged straight rod, the upper end of each straight rod extends out of the transverse through groove on the corresponding side, the left end of each straight rod on the left side is matched with the left end of the corresponding transverse through groove, the right end of each straight rod on the right side is matched with the right end of the corresponding transverse through groove, the left side and the right side of the lower part of each straight rod are respectively provided with a first sliding groove which is vertically arranged, square sleeve rods which are sleeved, the lower end of each square loop bar is fixedly connected with a first anti-skid sucker, each transverse sliding chute is internally provided with a transversely arranged straight rack in a sliding fit manner, one end of each straight rack close to the straight bar is in contact fit with the straight bar, a second spring is fixedly connected between one end of each straight rack far away from the straight bar and one end of each transverse through groove far away from the straight bar, the lower side of each straight rack is meshed with a pinion rotatably connected with the transverse through groove, the lower end of a fixed plate is rotatably connected with an incomplete gear which is meshed with each pinion and is positioned below the transverse through groove, the lower end of each incomplete gear is fixedly connected with a vertically arranged cylindrical barrel with a downward opening, the upper end surface of each cylindrical barrel is rotatably connected with a vertically arranged threaded rod, the rear side of the outer edge surface of the upper part of each cylindrical barrel is provided with a slotted hole, and, the rear part of each transverse through groove at the lower end of the fixed plate is fixedly connected with a vertically arranged short rod, the lower end of each short rod is fixedly connected with an arc-shaped rack meshed with a driven gear through a groove hole, the left side and the right side of the outer edge surface at the lower part of each cylindrical barrel are respectively provided with a vertically arranged second sliding groove, the second sliding grooves are in sliding fit with first sleeves sleeved with the cylindrical barrels, each first sleeve is internally and fixedly connected with a circular plate which is positioned below the cylindrical barrel and is in threaded connection with a threaded rod, the left side and the right side of the outer edge surface at the lower part of each first sleeve are respectively provided with a vertically arranged third sliding groove, the third sliding grooves are in sliding fit with second sleeves sleeved with the first sleeves, the left side and the right side of the upper end of each second sleeve are respectively connected with the upper end of the corresponding third sliding groove through a vertically arranged third spring, and the lower side in the second, the lower end of the short column is fixedly connected with a second anti-skid sucker.

Preferably, the anti-bleeding device also comprises a limiting device for limiting the stop anti-bleeding device, the limiting device comprises two stop levers longitudinally and fixedly connected with the left side and the right side of the rectangular frame body, the left stop lever is matched with the left outer edge surface of the left cylindrical tube, the right stop lever is matched with the right outer edge surface of the right cylindrical tube, the left side and the right side of the rectangular frame body are respectively and rotatably connected with a U-shaped shaft, the left U-shaped shaft is matched with the right outer edge surface of the left cylindrical tube, the right U-shaped shaft is matched with the left outer edge surface of the right cylindrical tube, the front ends of the two U-shaped shafts extend out of the rectangular frame body and are axially and slidably matched with limiting clamp pins, the upper side and the outer side of each U-shaped shaft at the front end of the rectangular frame body are respectively provided with a limiting hole, when the limiting clamp pins are matched with the limiting holes at the upper side, the U-shaped shaft is matched with the cylindrical tubes under the action of the, the cylinder can rotate to one side close to the longitudinal axis of the rectangular frame body.

Preferably, the medicine changing device comprises a medicine storage bottle made of transparent materials and fixedly connected to the rear end of a rectangular frame body, a vertically-arranged anti-corrosion lead screw is connected in the medicine storage bottle in a rotating mode, a reversing motor used for driving the anti-corrosion lead screw is fixedly connected to the upper end of the medicine storage bottle, a piston sheet in threaded connection with the anti-corrosion lead screw is connected in the medicine storage bottle in a sliding mode, a trapezoidal block is fixedly connected to the rear end of the medicine storage bottle, a medicine feeding hole communicated with the inner wall of the medicine storage bottle is formed in the trapezoidal block, a sealing plug capable of being matched with the medicine feeding hole is fixedly connected to the upper end of the trapezoidal block, the lower end of the anti-corrosion lead screw extends out of the medicine storage bottle and is fixedly connected with a first bevel gear, a longitudinally-arranged short shaft is fixedly connected to the rear end of the rectangular frame body, a second bevel gear meshed with a first belt wheel located behind the second bevel gear is rotatably connected to the, the rear ends of the two bidirectional screw rods extend out of the rectangular frame body and are respectively connected with the second belt pulleys in a rotating mode, the first belt pulleys are respectively in belt transmission with the second belt pulleys on the left side and the right side, the two bidirectional screw rods are connected with a square medicine storage cavity in a threaded mode, a plurality of medicine outlet holes are formed in the lower end of the medicine storage cavity at even intervals, the lower end of the medicine storage cavity is connected with a medicine cotton cluster in a detachable mode, and the medicine storage cavity is communicated with the inside of the medicine storage bottle through a long guide.

As preferred, still include gauze fixing device, gauze fixing device includes the long slab that the looks remote site difference fixedly connected with of two fixed plates is located two-way lead screw outsides, three vertical round hole has been seted up along longitudinal separation respectively in the upper end of two long slabs, sliding connection has the slide bar respectively in the round hole of both sides around two long slabs, frame is pressed to the lower extreme fixedly connected with rectangle of each slide bar, frame is pressed to the rectangle left and right sides difference fixedly connected with upwards stretches out the depression bar of round hole in the middle of on the long slab, vertical arrangement's spacing tooth's socket has respectively been seted up to the front side of two depression bars, vertical groove has respectively been seted up in the place ahead of round hole in the middle of on two long slabs, sliding connection has the back end respectively in two vertical grooves can with spacing tooth's socket complex draw runner, through fourth spring coupling between draw runner front end and the vertical groove end, slide bar and depression bar.

Preferably, the hemostatic device comprises a compression hemostatic device, the compression hemostatic device comprises guide rails which are fixedly connected to the front end and the rear end of a rectangular frame body respectively, the two ends of the guide rails are vertically arranged, the upper ends of the guide rails are communicated, the opposite ends of the guide rails on the front side and the rear side are respectively provided with a guide groove, the guide groove on the front side penetrates through the guide rail on the front side, the left end of the rectangular frame body is fixedly connected with a sterilization box, a compression block is connected in the sterilization box in a sliding manner, the lower end of the compression block is fixedly connected with hemostatic cotton wool, a pressure sensor is fixedly connected between the hemostatic cotton wool and the lower end of the compression block, the front side and the rear side of the upper end of the compression block are respectively fixedly connected with an optical axis which is in sliding fit with the guide groove on the corresponding side, the optical axis on the front side extends forwards out of the guide groove matched with the compression, the front and back both sides wall of rectangle framework sets up respectively rather than the perpendicular groove that corresponds the guiding groove intercommunication of side, fixedly connected with vertical arrangement's locating lever respectively on two optical axes, and the left and right sides in two perpendicular grooves in rectangle framework upper end is fixedly connected with dog respectively, and the locating lever can rather than the looks remote site cooperation of two dogs that correspond the side.

Preferably, the left side and the right side at both ends are fixedly connected with the bandage respectively around the location welt, and the internal surface of left side bandage and the surface of right side bandage fixedly connected with first magic subsides and the second magic subsides that can bond each other respectively.

Preferably, the binding band and the positioning lining plate are respectively provided with an air hole.

Preferably, the periphery of the lower end of the positioning lining plate is surrounded with a non-slip mat.

The invention has the beneficial effects that:

1. the stop bleeding-preventing device can effectively prevent the bleeding caused by the pulling of the operation opening due to the lateral movement of the skin around the wound;

2. the dressing change device and the gauze fixing device can be used for conveniently and quickly nursing the operation opening, so that the operation opening can be cured well and quickly, and the bleeding risk is reduced;

3. the compression hemostasis device can mechanically compress the operation opening without excessive physical strength of medical staff, so that the medical staff can have more energy to deal with other conditions;

4. the device can prevent bleeding and can effectively deal with bleeding conditions.

Drawings

FIG. 1 is a schematic top view of the present invention.

Fig. 2 is a right side full section schematic view of the present invention with the bandage and locating patch removed.

Fig. 3 is a top view of the removal bandage of the present invention.

FIG. 4 is a perspective view of a first perspective of the present invention.

FIG. 5 is an enlarged view of area A of FIG. 4 according to the present invention.

Fig. 6 is a left side perspective view, fully cut-away, of the present invention from a first perspective with the bandage and the locating patch removed.

FIG. 7 is an enlarged view of region D of FIG. 6 according to the present invention.

FIG. 8 is an enlarged view of area E of FIG. 6 according to the present invention.

FIG. 9 is a perspective view of the second aspect of the present invention.

Fig. 10 is a partial perspective view of the present invention.

Fig. 11 is a front full-section perspective view of a first perspective of the present invention.

FIG. 12 is an enlarged view of area B of FIG. 11 according to the present invention.

Fig. 13 is a partially enlarged view of fig. 12 according to the present invention.

Fig. 14 is a front full-section perspective view of a second perspective view of the present invention.

FIG. 15 is an enlarged view of region C of FIG. 14 according to the present invention.

Fig. 16 is a partial perspective view of the present invention.

Fig. 17 is a left side perspective view, fully cut-away, of the present invention from a second perspective, with the bandage removed.

Fig. 18 is a perspective view of a portion of the fitting of the present invention.

Fig. 19 is a perspective view of a portion of the fitting of the present invention.

Reference numerals

1. The medicine injection device comprises a positioning lining plate, 2 parts of a rectangular frame body, 3 parts of a transverse through groove, 4 parts of a cross bar, 5 parts of a straight bar, 6 parts of a first sliding groove, 7 parts of a square sleeve bar, 8 parts of a first spring, 9 parts of a first anti-skidding sucker, 10 parts of a straight rack, 11 parts of a second spring, 12 parts of a pinion, 13 parts of an incomplete gear, 14 parts of a cylindrical barrel, 15 parts of a threaded rod, 16 parts of a slotted hole, 17 parts of a driven gear, 18 parts of a fixed plate, 19 parts of an arc rack, 20 parts of a second sliding groove, 21 parts of a first sleeve, 22 parts of a circular plate, 23 parts of a third sliding groove, 24 parts of a second sleeve, 25 parts of a third spring, 26 parts of a short column, 27 parts of a second anti-skidding sucker, 28 parts of a stop lever, 29 parts of a U-shaped shaft, 30 parts of a limiting bayonet, 31 parts of a limiting hole, 36. a trapezoidal block, 37, a medicine inlet hole, 38, a sealing plug, 39, a first bevel gear, 40, a short shaft, 41, a second bevel gear, 42, a first belt wheel, 43, a bidirectional screw rod, 44, a second belt wheel, 45, a medicine storage cavity, 46, a medicine outlet hole, 47, a medicine cotton ball, 48, a long conduit, 49, a long plate, 50, a round hole, 51, a sliding rod, 52, a rectangular pressing frame, 53, a pressing rod, 54, a longitudinal groove, 55, a sliding strip, 56, a fourth spring, 57, a pressing spring, 58, a guide rail, 59, a guide groove, 60, a sterilization box, 61, a pressing block, 62, hemostatic cotton, 63, a pressure sensor, 64, an optical shaft, 65, a swing motor, 66, a swing rod, 67, a long groove, 68, a vertical groove, 69, a positioning rod, 70, 71, a binding band and 72, a first magic tape, 73. the second magic tape, 74, the air holes, 75, the non-slip mat, 76, the short rod.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention. The drawings in the embodiments of the invention: the different types of hatching in the figures are not given the national standards, do not require the material of the elements, and distinguish between cross-sectional views of the elements in the figures.

The following description of the embodiments of the present invention will be made in detail with reference to the accompanying drawings 1 to 19.

The first embodiment adopts the technical scheme that the first embodiment comprises a positioning lining plate 1 with a rectangular through groove at the upper end, and a rectangular frame body 2 which is communicated up and down is fixedly connected to the positioning lining plate 1, and is characterized in that a stop bleeding preventing device is arranged in the rectangular frame body 2;

the stop anti-bleeding device comprises fixed plates 18 which are horizontally arranged and fixedly connected to the left side and the right side in a rectangular frame body 2 respectively, a plurality of transverse through grooves 3 which are uniformly arranged along the longitudinal direction at intervals are formed in the upper ends of the fixed plates 18 respectively, a plurality of transverse rods 4 which are oppositely arranged and correspond to the transverse through grooves 3 are fixedly connected to the left side and the right side of the rectangular frame body 2 respectively, a straight rod 5 which is vertically arranged is hinged to the other end of each transverse rod 4, the upper end of each straight rod 5 extends out of the transverse through groove 3 on the corresponding side, the left end of each straight rod 5 on the left side is matched with the left end of the corresponding transverse through groove 3, the right end of each straight rod 5 on the right side is matched with the right end of the corresponding transverse through groove 3, first sliding grooves 6 which are vertically arranged are formed in the left side and the right side of the lower part of, the left side and the right side of the upper end of each square loop bar 7 are respectively connected with the upper end of the corresponding first chute 6 through a first spring 8 which is vertically arranged, the lower end of each square loop bar 7 is fixedly connected with a first anti-skid sucker 9, a straight rack 10 which is horizontally arranged is in sliding fit in each horizontal chute, one end of each straight rack 10 close to the straight bar 5 is in contact fit with the straight bar 5, one end of each straight rack 10 far away from the straight bar 5 and one end of each horizontal through groove 3 far away from the straight bar 5 are respectively and fixedly connected with a second spring 11, the lower side of each straight rack 10 is meshed with a pinion 12 which is rotatably connected with the horizontal through groove 3, the lower end of a fixed plate 18 is rotatably connected with an incomplete gear 13 which is meshed with each pinion 12 and is positioned below the horizontal through groove 3, the lower end of each incomplete gear 13 is fixedly connected with a cylindrical barrel 14 which is vertically arranged and has a downward opening, a slotted hole 16 is arranged on the rear side of the outer edge surface of the upper part of each cylindrical barrel 14, a driven gear 17 positioned in the cylindrical barrel 14 is fixedly connected on each threaded rod 15 corresponding to the slotted hole 16, vertically arranged short rods 76 are fixedly connected behind each transverse through groove 3 at the lower end of the fixed plate 18, an arc rack 19 meshed with the driven gear 17 through the slotted hole 16 is fixedly connected at the lower end of each short rod 76, vertically arranged second sliding grooves 20 are respectively arranged on the left side and the right side of the outer edge surface of the lower part of each cylindrical barrel 14, first sleeves 21 sleeved with each cylindrical barrel 14 are in sliding fit in the second sliding grooves 20, circular plates 22 positioned below the cylindrical barrels 14 and in threaded connection with the threaded rods 15 are fixedly connected in each first sleeve 21, vertically arranged third sliding grooves 23 are respectively arranged on the left side and the right side of the outer edge surface of the lower part of each first sleeve 21, second sleeves 24 sleeved with each first sleeve 21 are in sliding fit in the third sliding grooves 23, the left side and the right side of the upper end of each second sleeve 24 are respectively connected with the upper end of the corresponding third sliding groove 23 through a third spring 25 which is vertically arranged, a short column 26 which can swing left and right relative to the second sleeve 24 is hinged to the inner lower side of the second sleeve 24, and a second anti-skid sucker 27 is fixedly connected to the lower end of the short column 26. When the device is used, in order to avoid postoperative bleeding, the device has great significance for protecting the operation opening, and the operation opening is prevented from being cracked due to the fact that the operation opening is accidentally pulled by external force, and bleeding can be effectively avoided, when the device is used, the limiting device is in a working state and is matched with the stop rod 28 to enable the cylindrical barrel 14 to be incapable of moving, the left end and the right end of the straight rod 5 are in a stable and immovable state under the limitation of the transverse through groove 3 and the straight rack 10 respectively, at the moment, medical workers contact the lower end of the positioning lining plate 1 with the skin of a patient, the longitudinal axis of the positioning lining plate 1 and the operation suture opening are in a straight line as much as possible, the first anti-skid sucker 9 and the second anti-skid sucker 27 are both in contact with the skin, and because the skin surface is not a completely flat plane, when the first anti-skid sucker 9 and the second anti-skid sucker 27 are in contact with the skin, the sleeve rod 7 and the second, at the moment, a certain small force exists between the first anti-slip sucker 9 and the second anti-slip sucker 27 and the skin, the force is unlikely to cause skin depression to cause the surgical incision to be dragged and can prevent the skin from laterally sliding to cause the surgical incision to be dragged, then the device is fixed on the body of a patient through the matching of the bandage 71 and the magic tape, the limiting effect of the limiting device on the cylindrical barrel 14 is relieved at the moment, the skin at the wound part of the positioning lining plate 1 has a certain compression effect, the skin in the rectangular frame body 2 is not easy to laterally move to cause the surgical incision to be dragged, the skin at the surgical incision part is caused to laterally slide due to other accidental reasons, the first anti-slip sucker 9 moves outwards relative to the surgical incision along with the skin in contact with the first anti-slip sucker, the square sleeve rod 7 slides downwards relative to the straight rod 5 along the first chute 6 under the action of the first spring 8 to cause the first anti-slip sucker 9 to always contact with the skin, and the first anti-slip sucker 9 drives the upper end of the straight rod 5 The straight rod 5 enables a spur rack 10 matched with the straight rod to move close to an operation opening along the transverse through groove 3 and press a second spring 11, the spur rack 10 drives a pinion 12 meshed with the spur rack to rotate clockwise, the pinion 12 drives an incomplete gear 13 meshed with the pinion to rotate anticlockwise, the incomplete gear 13 drives a cylindrical barrel 14 fixedly connected with the incomplete gear to rotate close to the operation opening, the cylindrical barrel 14 rotates close to the operation opening to enable a driven gear 17 to be driven by an arc-shaped rack 19 fixedly connected to the lower end of a short rod 76, a slotted hole 16 cannot interfere with the arc-shaped rack 19 in the process that the driven gear 17 moves along the arc-shaped rack 19, the driven gear 17 is driven to further enable a threaded rod 15 fixedly connected with the driven gear 17 to rotate, a threaded rod 15 on the left side of the left side, the threaded rod 15, through the circular plate 22 with which it is screwed, allows the first sleeve 21 to slide downwards along the second runner 20, so that during the rotation of the cylinder 14 close to the operating orifice: the first sleeve 21 and the second sleeve 24 synchronously rotate in the same direction to approach the surgical orifice, but under the action of the threaded rod 15, the first sleeve 21 slides downwards relative to the cylindrical barrel 14 and generates a downward component force, the second sleeve 24 automatically slides along the third sliding groove 23 under the action of the third spring 25 to be adjusted so that the second anti-slip sucker 27 is always in contact with the skin, and the second anti-slip sucker 27 is fixedly connected with the lower end of the short column 26 which is hinged with the second sleeve 24 and can swing left and right relative to the second sleeve 24, so that the second anti-slip sucker 27 can not laterally move relative to the skin and can press the skin under the action of the downward component force to ensure that the skin between the second anti-slip suckers 27 on the left side and the right side cannot laterally slide, the surgical orifice cannot be pulled, the protective effect is strong, and all parts can restore to the initial fixed state after the skin restores to be stable.

In the second embodiment, on the basis of the first embodiment, the stop device for limiting the stop bleeding-preventing device further comprises two stop levers 28 longitudinally and fixedly connected to the left and right sides of the rectangular frame 2, the left stop lever 28 is matched with the left outer edge surface of the left cylindrical tube 14, the right stop lever 28 is matched with the right outer edge surface of the right cylindrical tube 14, the left and right sides of the rectangular frame 2 are respectively and rotatably connected with a U-shaped shaft 29, the left U-shaped shaft 29 is matched with the right outer edge surface of the left cylindrical tube 14, the right U-shaped shaft 29 is matched with the left outer edge surface of the right cylindrical tube 14, the front ends of the two U-shaped shafts 29 extend out of the rectangular frame 2 and are axially and slidably matched with stop bayonets 30, limit holes 31 are respectively arranged on the upper side and the outer side of each U-shaped shaft 29 at the front end of the rectangular frame 2, when the stop bayonets 30 are matched with the stop holes 31 on the upper side, the U-shaped shafts 29 are matched with the cylindrical tubes 14 and limit, when the limiting bayonet 30 is matched with the limiting hole 31 at the outer side, the U-shaped shaft 29 is not matched with the cylindrical barrel 14, and the cylindrical barrel 14 can rotate towards one side close to the longitudinal axis of the rectangular frame body 2. When the device is used, the limiting bayonet pin 30 is in sliding fit with the long key through the key slot at the front end of the U-shaped shaft 29, the limiting bayonet pin 30 is matched with the upper limiting hole 31 before the device is used, the U-shaped shaft 29 and the stop lever 28 are respectively matched with the two sides of the cylindrical barrel 14 to ensure that the device is in a stable state, all parts cannot move randomly and are convenient to fix, after the device is fixed, the limitation needs to be removed to enable the stopping anti-bleeding device to act automatically to deal with the accidental protection operation opening, and the specific operation of the limitation removal is as follows: the limiting bayonet lock 30 is pulled outwards to slide outwards along a key on the front end of the U-shaped shaft 29 to be separated from the upper limiting hole 31, then the limiting bayonet lock 30 is rotated to drive the U-shaped shaft 29 to rotate together, so that the U-shaped shaft 29 is not matched with the cylindrical barrel 14, the limiting bayonet lock 30 is inserted into the limiting hole 31 on the outer side, and the U-shaped shaft 29 is fixed at the current position and is not limited to the autonomous action of the stop bleeding prevention device.

Third embodiment, on the basis of the first embodiment, the medicine changing device further comprises a medicine changing device, the medicine changing device comprises a medicine storage bottle 32 made of transparent material and fixedly connected to the rear end of the rectangular frame body 2, an anti-corrosion lead screw 33 vertically arranged is rotatably connected to the medicine storage bottle 32, a reversing motor 34 for driving the anti-corrosion lead screw 33 is fixedly connected to the upper end of the medicine storage bottle 32, a piston sheet 35 in threaded connection with the anti-corrosion lead screw 33 is slidably connected to the medicine storage bottle 32, a trapezoidal block 36 is fixedly connected to the rear end of the medicine storage bottle 32, a medicine inlet hole 37 communicated with the inner wall of the medicine storage bottle 32 is formed in the trapezoidal block 36, a sealing plug 38 capable of being matched with the medicine inlet hole 37 is fixedly connected to the upper end of the trapezoidal block 36, the lower end of the anti-corrosion lead screw 33 extends out of the medicine storage bottle 32 and is fixedly connected with a first bevel gear 39, a short shaft 40 longitudinally arranged is fixedly connected to the rear, the last rotation of minor axis 40 is connected with the first band pulley 42 that is located second bevel gear 41 rear, the left and right sides in the rectangular frame body 2 respectively longitudinal rotation be connected with be located two-way lead screw 43 between two fixed plates 18, two-way lead screw 43 rear ends stretch out rectangular frame body 2 and respectively rotate and be connected with second band pulley 44, first band pulley 42 respectively with the second band pulley 44 belt drive of left and right sides, threaded connection has a square medicine storage cavity 45 on two-way lead screw 43, medicine storage cavity 45 lower extreme evenly spaced apart is equipped with a plurality of medicine holes 46, medicine storage cavity 45 lower extreme dismantlement is connected with medicine cotton group 47, medicine storage cavity 45 communicates through a long pipe 48 with medicine storage bottle 32 is inside. When the embodiment is used, postoperative wound nursing can be effectively promoted to heal the surgical opening, the surgical opening heals quickly, and the postoperative bleeding risk is reduced, wherein dressing change for the wound is an effective nursing mode, before the dressing change device is used, the initial position of the piston sheet 35 is higher than the medicine inlet hole 37, then the prepared liquid medicine is injected into the medicine storage bottle 32 through the medicine inlet hole 37, then the sealing plug 38 is plugged into the medicine inlet hole 37, when the wound needs to be changed, the reversing motor 34 is started to rotate clockwise, the reversing motor 34 drives the anti-corrosion lead screw 33 to rotate, the sealing sheet is arranged at the rotating connection position of the anti-corrosion lead screw 33 and the medicine storage bottle 32 and can not leak the liquid, the anti-corrosion lead screw 33 rotates clockwise to drive the piston sheet 35 to slide downwards along the bottle wall of the medicine storage bottle 32, and extrudes the liquid medicine to enter the medicine storage cavity 45 through the long guide pipe 48 and reach the medicine cotton group 47 through the medicine outlet hole 46 so as to enable the medicine cotton group 47, and meanwhile, the anti-corrosion lead, the second bevel gear 41 drives the short shaft 40 to rotate anticlockwise to enable the first belt pulley 42 to rotate anticlockwise, the first generation wheel drives the second belt pulley 44 through a belt to enable the bidirectional screw 43 to rotate anticlockwise, the bidirectional screw 43 rotates anticlockwise to drive the medicine storage cavity 45 to move back and forth along the bidirectional screw 43, so that the medicine cotton group 47 soaked with the liquid medicine can be repeatedly applied to the operation opening, the transmission ratio of belt transmission and bevel gear transmission is set to meet the condition that the stroke of the piston piece 35 is small and the stroke of the medicine storage cavity 45 is large, the reversing motor 34 is stopped after the medicine storage cavity 45 moves to the initial position after the proper medicine is applied to the operation opening, the reversing motor 34 is controlled to reverse to enable the piston piece 35 to return to the initial position when the liquid medicine is required to be added to the medicine storage bottle 32, and the liquid.

Fourth embodiment, on the basis of the third embodiment, the gauze fixing device further comprises a gauze fixing device, the gauze fixing device comprises two opposite ends of the fixing plate 18 respectively and fixedly connected with long plates 49 located outside the two bidirectional screws 43, the upper ends of the two long plates 49 are respectively provided with three vertical round holes 50 at intervals along the longitudinal direction, the round holes 50 at the front and rear sides of the two long plates 49 are respectively and slidably connected with sliding rods 51, the lower ends of the sliding rods 51 are respectively and fixedly connected with a rectangular pressing frame 52, the left and right sides of the rectangular pressing frame 52 are respectively and fixedly connected with pressing rods 53 extending upwards out of the middle round holes 50 on the long plates 49, the front sides of the two pressing rods 53 are respectively provided with vertically arranged limiting tooth sockets 54, the front sides of the middle round holes 50 on the two long plates 49 are respectively provided with longitudinal grooves, the two longitudinal grooves are respectively and slidably connected with sliding rods 55, the rear ends of which can be matched with the limiting tooth sockets 54, the, the lower sides of the sliding rod 51 and the pressure rod 53 are sleeved with a pressure spring 57 positioned between the rectangular pressure frame 52 and the long plate 49. When the device is used, after the medicine is applied to the operation opening, the operation opening is covered by gauze, the gauze can be fixed by the gauze fixing device at the moment, the medical adhesive tape is not needed, the phenomenon that some skin sensitive patients have pruritus and cause tearing and bleeding to wounds when scratching and itching can be avoided, and meanwhile, the problem that the medical adhesive tape is easy to fall off is solved, when the device is used, medical staff firstly place the gauze on the operation opening to ensure that the rectangular pressing frame 52 can cover the gauze, then stir the sliding strip 55 by one hand to ensure that the sliding strip 55 slides along the longitudinal groove in the prior sliding way to be separated from the limiting tooth groove 54 and temporarily keep the separated state, meanwhile, the fourth spring 56 is compressed, at the moment, under the stretching action of the pressure spring 57, the rectangular pressing frame 52 moves downwards relative to the long plate 49, under the matching of the sliding strip 51, the pressing rod 53 and the circular hole 50, the rectangular pressing frame 52 can fall down horizontally and stably, and the other holding pressing rod 53, when the lower end of the rectangular pressing frame 52 contacts and presses the gauze, the sliding strip 55 is loosened, and the sliding strip 55 is matched with the limiting tooth groove 54 again under the action of the fourth spring 56, so that the gauze is fixed in a state that the rectangular pressing frame 52 keeps pressing the gauze.

Fifth embodiment, on the basis of the first embodiment, the hemostatic device further comprises a hemostatic device, the hemostatic device comprises guide rails 58, the guide rails 58 are fixedly connected to the front and rear ends of the rectangular frame 2 respectively, the two ends of the rectangular frame are vertically arranged, and the upper ends of the guide rails 58 are communicated, the opposite ends of the guide rails 58 on the front and rear sides are respectively provided with a guide groove 59, the guide groove 59 on the front side penetrates through the guide rail 58 on the front side, the left end of the rectangular frame 2 is fixedly connected with a sterilization box 60, the sterilization box 60 is slidably connected with a compression block 61, the lower end of the compression block 61 is fixedly connected with a hemostatic cotton 62, a pressure sensor 63 is fixedly connected between the hemostatic cotton 62 and the lower end of the compression block 61, the front and rear sides of the upper end of the compression block 61 are respectively fixedly connected with optical axes 64 in sliding fit with the guide grooves 59 on the corresponding side, the optical axes 64, the output shaft of the swing motor 65 is longitudinally arranged and the front end of the output shaft is fixedly connected with a swing rod 66, the swing rod 66 is provided with a long groove 67 which can be in sliding fit with the extending end of the front side optical shaft 64, the front side wall and the rear side wall of the rectangular frame body 2 are respectively provided with a vertical groove 68 which is communicated with the guide groove 59 of the corresponding side, the two optical shafts 64 are respectively and fixedly connected with a vertically arranged positioning rod 69, the left side and the right side of the two vertical grooves 68 at the upper end of the rectangular frame body 2 are respectively and fixedly connected with a stop block 70, and the positioning rod 69 can be matched with. When the embodiment is used, the swing motor 65 has a stopping self-locking function, compression hemostasis in the current hemostasis method aiming at postoperative bleeding has a considerable effect, when hemostasis is needed due to wound bleeding caused by accidents after operation of a patient, the swing motor 65 is started, an output shaft of the swing motor 65 rotates clockwise to drive the swing rod 66 to rotate clockwise, the forward extending end of the front side optical axis 64 slides along the guide groove 59 on the guide rail 58 under the matching action of the long groove 67, in the sliding process of the optical axis 64 along the guide groove 59, the positioning rod 69 is matched with the opposite ends of the two blocks 70 and the vertical groove 68 on the corresponding side of the positioning rod successively to limit the compression block 61 from falling vertically after moving to the position above an operation port from the sterilization box 60 and then moving laterally, the compression block 61 is separated from the sterilization box 60 and finally moves to make the compression block 61 be positioned above the operation port, and the hemostatic cotton 62 is contacted with the operation port and compresses the operation port to generate pressure, when the pressure sensor 63 senses that the pressure reaches a set value, the swing motor 65 stops rotating and keeps the pressure to perform compression hemostasis on the operation opening in a self-locking mode, when the swing motor 65 stops rotating and sets time capable of guaranteeing hemostasis, the swing motor 65 rotates reversely to return to the initial position, and a doctor can observe the hemostasis condition.

Sixth embodiment, on the basis of the first embodiment, the left and right sides of the front and rear ends of the positioning lining board 1 are respectively and fixedly connected with a binding band 71, and the inner surface of the left binding band 71 and the outer surface of the right binding band 71 are respectively and fixedly connected with a first magic tape 72 and a second magic tape 73 which can be mutually bonded. In use, the strap 71 of this embodiment can be wrapped around the patient's body and the device can be secured to the patient by the adhesive effect of the first hook and loop fastener 72 and the second hook and loop fastener 73.

In the seventh embodiment, based on the sixth embodiment, the binding band 71 and the positioning lining board 1 are respectively provided with air holes 74. In use, the vent 74 of this embodiment may increase patient comfort.

Eighth, on the basis of the first embodiment, the non-slip mat 75 is arranged around the lower end of the positioning liner plate 1. When the embodiment is used, the phenomenon that the use effect is influenced by the displacement of the device on the patient body can be avoided.

Claims

1. The hepatobiliary surgery hemostasis device comprises a positioning lining plate (1) with a rectangular through groove at the upper end, wherein a rectangular frame body (2) which is communicated up and down is fixedly connected on the positioning lining plate (1), and the hepatobiliary surgery hemostasis device is characterized in that a stop hemostasis device is arranged in the rectangular frame body (2);

the locking bleeding preventing device comprises fixing plates (18) which are horizontally arranged and fixedly connected to the left side and the right side in a rectangular frame body (2) respectively, a plurality of transverse through grooves (3) which are uniformly arranged along the longitudinal direction at intervals are formed in the upper ends of the two fixing plates (18), a plurality of transverse rods (4) which are oppositely arranged and correspond to the transverse through grooves (3) are fixedly connected to the left side wall and the right side wall of the rectangular frame body (2) respectively, vertically arranged straight rods (5) are hinged to the other ends of the transverse rods (4), the upper ends of the straight rods (5) extend out of the transverse through grooves (3) on the corresponding sides, the left ends of the straight rods (5) on the left side are matched with the left ends of the transverse through grooves (3) corresponding to the straight rods, the right ends of the straight rods (5) on the right side are matched with the right ends of the transverse through grooves (3) corresponding to the straight rods, square loop bars (7) sleeved with the straight bars (5) are in sliding fit in the first sliding grooves (6), the left side and the right side of the upper end of each square loop bar (7) are respectively connected with the upper ends of the corresponding first sliding grooves (6) through first springs (8) which are vertically arranged, the lower end of each square loop bar (7) is fixedly connected with a first anti-slip sucker (9), straight racks (10) which are transversely arranged are in sliding fit in each transverse sliding groove, one end, close to each straight bar (5), of each straight rack (10) is in contact fit with the straight bar (5), a second spring (11) is fixedly connected between one end, far away from the straight bar (5), of each straight rack (10) and one end, far away from the straight bar (5), of each transverse through groove (3), of each straight rack (10) is meshed with a pinion (12) rotatably connected with the transverse through groove (3), the lower end of the fixed plate (18) is rotatably connected with a gear (13) which is not completely positioned below the transverse through groove (3, the lower end of each incomplete gear (13) is fixedly connected with a vertically-arranged cylindrical barrel (14) with a downward opening, the upper end surface of each cylindrical barrel (14) is rotatably connected with a vertically-arranged threaded rod (15), the rear side of the outer edge surface of the upper part of each cylindrical barrel (14) is provided with a slotted hole (16), the position of each threaded rod (15) corresponding to the slotted hole (16) is fixedly connected with a driven gear (17) positioned in the cylindrical barrel (14), the rear side of each transverse through groove (3) at the lower end of a fixed plate (18) is fixedly connected with a vertically-arranged short rod (76), the lower end of each short rod (76) is fixedly connected with an arc-shaped rack (19) meshed with the driven gear (17) through the slotted hole (16), the left side and the right side of the outer edge surface of the lower part of each cylindrical barrel (14) are respectively provided with vertically-arranged second sliding grooves (20), and first sleeves (21) sleeved with the cylindrical barrels (14, fixedly connected with is located cylinder section of thick bamboo (14) below and circular slab (22) with threaded rod (15) threaded connection in each first sleeve (21), vertical arrangement's third spout (23) have been seted up respectively to the left and right sides of each first sleeve (21) lower part outer fringe face, sliding fit has second sleeve (24) that cup joints with each first sleeve (21) in third spout (23), each second sleeve (24) upper end left and right sides is connected through vertical arrangement's third spring (25) between third spout (23) upper end rather than corresponding respectively, but lower side articulated short column (26) that are connected with relative second sleeve (24) horizontal hunting in second sleeve (24), short column (26) lower extreme fixedly connected with second anti-skidding sucking disc (27).

2. The hepatobiliary surgery hemostasis device according to claim 1, further comprising a limiting device for limiting a stopping anti-bleeding device, wherein the limiting device comprises two stop levers (28) longitudinally and fixedly connected to the left and right sides of the rectangular frame body (2), the left stop lever (28) is matched with the left outer edge surface of the left cylindrical tube (14), the right stop lever (28) is matched with the right outer edge surface of the right cylindrical tube (14), the left and right sides of the rectangular frame body (2) are respectively and rotatably connected with a U-shaped shaft (29), the left U-shaped shaft (29) is matched with the right outer edge surface of the left cylindrical tube (14), the right U-shaped shaft (29) is matched with the left outer edge surface of the right cylindrical tube (14), the front ends of the two U-shaped shafts (29) extend out of the rectangular frame body (2) and are axially and slidably matched with a limiting bayonet (30), the upper side and the outer side of each U-shaped shaft (29) at the front end of the rectangular frame body (2) are respectively provided with a limiting hole (, when the limiting bayonet lock (30) is matched with the limiting hole (31) on the upper side, the U-shaped shaft (29) is matched with the cylindrical tube (14) and limits the cylindrical tube (14) to move under the action of the stop lever (28), when the limiting bayonet lock (30) is matched with the limiting hole (31) on the outer side, the U-shaped shaft (29) is not matched with the cylindrical tube (14), and the cylindrical tube (14) can rotate to one side close to the longitudinal axis of the rectangular frame body (2).

3. The hepatobiliary surgery hemostasis device according to claim 1, further comprising a dressing change device, wherein the dressing change device comprises a transparent drug storage bottle (32) fixedly connected to the rear end of the rectangular frame (2), the drug storage bottle (32) is rotatably connected with a vertically arranged anti-corrosion lead screw (33), the upper end of the drug storage bottle (32) is fixedly connected with a reverse motor (34) for driving the anti-corrosion lead screw (33), the drug storage bottle (32) is slidably connected with a piston sheet (35) in threaded connection with the anti-corrosion lead screw (33), the rear end of the drug storage bottle (32) is fixedly connected with a trapezoidal block (36), the trapezoidal block (36) is internally provided with a drug inlet hole (37) communicated with the inner wall of the drug storage bottle (32), the upper end of the trapezoidal block (36) is fixedly connected with a sealing plug (38) capable of being matched with the drug inlet hole (37), the lower end of the anti-corrosion lead screw (33) extends out of the drug storage bottle (32) and is fixedly, the rear end of the rectangular frame body (2) is fixedly connected with a longitudinally arranged short shaft (40), the rear end of the short shaft (40) is rotatably connected with a second bevel gear (41) meshed with the first bevel gear (39), the short shaft (40) is rotatably connected with a first belt wheel (42) positioned behind the second bevel gear (41), the left side and the right side in the rectangular frame body (2) are respectively and longitudinally rotatably connected with two-way screw rods (43) positioned between the two fixing plates (18), the rear ends of the two-way screw rods (43) extend out of the rectangular frame body (2) and are respectively and rotatably connected with second belt wheels (44), the first belt wheels (42) are respectively in belt transmission with the second belt wheels (44) on the left side and the right side, a square medicine storage cavity (45) is in threaded connection with the two-way screw rods (43), a plurality of medicine outlet holes (46) are uniformly arranged at intervals at the lower end of the medicine storage cavity (45), the medicine storage cavity (45) is communicated with the interior of the medicine storage bottle (32) through a long conduit (48).

4. The hepatobiliary surgery hemostasis device according to claim 3, further comprising a gauze fixing device, wherein opposite ends of the two fixing plates (18) are respectively and fixedly connected with a long plate (49) positioned outside the two bidirectional screws (43), the upper ends of the two long plates (49) are respectively and longitudinally spaced to form three vertical round holes (50), the round holes (50) at the front and rear sides of the two long plates (49) are respectively and slidably connected with a slide bar (51), the lower end of each slide bar (51) is fixedly connected with a rectangular pressing frame (52), the left and right sides of the rectangular pressing frame (52) are respectively and fixedly connected with a pressing bar (53) which extends upwards out of the middle round hole (50) on the long plate (49), the front sides of the two pressing bars (53) are respectively and vertically arranged with a limiting tooth socket (54), and the front of the middle round hole (50) on the two long plates (49) are respectively and longitudinally arranged, the two longitudinal grooves are respectively connected with a sliding strip (55) with the rear end capable of being matched with a limiting tooth groove (54) in a sliding mode, the front end of the sliding strip (55) is connected with the longitudinal groove end through a fourth spring (56), and the lower sides of a sliding rod (51) and a pressing rod (53) are respectively sleeved with a pressure spring (57) located between a rectangular pressing frame (52) and a long plate (49).

5. The hepatobiliary surgery hemostasis device according to claim 1, further comprising a compression hemostasis device, wherein the compression hemostasis device comprises guide rails (58) which are fixedly connected to the front and rear ends of the rectangular frame (2) respectively, the two ends of the rectangular frame are vertically arranged, the upper ends of the guide rails are communicated, the opposite ends of the guide rails (58) on the front and rear sides are respectively provided with a guide groove (59), the guide groove (59) on the front side penetrates through the guide rail (58) on the front side, the left end of the rectangular frame (2) is fixedly connected with a sterilization box (60), the sterilization box (60) is slidably connected with a compression block (61), the lower end of the compression block (61) is fixedly connected with hemostatic absorbent cotton (62), a pressure sensor (63) is fixedly connected between the hemostatic absorbent cotton (62) and the lower end of the compression block (61), and the front and rear sides of the upper end of the compression block (61) are respectively fixedly connected with an, the optical axis (64) of front side stretches out rather than complex guiding groove (59) forward, the left side fixedly connected with swing motor (65) of rectangular frame (2) front end, swing motor's (65) output shaft longitudinal arrangement and output shaft front end fixedly connected with pendulum rod (66), set up on pendulum rod (66) can stretch out end sliding fit's elongated slot (67) with front side optical axis (64), vertical slot (68) rather than the guiding groove (59) intercommunication of the side that corresponds are seted up respectively to the front and back both sides wall of rectangular frame (2), respectively fixedly connected with vertical arrangement's locating lever (69) on two optical axes (64), the left and right sides of two vertical slots (68) in rectangular frame (2) upper end fixedly connected with dog (70) respectively, locating lever (69) can rather than the looks remote site cooperation of the two dog (70) of the side that corresponds.

6. The hemostasis device for hepatobiliary surgery according to claim 1, wherein the positioning lining board (1) is fixedly connected with a bandage (71) at the left side and the right side of the front end and the rear end, and the inner surface of the left bandage (71) and the outer surface of the right bandage (71) are fixedly connected with a first magic tape (72) and a second magic tape (73) which can be adhered to each other.

7. The hemostasis device for hepatobiliary surgery according to claim 6, wherein the bandage (71) and the positioning lining board (1) are respectively provided with a vent hole (74).

8. Hepatobiliary surgery hemostasis device according to claim 1, characterized in that a non-slip mat (75) is arranged around the lower end of the positioning flap (1).