CN112652205A - High-simulation abdominal surgery skill simulation training device - Google Patents

Abstract

A high simulation abdominal surgery simulation training device belongs to medical education equipment and comprises; high simulation manikin, multiple stomach wall operation incision-suture module, various belly surgery operation organ models, voice control/manual control full-automatic blood circulation analogue means and simulation automatic rising simulation operating table, its characterized in that: the high simulation human body model is provided with a plurality of abdominal wall operation cutting-slotting joint modules which are embedded in the grooves, a plurality of operation organs which are convenient to replace and are provided with arterial blood vessels and backflow blood vessels are arranged in the abdominal cavity and are connected with a blood pump and a blood storage bottle of the full-automatic blood simulation device, and the simulation effect of simulated blood rhythmicity jetting outflow when the abdominal wall is cut open and the operation blood vessels are damaged in an operation is very vivid; the blood circulation blood pump and the height of the operation table top can be controlled by a manual switch or a voice control switch of the controller, and the device is used for abdominal surgery simulation training and examination in medical colleges and teaching hospitals, obviously improves the teaching effect, and is very vivid.

Description

High-simulation abdominal surgery skill simulation training device

Technical Field

The invention relates to the technical field of medical education equipment, in particular to high-simulation abdominal surgery skill simulation training equipment.

Background

In surgical medical education and clinical work, surgical operation is a key point and a difficult point, and is also one of key contents of practice skill assessment in surgical practitioners and nurse examinations; the traditional teaching method is characterized in that theoretical explanation is supplemented with image teaching, basic skill training of the operation is realized by adopting an operation cutting seam joint module, a comprehensive operation training box, a surgical hemostasis model and the like, and is supplemented with animal operation experiments, and training and examination of surgical skills of a human body can only be carried out on a patient in a hospital. In recent years, with the enhancement of legal concepts and the enhancement of self-protection consciousness of patients, inexperienced young doctors are often refused to operate for themselves. Because the resources of patients in clinical operation are obviously insufficient, young doctors are difficult to master the skill, high-simulation patient simulation teaching equipment for training various abdominal surgical skills is lacking at home and abroad at present, and the improvement of the culture and teaching quality of surgical talents is seriously influenced, so that the research and development of the high-simulation abdominal surgical skill simulation training equipment are very necessary.

Disclosure of Invention

The invention provides a high-simulation abdominal surgery simulation training device, which can automatically simulate surgical bleeding by operating a full-automatic blood circulation simulator key on an automatic lifting simulation operating table, can perform simulation effect high simulation on various abdominal surgery common operation skills such as surgical incision, hemostasis, stripping, suture binding and various abdominal organ disease operation skills such as cholecystectomy, splenectomy, gastric-12-finger intestinal perforation repair, gastrectomy, transverse colotomy anastomosis, appendectomy, colon cancer removal and the like, and can replace/repair an operation module and an operation organ for repeated use.

The invention solves the problem that the practice skill operation of surgical operators in medical education is difficult to master, adopts high-simulation various surgical operation 'actual combat' training and assessment equipment, obviously improves the operation skill and the assessment effect of trained personnel, fills the blank of the teaching equipment in medical education, and is high-simulation abdominal surgical operation simulation training equipment.

A high simulation abdominal surgery simulation training device, comprising: high simulation manikin, multiple stomach wall operation incision-suture module, various belly surgery operation organ models, voice-operated full-automatic blood circulation simulator, emulation automatic rising simulation operating table, its characterized in that: the high-simulation human body model (1), the head (2) with simulation five sense organs, the neck (3), the chest (4), the abdomen (5), the upper limb upper section (6) and the lower limb upper section (7); the multiple abdominal wall surgical incision-slotting mold module comprises: a pentagonal abdominal wall surgical incision-suture module (8) is arranged at the upper abdominal part, a square abdominal wall surgical incision-suture module (9) is arranged at the right lower abdominal part, a square abdominal wall surgical incision-suture module (10) is arranged at the left lower abdominal part, all modules are designed to prevent the slippage, the small outside and the large inside are inlaid at the corresponding surgical position, and are adhered in grooves (8-1, 9-1 and 10-1) matched with the shapes of the abdominal wall surgical incision-suture modules at the position through adhesive springs (NH), the outer layers of all abdominal modules are skin layers (11), light yellow subcutaneous tissue layers (12) and red muscle layers (13) are arranged below the abdominal wall modules in sequence, an abdominal wall arteriolar input tube (14) and an abdominal wall blood backflow tube (15) are arranged between the skin layers, and the lowest layer is a semitransparent abdominal wall layer (16); the various abdominal surgical organs are those within the abdominal cavity (5) that are relevant for abdominal surgery, including: a liver model (18) is arranged at the position below the diaphragm muscle (17), a gall bladder stone model (20-2) with a gall bladder (20-1) capable of being pasted and replaced is arranged in the position of a gall bladder pit (19) of the liver model through a sticky spring (NH), and a spleen model (23-1) which is provided with a spleen artery blood vessel (21) and a spleen backflow blood vessel (22) through the sticky spring (NH) is arranged at the left side position near the diaphragm muscle (17) and can be interchanged with the spleen rupture model (23-2); a pancreatic cancer model (24-2) which can be interchanged with the pancreas (24-1) is arranged at the position which is immediately adjacent to the stomach, and the stomach deep surface which can be interchanged with the stomach-duodenum rupture model (25-2) is arranged on the gastroduodenal model (25-1); a gastric perforation-duodenum model (25-2) provided with a gastric artery blood vessel (26) and a gastric reflux blood vessel (27) is arranged at the upper abdomen position and connected with a greater omentum (28), and a gastric cardia (29) is connected with an esophagus and extends into a hiatal hole of a diaphragm (17) for fixation; a transverse colon rupture model (30-2) which can be interchanged with the transverse colon (30-1) is arranged below the lower part of the greater curvature of the stomach, the right side of the transverse colon is provided with a right colon curve (31) which is connected with a rising colon model (32) downwards through a sticky spring (NH), the lower position of the rising colon model is connected with a cecum-appendicitis model (34) which can be interchanged with a cecum-appendix (33) through the sticky spring (NH), a left colon curve (35) of the transverse colon (30-1), a left colon curve (35) and a lower colon model (36) downwards through the sticky spring, the lower end of the lower colon model is connected with a sigmoid carcinoma model (37-2) which can be interchanged with the sigmoid colon (37-1) through the sticky spring (NH), and the lower part of the lower colon model simulates a rectum (38) through the sticky spring; an arterial main tube (39) entering the abdominal cavity (16) of the high simulation human body model is connected with a first multi-way tube (39-1) and shunted into 3 paths, and is respectively connected with a arteriolar input tube (14-1), a spleen arterial blood vessel (22) and a gastric arterial blood vessel (26) of an upper abdominal wall pentagonal abdominal wall surgical incision and suture module through corresponding Joint Tubes (JT), a backflow blood vessel (14-2) and a spleen backflow blood vessel (21) of the abdominal wall surgical incision and suture module, and a gastric backflow blood vessel (27) are respectively connected with a second multi-way tube (39-2) through the Joint Tubes (JT), the tail ends of the four-way tubes are in butt joint with a main backflow blood vessel (40), and extend out of the high simulation human body model (1) through the long main backflow blood vessel (40) to be connected with a full-automatic blood; the full-automatic blood circulation simulator has the structure that: a panel (40) of a controller case (39) is provided with a power switch (K), an indicator light (L), an operation table ascending switch (K1) and an indicator light (L1) thereof, an operation table descending switch (K2) and an indicator light (L2) thereof, a socket (CZ) of a voice sound control relay lead (DX) plug (CT), a liquid level meter (41), a blood injection tube connector piece (42), an blood injection tube connector piece (42-1) thereof, an overflow tube connector piece (43) and an overflow tube (43-1) thereof, an arterial main tube connector piece (44) and an arterial main tube (44-1) thereof, a blood main reflux tube connector piece (45) and a main reflux tube (45-1) thereof; a blood storage bottle (49) which is provided with a rectification power supply (DC), a simulation blood injection pipe (46) provided with a check valve (f), a blood bottle output pipe (47) and a blood bottle return pipe (48) is arranged in the controller case (39); the bottle is also communicated with a liquid level meter (41) of a panel (40) through a guide pipe (DG), an output pipe (50) of the bottle is in butt joint with the input end of a micro impeller water pump (M1) which is blood circulation power, a motor of the pump is connected with a pulse module (51) which sends pulse signals for 60 times per minute, the output pipe of the pump becomes a first artery main pipe (52) which is connected with the inner side end of an artery main pipe joint piece (44), and the outer side end of the joint piece enters the abdomen (16) of the high simulation human body model (1) through a second artery main pipe (53) which is long; the first multi-way tube (54) is connected and shunted into a plurality of branch tubes (fg 1-fg 5), and the small artery input tubes (14-1, 14-2 and 14-3) are respectively connected with the abdominal wall surgical incision module through corresponding catheters, and comprise an upper abdominal wall pentagonal abdominal wall surgical incision and suture joint module (8), a square abdominal wall surgical incision and suture module (9) arranged at the right lower abdominal part, a square abdominal wall surgical incision and suture module (10) arranged at the left lower abdominal part, a spleen artery blood vessel (22) and a stomach artery blood vessel (26); backflow blood vessels (15-, 15-2 and 15-3) of the abdominal wall surgical incision-suture module, spleen backflow blood vessels (21) and stomach backflow blood vessels (27) are respectively connected with branch tubes (fg 6-fg 10) of a second multi-way tube (55) through connector tubes, the tail ends of the multi-way tubes are in butt joint with a main backflow blood vessel (56) in a gathering manner, extend out of the high-simulation human body model (1), and are connected with a blood main backflow tube connector piece (45) on a machine box panel (40);

the automatic lifting simulation operating table is structurally characterized in that: four casters (58-1-58-4) with brakes are arranged on a base (57) of the automatic lifting simulation operating table, an electric lifter (59) driven by a speed reducing motor (M2) is longitudinally arranged on the base, the upper end of the lifter is connected with the bottom of a simulation operating table top (60) through a steel plate (GB), a voice sound-full-automatic arterial pulsation simulation controller cabinet (JX) is arranged under the operating table top, and an intelligent sound control module (61), a relay driving module (62) and a loudspeaker (Y) are also arranged in the cabinet; the controller case (JX) panel (40) is also provided with a socket (CZ) of a power line (DX) plug (CT) which is in flow connection with a speed reducing motor (M2), a micro electret microphone (63) is embedded, and a plurality of sound transmission holes (64) of a loudspeaker (Y) are arranged.

The invention has the advantages that: the device has the advantages of reasonable structure, reliable performance, complete functions and high simulation effect, the arteriolar bleeding in the operation can be automatically simulated by operating the full-automatic blood circulation simulator, the height of an operating table can be adjusted through voice control/manual control according to needs, various abdominal surgery common operation skill training and examination can be developed, the operation organs can be replaced/repaired for repeated use, and the device is high-simulation abdominal surgery actual combat simulation training and examination equipment.

The invention is further described in the following with reference to the figures and examples

Description of the drawings:

FIG. 1 is a schematic view of the overall structure of the present invention

FIG. 2 is a schematic view of the high simulation human body model of the present invention

FIG. 3 is a schematic diagram of an external structure of a controller case according to the present invention

FIG. 4 is a schematic diagram of the internal structure of the controller case according to the present invention

FIG. 5 is a schematic cross-sectional view of various surgical modules for abdominal wall

FIG. 6 is a schematic top view of the abdominal wall surgical module of the present invention

FIG. 7 is a schematic view of the connection between the abdomen and the controller of the mannequin of the present invention

FIG. 8 is a schematic view of the connection of the abdominal wall module and the organ vascular system with the controller according to the present invention

FIG. 9 is a schematic view of the organ structure of various abdominal surgeries of the present invention

FIG. 10 is a schematic view of the automatic lifting simulation operating table of the present invention

FIG. 11 is a schematic diagram of the circuit control principle of the present invention

The specific implementation mode is as follows: the skin, various abdominal wall operation incision-suture modules and various abdominal cavity internal organs of the high-simulation human body model (1) are molded and manufactured by adopting high-quality silicon rubber molds, the framework of the high-simulation human body model (1) is molded and manufactured by adopting PVC or resin molds, various abdominal cavity internal organs are molded and manufactured by adopting soft silicon rubber or TPE molds, blood vessels and catheters are manufactured by adopting silicon rubber tubes, and other parts are sold in the market. When various parts are assembled by referring to the attached drawings of the specification, the voice recognition voice control module needs to set the awakening word' smart! The wisdom! The instructions for controlling the simulated operating table to ascend, stop and descend and the voice instructions for controlling the full-automatic blood circulation simulator to pump blood and close are recorded into the voice sound control module. Before use, a large injector, a small water pump or a bucket infusion apparatus is used for injecting simulated blood into a blood storage bottle (49) from a simulated blood injection pipe (42-2) provided with a check valve (F) until an overflow pipe (43-2) passes through a blood injection pipe decapitating part (42-1) and a blood injection pipe (42-2) arranged on a controller case (30) to inject the simulated blood into the blood storage bottle (49) until the liquid level of a liquid level meter (41) rises to the top, and the injection is stopped when the overflow pipe (43-2) has the simulated blood dripping indicating that the liquid is full, because the blood injection pipe (42-2) is provided with the check valve (F), the injected simulated blood can not flow reversely, blood vessels of various abdominal wall surgery modules and surgery organs are properly connected before abdominal surgery is performed, and the blood vessels are fully automatically and properly connected with a controller case panel (40) in a blood circulation simulation way, can be used after being debugged. Because the height of each trained person is different, when the height-adjustable operating table is used, the ascending or descending switch (K1/K2) of the controller panel is operated, or the height of the operating table is adjusted to the proper height of an operator through voice control. When the intelligent voice control is carried out, an operator firstly turns on a power switch (K) on a panel (41) of a controller case (47), an indicator lamp is turned on, and a wake-up word is sent out, wherein the word is' Xiaozhi! The wisdom! ", the voice awakens the intelligent voice module (61) in the dormant state through the miniature electret microphone (63) of the controller panel (40), and the voice control module intelligently responds to the voice control module! "operator commands the table to ascend: rise! Intelligence acoustic control module (61) is compared sound information, voiceprint and the complete match of storage, corresponding normally open relay contact actuation in through relay unit module (62) promptly, vertically gear motor (M2) the power of setting on base (57) of automatic rising simulation operating table is put through automatically, driven electric lift (59) forward motion, with simulation operation mesa (60) jack-up that makes progress, the height that the art person thinks suitable, send the instruction of "stopping", this relay touches disconnected messenger gear motor (M2) power outage, electric lift (59) shut down. Similarly, if the simulated operation table top (60) is too high, a descending voice command can be sent to a proper position, and then a stopping voice command can be sent. The intelligent voice control has the greatest advantages that the heights of an operator and an assistant in an operator are not always the same, the operator does not need to touch the switch of the breath by hands, pollution is avoided, and meanwhile, the blood pumping simulation operation can be controlled to be vivid arterial bleeding; according to the conventional simulation disinfection, general towel and anesthesia of teaching and clinical operation operations, before an abdominal wall surgical incision-suture module of the operation is incised in the operation, an operator sends a voice control command of 'blood pumping', an intelligent voice control module (61) automatically switches on a power supply of a miniature impeller water pump (M1) serving as blood circulation power through a relay group module (62), the pump operates according to pulse frequency of 60 times/min sent by a pulse module (51), simulated blood in a blood storage bottle (49) is extracted from an output pipe (50) of the blood storage bottle through a pump input end, enters a pump body, enters a first artery main pipe (52-1), namely a first artery main pipe (52-1), passes through an artery main pipe joint piece (44) and a long second artery main pipe (52-2), passes through an abdominal cavity (16) of a high simulation human body model (1), and respectively enters the abdominal wall surgical incision-suture module (8, the general towel and the anesthesia module through a first multi-way pipe (54), 9. 10) and simulated gastric arteries (26) and simulated splenic arteries (22) thereof, and through various backflow pipes (14-2) in abdominal wall surgical incision-suture modules (8, 9 and 10), the backflow pipes are gathered into a second multi-way pipe (55), four blood flows are combined into one blood flow, the blood flow enters a main backflow pipe (56), enters a case (39) through a blood backflow connector piece (45) of a controller panel (40), and flows back into a blood storage bottle (49) through a backflow pipe (48) of the blood storage bottle (49), so that blood circulation is formed. Because the micro impeller water pump (M1) is connected with the module (51) which sends out pulse signals 60 times per minute, the third artery main pipe (52-1) in the abdominal cavity (16) outputs 60 times per minute simulated blood to completely simulate the artery ejection of a real person, and the artery main pipe and each input simulated arteriole blood vessel can touch the vivid rhythmic artery pulsation. When the simulated arteriole of abdominal wall module and organ is incised in the operation, the cut-off blood vessel cut-off end can see the arteriole just like the rhythmic jet hemorrhage in the operation of a real patient, so that the operation scene is more vivid, and the operator is prompted to ligate and stop bleeding as soon as possible. The pumped blood is blocked after the hemostasis by ligation, and the simulated blood flows back into the pump body through the gap between the impeller and the pump body of the miniature impeller water pump (M1) and then flows back into the blood storage bottle (49). After the surgical ligation hemostasis is successful, an operator sends a voice command of 'closing', and the micro impeller blood pump (M1) stops running. After blood loss of a plurality of operations, the simulated blood of the blood storage bottle (49) is continuously reduced, the liquid level meter (41) should be checked before the next operation, if the liquid level of the liquid level meter (49) communicated with the blood storage bottle (49) is reduced to 20 percent (1 grid), the simulated blood is timely pumped by a micro water pump or a large syringe to be filled into the blood storage bottle (49) through the simulated blood injection tube (42-2), and the bleeding amount of the operation is evaluated according to the reduction condition of the liquid level meter (49). The achievement can be used for abdominal surgery skill training of medical colleges and teaching hospitals for medical students, the specific operation methods of various abdominal surgeries are carried out according to the operation conventions of the surgeries, and the operation conventions belong to the known technology and need not be repeated. The skill assessment method for the surgical abdominal operation comprises the following steps: a teacher can judge the performance of the assessment of the training of the surgical skill by guiding the teacher according to the proficiency of basic operations of the surgical incision, hemostasis, stripping, excision and suture operations, whether the method steps are correct, the operation time, the hemostasis speed, the bleeding amount of the current operation and other comprehensive conditions, and can judge the performance to be excellent, good, passing and failing. Because the abdominal wall operation incision-suture module and the operation organ are highly simulated, the simulated arteriolar bleeding scene is very vivid, thereby obviously improving the skill training and checking quality of the abdominal surgery and being beneficial to accelerating the culture of practical surgical medical talents. The organ models and the abdominal wall slitting and locking module for various operations can be repaired when damaged, the usable silica gel made of silica gel can be repaired, for example, the usable electric iron made of thermoplastic elastomer (TPE) can be used for hot melting and repairing, the simulated blood vessel cut by the abdominal wall surgical slitting and sewing module is pulled out, the spare parts are put into the original blood vessel hole and are properly connected with the multi-way tube according to the method, and the spare parts can be replaced when the organ models and the abdominal wall slitting and locking module for various operations are seriously damaged and cannot be used. The replacement and installation method of the surgical module and the organ comprises the following steps: firstly, taking down a high-simulation abdominal wall surgical incision-suture module (8/9/10) from a groove (8-1/9-1/10-1) of an embedded surgical module, then installing a selected surgical organ model in the groove of a corresponding position, connecting a plurality of branch tubes (fg 1-fg 5) shunted by a first multi-way tube (54) after the surgical organ model is installed/replaced, respectively connecting a pentagonal abdominal wall surgical incision and suture mold block (8) of an upper abdominal wall through corresponding catheters, arranging a square abdominal wall surgical incision-suture module (9) at the position of a right lower abdomen, arranging a small artery input tube (14-1) of the square abdominal wall surgical incision-suture module (10) at the left lower abdomen, a spleen artery blood vessel (22) and a stomach artery blood vessel (26); the reflux blood vessel (14-2) of the abdominal wall surgical incision-suture module, the spleen reflux blood vessel (21) and the stomach reflux blood vessel (27) are respectively connected with a second multi-way tube (55) through connector tubes, the tail ends of the multi-way tubes are in butt joint with a main reflux blood vessel (56), and then the high-simulation abdominal wall surgical incision-suture modules (8, 9 and 10) are embedded in the grooves (8-1, 9-1 and 10-1) of the surgical modules through an abdominal wall arteriole input tube (14-1) and an abdominal wall blood reflux tube (14-2) of the connector connection module. The method for replacing the abdominal operation organ model comprises the steps of replacing a standby abdominal operation organ model, such as a gallbladder model (20-1)/gallstone model (20-2), from a careful area of a sticky spring of the abdominal operation organ model for operation training, and sticking the abdominal operation organ model in a gallbladder fossa (19) with the gallbladder cut off through the sticky spring (NH); a spleen model (23-1)/spleen rupture model (23-2) for setting a spleen arterial blood vessel (21) and a spleen return blood vessel (22) at a left position near the diaphragm (17) by a sticky spring (NH); a position which is closely adjacent to the model is arranged, a pancreas model (24-1)/a pancreas cancer model (24-2) is pasted through the deep part of an abdominal cavity (16) by a sticky spring (NH), a gastroduodenal model (25-1)/a gastroduodenal rupture model (25-2)) with a gastric artery blood vessel (26) and a gastric reflux blood vessel (27) is pasted in front of the model and connected with a greater omentum (28), and a gastric cardia (29) is connected with an esophagus and extends into an esophageal fissure of a diaphragm (17) for fixation; a transverse colon model (30-1)/a transverse colon rupture model (30-2), a right flexure (31) of the transverse colon right side colon is connected with a rising colon model (32) downwards through a sticky spring (NH), the lower position of the ascending colon model can be connected with a caecum-appendix (33)/caecum-appendicitis model (34) through a sticky spring (NH), the left-bending colon (35) of the transverse colon (30-1) is connected with a descending colon model (36) through a sticky spring (NH), the lower end of the descending colon model is connected with a sigmoid colon cancer model (37-2) which can be interchanged with the sigmoid colon (37-1) through a sticky spring (NH), the lower part of the artificial rectum is connected with the simulated rectum (38) through a sticky spring (NH), and the service life can be greatly prolonged because the organ models of various operations and the abdominal wall cutting seam joint module can be repaired and replaced due to damage. The simulation effect of the surgical skill training is very vivid, so that the teaching effect can be obviously improved.

Claims (3)

1. A high simulation abdominal surgery simulation training device, comprising: high simulation manikin, multiple stomach wall operation incision-suture module, various belly surgery operation organ models, voice control-full-automatic blood circulation simulator, emulation automatic rising simulation operating table, its characterized in that: the high-simulation human body model (1), the head (2) with simulation five sense organs, the neck (3), the chest (4), the abdomen (5), the upper limb upper section (6) and the lower limb upper section (7); the multiple abdominal wall surgical incision-slotting mold module comprises: a pentagonal abdominal wall surgical incision-suture module (8) is arranged at the upper abdominal part, a square abdominal wall surgical incision-suture module (9) is arranged at the right lower abdominal part, a square abdominal wall surgical incision-suture module (10) is arranged at the left lower abdominal part, all modules are designed to prevent the slippage, the small outside and the large inside are inlaid at the corresponding surgical position, and are adhered in grooves (8-1, 9-1 and 10-1) matched with the shapes of the abdominal wall surgical incision-suture modules at the position through adhesive springs (NH), the outer layers of all abdominal modules are skin layers (11), light yellow subcutaneous tissue layers (12) and red muscle layers (13) are arranged below the abdominal wall modules in sequence, an abdominal wall arteriolar input tube (14) and an abdominal wall blood backflow tube (15) are arranged between the skin layers, and the lowest layer is a semitransparent abdominal wall layer (16); the various abdominal surgical organs are those within the abdominal cavity (5) that are relevant for abdominal surgery, including: a liver model (18) is arranged at the position below the diaphragm muscle (17), a gall bladder stone model (20-2) with a gall bladder (20-1) capable of being pasted and replaced is arranged in the position of a gall bladder pit (19) of the liver model through a sticky spring (NH), and a spleen model (23-1) which is provided with a spleen artery blood vessel (21) and a spleen backflow blood vessel (22) through the sticky spring (NH) is arranged at the left side position near the diaphragm muscle (17) and can be interchanged with the spleen rupture model (23-2); a pancreatic cancer model (24-2) which can be interchanged with the pancreas (24-1) is arranged at the position which is immediately adjacent to the stomach, and the stomach deep surface which can be interchanged with the stomach-duodenum rupture model (25-2) is arranged on the gastroduodenal model (25-1); a gastric perforation-duodenum model (25-2) provided with a gastric artery blood vessel (26) and a gastric reflux blood vessel (27) is arranged at the upper abdomen position and connected with a greater omentum (28), and a gastric cardia (29) is connected with an esophagus and extends into a hiatal hole of a diaphragm (17) for fixation; a transverse colon rupture model (30-2) which can be interchanged with the transverse colon (30-1) is arranged below the lower part of the greater curvature of the stomach, the right side of the transverse colon is a right colon curve (31) which is connected with a rising colon model (32) downwards through a sticky spring (NH), the lower part of the rising colon model is connected with a cecum-appendicitis model (34) which can be interchanged with a cecum-appendix (33) downwards through the sticky spring (NH), a left colon curve (35) of the transverse colon (30-1) is connected with a descending colon model (36) downwards through the sticky spring, the lower end of the descending colon model is connected with a sigmoid colon cancer model (37-2) which can be interchanged with the sigmoid colon (37-1) through the sticky spring (NH), and the lower part of the descending colon model simulates a rectum (38) through the sticky spring; the artery main pipe (39) entering the abdominal cavity (16) of the high simulation human body model is connected with a first multi-way pipe (39-1) and shunted into 3 ways, the artery main pipe (39) is connected with a arteriolar input pipe (14-1), a spleen artery blood vessel (22) and a gastric artery blood vessel (26) of an upper abdominal wall pentagonal abdominal wall surgical incision and suture module through corresponding joint pipes (JT), a backflow blood vessel (14-2) and a spleen backflow blood vessel (21) of the abdominal wall surgical incision and suture module, and a gastric backflow blood vessel (27) is connected with a second multi-way pipe (39-2) through joint pipes (JT), the tail ends of the four-way pipes are in butt joint with a total backflow blood vessel (40), and the artery main pipe (39) extends out of the high simulation human body model (1) through the long total backflow blood vessel (40.

2. The high simulation abdominal surgery simulated training device of claim 1, wherein: the voice sound control-full-automatic blood circulation simulation controller has the structure that: a power switch (K), an indicator light (L), an operation table ascending switch (K1) and an indicator light (L1) thereof, an operation table descending switch (K2) and an indicator light (L2) thereof, a socket (CZ) of a voice sound control relay lead (DX) plug (CT), a liquid level meter (41), a blood injection tube connector piece (42), an overflow tube connector piece (43), an arterial main tube connector piece (44), a blood main reflux tube connector piece (45) and an overflow tube (43-1) thereof are arranged on a controller case (JX) panel (40); a rectification power supply (DC), a blood storage bottle (49) provided with a simulation blood injection pipe (46) provided with a check valve (f), a blood bottle output pipe (47) and a blood bottle return pipe (48) are arranged in the controller case (JX); the bottle is also communicated with a liquid level meter (41) of a panel (40) through a guide pipe (DG), an output pipe (50) of the bottle is in butt joint with the input end of a micro impeller water pump (M1), the pump motor is connected with a pulse module (51) which sends out pulse signals for 60 times per minute, the output pipe of the pump becomes a first artery main pipe (52-1) which is connected with the inner side end of an artery main pipe joint piece (44), and the outer side end of the joint piece enters a third artery main pipe (53) of an abdomen (16) of the high simulation human body model (1) through a second artery main pipe (52-2) which is long; the first multi-way tube (54) is connected and shunted into a plurality of branch tubes (fg 1-fg 5), and the small artery input tubes (14-1, 14-2 and 14-3) are respectively connected with the abdominal wall surgical incision module through corresponding catheters, and comprise an upper abdominal wall pentagonal abdominal wall surgical incision and suture joint module (8), a square abdominal wall surgical incision and suture module (9) arranged at the right lower abdominal part, a square abdominal wall surgical incision and suture module (10) arranged at the left lower abdominal part, a spleen artery blood vessel (22) and a stomach artery blood vessel (26); backflow blood vessels (15-, 15-2 and 15-3) of the abdominal wall surgical incision-suture module, spleen backflow blood vessels (21) and stomach backflow blood vessels (27) are respectively connected with branch tubes (fg 6-fg 10) of a second multi-way tube (55) through connector tubes, the tail ends of the multi-way tubes are in gathering butt joint with a main backflow blood vessel (56), extend out of the high-simulation human body model (1), and are connected with a blood main backflow connector piece (45) on a machine box panel (40).

3. The high simulation abdominal surgery simulated training device of claim 1, wherein: the automatic lifting simulation operating table is structurally characterized in that: four casters (58-1-58-4) with brakes are arranged on a base (57) of the automatic lifting simulation operating table, an electric lifter (59) driven by a speed reducing motor (M2) is longitudinally arranged on the base, the upper end of the lifter is connected with the bottom of a simulation operating table top (60) through a steel plate (GB), a voice sound control-full-automatic arterial pulsation simulation controller case (JX) is arranged under the operating table top, and an intelligent sound control module (61), a relay driving module (62) and a loudspeaker (Y) are also arranged in the case; the controller case (JX) panel (40) is also provided with a socket (CZ) of a power line (DX) plug (CT) which is in flow connection with a speed reducing motor (M2), a micro electret microphone (63) is embedded, and a plurality of sound transmission holes (64) of a loudspeaker (Y) are arranged.

Images