CN113599654A - Y-shaped metal stent implantation method and auxiliary airway tube assembly - Google Patents
Y-shaped metal stent implantation method and auxiliary airway tube assembly Download PDFInfo
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- CN113599654A CN113599654A CN202110749782.9A CN202110749782A CN113599654A CN 113599654 A CN113599654 A CN 113599654A CN 202110749782 A CN202110749782 A CN 202110749782A CN 113599654 A CN113599654 A CN 113599654A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0402—Special features for tracheal tubes not otherwise provided for
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0475—Tracheal tubes having openings in the tube
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Abstract
本发明涉及临床医疗技术领域，具体地说，涉及一种Y型金属支架置入方法及辅助通气导管组件。包括术前准备、插入通气导管接高频通气机或麻醉机或呼吸机通气、经鼻插入电子支气管镜进入气管导管前端、经气管导管插入Y型支架推送器并在支气管镜的直视下逐步释放、退镜，充气囊，待麻醉复苏后释放气囊，拔除通气导管、术后处置等步骤。本发明设计的置入方法可以保障Y型金属支架在有效通气下安全完成，其所需设备均为常规配备，可以大幅度降低医疗设备成本，且能优化手术流程，降低手术操作难度及手术风险，具有较高的实用性；其配套的辅助通气导管组件符合人体气道走向，可快捷地进行插管操作，减轻患者的痛苦，降低对术者技术水平的要求。
The invention relates to the technical field of clinical medicine, in particular to a Y-shaped metal stent placement method and an auxiliary ventilation catheter assembly. Including preoperative preparation, inserting a ventilation catheter and connecting to a high-frequency ventilator or anesthesia machine or ventilator for ventilation, inserting an electronic bronchoscope through the nose into the front end of the tracheal tube, inserting a Y-shaped stent pusher through the tracheal tube, and gradually under the direct vision of the bronchoscope. Release, retract the mirror, inflate the balloon, release the balloon after anesthesia and resuscitation, remove the ventilation catheter, and post-operative treatment. The implantation method designed by the present invention can ensure the safe completion of the Y-shaped metal stent under effective ventilation, and the required equipment is all conventional equipment, which can greatly reduce the cost of medical equipment, optimize the operation process, and reduce the difficulty and risk of operation. , has high practicability; its supporting auxiliary ventilation catheter assembly conforms to the direction of the human airway, and can be quickly intubated, reducing the pain of the patient and reducing the technical level of the operator.
Description
Technical Field
The invention relates to the technical field of clinical medical treatment, in particular to a Y-shaped metal stent implantation method and an auxiliary airway tube assembly.
Background
Y-stent placement is an important procedure for treating stenoses or tracheoesophageal fistulas near the carina (including the upper middle section of the left and right main bronchi), and includes X-ray guided and bronchoscopic guided placement. The Y-shaped stent implantation method under the guidance of X rays is performed under the condition of non-direct vision in the air passage, the lesion in the air passage can not be accurately analyzed, if hemorrhage or other abnormal conditions occur in the air passage, the clinical treatment of the method is difficult, the operation risk is higher in the process of performing the method, and the success probability of implanting the complex air passage is low.
Bronchoscope-guided implantation is a common method for implanting the conventional Y-shaped stent, and the method can adopt two forms of local anesthesia and general anesthesia. Although the local anesthesia can be placed into the Y-shaped stent, the requirement on the technical level of an operator is extremely high, and for complex airway lesions, the safety of a patient is difficult to guarantee without ventilation guarantee. The Y-shaped stent is usually placed under general anesthesia under a hard bronchoscope, and the Y-shaped stent is not suitable for being placed under the conventional laryngeal mask ventilation. The placement of the Y-shaped metal stent under the rigid bronchoscope is a safe and effective method, but the surgeon needs to be skilled in the rigid bronchoscope technology and complete the placement under the guidance of the superfine bronchoscope, and the rigid bronchoscope system, the superfine bronchoscope and other equipment are expensive and are not equipped for each medical unit. However, there is no method for safely, conveniently and quickly completing the placement of the Y-shaped stent.
Disclosure of Invention
The present invention is directed to a method for inserting a Y-shaped metal stent and an auxiliary airway tube assembly to solve the above problems.
In order to solve the above technical problem, an object of the present invention is to provide a method for implanting a Y-shaped metal stent, comprising the following steps:
a Y-shaped metal bracket embedding method is characterized in that: the method comprises the following steps:
s1, fully performing preoperative preparation;
s2, firstly, inserting an air duct under the guidance of an electronic bronchoscope or a laryngoscope, fixing the air duct outside the body, and connecting a high-frequency ventilator or an anesthesia machine or a respirator for ventilation;
s3, dividing the stent guide wires into two colors according to the left and right branches of the Y-shaped stent: blue is right branch; yellow is left.
The bronchoscope is inserted through the catheter, the guide wire (A) of one branch with a longer stent branch is inserted into the diseased side, the bronchoscope is withdrawn, and the guide wire is left in the cavity. And the other guide wire is inserted into the guide wire (B) from the front end of the stent pusher in a retrograde manner.
Inserting an electronic bronchoscope through the nose, and entering the front end of the tracheal catheter from the outer side of the tracheal catheter through the glottis;
inserting the Y-shaped stent pusher through the guide wire, releasing a Y-branch pull wire at the lower section of the trachea to separate the left branch from the right branch, extending out of the guide wire B and enabling the guide wire B to enter the corresponding diseased side; leading the corresponding branch of the lower bracket to enter the corresponding diseased side under the guide wire of A, B under the direct vision of the bronchoscope, and gradually releasing the left branch and the right branch of the bracket under the direct vision of the bronchoscope; then gradually releasing the trachea section of the stent under the direct vision of the bronchoscope.
S4, withdrawing the bronchoscope, inflating the air sac, releasing air in the air sac after anesthesia resuscitation, and finally removing the ventilation catheter;
and S5, performing routine treatment and follow-up visit to the patient after the operation.
In S1, the preoperative preparation method includes the steps of:
s1.1, intravenous general anesthesia;
s1.2, performing routine bronchoscopy before operation, and observing the narrow condition of the tracheal branch or the position of a fistula;
s1.3, selecting a proper bracket according to the focus condition in the tracheal branch of a patient;
s1.4, inserting a Y-shaped stent pusher through a tracheal catheter, and gradually releasing the stent under the direct view of a bronchoscope;
s1.5, preparing high-concentration oxygen inhalation and jet type mechanical ventilation to prepare for possible oxygen deficiency of a patient in the process of stent implantation;
s1.6, fully anaesthetizing the patient and preparing a muscle relaxing agent, wherein the muscle relaxing agent is preferably a short-acting preparation;
s1.7, sucking and cleaning secretion in the airway of the patient before the patient is placed in the device, and performing oxygen supply operation.
In S2, ventilation is continuously performed through the ventilation catheter, and when the patient suffers from asphyxia or hypoxia, high-concentration oxygen is introduced through a jet-type machine.
In S3, the electronic bronchoscope inserted nasally may be replaced with a conventional scope or laryngoscope.
In S4, the operation is performed quickly and accurately during the releasing of the stent.
In S5, before exiting the bronchoscope, the patient' S airway needs to be cleaned completely under the bronchoscope.
In S6, the method for performing routine treatment and follow-up visit to the patient after operation includes the following steps:
s6.1, after a patient fasts for 3-24 hours, closely observing whether the patient has dyspnea and the change of the blood oxygen saturation SpO 2;
s6.2, after operation, anti-infection and atomization inhalation are carried out on the patient to promote sputum discharge;
s6.3, carrying out conventional X-ray chest radiography 1-2 days after the stent is placed in order to know the position of the stent and the condition of lung expansion;
s6.4, carrying out telephone or outpatient follow-up visit every 1-2 months, and mainly knowing whether the patient has the complications of cough, dyspnea, hemoptysis and the like;
and S6.5, the position of the stent and the pathological changes of the patient are known by bronchoscope review every 3 months.
An auxiliary airway tube assembly for placement of a Y-shaped metal stent as an auxiliary device for performing the steps of the method for placement of a Y-shaped metal stent, comprising: the novel tracheal ventilation catheter comprises an arc tracheal ventilation catheter (1), wherein a plurality of ventilation holes (11) are formed in the side wall, close to the front end, of the arc tracheal ventilation catheter (1) at equal intervals, a ventilation connecting part pipeline (13) is integrally formed in the side wall, close to the rear end, of the arc tracheal ventilation catheter (1), a catheter front end tongue-shaped insertion part (2) is fixed at the front end of the arc tracheal ventilation catheter (1) in a melting mode, connecting pipe fittings (3) are arranged at the rear end parts of the arc tracheal ventilation catheter (1) and the ventilation connecting part pipeline (13), an adjustable air bag (4) is sleeved on the outer side of the arc tracheal ventilation catheter (1) in a sliding mode, the adjustable air bag (4) comprises an annular air bag (41), and the annular air bag (41) is connected with an air bag valve (43) through an air bag catheter (42).
The arc-shaped tracheal ventilation catheter (1) is integrally arc-shaped, and ventilation pipeline scales (12) are printed on the outer side wall of the arc-shaped tracheal ventilation catheter (1).
The connecting pipe fitting (3) comprises a connecting part (31) of a breathing machine or an anesthesia machine, and the outer side of the connecting part (31) of the breathing machine or the anesthesia machine is connected with an end cover (33) through a connecting belt (32).
Compared with the prior art, the invention has the beneficial effects that:
1. the Y-shaped metal support imbedding method can ensure that the Y-shaped metal support can be safely completed under effective ventilation, and the required equipment is conventional equipment, so that the cost of medical equipment can be greatly reduced, the operation flow can be optimized, the operation difficulty and the operation risk can be reduced, and the practicability is higher;
2. during this supplementary catheter subassembly of ventilating of putting into of Y type metal support, through setting up curved nonmetal pipe of ventilating, the pipe fitting shape accords with human air flue trend, does not need the general anesthesia can swiftly carry out the intubate operation, alleviates patient's misery, and the art person adopts flexible bronchoscope can carry out the operation of putting into of Y type support, and convenient to use reduces the requirement to art person technical merit to effectively reduce the operation cost.
Drawings
FIG. 1 is a block diagram of the overall process flow of the present invention;
FIG. 2 is a block diagram of a partial process flow of the present invention;
FIG. 3 is a block diagram of a partial process flow of the present invention;
figure 4 is a schematic diagram of the overall construction of an auxiliary airway tube assembly according to the present invention.
In the figure:
1. an arc-shaped tracheal ventilation catheter; 11. a vent passage; 12. scales of the ventilation pipeline; 13. a vent connection conduit;
2. a catheter front end tongue-shaped insertion portion;
3. connecting pipe fittings; 31. a ventilator or anesthesia machine connection; 32. a connecting belt; 33. an end cap;
4. an adjustable air bag; 41. an annular air bag; 42. a balloon catheter; 43. an air bag valve.
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.
Example 1
As shown in fig. 1 to fig. 3, the present embodiment provides a method for implanting a Y-shaped metal stent, which includes the following steps:
s1, fully performing preoperative preparation;
s2, firstly, inserting an air duct under the guidance of an electronic bronchoscope or a laryngoscope, fixing the air duct outside the body, and connecting a high-frequency ventilator or an anesthesia machine or a respirator for ventilation;
s3, inserting the electronic bronchoscope through the nose, and entering the front end of the tracheal catheter from the outer side of the tracheal catheter through the glottis;
s4, inserting a Y-shaped stent pusher through a tracheal catheter, and gradually releasing the stent under the direct view of a bronchoscope;
s5, withdrawing the bronchoscope, inflating the air sac, releasing air in the air sac after anesthesia resuscitation, and finally removing the ventilation catheter;
and S6, performing routine treatment and follow-up visit to the patient after the operation.
In this embodiment, in S1, the preoperative preparation method includes the following steps:
s1.1, performing local anesthesia by puncture of a cricothyroid membrane or by dripping 5ml of 2% licarbadoxine through the nose;
s1.2, carrying out conventional flexible bronchoscopy through a mouth, and observing the narrow condition of the tracheal branch and the position of the fistula;
s1.3, selecting a proper bracket according to the focus condition in the tracheal branch tube of the patient, measuring and cutting the size of the bracket;
s1.4, inserting a Y-shaped stent pusher through a tracheal catheter, and gradually releasing the stent under the direct view of a bronchoscope;
s1.5, preparing high-concentration oxygen inhalation and jet type mechanical ventilation to prepare for possible oxygen deficiency of a patient in the process of stent implantation;
s1.6, fully anaesthetizing the patient and preparing a muscle relaxing agent, wherein the muscle relaxing agent is preferably a short-acting preparation;
s1.7, sucking and cleaning secretion in the airway of the patient before the patient is placed in the device, and performing oxygen supply operation.
Specifically, in S2, ventilation is continuously performed through the ventilation catheter, and when the suffocation or oxygen deficiency of the patient occurs, high-concentration oxygen is required to be introduced through the jet flow type machine, so that the oxygen deficiency of the patient is relieved, and the safety of the patient is guaranteed.
Specifically, in S3, the transnasal electronic bronchoscope can be replaced by a conventional examination scope or a laryngoscope, and the applied examination scope is soft and bendable, so that the technical requirements of operators are reduced, and the use is convenient.
Specifically, in S4, the operation is performed quickly and accurately during the releasing of the stent, so as to avoid the displacement of the stent or the possibility of suffocation of the patient caused by incomplete release of the stent.
Specifically, in S5, before exiting the bronchoscope, the airway of the patient needs to be thoroughly cleaned under the bronchoscope, so as to keep the airway of the patient clean and free of impurities, thereby avoiding the patient from being choked when waking up, and ensuring the safety of the patient.
In this embodiment, in S6, the method for performing routine treatment and follow-up return visit to the patient after operation includes the following steps:
s6.1, after a patient fasts for 3-24 hours, closely observing whether the patient has dyspnea and the change of the blood oxygen saturation SpO 2;
s6.2, after operation, anti-infection and atomization inhalation are carried out on the patient to promote sputum discharge;
s6.3, carrying out conventional X-ray chest radiography 1-2 days after the stent is placed in order to know the position of the stent and the condition of lung expansion;
s6.4, carrying out telephone or outpatient follow-up visit every 1-2 months, and mainly knowing whether the patient has the complications of cough, dyspnea, hemoptysis and the like;
and S6.5, the position of the stent and the pathological changes of the patient are known by bronchoscope review every 3 months.
As shown in fig. 4, this embodiment also provides a Y-shaped metal stent placement aid airway tube assembly, the catheter component is used as an auxiliary device for executing the steps of the Y-shaped metal stent imbedding method and comprises an arc-shaped tracheal ventilation catheter 1, a plurality of ventilation holes 11 are arranged on the side wall of the arc-shaped tracheal ventilation catheter 1 close to the front end at equal intervals, a ventilation connecting part pipeline 13 is integrally formed on the side wall of the arc-shaped tracheal ventilation catheter 1 close to the rear end, a catheter front end tongue-shaped inserting part 2 is fixed at the front end of the arc-shaped tracheal ventilation catheter 1 in a melting mode, connecting pipe fittings 3 are arranged at the rear end parts of the arc-shaped tracheal ventilation catheter 1 and the ventilation connecting part pipeline 13, an adjustable air bag 4 is sleeved on the outer side of the arc-shaped tracheal ventilation catheter 1 in a sliding mode, the adjustable balloon 4 comprises an annular balloon 41, the annular balloon 41 being connected to a balloon valve 43 via a balloon catheter 42.
In this embodiment, the arc-shaped tracheal ventilation catheter 1 is integrally arc-shaped, so that the shape of the catheter conforms to the trend of the trachea of a human body, the intubation operation is convenient, and the pain possibly suffered by a patient in the intubation process is reduced.
Furthermore, the outer side wall of the arc-shaped tracheal ventilation catheter 1 is printed with ventilation pipeline scales 12, the ventilation pipeline scales 12 are not in contact with the ventilation hole 11, the insertion depth of the catheter can be conveniently and visually checked, and the situation that the scales are unclear due to overlapping with the ventilation hole 11 is avoided.
Further, the size of the rear end of the airway connection tube 13 is the same as the size of the rear end of the arc-shaped tracheal airway tube 1, which facilitates the simultaneous connection of the two with the same connecting tube 3.
Specifically, two sets of connecting pipe fittings 3 can provide more expansion spaces for the operation of ventilating, still can utilize unnecessary connecting pipe fitting 3 to carry out operations such as air flue washing, dosing, improve the convenience of use.
In this embodiment, the tongue-shaped insertion portion 2 at the front end of the catheter is communicated with the inside of the arc-shaped tracheal ventilation catheter 1, so that the bronchoscope can conveniently enter the tongue-shaped insertion portion 2 at the front end of the catheter to observe the inside of the arc-shaped tracheal ventilation catheter 1.
Further, the front end external diameter of pipe front end tongue type inserted portion 2 is less than the rear end external diameter, and the lateral wall of pipe front end tongue type inserted portion 2 is smooth curved surface form, makes pipe front end tongue type inserted portion 2 wholly be the big-end-in-the-front bullet-like shape, is convenient for pass the narrow passageway in the patient's trachea, and effectively avoids the injury that the front end arris limit probably brought for patient's tissue.
In this embodiment, the connecting pipe member 3 includes a connecting portion 31 of a breathing machine or an anesthesia machine, and an end cap 33 is connected to the outer side of the connecting portion 31 of the breathing machine or the anesthesia machine through a connecting band 32.
Further, the breathing machine or anesthesia machine connecting portion 31 is sleeved outside the end portion of the arc-shaped tracheal ventilation catheter 1, the inner side wall of the breathing machine or anesthesia machine connecting portion 31 is fixed on the outer side wall of the end portion of the arc-shaped tracheal ventilation catheter 1 in a melting mode, the breathing machine or anesthesia machine connecting portion 31 is firm and stable, is not prone to loosening and dropping, and is tightly sealed between the two connecting portions, and air leakage and liquid leakage are avoided.
Further, the end cover 33 is sleeved on the outer side of the rear end of the connecting part 31 of the breathing machine or the anesthesia machine in a sliding manner, so that the end cover 33 can cover the outer side of the connecting part 31 of the breathing machine or the anesthesia machine, sealing and protection are facilitated, and external impurities are prevented from entering the body of a patient.
Specifically, one end of the connecting band 32 is tied to the connecting part 31 of the respirator or the anesthesia machine, and the other end of the connecting band 32 is tied to the end cap 33, so that the end cap 33 is prevented from being lost.
In this embodiment, the inner diameter of the annular cuff 41 is equal to the outer diameter of the curved endotracheal tube 1.
Further, the rear end outer diameter of the catheter front end tongue-shaped insertion portion 2 is larger than the outer diameter of the arc-shaped tracheal ventilation catheter 1, on one hand, the narrow position of the airway of a patient is expanded by the catheter front end tongue-shaped insertion portion 2, so that the catheter can pass through conveniently, and on the other hand, the front end tongue-shaped insertion portion 2 of the catheter can effectively prevent the annular air bag 41 from being easily separated from the front end of the arc-shaped tracheal ventilation catheter 1.
Further, the interior of the annular balloon 41 is hollow, one end of the balloon catheter 42 is fused and fixed on the outer side wall of the annular balloon 41 and communicated with the interior of the annular balloon 41, the other end of the balloon catheter 42 is fused and fixed on the inner side of the port of the balloon valve 43, and the annular balloon 41 can be inflated in vitro through the balloon valve 43 and the balloon catheter 42 so as to expand and form a certain fixing effect on the arc-shaped tracheal ventilation catheter 1.
In particular, the air bag valve 43 is preferably a one-way valve, which can effectively avoid the occurrence of air leakage after the annular air bag 41 is inflated.
In addition, the arc-shaped tracheal ventilation catheter 1, the tongue-shaped insertion part 2 at the front end of the catheter and the annular air bag 41 are all preferably made of medical-grade silicon rubber, and the materials are good in flexibility, safe, non-toxic and slightly elastic.
In addition, the preferred internal diameter 9mm of the size of arc trachea air duct 1, external diameter 10 ~ 11mm (adult type, the size of children type needs adjust the customization according to children age bracket), and the user demand of most conventional Y type support can be satisfied to this size.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and the preferred embodiments of the present invention are described in the above embodiments and the description, and are not intended to limit the present invention. The scope of the invention is defined by the appended claims and equivalents thereof.
Claims (10)
1. A Y-shaped metal bracket embedding method is characterized in that: the method comprises the following steps:
s1, fully performing preoperative preparation;
s2, firstly, inserting an air duct under the guidance of an electronic bronchoscope or a laryngoscope, fixing the air duct outside the body, and connecting a high-frequency ventilator or an anesthesia machine or a respirator for ventilation;
s3, dividing the stent guide wires into two colors according to the left and right branches of the Y-shaped stent: blue is right branch; yellow is left.
The bronchoscope is inserted through the catheter, the guide wire (A) of one branch with a longer stent branch is inserted into the diseased side, the bronchoscope is withdrawn, and the guide wire is left in the cavity. And the other guide wire is inserted into the guide wire (B) from the front end of the stent pusher in a retrograde manner.
Inserting an electronic bronchoscope through the nose, and entering the front end of the tracheal catheter from the outer side of the tracheal catheter through the glottis;
inserting the Y-shaped stent pusher through the guide wire, releasing a Y-branch pull wire at the lower section of the trachea to separate the left branch from the right branch, extending out of the guide wire B and enabling the guide wire B to enter the corresponding diseased side; leading the corresponding branch of the lower bracket to enter the corresponding diseased side under the guide wire of A, B under the direct vision of the bronchoscope, and gradually releasing the left branch and the right branch of the bracket under the direct vision of the bronchoscope; then gradually releasing the trachea section of the stent under the direct vision of the bronchoscope.
S4, withdrawing the bronchoscope, inflating the air sac, releasing air in the air sac after anesthesia resuscitation, and finally removing the ventilation catheter;
and S5, performing routine treatment and follow-up visit to the patient after the operation.
2. The Y-shaped metal stent deployment method of claim 1, wherein: in S1, the preoperative preparation method includes the steps of:
s1.1, intravenous general anesthesia;
s1.2, performing routine bronchoscopy before operation, and observing the narrow condition of the tracheal branch or the position of a fistula;
s1.3, selecting a proper bracket according to the focus condition in the tracheal branch of a patient;
s1.4, inserting a Y-shaped stent pusher through a tracheal catheter, and gradually releasing the stent under the direct view of a bronchoscope;
s1.5, preparing high-concentration oxygen inhalation and jet type mechanical ventilation to prepare for possible oxygen deficiency of a patient in the process of stent implantation;
s1.6, fully anaesthetizing the patient and preparing a muscle relaxing agent, wherein the muscle relaxing agent is preferably a short-acting preparation;
s1.7, sucking and cleaning secretion in the airway of the patient before the patient is placed in the device, and performing oxygen supply operation.
3. The Y-shaped metal stent deployment method of claim 1, wherein: in S2, ventilation is continuously performed through the ventilation catheter, and when the patient suffers from asphyxia or hypoxia, high-concentration oxygen is introduced through a jet-type machine.
4. The Y-shaped metal stent deployment method of claim 1, wherein: in S3, the electronic bronchoscope inserted nasally may be replaced with a conventional scope or laryngoscope.
5. The Y-shaped metal stent deployment method of claim 1, wherein: in S4, the operation is performed quickly and accurately during the releasing of the stent.
6. The Y-shaped metal stent deployment method of claim 1, wherein: in S5, before exiting the bronchoscope, the patient' S airway needs to be cleaned completely under the bronchoscope.
7. The Y-shaped metal stent deployment method of claim 1, wherein: in S6, the method for performing routine treatment and follow-up visit to the patient after operation includes the following steps:
s6.1, after a patient fasts for 3-24 hours, closely observing whether the patient has dyspnea and the change of the blood oxygen saturation SpO 2;
s6.2, after operation, anti-infection and atomization inhalation are carried out on the patient to promote sputum discharge;
s6.3, carrying out conventional X-ray chest radiography 1-2 days after the stent is placed in order to know the position of the stent and the condition of lung expansion;
s6.4, carrying out telephone or outpatient follow-up visit every 1-2 months, and mainly knowing whether the patient has the complications of cough, dyspnea, hemoptysis and the like;
and S6.5, the position of the stent and the pathological changes of the patient are known by bronchoscope review every 3 months.
8. A Y-shaped metal stent deployment aid catheter assembly as an aid in performing the steps of the Y-shaped metal stent deployment method of any of claims 1-7, wherein: the novel tracheal ventilation catheter comprises an arc tracheal ventilation catheter (1), wherein a plurality of ventilation holes (11) are formed in the side wall, close to the front end, of the arc tracheal ventilation catheter (1) at equal intervals, a ventilation connecting part pipeline (13) is integrally formed in the side wall, close to the rear end, of the arc tracheal ventilation catheter (1), a catheter front end tongue-shaped insertion part (2) is fixed at the front end of the arc tracheal ventilation catheter (1) in a melting mode, connecting pipe fittings (3) are arranged at the rear end parts of the arc tracheal ventilation catheter (1) and the ventilation connecting part pipeline (13), an adjustable air bag (4) is sleeved on the outer side of the arc tracheal ventilation catheter (1) in a sliding mode, the adjustable air bag (4) comprises an annular air bag (41), and the annular air bag (41) is connected with an air bag valve (43) through an air bag catheter (42).
9. The Y-shaped metal stent placement aid airway tube assembly of claim 8 wherein: the arc-shaped tracheal ventilation catheter (1) is integrally arc-shaped, and ventilation pipeline scales (12) are printed on the outer side wall of the arc-shaped tracheal ventilation catheter (1).
10. The Y-shaped metal stent placement aid airway tube assembly of claim 8 wherein: the connecting pipe fitting (3) comprises a connecting part (31) of a breathing machine or an anesthesia machine, and the outer side of the connecting part (31) of the breathing machine or the anesthesia machine is connected with an end cover (33) through a connecting belt (32).
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| Application Number | Priority Date | Filing Date | Title |
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| CN202110749782.9A CN113599654A (en) | 2021-07-01 | 2021-07-01 | Y-shaped metal stent implantation method and auxiliary airway tube assembly |
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| CN202110749782.9A CN113599654A (en) | 2021-07-01 | 2021-07-01 | Y-shaped metal stent implantation method and auxiliary airway tube assembly |
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|---|---|---|---|
| CN202110749782.9A Withdrawn CN113599654A (en) | 2021-07-01 | 2021-07-01 | Y-shaped metal stent implantation method and auxiliary airway tube assembly |
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| CN (1) | CN113599654A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116328136A (en) * | 2023-05-04 | 2023-06-27 | 首都医科大学附属北京世纪坛医院 | A double-lumen endotracheal tube for airway bifurcation stent implantation |
-
2021
- 2021-07-01 CN CN202110749782.9A patent/CN113599654A/en not_active Withdrawn
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116328136A (en) * | 2023-05-04 | 2023-06-27 | 首都医科大学附属北京世纪坛医院 | A double-lumen endotracheal tube for airway bifurcation stent implantation |
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