CN113713225A - Pleural cavity negative pressure ventilation respirator and use method thereof - Google Patents

Pleural cavity negative pressure ventilation respirator and use method thereof Download PDF

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Publication number
CN113713225A
CN113713225A CN202110885075.2A CN202110885075A CN113713225A CN 113713225 A CN113713225 A CN 113713225A CN 202110885075 A CN202110885075 A CN 202110885075A CN 113713225 A CN113713225 A CN 113713225A
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pleural cavity
air bag
ventilation
air
respirator
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周卧龙
佘长寿
张春芳
肖霄雄
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Xiangya Hospital of Central South University
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Xiangya Hospital of Central South University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes

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Abstract

The invention provides a pleural cavity negative pressure ventilation respirator and a using method thereof; the respirator comprises a respirator main body; the main body of the respirator is provided with an air vent which is connected with an air breather and the air breather can extend into the pleural cavity through a thoracocentesis wound so that the main body of the respirator can change the pressure in the pleural cavity; the using method comprises the following steps: s1: puncturing the pleural cavity by using a thoracic cavity puncturing assembly; s2: extending the end of the ventilation member from the puncture wound into the pleural cavity; s3: the ventilator body is started, and the ventilator body injects air and exhausts air to the ventilating piece so as to change the pressure in the pleural cavity and further realize the collapse and expansion of the lung. According to the invention, the airtightness of the pleural cavity of a human body is utilized, the minimally invasive puncture technology is adopted to place the ventilating piece in the pleural cavity, the pressure in the pleural cavity is changed through the respirator body to collapse and expand the lung, general anesthesia and tracheal intubation are not needed, the pressure on lung tissues is reduced, and the probability of occurrence of complications can be further reduced.

Description

Pleural cavity negative pressure ventilation respirator and use method thereof
Technical Field
The invention relates to the technical field of ventilators, in particular to a pleural cavity negative pressure ventilation ventilator and a use method of the pleural cavity negative pressure ventilation ventilator.
Background
In the prior art, positive airway pressure ventilators are typically utilized to assist or replace patient breathing.
The positive airway pressure respirator comprises a noninvasive positive airway pressure respirator and an invasive positive airway pressure respirator. Among them, the noninvasive positive airway pressure respirator can only play a limited role in assisting respiration, and is only used for patients with partial mild or moderate respiratory dysfunction. For patients with moderate-severe respiratory dysfunction, such as patients with impaired respiratory center (e.g. patients with partial stroke and traumatic brain injury), patients with severe respiratory myasthenia (e.g. patients with myasthenia gravis and neuromuscular junction disease), and patients with other pulmonary diseases (e.g. patients with new coronary pneumonia, patients with severe bacterial infectious pneumonia, and patients with acute exacerbation of chronic obstructive pulmonary disease), invasive positive airway pressure ventilators are widely used for treatment. Effective oxygen therapy with invasive positive pressure mechanical ventilation is a strong recommended treatment means for treating new coronary pneumonia.
Although invasive positive pressure mechanical ventilation can save a patient's life, it is noteworthy that some researchers are concerned about iatrogenic damage caused by intubation and mechanical ventilation. The tracheal cannula not only can directly damage the laryngotracheae of a patient to cause edema of the laryngopharynx and unsmooth sputum excretion of the patient to further cause lung infection and the like, but also can obviously improve the risk of COVID-19 aerosol transmission and the risk caused by using narcotics (including the risk of narcotics, deep vein thrombosis caused by general anesthesia, falling pneumonia, pressure sore and the like), and can also limit the daily life of the patient; in addition, positive pressure mechanical ventilation can generate large mechanical stresses on lung tissue that can cause lung damage (e.g., barotrauma, pneumothorax, etc.), which can exacerbate potential lung disease that can lead to respiratory failure. Therefore, it is an urgent problem to develop a ventilator that can effectively improve or replace the respiratory function of patients and reduce the occurrence probability of complications.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provides a pleural cavity negative pressure ventilation respirator capable of reducing the occurrence probability of complications and a using method thereof.
In order to solve the technical problems, the invention adopts the following technical scheme:
a pleural cavity negative pressure ventilation respirator comprises a respirator main body; the ventilator main body is provided with a vent, a ventilation piece is connected to the vent, and one end, far away from the vent, of the ventilation piece can stretch into the pleural cavity of a human body through a thoracocentesis wound so that the ventilator main body can change the pressure in the pleural cavity.
Furthermore, the main body of the respirator comprises a case, and a left telescopic air bag and a right telescopic air bag are arranged in the case; the air vent is arranged on the wall of the case and comprises a left air vent and a right air vent; the vent comprises a left vent and a right vent; the left side flexible gasbag the left side blow vent with left air vent communicates in proper order and left air vent can stretch into the left side pleural cavity of human body in order to change the pressure in the left side pleural cavity, the right side flexible gasbag the right side blow vent with right air vent communicates in proper order and right air vent can stretch into the right side pleural cavity of human body in order to change the pressure in the right side pleural cavity.
Further, the left telescopic air bag and the right telescopic air bag are arranged in the case side by side and are connected with the inner bottom surface of the case; a driving assembly is arranged in the case and comprises a driving piece and a contact plate; the driving piece is connected the inner wall of quick-witted case, the contact plate sets up left side flexible gasbag with the top of right side flexible gasbag and the contact plate is connected the drive end of driving piece is so that the contact plate can compress in step left side flexible gasbag with right side flexible gasbag, and left side flexible gasbag with all be equipped with the spring in the flexible gasbag of right side so that the two can kick-back under the effect of spring.
Furthermore, the main body of the respirator comprises an inflation assembly arranged outside the chassis, the inflation assembly is respectively communicated with the left telescopic air bag and the right telescopic air bag through a pair of air inlet pipes, and the air inlet pipes are connected with one-way electromagnetic valves; the left telescopic air bag and the right telescopic air bag are equal in height in an original state, and a pair of detection pieces for detecting the reset states of the left telescopic air bag and the right telescopic air bag are connected to the contact plate; the machine case is internally provided with a control box, and the control box is internally provided with control parts respectively connected with the one-way electromagnetic valve and the detection part.
Furthermore, the main body of the respirator comprises a negative pressure air exhaust assembly arranged outside the chassis; the negative pressure air exhaust assembly is respectively communicated with the left telescopic air bag and the right telescopic air bag through a pair of exhaust pipes, and the exhaust pipes are connected with electromagnetic valves; pressure sensors are arranged in the left ventilation piece and the right ventilation piece; the solenoid valve and the pressure sensor are both connected with the control member.
Further, the left vent comprises a conduit; one end of the catheter is connected to the air vent and the other end of the catheter can extend into the pleural cavity so that the respirator body can inject or exhaust air into the pleural cavity.
Furthermore, one end of the catheter, which is far away from the vent, is connected with a limit air bag of a mushroom-shaped structure, which is used for preventing the catheter body from falling out of the pleural cavity of a human body and ensuring the air tightness of the thoracic cavity puncture wound.
Further, a balloon communicated with the catheter is connected to one end, far away from the vent, of the catheter; the outer wall of the air bag is connected with a plurality of groups of pressing air bags, and the air bags are communicated with the pressing air bags; the pressing air bag is detachably connected with a fixing piece so that the pressing air bag can be attached to the outer wall of the air bag in a curled state.
Further, the air bag is of a cylindrical structure with an annular cross section, an air inlet nozzle of the air bag is located on the annular end face of the air bag, and the air inlet nozzle is connected with one end, far away from the air vent, of the guide pipe; the inner ring of the air bag is penetrated and provided with a central tube with two ends communicated and used for placing a metal soft guide wire, the side wall of one end of the central tube, which is far away from the air inlet nozzle, is provided with an air hole used for injecting air and exhausting air into the pleural cavity, and the other end of the central tube is detachably connected with a sealing piece used for sealing the end part of the central tube.
Furthermore, the pleural cavity negative pressure ventilation respirator also comprises a carbon dioxide detection mask and an ear clip type blood oxygen detection assembly which are arranged outside the case, and the carbon dioxide detection mask and the ear clip type blood oxygen detection assembly are both connected with the control piece.
Further, the pleural cavity negative pressure ventilation breathing machine further comprises a chest wall respiration motion detection assembly which is arranged outside the case and used for detecting the expansion motion of the chest wall of the human body, and the chest wall respiration motion detection assembly is connected with the control piece.
A use method of a pleural cavity negative pressure ventilation respirator is applied to the pleural cavity negative pressure ventilation respirator of any one of the above items; the method comprises the following steps:
s1: puncturing the pleural cavity of a human body by using a thoracic cavity puncturing assembly and forming a puncturing wound;
s2: extending one end of the ventilation piece far away from the vent hole from the puncture wound into the pleural cavity;
s3: and starting the respirator body, and periodically injecting and exhausting air to the air ventilating piece by the respirator body to change the pressure in the pleural cavity so as to realize the collapse and expansion of the lung.
Compared with the prior art, the invention has the advantages that:
1. the ventilation piece can be arranged in the pleural cavity by utilizing the airtightness of the pleural cavity of a human body and adopting a minimally invasive puncture technology, the pressure in the pleural cavity is changed through the main body of the respirator, so that the lung is collapsed and expanded, general anesthesia is not required, a tracheal cannula is not required, the mechanical pressure generated on lung tissues is reduced, the related defects of the invasive positive pressure ventilation respirator are fundamentally overcome, the probability of complication occurrence can be further reduced, and the psychological trauma and the economic burden of patients and family members are prevented from being aggravated.
2. The invention does not need to carry out the operation of trachea cannula, so the invention also has the advantages of convenient and quick operation and is beneficial to improving the treatment efficiency of patients.
Drawings
FIG. 1 is a schematic diagram of the overall structure of a pleural cavity negative pressure ventilation respirator of the present invention;
FIG. 2 is a schematic view of the installation of a restraining bladder in accordance with the present invention;
FIG. 3 is a schematic structural view of the left air venting member of the present invention;
FIG. 4 is a schematic view showing a deployed state of the push airbag in the present invention;
fig. 5 is a flow chart of a method of using the pleural cavity negative pressure ventilation ventilator of the present invention.
The reference numerals in the figures denote: 1. a ventilator main body; 11. a chassis; 12. a left telescopic air bag; 13. a right telescopic air bag; 14. a drive assembly; 141. a drive member; 142. a contact plate; 15. an inflation assembly; 16. a one-way solenoid valve; 17. a detection member; 18. a negative pressure air extraction assembly; 19. an electromagnetic valve; 2. a venting member; 21. a left vent; 211. a conduit; 212. an air bag; 213. pressing the air bag; 214. a fixing member; 215. a central tube; 216. a closure; 22. a right vent; 3. a limiting air bag.
Detailed Description
The invention will be described in further detail below with reference to the drawings and specific examples.
Pleural cavity negative pressure ventilation respirator example 1
Referring to fig. 1, a pleural cavity negative pressure ventilation respirator comprises a respirator body 1; the breathing machine main body 1 is provided with an air vent, the air vent is connected with an air vent 2, and one end, far away from the air vent, of the air vent 2 can extend into the pleural cavity of a human body through a thoracic cavity puncture wound so that the breathing machine main body 1 can change the pressure in the pleural cavity. According to the invention, the air-breathing piece 2 can be arranged in the pleural cavity by utilizing the airtightness of the pleural cavity of a human body and adopting a minimally invasive puncture technology, the pressure in the pleural cavity is changed through the respirator body 1, so that the lung is collapsed and expanded, general anesthesia and trachea cannula are not needed, the mechanical pressure generated on lung tissues is reduced, the related defects of the invasive positive pressure ventilation respirator are fundamentally solved, the probability of complication occurrence can be further reduced, and the psychological trauma and the economic burden of patients and family members are avoided being aggravated. In addition, the trachea cannula does not need to be operated, so the trachea cannula has the advantages of convenient and quick operation and is beneficial to improving the treatment efficiency of patients.
Further, the respirator body 1 comprises a case 11, and a left telescopic air bag 12 and a right telescopic air bag 13 are arranged in the case 11; the air vents are formed in the wall of the case 11 and comprise a left air vent and a right air vent; the vent 2 comprises a left vent 21 and a right vent 22; the flexible gasbag 12 in a left side the vent hole with left side air vent 21 communicates in proper order and left side air vent 21 can stretch into the left side pleural cavity of human body in order to change the pressure in the left side pleural cavity, flexible gasbag 13 in a right side the vent hole with right side air vent 22 communicates in proper order and right side air vent 22 can stretch into the right side pleural cavity of human body in order to change the pressure in the right side pleural cavity. The left lung and the right lung of the human body are simultaneously collapsed or expanded through the structure, so that the effect of replacing the breathing of a patient or assisting the breathing of the patient is realized.
Further, the left telescopic airbag 12 and the right telescopic airbag 13 are arranged in the case 11 side by side and connected with the inner bottom surface of the case 11; a driving assembly 14 is arranged in the case 11, and the driving assembly 14 includes a driving member 141 and a contact plate 142; the driving member 141 is connected to the inner wall of the case 11, the contact plate 142 is disposed above the left airbag 12 and the right airbag 13, and the contact plate 142 is connected to the driving end of the driving member 141, so that the contact plate 142 can synchronously compress the left airbag 12 and the right airbag 13, and springs are disposed in the left airbag 12 and the right airbag 13, so that the left airbag 12 and the right airbag 13 can rebound under the action of the springs.
Further, the respirator body 1 comprises an inflation assembly 15 arranged outside the case 11, the inflation assembly 15 is respectively communicated with the left telescopic airbag 12 and the right telescopic airbag 13 through a pair of air inlet pipes, and the air inlet pipes are connected with one-way electromagnetic valves 16; the left telescopic air bag 12 and the right telescopic air bag 13 are equal in height in an original state, and a pair of detection pieces 17 for detecting the reset state of the left telescopic air bag 12 and the right telescopic air bag 13 are connected to the contact plate 142; a control box is arranged in the case 11, and a control part respectively connected with the one-way electromagnetic valve 16 and the detection part 17 is arranged in the control box. Specifically, the inflation assembly 15 includes the filtration sterilizer, and outside air passes through in proper order filter sterilizer's filter screen, graphite, N95 filter layer and disinfection liquid reentrant flexible gasbag and pleural cavity in, can prevent that the pleural cavity from taking place the infection. Emaciation patient, wear breathing machine patient for a long time, during patient, the patient that has the pneumothorax and goes on the thorax closed drainage postoperative of oneself, appear easily from the phenomenon of thorax puncture wound to external gas leakage, consequently, when the outside gas leakage of pleural cavity, detecting part 17 can detect out flexible gasbag and not resume to the normal position, with detecting part 17 connects control received signal and control one-way solenoid valve 16 is opened, inflation assembly 15 can be in order to guarantee that next circulation is unanimous with last endless gas injection volume to tonifying qi in the flexible gasbag. Preferably, the ratio of the cross-sectional areas of the left telescopic air bag 12 and the right telescopic air bag 13 is equal to the volume ratio of the left lung and the right lung of the human body, so as to prevent the position of the left lung and the right lung from being excessively deviated during the air injection process, and further prevent mediastinal swing from influencing the hemodynamic stability.
Further, the ventilator main body 1 comprises a negative pressure air extraction assembly 18 arranged outside the chassis 11; the negative pressure air exhaust assembly 18 is respectively communicated with the left telescopic air bag 12 and the right telescopic air bag 13 through a pair of exhaust pipes, and the exhaust pipes are connected with electromagnetic valves 19; pressure sensors are arranged in the left air vent 21 and the right air vent 22; the solenoid valve 19 and the pressure sensor are both connected to the control member. Specifically, the negative pressure air extraction assembly 18 includes a negative pressure suction bottle and a negative pressure suction turbofan; sterile water is arranged in the negative pressure suction bottle, and 3 pipelines penetrate through a sealing cover of the negative pressure suction bottle; the bottom ends of the 2 pipelines are all positioned above the level of sterile water, the top end of the 1 st pipeline is connected with the pair of exhaust pipes through a three-way pipeline, and the top end of the 2 nd pipeline is connected with the negative pressure suction turbine fan; the bottom end of the 3 rd pipeline is positioned 15-20cm below the level of the sterile water, and the top end of the pipeline is communicated with the atmosphere. Utilize pressure sensor can detect left side air-breather 21 with pressure value in the right side air-breather 22 and transmission extremely the control, when the pressure value that detects reaches and predetermines safety threshold, control solenoid valve 19 is opened, negative pressure suction turbine fan can exhaust under with reduction pressure value to safety threshold, avoids the pressure too big to cause the injury to the human body to avoid unnecessary gas to cause breathing machine efficiency to descend, the phenomenon of the not breathing in lung and restrictive ventilation dysfunction at pleural cavity gathering. In addition, when the patient has pneumothorax, the doctor can open the electromagnetic valve 19 through the control member for treatment. Preferably, the solenoid valve 19 is a one-way valve. When the negative pressure suction turbo fan is turned off, it is possible to prevent external air from flowing backward into the left and right expansion bladders 12 and 13.
Further, the pleural cavity negative pressure ventilation respirator comprises a carbon dioxide detection mask and an ear clip type blood oxygen detection assembly which are arranged outside the case 11, and the carbon dioxide detection mask and the ear clip type blood oxygen detection assembly are both connected with the control part. Specifically, the carbon dioxide detects face guard and designs into the hourglass shape of fretwork according to ergonomic, be equipped with nasal part carbon dioxide sensor in the carbon dioxide detects the face guard in order to detect the carbon dioxide content in the gas of exhaling from the nostril, still be equipped with oral part carbon dioxide sensor in the carbon dioxide detects the face guard in order to detect the carbon dioxide content in the gas of exhaling from the oral part, still seted up the nasal catheter jack on the carbon dioxide detects the face guard in order to wear to establish nasal catheter. Because carbon dioxide is very diffuse, the carbon dioxide content in the patient's exhaled breath reflects the partial pressure of carbon dioxide in the patient's pulmonary artery blood. The ear clip type blood oxygen detection component can detect the blood oxygen content in earlobe capillaries. When the increase of the carbon dioxide partial pressure or the decrease of the oxygen partial pressure is detected, the control part can increase the movement frequency and the stroke of the driving part 141 so as to increase the movement frequency and the expansion amplitude of the expansion air bag; when the partial pressure of carbon dioxide is detected to be reduced or the partial pressure of oxygen is detected to be increased to exceed a set threshold value, the control part can reduce the motion frequency and the stroke of the driving part 141 so as to reduce the motion frequency and the expansion amplitude of the expansion air bag.
Further, the pleural cavity negative pressure ventilation breathing machine comprises a chest wall breathing movement detection assembly which is arranged outside the case 11 and used for detecting the expansion movement of the chest wall of the human body, and the chest wall breathing movement detection assembly is connected with the control piece. Specifically, the chest wall respiratory motion detection assembly comprises two patches and a connecting rod, the two patches are respectively connected with the control piece, the connecting rod is a metal conductive piece and is fixedly connected with an electrode plate of one patch, and the connecting rod can contact with or separate from an electrode plate of the other patch along with the expansion motion of the thorax. Whether spontaneous breathing exists in the patient can be detected through the chest wall breathing motion detection assembly. When the patient breathes autonomously, the chest wall respiration motion detection assembly transmits a signal to the control piece, the control piece adjusts the motion frequency of the driving piece 141 so that the working frequency of the respirator body 1 is adaptive to the autonomous respiration of the patient, and the stroke of the driving piece 141 is reduced to reduce the motion amplitude of the telescopic air bag.
Pleural cavity negative pressure ventilation respirator embodiment 2
Referring to fig. 2, the left vent 21 includes a duct 211; one end of the catheter 211 is connected to the ventilation port and the other end thereof can extend into the pleural cavity so that the ventilator main body 1 can inject or exhaust air into or out of the pleural cavity. Furthermore, one end of the catheter 211, which is far away from the vent, is connected with a limit air bag 3 of mushroom-shaped structure for preventing the catheter body from falling out of the pleural cavity of the human body and ensuring the air tightness of the thoracic cavity puncture wound. Preferably, a through hole is formed in a side wall of one end of the conduit 211, which is far away from the vent, and a wire inlet nozzle communicated with an inner cavity of the conduit 211 is formed in a tube body of the conduit 211.
The working principle is as follows:
the metal soft guide wire penetrates into the catheter 211 through the wire inlet nozzle, so that one end of the catheter 211, which is provided with the through hole, and the uninflated limiting air bag 3 extend into the pleural cavity through the puncture wound under the guiding action of the metal soft guide wire, and the air inlet nozzle of the limiting air bag 3 is arranged outside the human body; injecting air into the pleural cavity through the conduit 211 and the through hole to form an accommodating space in the pleural cavity; the limiting air bag 3 is inflated through an air inlet nozzle of the limiting air bag 3, and the limiting air bag 3 expands in the pleural cavity to form a mushroom-shaped structure; the catheter 211 is pulled out of the human body so that the limit air bag 3 can block the puncture wound; the ventilator body 1 is started, and air is periodically injected and exhausted into the pleural cavity through the conduit 211, so that the lung is collapsed and expanded.
Pleural cavity negative pressure ventilation respirator embodiment 3
Referring to fig. 3 and 4, a balloon 212 connected to the conduit 211 is connected to an end of the conduit 211 away from the vent; a plurality of groups of pressing air bags 213 are connected to the outer wall of the air bag 212 and the air bag 212 is communicated with the pressing air bags 213; a fixing member 214 is detachably attached to the pressing air cell 213 so that the pressing air cell 213 can be attached to the outer wall of the air cell 212 in a curled state and the pressing air cell 213 can enter the pleural cavity. Further, the air bag 212 is a cylindrical structure with an annular cross section, and an air inlet nozzle of the air bag 212 is located on the annular end surface of the air bag and is connected with one end of the conduit 211 far away from the air vent; a central tube 215 with two ends penetrating and used for placing a metal soft guide wire is arranged in the ring of the air bag 212 in a penetrating manner, air holes used for injecting air and exhausting air into the pleural cavity are formed in the side wall of one end, far away from the air inlet nozzle, of the central tube 215, and a sealing piece 216 used for sealing the end part of the central tube 215 is detachably connected to the other end of the central tube. Preferably, the fixing member 214 includes a bandaging wire for bandaging the pressing balloon 213 to be fitted to the outer wall of the balloon 212 in a curled state and a pull ring connected to each other.
The working principle is as follows:
in the initial state, the pressing balloon 213 can be attached to the outer wall of the balloon 212 in a curled state by the action of the fixing member 214; a metal soft guide wire penetrates through the central tube 215, so that one end, provided with the air hole, of the central tube 215 extends into the pleural cavity, one end, far away from the air vent, of the catheter 211, the air bag 212 and the pressing air bag 213 extend into the pleural cavity through a puncture wound under the guiding action of the central tube 215, and the air inlet nozzle of the air bag 212 and the pull ring are placed outside the human body; removing the closing piece 216, and injecting air from the end of the central tube 215 far away from the air hole to form a containing space in the pleural cavity; pulling the pull ring to remove the tether cord, activating the respirator body 1, and injecting air into the airbag 212 and the pressing airbag 213 through the conduit 211 to deploy the pressing airbag 213 in the accommodating space; the gas injected in the pleural cavity is withdrawn through the central tube 215, causing the lungs to re-inflate and cling to the pressing balloons 213, fitting the closure 216 to prevent air leakage; then, the air is periodically injected and pumped into the balloon 212 and the pressing balloon 213 through the catheter 211, so as to collapse and expand the lung.
Method for using negative pressure ventilation respirator for pleural cavity
Referring to fig. 5, a method for using a pleural cavity negative pressure ventilation ventilator is applied to the pleural cavity negative pressure ventilation ventilator according to the above embodiment; the method comprises the following steps:
s1: the thoracic cavity puncture assembly is utilized to puncture the pleural cavity of the human body and form a puncture wound.
S2: and extending one end of the ventilation piece 2 far away from the ventilation opening into the pleural cavity from the puncture wound.
S3: and starting the respirator body 1, and injecting and exhausting air to the air ventilating piece 2 by the respirator body 1 so as to change the pressure in the pleural cavity and further realize the collapse and expansion of the lung.
Although the present invention has been described with reference to the preferred embodiments, it is not intended to be limited thereto. Those skilled in the art can make numerous possible variations and modifications to the present invention, or modify equivalent embodiments to equivalent variations, without departing from the scope of the invention, using the teachings disclosed above. Therefore, any simple modification, equivalent change and modification made to the above embodiments according to the technical spirit of the present invention should fall within the protection scope of the technical scheme of the present invention, unless the technical spirit of the present invention departs from the content of the technical scheme of the present invention.

Claims (12)

1. A pleural cavity negative pressure ventilation respirator, characterized by comprising a respirator body (1); the ventilator comprises a ventilator body (1), wherein a ventilation part (2) is connected to the ventilation part (1), and one end, far away from the ventilation part, of the ventilation part (2) can extend into the pleural cavity of a human body through a thoracic cavity puncture wound so that the pressure in the pleural cavity can be changed by the ventilator body (1).
2. The pleural cavity negative pressure ventilation respirator of claim 1, characterized in that the respirator body (1) comprises a cabinet (11), a left telescopic air bag (12) and a right telescopic air bag (13) are arranged in the cabinet (11); the air vents are formed in the box wall of the case (11) and comprise left air vents and right air vents; the ventilation piece (2) comprises a left ventilation piece (21) and a right ventilation piece (22); the flexible gasbag of a left side (12) the left side blow vent with left side ventilation piece (21) communicate in proper order and left side ventilation piece (21) can stretch into the left side pleural cavity of human body in order to change the pressure in the left side pleural cavity, flexible gasbag of the right side (13) the right side blow vent with right side ventilation piece (22) communicate in proper order and right side ventilation piece (22) can stretch into the right side pleural cavity of human body in order to change the pressure in the right side pleural cavity.
3. The pleural cavity negative pressure ventilation respirator of claim 2, characterized in that the left telescopic air bag (12) and the right telescopic air bag (13) are arranged side by side in the case (11) and connected with the inner bottom surface of the case (11); a driving assembly (14) is arranged in the case (11), and the driving assembly (14) comprises a driving part (141) and a contact plate (142); the driving piece (141) is connected to the inner wall of the case (11), the contact plate (142) is arranged above the left telescopic air bag (12) and the right telescopic air bag (13) and the contact plate (142) is connected to the driving end of the driving piece (141) so that the contact plate (142) can synchronously compress the left telescopic air bag (12) and the right telescopic air bag (13), and springs are arranged in the left telescopic air bag (12) and the right telescopic air bag (13) so that the left telescopic air bag and the right telescopic air bag can rebound under the action of the springs.
4. The pleural cavity negative pressure ventilation respirator of claim 3, characterized in that the respirator body (1) comprises an inflation assembly (15) arranged outside the cabinet (11), the inflation assembly (15) is respectively communicated with the left telescopic air bag (12) and the right telescopic air bag (13) through a pair of air inlet pipes, and a one-way electromagnetic valve (16) is connected to the air inlet pipes; the left telescopic air bag (12) and the right telescopic air bag (13) are equal in height in an original state, and a pair of detection pieces (17) for detecting the reset states of the left telescopic air bag (12) and the right telescopic air bag (13) are connected to the contact plate (142); a control box is arranged in the case (11), and control parts respectively connected with the one-way electromagnetic valve (16) and the detection part (17) are arranged in the control box.
5. The pleural cavity negative pressure ventilation ventilator of claim 4, characterized in that the ventilator body (1) comprises a negative pressure air extraction assembly (18) disposed outside the cabinet (11); the negative pressure air exhaust assembly (18) is respectively communicated with the left telescopic air bag (12) and the right telescopic air bag (13) through a pair of exhaust pipes, and the exhaust pipes are connected with electromagnetic valves (19); pressure sensors are arranged in the left ventilation piece (21) and the right ventilation piece (22); the solenoid valve (19) and the pressure sensor are both connected to the control member.
6. The pleural cavity negative pressure ventilation ventilator of any one of claims 2-5, wherein the left ventilator (21) comprises a catheter (211); one end of the catheter (211) is connected to the air vent and the other end of the catheter can extend into the pleural cavity so that the respirator body (1) can inject air or exhaust air into the pleural cavity.
7. The negative pressure ventilation respirator of pleural cavity of claim 6, characterized in that the catheter (211) is connected with a position-limiting air bag (3) with mushroom-shaped structure for preventing the tube body from falling out of the pleural cavity of human body and ensuring the air tightness of the puncture wound of the thoracic cavity at one end far away from the ventilation port.
8. The pleural cavity negative pressure ventilation ventilator of claim 6, wherein an air bag (212) communicated with the catheter (211) is connected to one end of the catheter (211) far away from the ventilation port; a plurality of groups of pressing air bags (213) are connected to the outer wall of the air bag (212), and the air bag (212) is communicated with the pressing air bags (213); a fixing member (214) is detachably attached to the pressing airbag (213) so that the pressing airbag (213) can be attached to the outer wall of the airbag (212) in a curled state.
9. The pleural cavity negative pressure ventilation respirator of claim 8, characterized in that the air bag (212) is a circular cylinder structure with a circular section, and the air inlet nozzle of the air bag (212) is positioned on the circular end surface of the air bag and is connected with one end of the conduit (211) far away from the air vent; a central tube (215) with two ends penetrating and used for placing a metal soft guide wire is arranged in the ring of the air bag (212) in a penetrating mode, air holes used for injecting air and exhausting air into the pleural cavity are formed in the side wall of one end, far away from the air inlet nozzle, of the central tube (215), and a closing piece (216) used for closing the end portion of the central tube (215) is detachably connected to the other end of the central tube.
10. The negative pressure pleural cavity ventilation ventilator of claim 4 or 5, further comprising a carbon dioxide detection mask and an ear clip blood oxygen detection assembly disposed outside the case (11), and both the carbon dioxide detection mask and the ear clip blood oxygen detection assembly are connected to the control member.
11. The pleural cavity negative pressure ventilation breathing machine according to claim 4 or 5, further comprising a chest wall breathing movement detection assembly disposed outside the cabinet (11) for detecting chest wall expansion movement of a human body, and the chest wall breathing movement detection assembly is connected with the control member.
12. A method of using a pleural cavity negative pressure ventilation ventilator, the method being applied to a pleural cavity negative pressure ventilation ventilator of any one of claims 1-11; the method comprises the following steps:
s1: puncturing the pleural cavity of a human body by using a thoracic cavity puncturing assembly and forming a puncturing wound;
s2: extending one end of the ventilation piece (2) far away from the ventilation opening into the pleural cavity from the puncture wound;
s3: and starting the respirator body (1), wherein the respirator body (1) injects air and extracts air to the air ventilating piece (2) so as to change the pressure in the pleural cavity and further realize the collapse and expansion of the lung.
CN202110885075.2A 2021-08-03 2021-08-03 Pleural cavity negative pressure ventilation respirator and use method thereof Pending CN113713225A (en)

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Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5359999A (en) * 1991-06-20 1994-11-01 Kinsman James B Asynchronous cycling of mechanical ventilators
CN1654095A (en) * 2003-05-22 2005-08-17 重庆海扶(Hifu)技术有限公司 Fluid discharging aerating breathing system
CN202478249U (en) * 2012-03-08 2012-10-10 张奇 Thoracic cavity closed type drainage kit
CN104042439A (en) * 2013-06-23 2014-09-17 曲艳文 Respirator for pleural cavity and ventilating method thereof
CN104349735A (en) * 2012-06-14 2015-02-11 皇家飞利浦有限公司 Nested cannula device for lung collapse
US20160235623A1 (en) * 2015-02-16 2016-08-18 Michael Mirzoyan Invasive Intermittent Negative Pressure Ventilation
CN106413601A (en) * 2014-04-30 2017-02-15 索菲亚医疗器械公司 Methods and devices for treating a hyper-inflated lung
CN111840720A (en) * 2020-06-22 2020-10-30 东北大学 Double-path respiration control method and device, electronic equipment and storage medium
CN111840721A (en) * 2020-06-22 2020-10-30 东北大学 Control method and device of breathing machine, electronic equipment and storage medium
CN213100145U (en) * 2020-06-03 2021-05-04 王忠义 A auxiliary device for emphysema
CN113058125A (en) * 2021-04-15 2021-07-02 连云港市第二人民医院(连云港市临床肿瘤研究所) Severe medical science department of built-in water conservancy diversion structure breathes restorer

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5359999A (en) * 1991-06-20 1994-11-01 Kinsman James B Asynchronous cycling of mechanical ventilators
CN1654095A (en) * 2003-05-22 2005-08-17 重庆海扶(Hifu)技术有限公司 Fluid discharging aerating breathing system
CN202478249U (en) * 2012-03-08 2012-10-10 张奇 Thoracic cavity closed type drainage kit
CN104349735A (en) * 2012-06-14 2015-02-11 皇家飞利浦有限公司 Nested cannula device for lung collapse
CN104042439A (en) * 2013-06-23 2014-09-17 曲艳文 Respirator for pleural cavity and ventilating method thereof
CN106413601A (en) * 2014-04-30 2017-02-15 索菲亚医疗器械公司 Methods and devices for treating a hyper-inflated lung
US20160235623A1 (en) * 2015-02-16 2016-08-18 Michael Mirzoyan Invasive Intermittent Negative Pressure Ventilation
CN213100145U (en) * 2020-06-03 2021-05-04 王忠义 A auxiliary device for emphysema
CN111840720A (en) * 2020-06-22 2020-10-30 东北大学 Double-path respiration control method and device, electronic equipment and storage medium
CN111840721A (en) * 2020-06-22 2020-10-30 东北大学 Control method and device of breathing machine, electronic equipment and storage medium
CN113058125A (en) * 2021-04-15 2021-07-02 连云港市第二人民医院(连云港市临床肿瘤研究所) Severe medical science department of built-in water conservancy diversion structure breathes restorer

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Application publication date: 20211130