CN115708903A

CN115708903A - Wound debridement nursing device for general surgery department and method thereof

Info

Publication number: CN115708903A
Application number: CN202211355849.1A
Authority: CN
Inventors: 魏玲玲; 乔雪; 吴蕾
Original assignee: Qigihar Traditional Chinese Medicine Hospital
Current assignee: Qigihar Traditional Chinese Medicine Hospital
Priority date: 2022-11-01
Filing date: 2022-11-01
Publication date: 2023-02-24

Abstract

The invention discloses a wound debridement nursing device for general surgery department and a method thereof in the technical field of medical instruments, wherein the wound debridement nursing device comprises a bottom plate, and a support frame is fixedly connected to the upper surface of the bottom plate; the protection cylinder is internally provided with a lifting mechanism, and the lifting mechanism is used for driving the fixing mechanism and the arm to lift according to the position of the surface wound of the arm of the patient fixed by the fixing mechanism; the surface of the bottom plate is rotatably connected with a lifting chair at the front side of the protective cylinder, the surface of the lifting chair is provided with a driving mechanism, and the driving mechanism is used for driving the lifting mechanism to drive the fixing mechanism and the arm of the patient to lift together with the patient when the lifting chair is lifted; the device is through stretching into a protection section of thick bamboo with patient's arm in, can be so that the wound on the arm is in a relatively safe environment, can effectually avoid external environment to the influence of wound, and when washing the wound, the liquid of washing also can not splash everywhere and influence the environment simultaneously.

Description

Wound debridement nursing device for general surgery department and method thereof

Technical Field

The invention relates to the technical field of medical instruments, in particular to a wound debridement nursing device for general surgery department and a method thereof.

Background

General surgery, i.e. general surgery, and general comprehensive hospital surgery includes orthopedics, neurosurgery, cardiothoracic surgery, urinary surgery, etc. besides general surgery; in general surgery, debridement is a relatively common medical technique, when a wound on an arm of a patient is cleaned, the arm of the patient needs to be fixed, then soap water normal saline and hydrogen peroxide are sequentially used for washing the skin around the wound and washing the wound, and after the wound is washed, a doctor needs to manually pack and sew up the wound.

When the wound of a patient is treated, the wound is usually treated in a common medical treatment room, the common medical treatment room has poor antibacterial effect and is not beneficial to wound cleaning, meanwhile, because medical science is a inherited occupation, part of medical students are often arranged to look at and study on the spot in the medical treatment process, and the more people in the medical treatment field, the more bacteria and dust in the air, the more the treatment of the wound of the patient is facilitated; when the wound is washed, the washing liquid splashes everywhere, so that the surrounding environment is polluted; in addition, when the wound of the patient is treated, when the wound of the arm of the patient is distributed on the upper and lower parts of the arm, the angle is poor when the wound at the bottom position is treated, and the doctor needs to squat or bend down to treat the wound, so that the operation difficulty of the doctor is further increased.

Disclosure of Invention

The invention aims to provide a wound debridement nursing device for general surgery department and a method thereof, so as to solve the problems in the background technology.

In order to achieve the purpose, the invention provides the following technical scheme: the wound debridement nursing device for the general surgery department and the method thereof comprise a bottom plate, wherein a support frame is fixedly connected to the surface of the upper side of the bottom plate, a first fixing disc and a second fixing disc are symmetrically and fixedly connected to the front side and the rear side of the upper end of the support frame, a protection cylinder is arranged between the first fixing disc and the second fixing disc, the protection cylinder is rotatably connected with the first fixing disc and the second fixing disc, a first opening is formed in the side surface of the protection cylinder, and a second opening is formed in the surface of the first fixing disc; a fixing mechanism is arranged in the protective cylinder and used for fixing an arm of a patient extending into the protective cylinder through the second opening; the protection cylinder is internally provided with a lifting mechanism, and the lifting mechanism is used for driving the fixing mechanism and the arm to lift according to the position of the arm surface wound of the patient fixed by the fixing mechanism; the utility model discloses a safety protection device for a patient, including a bottom plate, a protection section of thick bamboo, drive mechanism, drive elevating system and patient arm, bottom plate surface is located a protection section of thick bamboo front side position and rotates and is connected with the lift chair, the lift chair surface is equipped with actuating mechanism, actuating mechanism is used for driving elevating system when the lift chair goes up and down and drives fixed establishment and patient arm and patient self lift jointly.

The fixing mechanism comprises two fixing frames which are distributed at the front side and the rear side in the protective cylinder; the left side and the right side of the upper side surface of the fixing frame are symmetrically and rotatably connected with fixing rings, the surfaces of the fixing rings are fixedly connected with rotating rods at the positions connected with the fixing frame, and the rotating rods are positioned at the bottom positions of the fixing rings; an air cylinder is arranged between the rotating rods on the left side and the right side, and the air cylinder is simultaneously and rotatably connected with the rotating rods on the left side and the right side; the surface of the second fixing disc is provided with an adjusting mechanism, and the adjusting mechanism is used for adjusting the front and back movement of the fixing frame at the rear side, so that arms with different lengths can be conveniently fixed.

The adjusting mechanism comprises four first threaded rods, the four first threaded rods are distributed at positions close to the inner wall of the protective cylinder, and the four first threaded rods are rotatably connected with the first fixed disk and the second fixed disk; second threaded rods are symmetrically arranged at the left side and the right side of the surface of the fixing frame, and the fixing frame is in threaded fit with the second threaded rods at the left side and the right side; the upper end and the lower end of the second threaded rod are symmetrically and rotatably connected with connecting blocks; the four connecting blocks on the front side are respectively in rotary connection with the four first threaded rods, and the four connecting blocks on the rear side are respectively in threaded fit with the four first threaded rods; the rear side surface of the second fixing disc is rotatably connected with a first gear, four second gears are meshed with the surface of the first gear, and the four second gears are fixedly connected with four first threaded rods respectively.

The lifting mechanism comprises two first telescopic rods which are distributed at the left side and the right side of the rear side fixing frame and are fixedly connected with the rear side fixing frame; an inner cavity is formed in the second fixed disk, a first sliding groove and a second sliding groove are symmetrically formed in the left side and the right side of the front side surface of the second fixed disk, and the first sliding groove and the second sliding groove penetrate through the inner cavity; the first telescopic rod is in clearance fit with the first sliding chute; the bottom of the second fixed disk is connected with a first driving rod in a sliding mode, the first driving rod penetrates through the inner cavity and is fixedly connected with first telescopic rods on the left side and the right side, a first spring is sleeved on the surface of the first driving rod and positioned in the inner part of the inner cavity, one end of the first spring is fixedly connected with the second fixed disk, and the other end of the first spring is fixedly connected with the first driving rod; the second threaded rod has no self-locking property, the bottom of the surface of the second threaded rod is fixedly connected with a first bevel gear, the surface of the first bevel gear is engaged with a second bevel gear, and the second bevel gear is rotationally connected with the connecting block; and a second telescopic rod is arranged between the second bevel gears at the front side and the rear side, and the front end and the rear end of the second telescopic rod are fixedly connected with the second bevel gears at the front side and the rear side respectively.

A ratchet wheel is fixedly connected to the upper side of the surface of the second threaded rod, and pawls are meshed at positions, close to one side of the ratchet wheel surface, of the left side and the right side; a sliding rod is connected in the second sliding groove in a sliding mode and fixedly connected with the pawl at the front side position; the surface of the pawl at the rear side is fixedly connected with a third telescopic rod, and the third telescopic rod is fixedly connected with a connecting block at the upper side of the rear part; the pawl at the rear side position is connected with the sliding rod in a sliding manner; a second spring is fixedly connected to the surface of the sliding rod and positioned at the inner part of the second sliding groove, and the other end of the second spring is fixedly connected with a second fixed disc; a third gear is arranged in the inner cavity and positioned between the left sliding rod and the right sliding rod, the third gear is rotatably connected with a second fixed disc, racks are meshed at the upper side and the lower side of the surface of the third gear, and the racks at the upper side and the lower side are fixedly connected with the left sliding rod and the right sliding rod respectively; and the left side surface of the sliding rod is fixedly connected with a second driving rod, and the second driving rod is connected with a second fixed disk in a sliding manner.

The driving mechanism comprises a connecting frame, the connecting frame is rotatably connected with the lifting chair and is in sliding connection with the supporting frame; the bottom of the rear end of the connecting frame is fixedly connected with a fourth telescopic rod, the bottom of the fourth telescopic rod is fixedly connected with a push plate, the upper side surface of the push plate is rotatably connected with a third threaded rod, the third threaded rod has self-locking property, and the third threaded rod is in threaded fit with the connecting frame; the push plate is connected with the support frame in a sliding mode and is located at the bottom of the first driving rod, and the push plate is in contact with the first driving rod; a first piston is fixedly connected to the bottom end of the connecting frame; the surface of the bottom plate is fixedly connected with an air cylinder at the bottom of the first piston, the first piston is in sealing fit with the inner wall of the air cylinder, the surface of the first piston is fixedly connected with a one-way valve, and the flow direction of the one-way valve is downward; the bottom of the surface of the inflator is provided with an air hole; an air pipe is fixedly communicated with the surface of the front end of the bottom of the air cylinder; and the left end of the second driving rod is fixedly connected with a second piston, and the second piston is in sealing fit with the inner wall of the air pipe.

The protective cylinder is made of transparent glass; the front side and the rear side of the interior of the first opening are symmetrically and rotatably connected with first rotating shafts, first protective belts are arranged between the first rotating shafts on the front side and the rear side, the first protective belts are wound on the surfaces of the first rotating shafts on the front side and the rear side and are fixedly connected with the first rotating shafts on the front side and the rear side, and two operation holes are formed in the surfaces of the first protective belts; the upper side and the lower side of the interior of the second opening are symmetrically and rotatably connected with a second rotating shaft, a second protective belt is arranged between the second rotating shafts on the upper side and the lower side, the second protective belt is wound on the surfaces of the second rotating shafts on the upper side and the lower side and is fixedly connected with the second rotating shafts on the upper side and the lower side at the same time, torsional springs are sleeved on the surfaces of the first rotating shaft and the second rotating shaft, one end of each torsional spring on the surface of the first rotating shaft is fixedly connected with the first rotating shaft, and the other end of each torsional spring on the surface of the first rotating shaft is fixedly connected with the protective cylinder; one end of the torsion spring on the surface of the second rotating shaft is fixedly connected with the second rotating shaft, and the other end of the torsion spring is fixedly connected with the first fixed disk; the surface of the second guard band is provided with an insertion hole; a water suction pipe is arranged at the bottom in the protective cylinder, scrapers are symmetrically arranged at the left side and the right side of the water suction pipe, and the front end and the rear end of the water suction pipe and the front end and the rear end of each scraper are fixedly connected with a first fixed disc and a second fixed disc; the scraper is attached to the inner wall of the protective cylinder; and the right side surface of the second fixing disc is fixedly connected with a water suction pump, and the water suction pump is fixedly communicated with a water suction pipe.

The wound debridement nursing method for general surgery department comprises the following specific steps:

the method comprises the following steps: firstly, a patient sits on the lifting chair, and then the height of the lifting chair is adjusted, so that the arm of the patient can extend into the protective cylinder through the second opening in a relaxed posture;

step two: after the arm of the patient is inserted into the protective cylinder, the fixing mechanism is started to fix the arm of the patient;

step three: when a plurality of wounds of the arm of the patient are distributed at the upper side and the lower side of the surface of the arm, the lifting chair is started to drive the patient to move downwards, and the driving mechanism is started at the moment;

step four: the driving mechanism drives the lifting mechanism to operate, and the lifting mechanism can drive the fixing mechanism and the arms of the patient to move downwards along with the body of the patient;

step five: when patient's arm moved bottommost position, the doctor can come to carry out debridement nursing work to the wound of patient's arm upside position through first opening this moment, and the wound of patient's arm upside position is debrided to nurse and is accomplished the back, starts the lift chair and rises, makes patient and patient's arm move to the topmost position to be convenient for debridement nursing work to the wound of patient's arm bottom position.

Compared with the prior art, the invention has the beneficial effects that:

1. according to the invention, the patient sits on the lifting chair, then the height of the lifting chair is adjusted, so that the arm of the patient can go deep into the protective barrel through the second opening in the most relaxed posture, after the arm of the patient is inserted into the protective barrel, the arm of the patient is positioned in the middle position in the protective barrel, then the fixing mechanism is started, and the arm of the patient can be fixed through the fixing mechanism, so that the condition that the arm of the patient is shaken to be not beneficial to a doctor to clean a wound in the process of cleaning the wound can be prevented; the device can be so that the wound on the arm is in a relatively safe environment by stretching the arm of the patient into the protective cylinder, the influence of the external environment on the wound can be effectively avoided, and meanwhile, when the wound is washed, the washed liquid can not splash everywhere to influence the environment.

2. After the arm of the patient is fixed through the fixing mechanism, a doctor extends a hand into the protective cylinder through the first opening to clean a wound at the side position of the arm of the patient, after the wound at the side position of the arm is cleaned, the lifting chair is started to drive the patient to move downwards, the lifting chair drives the patient to move downwards, the driving mechanism is started while driving the patient to move downwards, the driving mechanism drives the lifting mechanism to operate, the fixing mechanism in the protective cylinder can be driven through the lifting mechanism to drive the arm of the patient to move downwards along with the patient, and therefore the arm of the patient can be guaranteed to be in a relaxed state; when the arm of the patient moves to the bottom position of the protective cylinder, the lifting chair is stopped, and the doctor can be in the optimal operation position to clean the wound on the upper side of the arm of the patient; after the wound on the upper side of the arm of the patient is cleaned, the lifting chair is started to drive the patient to move upwards, and in the same way, the lifting mechanism can drive the fixing mechanism and the arm of the patient to move upwards; the device is when patient's wound is handled to the doctor, through the height of adjusting patient and patient's arm, can also guarantee that the doctor can clear up the wound of patient's arm with the best posture when guaranteeing patient self travelling comfort to can effectual promotion doctor clear up the effect of wound.

Drawings

FIG. 1 is a flow chart of a method of the present invention;

FIG. 2 is a schematic diagram of the overall structure of the present invention;

FIG. 3 is a schematic rear view of the present invention;

FIG. 4 is an enlarged schematic view of A in FIG. 3;

FIG. 5 is a schematic view of the construction of the protective sleeve of the present invention;

FIG. 6 is a schematic view of the protective sleeve of the present invention in a disassembled configuration;

FIG. 7 is a schematic view of the fixing mechanism of the present invention;

FIG. 8 is an enlarged view of B in FIG. 7;

FIG. 9 is an enlarged view of C in FIG. 7;

FIG. 10 is a schematic sectional view of a second fixing disk according to the present invention;

FIG. 11 is a schematic view of a second guard band of the present invention in a disassembled configuration;

FIG. 12 is a schematic view of a disassembled structure of a first guard band according to the present invention;

fig. 13 is a schematic view showing the construction of the cartridge of the present invention.

In the drawings, the reference numbers indicate the following list of parts:

1. a base plate; 2. a support frame; 3. a first fixed disk; 4. a second fixed disk; 5. a protective cylinder; 6. a first opening; 7. a second opening; 8. a lifting chair; 9. a fixed mount; 10. a fixing ring; 11. rotating the rod; 12. a cylinder; 13. a first threaded rod; 14. a second threaded rod; 15. connecting blocks; 16. a first gear; 17. a second gear; 18. a first telescopic rod; 19. an inner cavity; 20. a first chute; 21. a second chute; 22. a first drive lever; 23. a first spring; 24. a first bevel gear; 25. a second bevel gear; 26. a second telescopic rod; 27. a ratchet wheel; 28. a pawl; 29. a slide bar; 30. a third telescopic rod; 31. a second spring; 32. a third gear; 33. a rack; 34. a second drive lever; 35. a connecting frame; 36. a fourth telescopic rod; 37. pushing the plate; 38. a third threaded rod; 39. a first piston; 40. an air cylinder; 41. a one-way valve; 42. air holes are formed; 43. an air pipe; 44. a second piston; 45. a first rotating shaft; 46. a first guard band; 47. an operation hole; 50. a second rotating shaft; 51. a second guard band; 53. a torsion spring; 54. a suction pipe; 55. a squeegee; 56. a water suction pump; 57. and inserting the hole.

Detailed Description

Referring to fig. 1-13, the present invention provides a technical solution: the wound debridement nursing device for the general surgery department and the method thereof comprise a base plate 1, wherein the surface of the upper side of the base plate 1 is fixedly connected with a support frame 2, the front side and the back side of the upper end of the support frame 2 are symmetrically and fixedly connected with a first fixed disk 3 and a second fixed disk 4, a protection cylinder 5 is arranged between the first fixed disk 3 and the second fixed disk 4, the protection cylinder 5 is rotationally connected with the first fixed disk 3 and the second fixed disk 4, a first opening 6 is arranged on the side surface of the protection cylinder 5, and a second opening 7 is arranged on the surface of the first fixed disk 3; a fixing mechanism is arranged in the protective barrel 5 and used for fixing the arm of the patient extending into the protective barrel 5 through the second opening 7; the protective cylinder 5 is internally provided with a lifting mechanism which is used for driving the fixing mechanism and the arm to lift according to the position of the surface wound of the arm of the patient fixed by the fixing mechanism; the surface of the bottom plate 1 is rotatably connected with a lifting chair 8 at the front side of the protective cylinder 5, the surface of the lifting chair 8 is provided with a driving mechanism, and the driving mechanism is used for driving the lifting mechanism to drive the fixing mechanism and the arm of the patient to lift together with the patient when the lifting chair 8 is lifted;

when in work, the general surgery is a common surgery, and the general comprehensive hospital surgery comprises orthopaedics, neurosurgery, cardiothoracic surgery, urology surgery and the like besides the general surgery; in general surgery, debridement is a relatively common medical technique, when a wound on an arm of a patient is cleaned, the arm of the patient needs to be fixed, then soap water normal saline and hydrogen peroxide are sequentially used for washing the skin around the wound and washing the wound, and after the wound is washed, a doctor needs to manually pack and sew up the wound; when the wound of a patient is treated, the wound is usually treated in a common medical treatment room, the common medical treatment room has poor antibacterial effect and is not beneficial to wound cleaning, meanwhile, because medical science is a inherited occupation, part of medical students are often arranged to look at and study on the spot in the medical treatment process, and the more people in the medical treatment field, the more bacteria and dust in the air, the more the treatment of the wound of the patient is facilitated; when the wound is washed, the washing liquid splashes everywhere, so that the surrounding environment is polluted; in addition, when the wound of the patient is treated, when the wound of the arm of the patient is distributed at the upper part and the lower part of the arm, the angle is poor when the wound at the bottom position is treated, and a doctor needs to squat or bend down to treat the wound, so that the operation difficulty of the doctor is further increased; according to the device, a patient sits on a lifting chair 8, then the height of the lifting chair 8 is adjusted, so that the arm of the patient can penetrate into a protective barrel 5 through a second opening 7 in the most relaxed posture, after the arm of the patient is inserted into the protective barrel 5, the arm of the patient is located in the middle position in the protective barrel 5, then a fixing mechanism is started, the arm of the patient can be fixed through the fixing mechanism, and therefore the situation that the arm of the patient is not beneficial to a doctor to clean a wound due to the fact that the arm of the patient shakes in the process of cleaning the wound can be prevented; after the arm of the patient is fixed by the fixing mechanism, the doctor extends a hand into the protective cylinder 5 through the first opening 6 to clean a wound at the side position of the arm of the patient, after the wound at the side position of the arm is cleaned, the lifting chair 8 is started to drive the patient to move downwards, the lifting chair 8 drives the patient to move downwards, the driving mechanism is started while driving the patient to move downwards, the driving mechanism drives the lifting mechanism to operate, the fixing mechanism in the protective cylinder 5 can be driven by the lifting mechanism to drive the arm of the patient to move downwards along with the patient, and therefore the arm of the patient can be guaranteed to be in a relaxed state; when the arm of the patient moves to the bottom position of the protective cylinder 5, the lifting chair 8 is stopped, and at the moment, the doctor can be in the optimal operation position to clean the wound on the upper side of the arm of the patient; after the wound on the upper side of the arm of the patient is cleaned, the lifting chair 8 is started to drive the patient to move upwards, and similarly, the lifting mechanism can drive the fixing mechanism and the arm of the patient to move upwards, and when the arm of the patient moves to the uppermost position in the protective cylinder 5, a doctor can clean the wound at the bottom position of the arm of the patient; the device can enable the wound on the arm to be in a relatively safe environment by extending the arm of a patient into the protective cylinder 5, can effectively avoid the influence of the external environment on the wound, and can prevent the flushing liquid from splashing everywhere to influence the environment when the wound is flushed; in addition, when a doctor handles a wound of a patient, the height of the patient and the arm of the patient is adjusted, so that the comfort of the patient is guaranteed, and the wound of the arm of the patient can be cleaned in the best posture by the doctor, and the wound cleaning effect of the doctor can be effectively improved.

As a further scheme of the invention, the fixing mechanism comprises two fixing frames 9, and the two fixing frames 9 are distributed at the front side and the rear side in the protective cylinder 5; the left side and the right side of the upper side surface of the fixed frame 9 are symmetrically and rotatably connected with fixed rings 10, the surface of each fixed ring 10 is fixedly connected with a rotating rod 11 at the position of the joint of the fixed ring 10 and the fixed frame 9, and the rotating rod 11 is positioned at the bottom of the corresponding fixed ring 10; a cylinder 12 is arranged between the rotating rods 11 at the left side and the right side, and the cylinder 12 is simultaneously and rotatably connected with the rotating rods 11 at the left side and the right side; the surface of the second fixed disk 4 is provided with an adjusting mechanism which is used for adjusting the fixed frame 9 at the rear side to move back and forth so as to fix arms with different lengths conveniently; when the device works, when the arms of a patient extend into the protective cylinder 5, the arms of the patient can directly penetrate through the fixing rings 10 on the front side, the rear side, the left side and the right side; when patient's arm passed the solid fixed ring 10 of rear side position around, starting the cylinder 12 of both sides around this moment, the cylinder 12 can drive the solid fixed ring 10 of the left and right sides through dwang 11 and begin the closure, when the solid fixed ring 10 of the left and right sides all contacted with patient's arm, the cylinder 12 can experience the resistance this moment, then can stop cylinder 12, patient's arm then can be fixed by two solid fixed ring 10 of both sides around this moment.

As a further scheme of the invention, the adjusting mechanism comprises four first threaded rods 13, the four first threaded rods 13 are distributed at positions close to the inner wall of the protective cylinder 5, and the four first threaded rods 13 are rotationally connected with the first fixed disk 3 and the second fixed disk 4; the left side and the right side of the surface of the fixed frame 9 are symmetrically provided with second threaded rods 14, and the fixed frame 9 is in threaded fit with the second threaded rods 14 on the left side and the right side; the upper end and the lower end of the second threaded rod 14 are symmetrically and rotatably connected with connecting blocks 15; the four connecting blocks 15 on the front side are respectively in rotating connection with the four first threaded rods 13, and the four connecting blocks 15 on the rear side are respectively in threaded fit with the four first threaded rods 13; a first gear 16 is rotatably connected to the rear side surface of the second fixed disk 4, four second gears 17 are meshed with the surface of the first gear 16, and the four second gears 17 are respectively and fixedly connected with the four first threaded rods 13; when the arm fixing device works, when the arm of a patient is short, the fixing ring 10 at the rear side position cannot fix the arm of the patient, at the moment, the first gear 16 is rotated, the first gear 16 drives the four second gears 17 meshed with the first gear to rotate when rotating, and the second gear 17 drives the first threaded rod 13 connected with the second gear to rotate when rotating; when the four threaded rods rotate, the four connecting blocks 15 at the rear side can be driven to move forwards at the same time, when the connecting blocks 15 at the left side and the right side move forwards, the second threaded rods 14 at the left side and the right side can be respectively driven to move forwards, the second threaded rods 14 drive the fixed frame 9 to move, and the fixed frame 9 drives the two fixed rings 10 on the surface of the fixed frame 9 to move forwards; when the fixing ring 10 at the rear side moves forward to a position capable of fixing the arm of the patient, the first gear 16 stops rotating, and then the cylinders 12 at the front and rear side positions are started, so that the fixing rings 10 at the front and rear side positions can be driven to fix the arm of the patient.

As a further scheme of the present invention, the lifting mechanism includes two first telescopic rods 18, the two first telescopic rods 18 are distributed at the left and right sides of the rear side fixing frame 9, and both the two first telescopic rods 18 are fixedly connected with the rear side fixing frame 9; an inner cavity 19 is formed in the second fixed disk 4, a first sliding groove 20 and a second sliding groove 21 are symmetrically formed in the left side and the right side of the front side surface of the second fixed disk 4, and the first sliding groove 20 and the second sliding groove 21 penetrate through the inner cavity 19; the first telescopic rod 18 is in clearance fit with the first chute 20; a first driving rod 22 is slidably connected to the bottom of the second fixed disk 4, the first driving rod 22 penetrates through the inner cavity 19 and is fixedly connected with the first telescopic rods 18 on the left side and the right side, a first spring 23 is sleeved on the inner side portion, located in the inner cavity 19, of the surface of the first driving rod 22, one end of the first spring 23 is fixedly connected with the second fixed disk 4, and the other end of the first spring 23 is fixedly connected with the first driving rod 22; the second threaded rod 14 does not have self-locking property, the bottom of the surface of the second threaded rod 14 is fixedly connected with a first bevel gear 24, a second bevel gear 25 is meshed with the surface of the first bevel gear 24, and the second bevel gear 25 is rotatably connected with the connecting block 15; a second telescopic rod 26 is arranged between the second bevel gears 25 at the front side and the rear side, and the front end and the rear end of the second telescopic rod 26 are respectively fixedly connected with the second bevel gears 25 at the front side and the rear side; when the device works, when the position of the arm of a patient needs to be adjusted upwards, the first driving rod 22 is pushed upwards at the moment, the first driving rod 22 can drive the first telescopic rods 18 on the left side and the right side to move upwards when moving upwards, the first telescopic rods 18 can drive the fixing frame 9 on the rear side to move upwards, because the second threaded rods 14 do not have self-locking property, when the fixing frame 9 on the rear side moves upwards, the fixing frame 9 on the rear side can drive the two second threaded rods 14 on the rear side to start rotating, the second threaded rods 14 on the rear side can drive the first bevel gears 24 on the surfaces of the second threaded rods to rotate when rotating, the first bevel gears 24 can drive the second bevel gears 25 and the first bevel gears 24 on the front side to rotate through the second bevel gears 25 and the second telescopic rods 26, the first bevel gears 24 on the front side can drive the fixing frames 9 on the front side to move upwards, and the fixing rings 10 on the front side and the rear side can be driven to synchronously move upwards when the fixing frame 9 on the front side and the rear side moves upwards, and the arm of the patient can be driven to move upwards.

As a further scheme of the invention, the upper side position of the surface of the second threaded rod 14 is fixedly connected with a ratchet wheel 27, and the positions of the surfaces of the ratchet wheels 27 at the left side and the right side, which are close to each other, are engaged with a pawl 28; a sliding rod 29 is connected in the second sliding chute 21 in a sliding manner, and the sliding rod 29 is fixedly connected with the pawl 28 at the front side position; the surface of the rear side position pawl 28 is fixedly connected with a third telescopic rod 30, and the third telescopic rod 30 is fixedly connected with a connecting block 15 at the upper side position of the rear part; the pawl 28 at the rear position is connected with a sliding rod 29 in a sliding way; a second spring 31 is fixedly connected to the surface of the sliding rod 29 at the inner part of the second sliding chute 21, and the other end of the second spring 31 is fixedly connected with the second fixed disk 4; a third gear 32 is arranged in the inner cavity 19 and positioned between the left and right sliding rods 29, the third gear 32 is rotatably connected with the second fixed disk 4, racks 33 are respectively meshed at the upper side and the lower side of the surface of the third gear 32, and the upper side and the lower side of the racks 33 are respectively fixedly connected with the left and right sliding rods 29; a second driving rod 34 is fixedly connected to the left surface of the left sliding rod 29, and the second driving rod 34 is slidably connected with the second fixed disk 4; in operation, when the arm of the patient moves upward to a proper position, the first driving rod 22 stops being pushed, and the second threaded rod 14 cannot rotate reversely under the action of the ratchet wheel 27 and the pawl 28, so that the fixing frames 9 on the front side and the rear side cannot descend; when a doctor finishes cleaning the wound at the bottom of the arm of a patient, the wound on the upper side of the arm of the patient needs to be cleaned, at this time, by pushing the second driving rod 34 rightwards, the second driving rod 34 drives the left sliding rod 29 to move rightwards, the left sliding rod 29 drives the third gear 32 to rotate through the rack 33 connected with the left sliding rod, the third gear 32 drives the right sliding rod 29 to slide leftwards through the other rack 33 when rotating, the left and right sliding rods 29 respectively drive the left and right pawls 28 to separate from the ratchet 27 when sliding, after the pawls 28 separate from the ratchet 27, the second threaded rod 14 can reversely rotate, under the action of the first spring 23 on the surface of the first driving rod 22, the first driving rod 22 drives the rear fixing frame 9 to move downwards through the first telescopic rod 18, and when the rear fixing frame 9 moves downwards, the front fixing frame 9 is driven to synchronously move downwards, so that the arm of the patient can be driven to move downwards.

As a further scheme of the invention, the driving mechanism comprises a connecting frame 35, the connecting frame 35 is rotatably connected with the lifting chair 8, and the connecting frame 35 is slidably connected with the supporting frame 2; the bottom of the rear end of the connecting frame 35 is fixedly connected with a fourth telescopic rod 36, the bottom of the fourth telescopic rod 36 is fixedly connected with a push plate 37, the upper side surface of the push plate 37 is rotatably connected with a third threaded rod 38, the third threaded rod 38 has self-locking performance, and the third threaded rod 38 is in threaded fit with the connecting frame 35; the push plate 37 is connected with the support frame 2 in a sliding manner, the push plate 37 is positioned at the bottom of the first driving rod 22, and the push plate 37 is in contact with the first driving rod 22; the bottom end of the connecting frame 35 is fixedly connected with a first piston 39; an air cylinder 40 is fixedly connected to the surface of the bottom plate 1 at the bottom of the first piston 39, the first piston 39 is in sealing fit with the inner wall of the air cylinder 40, a check valve 41 is fixedly connected to the surface of the first piston 39, and the flow direction of the check valve 41 is downward; the bottom of the surface of the air cylinder 40 is provided with an air hole 42; an air pipe 43 is fixedly communicated with the surface of the front end of the bottom of the air cylinder 40; the left end of the second driving rod 34 is fixedly connected with a second piston 44, and the second piston 44 is in sealing fit with the inner wall of the air pipe 43; when the lifting chair 8 is driven by a patient to move to a position where the arm can easily extend into the protective cylinder 5, the third threaded rod 38 is rotated to enable the push plate 37 to be just attached to the first driving rod 22; when the height of the arm of the patient needs to be adjusted upwards, the lifting chair 8 is started to move upwards, the lifting chair 8 can drive the push plate 37 to move upwards through the connecting frame 35 when moving upwards, and the push plate 37 can push the first driving rod 22 upwards when moving upwards, so that the fixing rings 10 on the front side and the rear side can be driven to drive the arm of the patient to move upwards; when the arm of the patient needs to be adjusted to move downwards, the lifting chair 8 is started to drive the patient to move downwards, the lifting chair 8 drives the first piston 39 to move downwards when moving downwards, the first piston 39 pumps air into the air cylinder 40, air in the air cylinder 40 extrudes the second piston 44 in the air pipe 43 to the right through the air pipe 43, and the second piston 44 drives the second driving rod 34 to move to the right when moving to the right, so that the fixing frames 9 and the fixing rings 10 on the front side and the rear side can move downwards; when the first piston 39 moves downward to pump air into the cylinder 40, the excess air is discharged through the air hole 42.

As a further scheme of the invention, the protective cylinder 5 is made of transparent glass; the front side and the rear side of the interior of the first opening 6 are symmetrically and rotatably connected with first rotating shafts 45, a first protective belt 46 is arranged between the first rotating shafts 45 on the front side and the rear side, the first protective belt 46 is wound on the surfaces of the first rotating shafts 45 on the front side and the rear side, the first protective belt 46 is fixedly connected with the first rotating shafts 45 on the front side and the rear side, and two operation holes 47 are formed in the surface of the first protective belt 46; the upper side and the lower side of the interior of the second opening 7 are symmetrically and rotatably connected with a second rotating shaft 50, a second protective belt 51 is arranged between the second rotating shafts 50 on the upper side and the lower side, the second protective belt 51 is wound on the surfaces of the second rotating shafts 50 on the upper side and the lower side, the second protective belt 51 is fixedly connected with the second rotating shafts 50 on the upper side and the lower side at the same time, torsion springs 53 are sleeved on the surfaces of the first rotating shaft 45 and the second rotating shafts 50, one end of each torsion spring 53 on the surface of the first rotating shaft 45 is fixedly connected with the first rotating shaft 45, and the other end of each torsion spring 53 is fixedly connected with the protective cylinder 5; one end of a torsion spring 53 on the surface of the second rotating shaft 50 is fixedly connected with the second rotating shaft 50, and the other end of the torsion spring 53 is fixedly connected with the first fixed disk 3; the surface of the second guard band 51 is provided with an insertion hole 57; a water suction pipe 54 is arranged at the bottom in the protective cylinder 5, scrapers 55 are symmetrically arranged at the left side and the right side of the water suction pipe 54, and the front end and the rear end of the water suction pipe 54 and the front end and the rear end of each scraper 55 are fixedly connected with the first fixed disk 3 and the second fixed disk 4; the scraper 55 is attached to the inner wall of the protective cylinder 5; the surface of the right side of the second fixed disk 4 is fixedly connected with a water suction pump 56, and the water suction pump 56 is fixedly communicated with a water suction pipe 54; when the medical nursing bed is in work, the protective cylinder 5 is made of transparent glass, so that doctors and medical students can conveniently see and study; when the patient stretches the arm into the protective cylinder 5 through the insertion hole 57 and the doctor stretches the hand into the operation hole 47, a certain protective effect on the wound of the patient can be achieved through the first protective belt 46 and the second protective belt 51, the doctor can drive the first protective belt 46 to move left and right through moving the hand left and right, one of the first rotating shafts 45 can be pulled to rotate when the first protective belt 46 moves left and right, and the other first rotating shaft 45 can wind up the redundant first protective belt 46 under the action of the torsion spring 53, so that the first protective belt 46 can be ensured to be in a stretching state, and the protective effect of the first protective belt 46 can be ensured; the wound at the left and right positions on the arm of the patient can be conveniently cleaned when the hand of the doctor moves left and right; similarly, when the up-down position of the arm of the patient is adjusted, the arm of the patient can drive the second protective belts 51 to move up and down, when the second protective belts 51 move up and down, one of the second rotating shafts 50 can be pulled to rotate, and the other second rotating shaft 50 can wind up the redundant second protective belts 51 under the action of the torsion spring 53, so that the protective effect of the second protective belts 51 is ensured; the scraper 55 can scrape the liquid on the surface of the protective cylinder 5 when the protective cylinder 5 rotates, so that the wound of a patient can be conveniently observed; when the liquid in the shield cylinder 5 is accumulated more, the liquid can be pumped away through the suction pipe 54 by starting the water pump.

As a further scheme of the invention, the wound debridement nursing method for the general surgery department comprises the following specific steps:

the method comprises the following steps: firstly, a patient sits on the lifting chair 8, and then the height of the lifting chair 8 is adjusted, so that the arm of the patient can extend into the protective cylinder 5 through the second opening 7 in a relaxed posture;

step two: after the arm of the patient is inserted into the protective cylinder 5, the fixing mechanism is started to fix the arm of the patient;

step three: when a plurality of wounds of the arms of a patient are distributed at the upper side and the lower side of the surface of the arms, the lifting chair 8 is started to drive the patient to move downwards, and the driving mechanism is started by the lifting chair 8 at the moment;

step five: when patient's arm removed bottommost position, the doctor can come to carry out debridement nursing work to the wound of patient's arm upside position through first opening 6 this moment, and the wound debridement nursing back that finishes when patient's arm upside position starts lift chair 8 and rises, makes patient and patient's arm remove the topmost position to be convenient for carry out debridement nursing work to the wound of patient's arm bottom position.

Claims

1. Clear nursing device of creating of wound for department of general surgery, including bottom plate (1), its characterized in that: the upper side surface of the bottom plate (1) is fixedly connected with a support frame (2), the front side and the rear side of the upper end of the support frame (2) are symmetrically and fixedly connected with a first fixed disc (3) and a second fixed disc (4), a protective cylinder (5) is arranged between the first fixed disc (3) and the second fixed disc (4), the protective cylinder (5) is rotatably connected with the first fixed disc (3) and the second fixed disc (4), a first opening (6) is formed in the side surface of the protective cylinder (5), and a second opening (7) is formed in the surface of the first fixed disc (3); a fixing mechanism is arranged in the protective cylinder (5), and is used for fixing the arm of the patient extending into the protective cylinder (5) through the second opening (7); a lifting mechanism is arranged in the protective cylinder (5), and is used for driving the fixing mechanism and the arms to lift according to the position of the surface wound of the arms of the patient fixed by the fixing mechanism; bottom plate (1) surface is located a protective barrel (5) front side position and rotates and is connected with lift chair (8), lift chair (8) surface is equipped with actuating mechanism, actuating mechanism is used for driving elevating system when lift chair (8) goes up and down and drives fixed establishment and patient's arm and patient self and go up and down jointly.

2. The wound debridement nursing device for the general surgery department according to claim 1, characterized in that: the fixing mechanism comprises two fixing frames (9), and the two fixing frames (9) are distributed at the front side and the rear side in the protective cylinder (5); the left side and the right side of the upper side surface of the fixing frame (9) are symmetrically and rotatably connected with fixing rings (10), the surface of each fixing ring (10) is fixedly connected with a rotating rod (11) at the position of the joint of the fixing ring (9), and the rotating rod (11) is positioned at the bottom of the fixing ring (10); an air cylinder (12) is arranged between the rotating rods (11) on the left side and the right side, and the air cylinder (12) is simultaneously in rotating connection with the rotating rods (11) on the left side and the right side; the surface of the second fixed disc (4) is provided with an adjusting mechanism, and the adjusting mechanism is used for adjusting the front and back movement of the fixed frame (9) at the rear side, so that arms with different lengths can be conveniently fixed.

3. The wound debridement nursing device for the general surgery department according to claim 2, characterized in that: the adjusting mechanism comprises four first threaded rods (13), the four first threaded rods (13) are distributed at positions close to the inner wall of the protective barrel (5), and the four first threaded rods (13) are rotationally connected with the first fixed disk (3) and the second fixed disk (4); second threaded rods (14) are symmetrically arranged at the left side and the right side of the surface of the fixed frame (9), and the fixed frame (9) is in threaded fit with the second threaded rods (14) at the left side and the right side simultaneously; the upper end and the lower end of the second threaded rod (14) are symmetrically and rotatably connected with connecting blocks (15); the four connecting blocks (15) on the front side are respectively in rotating connection with the four first threaded rods (13), and the four connecting blocks (15) on the rear side are respectively in threaded fit with the four first threaded rods (13); the rear side surface of the second fixed disc (4) is rotatably connected with a first gear (16), four second gears (17) are meshed on the surface of the first gear (16), and the four second gears (17) are fixedly connected with four first threaded rods (13) respectively.

4. The wound debridement nursing device for the general surgery department according to claim 3, characterized in that: the lifting mechanism comprises two first telescopic rods (18), the two first telescopic rods (18) are distributed at the left side and the right side of the rear side fixing frame (9), and the two first telescopic rods (18) are fixedly connected with the rear side fixing frame (9); an inner cavity (19) is formed in the second fixed disk (4), a first sliding groove (20) and a second sliding groove (21) are symmetrically formed in the left side and the right side of the front side surface of the second fixed disk (4), and the first sliding groove (20) and the second sliding groove (21) penetrate through the inner cavity (19); the first telescopic rod (18) is in clearance fit with the first sliding chute (20); the bottom of the second fixed disk (4) is connected with a first driving rod (22) in a sliding mode, the first driving rod (22) penetrates through the inner cavity (19) and is fixedly connected with first telescopic rods (18) on the left side and the right side, a first spring (23) is sleeved on the inner portion, located on the left side and the right side of the inner cavity (19), of the surface of the first driving rod (22), one end of the first spring (23) is fixedly connected with the second fixed disk (4), and the other end of the first spring (23) is fixedly connected with the first driving rod (22); the second threaded rod (14) does not have self-locking performance, the bottom of the surface of the second threaded rod (14) is fixedly connected with a first bevel gear (24), a second bevel gear (25) is meshed with the surface of the first bevel gear (24), and the second bevel gear (25) is rotatably connected with the connecting block (15); and a second telescopic rod (26) is arranged between the second bevel gears (25) at the front side and the rear side, and the front end and the rear end of the second telescopic rod (26) are respectively fixedly connected with the second bevel gears (25) at the front side and the rear side.

5. The wound debridement nursing device for the general surgery department according to claim 4, characterized in that: a ratchet wheel (27) is fixedly connected to the upper side of the surface of the second threaded rod (14), and pawls (28) are meshed at positions, close to one side, of the surfaces of the ratchet wheel (27) at the left side and the right side; a sliding rod (29) is connected in the second sliding chute (21) in a sliding manner, and the sliding rod (29) is fixedly connected with a pawl (28) at the front side position; the surface of the pawl (28) at the rear side is fixedly connected with a third telescopic rod (30), and the third telescopic rod (30) is fixedly connected with a connecting block (15) at the upper side of the rear part; the pawl (28) at the rear position is connected with a sliding rod (29) in a sliding manner; a second spring (31) is fixedly connected to the surface of the sliding rod (29) at the inner part of the second sliding chute (21), and the other end of the second spring (31) is fixedly connected with the second fixed disc (4); a third gear (32) is arranged in the inner cavity (19) and positioned between the left sliding rod (29) and the right sliding rod (29), the third gear (32) is rotatably connected with the second fixed disc (4), racks (33) are meshed at the upper side and the lower side of the surface of the third gear (32), and the racks (33) at the upper side and the lower side are fixedly connected with the left sliding rod (29) and the right sliding rod (29) respectively; and the left side surface of the sliding rod (29) is fixedly connected with a second driving rod (34), and the second driving rod (34) is in sliding connection with the second fixed disk (4).

6. The wound debridement nursing device for the general surgery department according to claim 4, characterized in that: the driving mechanism comprises a connecting frame (35), the connecting frame (35) is rotatably connected with the lifting chair (8), and the connecting frame (35) is slidably connected with the support frame (2); the bottom of the rear end of the connecting frame (35) is fixedly connected with a fourth telescopic rod (36), the bottom of the fourth telescopic rod (36) is fixedly connected with a push plate (37), the upper side surface of the push plate (37) is rotatably connected with a third threaded rod (38), the third threaded rod (38) has self-locking performance, and the third threaded rod (38) is in threaded fit with the connecting frame (35); the push plate (37) is connected with the support frame (2) in a sliding mode, the push plate (37) is located at the bottom of the first driving rod (22), and the push plate (37) is in contact with the first driving rod (22); the bottom end of the connecting frame (35) is fixedly connected with a first piston (39); the surface of the bottom plate (1) is positioned at the bottom of the first piston (39) and is fixedly connected with an air cylinder (40), the first piston (39) is in sealing fit with the inner wall of the air cylinder (40), the surface of the first piston (39) is fixedly connected with a one-way valve (41), and the flow direction of the one-way valve (41) is downward; the bottom of the surface of the air cylinder (40) is provided with an air hole (42); an air pipe (43) is fixedly communicated with the surface of the front end of the bottom of the air cylinder (40); and a second piston (44) is fixedly connected to the left end of the second driving rod (34), and the second piston (44) is in sealing fit with the inner wall of the air pipe (43).

7. The wound debridement nursing device for the general surgery department according to claim 1, characterized in that: the protective cylinder (5) is made of transparent glass; the front side and the rear side of the interior of the first opening (6) are symmetrically and rotatably connected with first rotating shafts (45), first protective belts (46) are arranged between the first rotating shafts (45) on the front side and the rear side, the first protective belts (46) are wound on the surfaces of the first rotating shafts (45) on the front side and the rear side, the first protective belts (46) are fixedly connected with the first rotating shafts (45) on the front side and the rear side, and two operating holes (47) are formed in the surface of each first protective belt (46); the upper side and the lower side of the inside of the second opening (7) are symmetrically and rotatably connected with a second rotating shaft (50), a second protective belt (51) is arranged between the second rotating shafts (50) on the upper side and the lower side, the second protective belt (51) is wound on the surfaces of the second rotating shafts (50) on the upper side and the lower side, the second protective belt (51) is simultaneously and fixedly connected with the second rotating shafts (50) on the upper side and the lower side, torsion springs (53) are sleeved on the surfaces of the first rotating shaft (45) and the second rotating shaft (50), one end of each torsion spring (53) on the surface of the first rotating shaft (45) is fixedly connected with the first rotating shaft (45), and the other end of each torsion spring (53) is fixedly connected with the protective cylinder (5); one end of a torsion spring (53) on the surface of the second rotating shaft (50) is fixedly connected with the second rotating shaft (50), and the other end of the torsion spring is fixedly connected with the first fixed disk (3); an insertion hole (57) is formed in the surface of the second protective belt (51); a water suction pipe (54) is arranged at the bottom in the protective cylinder (5), scrapers (55) are symmetrically arranged at the left side and the right side of the water suction pipe (54), and the front end and the rear end of the water suction pipe (54) and the front end and the rear end of each scraper (55) are fixedly connected with the first fixed disc (3) and the second fixed disc (4); the scraper (55) is attached to the inner wall of the protective cylinder (5); the right side surface of the second fixed disc (4) is fixedly connected with a water suction pump (56), and the water suction pump (56) is fixedly communicated with a water suction pipe (54).

8. A wound debridement nursing method for general surgery department, which is suitable for the wound debridement nursing device for general surgery department of any one of claims 1 to 7, and is characterized in that: the method comprises the following specific steps:

the method comprises the following steps: firstly, a patient sits on the lifting chair (8), and then the height of the lifting chair (8) is adjusted, so that the arm of the patient can stretch into the protective cylinder (5) through the second opening (7) in a relaxed posture;

step two: after the arm of the patient is inserted into the protective cylinder (5), the fixing mechanism is started to fix the arm of the patient;

step three: when a plurality of wounds of the arm of the patient are distributed at the upper side and the lower side of the surface of the arm, the lifting chair (8) is started to drive the patient to move downwards, and the driving mechanism is started by the lifting chair (8);

step five: when patient's arm moved to bottommost position, the doctor can come to carry out debridement nursing work to the wound of patient's arm upside position through first opening (6) this moment, and the wound of patient's arm upside position is debrided and is nursed the back that finishes, starts lift chair (8) and rises, makes patient and patient's arm move to the upper extreme position to be convenient for carry out debridement nursing work to the wound of patient's arm bottom position.