CN1256922C - Isolation protecting means of endotracheal intubation and shielding case for fulminating infectious disease in respiratory system - Google Patents

Isolation protecting means of endotracheal intubation and shielding case for fulminating infectious disease in respiratory system Download PDF

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Publication number
CN1256922C
CN1256922C CNB2003101108439A CN200310110843A CN1256922C CN 1256922 C CN1256922 C CN 1256922C CN B2003101108439 A CNB2003101108439 A CN B2003101108439A CN 200310110843 A CN200310110843 A CN 200310110843A CN 1256922 C CN1256922 C CN 1256922C
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China
Prior art keywords
patient
cover
isolation
isolation cover
cover body
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Expired - Fee Related
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CNB2003101108439A
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CN1539394A (en
Inventor
喻田
冉启华
王钊
谢冕
刘兴奎
余志豪
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Affiliated Hospital of Zunyi Medical University
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Affiliated Hospital of Zunyi Medical University
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Abstract

The present invention discloses a shielding and protecting method of endotracheal intubation and a shielding case for fulminating infectious diseases in respiratory system. The present invention uses a full-transparent shielding case to cover a patient's head completely, the shielding case is provided with two operating holes, the inner sides of the operating holes are respectively connected with an inward spread medical shielding glove for a left hand and an inward spread medical shielding glove for a right hand, medical staff's hands with gloves can extend into the pair of inward spread medical shielding gloves of the two operating holes for carrying out intubating operation for the patient, and in this way, the medical staff can carry out intubation operation for patients conveniently under the safety action of the shielding case and the shielding gloves. The present invention has the advantage that the present invention can effectively prevent intubation operators from being infected, and the present invention is particularly suitable for shielding and protecting the intubation operators from being infected in the intubation operation for infectivity atypical pneumonia, pneumonic plague, anthrax, etc. fulminating infectious diseases in respiratory system.

Description

Strong respiratory diseases tracheal intubation isolating and protecting method and isolation cover
Technical field:
The present invention relates to a kind of strong respiratory diseases tracheal intubation isolating and protecting method and isolation cover, belong to medical isolating and protecting technical field.
Background technology:
When strong respiratory diseases (as SARS) taking place when respiratory failure appears in the patient, carrying out the tracheal intubation artificial ventilation is the effective measures that reduce mortality rate.When implementing tracheal intubation, because closely operation (patient's mouth generally only has about 10 centimetres with operator's mouth distance), and preventive means of the prior art is only protected for wearing masks, and the protection effect of mask is very poor, has therefore greatly increased the infected danger of participating in the rescue personnel.Owing to do not have and can operate reliable and effective guard technology in the prior art at strong respiratory diseases tracheal intubation, make the rescue personnel not have the security, produce the psychology of fear thus, also influenced the carrying out and the effect of rescue work to a certain extent.
Summary of the invention:
The objective of the invention is: provide a kind of strong respiratory diseases tracheal intubation isolating and protecting method and isolation cover that can prevent effectively that intubate from infecting, to overcome the deficiencies in the prior art.
The present invention is achieved in that strong respiratory diseases tracheal intubation isolating and protecting method of the present invention is: it adopts the bright isolation cover of full impregnated that patient's head is covered fully, and on isolation cover, be provided with two handle holes, respectively be connected with the medical isolation glove of the right-hand man who inwardly trails in the inboard of each handle hole, medical worker's both hands can have gloves on and patient be carried out the intubate operation in the medical isolation glove of right-hand man that put in two handle holes respectively, like this at isolation cover and isolate and under the protective action of glove the patient convenient ground in the isolation cover is carried out intubate and operate; In order to shorten the anoxia time of patient when intubate is operated, can install in the side of isolation cover and isolation cover inner chamber oxygen input hole that communicate and that have one-way cock and steam vent, and in isolation cover, import oxygen by the oxygen input hole, simultaneously patient's expired gas is filtered the back discharge through the steam vent on the isolation cover; When patient's the expired gas steam vent on isolation cover is discharged, also can with pipeline that steam vent is connected on connect CO 2Absorber or connection are gone up steriliser or are connected and go up the inactivation of virus device to discharge after patient's expired gas is handled again, perhaps the steam vent of expired gas on isolation cover with patient is discharged in the vacuum plastic bag, to collect, to filter and disinfect gas patient expired in the isolation cover; Also be respectively equipped with on two handle holes of isolation cover one adopt that elastomeric material is made, and hands can be passed after closely hoop be enclosed within airtight springhole door on the arm.
Strong respiratory diseases tracheal intubation isolation cover of the present invention is: it comprises the cover body (1) that can cover human body head, cover body (1) is the bright cover body of full impregnated, the inside of cover body (1) is provided with at least the space (2) greater than human body head, on cover body (1), be provided with two handle holes (3) that are used for the operation of medical worker's intubate, being fixed with one on the inboard of handle hole (3) respectively is merely able to its hole is all sealed up, and can be inserted in the medical isolation glove (4) of medical worker's operator, bottom margin along cover body (1) is provided with the plastic cement air bag (5) of a circle as sealing usefulness, and is provided with charging connector (6) on plastic cement air bag (5); Respectively being equipped with one on the surrounding of cover body (1) can be with isolation cover buckle knot that can be undone by a pull (7) on one's sick bed; On cover body (1), also be provided with an access hole (8) that is used to inhale expectorant or connects the respirator corrugated tubing, on access hole (8), sealing-plug (9) be housed; On cover body (1), also be provided with oxygen hose interface (10) and steam vent (11); Be provided with bayonet socket (12) in the edge bottom of cover body (1) near patient's lower jaw, the location of closing on cervical region, and also be provided with inflatable plastic cement air bag (5) as sealing usefulness along the periphery of bayonet socket (12); Also be respectively equipped with on two handle holes (3) of cover body (1) one adopt that elastomeric material is made, and hands can be passed after closely hoop be enclosed within airtight springhole door (13) on the arm.
Owing to adopted such scheme, the present invention compared with prior art, the present invention has can prevent the infected advantage of intubate operator more effectively.Use when of the present invention, intubate operator was inflating by charging connector (6) the cover body cover before patient's head earlier to plastic cement air bag (5), then device of the present invention is placed patient's head, and can pass through to be connected with the head of a bed on knot that can be undone by a pull (7) the buckle knot that can be undone by a pull on one's sick bed around making cover body, the bottom of isolation cover can be close to patient's bed and reach better sealing and fixed effect like this, thereby patient's head is isolated from the outside, makes gas that the patient breathes out, secretions etc. be in airtight relatively environment.The input of oxygen is that the trachea with oxygen cylinder is connected the patient that oxygen hose interface (10) goes up in cover and cures by oxygen therapy, and on steam vent (11), and patient's expired gas is entered CO by the pipeline that is connected with steam vent (11) 2Absorber or antibacterial/virus filtration inactivating device or enter a vacuum plastic bag is to collect, to filter and disinfect gas patient expired in the isolation cover.The operator puts on one's gloves and will carry out the intubate operation in the isolation glove (4) that put in behind the airtight springhole door (13) of hands by the making of the employing elastomeric material on the handle hole (3) in the isolation cover, at this moment airtight springhole door (13) closely binds round and is enclosed within on operator's the arm, and the operator also is enclosed in the hands of glove and isolates in the glove (4).Owing to adopted above-mentioned isolating means, the operator can avoid the patient expired gas of close contact, expectorant, secretions etc. in the whole intubate operating process thereby make, and plays the insulation blocking effect.Behind EO, can connect corrugated tubing pedestrian worker assisted ventilation by inhaling expectorant or corrugated tubing access hole (8).Behind the intubate end of operation, reuse after cover body (1) can being burned or disinfected.The present invention is particularly suitable for strong respiratory diseases tracheal intubation isolating and protecting such as severe acute respiratory syndrome, Pulmonary plague, anthrax and uses.
Description of drawings:
Accompanying drawing 1 is a structural representation of the present invention;
Accompanying drawing 2 is the A-A cross-sectional schematic of accompanying drawing 1.
The specific embodiment:
Embodiments of the invention: when strong respiratory diseases patient being carried out the tracheal intubation operation, its isolating and protecting method is: adopt the bright isolation cover of full impregnated that patient's head is covered fully, and on isolation cover, be provided with two handle holes, respectively be connected with the medical isolation glove of the right-hand man who inwardly trails in the inboard of each handle hole, medical worker's both hands can have gloves on and patient be carried out the intubate operation in the medical isolation glove of right-hand man that put in two handle holes respectively, under the protective action of isolation cover and isolation glove, the patient convenient ground in the isolation cover is carried out the intubate operation like this, and the required article (conduit of intubate, laryngoscope etc.), can be before being placed on isolation cover, pendulum is in the left and right sides of patient's head; In order to shorten the anoxia time of patient when intubate is operated, can install in the side of isolation cover and isolation cover inner chamber oxygen input hole that communicate and that have one-way cock and steam vent, and in isolation cover, import oxygen by the oxygen input hole, simultaneously patient's expired gas is filtered the back discharge through the steam vent on the isolation cover; When patient's the expired gas steam vent on isolation cover is discharged, also can with pipeline that steam vent is connected on connect CO 2Absorber or connection are gone up steriliser or are connected and go up the inactivation of virus device to discharge after patient's expired gas is handled again, perhaps the steam vent of expired gas on isolation cover with patient is discharged in the vacuum plastic bag, to collect, to filter and disinfect gas patient expired in the isolation cover; In order to reach more reliable protection effect, can be respectively equipped with on two handle holes of isolation cover one adopt that elastomeric material is made, and hands can be passed after closely the airtight springhole door that is enclosed within on the arm of hoop get final product.
When making isolation cover of the present invention: its cover body (1) can adopt transparent plastic or the harder transparent material of other quality to make, make cover body (1) be made as the bright cover body of full impregnated, during making, the inner space of cover body (1) is made into space greater than 1~2 times of human body head, and on cover body (1), produce two handle holes (3) that are used for medical worker's intubate operation of being separated by about 20 centimetres, fixedly connected respectively last one is merely able to its hole is all sealed up on the inboard of handle hole (3), and can be inserted in the medical isolation glove (4) of medical worker's operator, go up charging connector (6) that has one-way cock of installation then along the plastic cement air bag (5) of the fixedly connected last circle of the bottom margin of cover body (1), and at plastic cement air bag (5) as sealing usefulness; More solid and reliable in order to use, can respectively load onto one on the surrounding of cover body (1) can be with isolation cover buckle knot that can be undone by a pull (7) on one's sick bed; Inhale expectorant during for intubate clinically or connect the needs of respirator corrugated tubing, can on cover body (1), also make an access hole (8) that is used to inhale expectorant or connects the respirator corrugated tubing, and on access hole (8), load onto a sealing-plug that can pull out easily (9); Convenient for oxygen therapy in isolation cover, oxygen hose interface (10) and steam vent (11) can also be installed on cover body (1); For cover body (1) can be sealed with patient's health is identical better, can open a diameter near patient's lower jaw, the location of closing on cervical region in the edge bottom of cover body (1) is bayonet socket (12) about 15 centimetres, so that its cervical region do not suffer oppression, and along the also fixedly connected plastic cement air bag (5) of inflatable as sealing usefulness of the periphery of bayonet socket (12); In use break and accident occurs in order to prevent to isolate glove (4), can adopt respectively on two handle holes (3) of cover body (1) elastomeric material make one hands can be passed after closely hoop be enclosed within airtight springhole door on the arm and (13).Its elastomeric material can adopt to have inotropic rubber material or rubber band material or other and has inotropic material and all can.

Claims (6)

1, a kind of strong respiratory diseases tracheal intubation isolating and protecting method, it is characterized in that: it adopts the bright isolation cover of full impregnated that patient's head is covered fully, and on isolation cover, be provided with two handle holes, respectively be connected with the medical isolation glove of the right-hand man who inwardly trails in the inboard of each handle hole, medical worker's both hands can have gloves on and patient be carried out the intubate operation in the medical isolation glove of right-hand man that put in two handle holes respectively, like this at isolation cover and isolate and under the protective action of glove the patient convenient ground in the isolation cover is carried out intubate and operate; In order to shorten the anoxia time of patient when intubate is operated, can install in the side of isolation cover and isolation cover inner chamber oxygen input hole that communicate and that have one-way cock and steam vent, and in isolation cover, import oxygen by the oxygen input hole, simultaneously patient's expired gas is filtered the back discharge through the steam vent on the isolation cover.
2, strong respiratory diseases tracheal intubation isolating and protecting method according to claim 1 is characterized in that: when patient's the expired gas steam vent on isolation cover is discharged, can with pipeline that steam vent is connected on connect CO 2Absorber or connection are gone up steriliser or are connected and go up the inactivation of virus device to discharge after patient's expired gas is handled again, perhaps the steam vent of expired gas on isolation cover with patient is discharged in the vacuum plastic bag, to collect, to filter and disinfect the gas that has a large amount of antibacterials or virus patient expired in the isolation cover.
3, a kind of strong respiratory diseases tracheal intubation isolation cover, it comprises the cover body (1) that can cover human body head, it is characterized in that: cover body (1) is the bright cover body of full impregnated, the inside of cover body (1) is provided with the space (2) greater than 1~2 times of human body head, on cover body (1), be provided with two handle holes (3) that are used for the operation of medical worker's intubate, being fixed with one on the inboard of handle hole (3) respectively is merely able to its hole is all sealed up, and can be inserted in the medical isolation glove (4) of medical worker's operator, bottom margin along cover body (1) is provided with the plastic cement air bag (5) of a circle as sealing usefulness, and is provided with charging connector (6) on plastic cement air bag (5); On cover body (1), also be provided with an access hole (8) that is used to inhale expectorant or connects the respirator corrugated tubing, on access hole (8), sealing-plug (9) be housed; Be provided with bayonet socket (12) in the edge bottom of cover body (1) near patient's lower jaw, the location of closing on cervical region, and also be provided with inflatable plastic cement air bag (5) as sealing usefulness along the periphery of bayonet socket (12).
4, strong respiratory diseases tracheal intubation isolation cover according to claim 3 is characterized in that: respectively being equipped with one on the surrounding of cover body (1) can be with isolation cover buckle knot that can be undone by a pull (7) on one's sick bed.
5, strong respiratory diseases tracheal intubation isolation cover according to claim 3 is characterized in that: also be provided with oxygen hose interface (10) and steam vent (11) on cover body (1).
6, strong respiratory diseases tracheal intubation isolation cover according to claim 3 is characterized in that: also be respectively equipped with on two handle holes (3) of cover body (1) one adopt that elastomeric material is made, and hands can be passed after closely hoop be enclosed within airtight springhole door (13) on the arm.
CNB2003101108439A 2003-10-31 2003-10-31 Isolation protecting means of endotracheal intubation and shielding case for fulminating infectious disease in respiratory system Expired - Fee Related CN1256922C (en)

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CN1256922C true CN1256922C (en) 2006-05-24

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