A kind of high and low double-position charging and discharging tube for colon dialysis and application process thereof
Technical field
The present invention relates to medical instruments field, particularly a kind ofly can be applied to the filling-discharging duct of high-order and low level colonic dialysis respectively and use this filling-discharging duct and carry out the method that colon probes into.
Background technology
Inserting the conduit of large intestine or dedicated probe by auxiliary perfusion equipment and per anum carries out the treatment of diseases methods such as hyperpyrexia that colonic dialysis or colon perfusion drug treatment acute or chronic renal failure, liver failure and acute and chronic ulcer colitis, bacillary dysentery, food or drug intoxication, a variety of causes cause and is re-recognized and pay attention to by the clinician.Compare with hemodialysis, peritoneal dialysis therapy, this Therapeutic Method is owing to noinvasive, no accompanying infection, be easy to implement, and medical expense is lower, is subjected to patient's welcome deeply.
In the middle of clinical, at patient's state of an illness difference, colonic dialysis generally is divided into high-order colonic dialysis and low level coloclysis.For the low level coloclysis,, should the dialysis mode realize more easily therefore that the facility and the device that can carry out the low level coloclysis at present are a lot of because medicinal liquid only need be delivered to rectum or sigmoid colon or the descending colon position gets final product.
The traditional way of low level coloclysis is: general insert a single lumen catheter earlier,, allow the patient go toilet to drain voluntarily then or pass through catheter drainage to the low level enteric cavity by this catheter perfusion liquid.Though this kind method has solved the waste liquid precipitation tube blockage problem, in operating process, because needs of patients in colonic perfusion and put aside big quantity of fluid, causes patient's suppression feeling stronger.
Simultaneously, existing at colon filling-discharging duct or dedicated probe or dialysis apparatus in clinical use, it is dabbling in conjunction with problem not solve a colon high position and low level well, particularly, generally before carrying out high-order colon perfusion, to carry out the low level colon perfusion with defecate in order to avoid waste liquid precipitation tube to stop up.For high-order colon perfusion or cleaning treatment patient, often after finishing low level perfusion cleaning, getting rid of feces, also need replace tubes just can carry out high-order colonic dialysis or treatment.
This traditional clinical using method has comparatively serious defective, the trouble that at first a lot of patients can produce insufferable misery and frequently go to toilet because of this artificial intensive suppression feeling, particularly those are got old and weak or handicapped patients, the serious clinical manifestation that causes collapse in addition; Secondly often need or intubate conversion continually, increased medical personnel's treatment and nursing procedure intensity, what be unfavorable for treating or dialyse finishes fast smoothly; At last,, be unfavorable for saving, increased patient's financial burden again, also increase the cleaning work between the intubate conversion simultaneously, and increased the infection risk in the art because replace tubes operation had repeatedly both increased the consumption that pours into utensil.
Summary of the invention
The invention provides a kind of filling-discharging duct that carries out the high and low double-position colonic dialysis, utilize filling-discharging duct of the present invention can realize that a kind of filling-discharging duct has the function of high-order and low level dialysis treatment simultaneously, can accomplish the waste liquid precipitation tube one tube multipurpose.
The present invention also provides the method for using above-mentioned filling-discharging duct, and this method has overcome all unfavorable factors of being brought owing to the intubate conversion in the traditional operation method, and clinical replace tubes operation causes the risk of scuffing in the time of particularly can reducing the high-order dialysis or the row of filling to the patient.
Technical scheme of the present invention is as follows:
A kind of high low level charging and discharging tube for colon dialysis, comprise feed tube, waste liquid precipitation tube, it is characterized in that: described waste liquid precipitation tube body is provided with the connecting device in order to importing or socket feed tube that communicates with the waste liquid precipitation tube inner chamber, and described feed tube can be connected with the waste liquid precipitation tube inner chamber by this connecting device.
Described connecting device is one or more arm or holes in order to importing or socket feed tube that are arranged on the waste liquid precipitation tube body and communicate with the waste liquid precipitation tube inner chamber.
Described connecting device and feed tube connection are provided with sealing device.
Described arm or the nose end mouth outside or the inboard mechanical whorl of socket feed tube or the annular step of one or more echelon setting of being provided with closely.
Described arm or hole are connected with feed tube by ready-packaged joint.
Described waste liquid precipitation tube is hard or the thin-wall construction pipe that certain enabling capabilities is arranged.
Described waste liquid precipitation tube tube wall front portion is provided with one or more waste liquids and separates out the hole.
The head curved surface profile of described waste liquid precipitation tube is protruding recessed or concavo-convex bonded curved surface profile.
Described filling-discharging duct also comprises the piston that is arranged in the described waste liquid precipitation tube inner chamber and can moves along this inner chamber.
Described piston comprises piston head, and the profile of described piston head is protruding recessed or concavo-convex bonded curved surface profile.
The front portion of described piston head has the smooth surface profile suitable with the waste liquid precipitation tube mouth of pipe.
Described piston also comprises piston rod and piston handle.
The length sum of described piston head and piston rod and the length of waste liquid precipitation tube are suitable, the width of described piston handle is greater than described waste liquid precipitation tube internal diameter, and after piston head and piston rod all insert the waste liquid precipitation tube inner chamber in the spacing effect in waste liquid precipitation tube rear end.
Described feed tube can be single chamber or a plurality of cavity body structure.
Described feed tube is provided with one or more air bags.
Described air bag has certain major diameter.
Described feed tube also comprises the gas injection device to airbag aeration that is provided with on it, and described gas injection device comprises air injection pipe and gas injection device and air bag observation bag.
Described feed tube is provided with the flexible shroud that is complementary with the waste liquid precipitation tube internal diameter.
Described feed tube, waste liquid precipitation tube and air bag are medical macromolecular materials or silica gel or medical latex and rubber or PVC material.
A kind of application process of aforesaid high and low double-position charging and discharging tube for colon dialysis is characterized in that: when carrying out the colon low level when entering, the steps include: 1) end of feed tube is connected with connecting device on being positioned at the waste liquid precipitation tube body; 2) waste liquid precipitation tube that will be connected with feed tube inserts anus; 3) perfusion fluid is also discharged the enteral waste liquid by the waste liquid precipitation tube rear port; 4) withdraw from waste liquid precipitation tube.
A kind of application process of aforesaid high and low double-position charging and discharging tube for colon dialysis is characterized in that: when carrying out a high position when entering, 1) carry out low level and enter; 2) irritate row when finishing when low level enters and finishes, do not withdraw from waste liquid precipitation tube but feed tube is separated with connecting device; 3) feed tube is penetrated the waste liquid precipitation tube inner chamber through connecting device; 4) mobile feed tube extends to an enteric cavity high position from the waste liquid precipitation tube front opening.Described feed tube front portion is provided with air bag, described air bag after entering people's coelenteron, according to circumstances can constantly inflate or venting so that feed tube arrives an enteric cavity high position.
Described air bag enters the position of enteric cavity and liquid retention time and flow and the speed of liquid when discharging enteric cavity in enteric cavity by regulating its filling degree to regulate liquid.
Described feed tube is when when people's coelenteron constantly inserts, should be lightly when meeting obstructions withdrawing feed tube backward, and then be pushed forward into.
Technique effect of the present invention is:
The present invention is by being provided with connecting device on waste liquid precipitation tube, this connecting device can be in order to importing or the socket feed tube, thereby realizes the different connected mode of feed tube and waste liquid precipitation tube, so that carry out low level and the high-order dialysis or the row of filling respectively.
Characteristics of the present invention are feed tube plug being connected in different ways on feed tube and the waste liquid precipitation tube, just can realize that a cover filling-discharging duct has different functions respectively: when an end of feed tube when feed tube plug on being positioned at waste liquid precipitation tube is connected, no matter feed tube is plugged in the feed tube plug or socket thereon or two-port butt joint, can be directly medicinal liquid be delivered to the enteric cavity low level through waste liquid precipitation tube and dialyses or clean by feed tube; When feed tube in the feed tube plug inserts waste liquid precipitation tube, and extend to an enteric cavity high position from the waste liquid precipitation tube front opening, can carry out high position dialysis or treat.So just can utilize a kind of filling-discharging duct, realize purpose high-order and the low level dialysis respectively, concerning the hospital aspect, can simplify the deposit and the management of apparatus, concerning the patient, the misery that had both reduced treatment can also reduce medical expense.
In addition, the present invention treats for a high position, adopt and once insert waste liquid precipitation tube, by changing the connected mode of feed tube and feed tube plug, carrying out low level successively irritates row, cleans and high-order dialysis, realize that intubate of high-order dialysis gets final product, both avoided in the existing high-order dialysis, low level is irritated row, is cleaned the pain that the patient is caused, avoided again because the treatment of high and low position needs troublesome operation and the misery that replace tubes brought, make the clinical treatment more light quick, and avoided repeatedly intubate patient's anus position to be caused the hidden danger of damage.For doctor and patient, all has good effect.
The present invention also provides the application process of above-mentioned filling-discharging duct in the clinical manipulation of high and low position respectively.By this application process, can realize utilizing filling-discharging duct that the patient is carried out low level and elevated colonic dialysis or the treatment of the row of filling smoothly, can also overcome simultaneously feed tube is sent into a difficult problem in the elevated clinical manipulation.
Description of drawings
Fig. 1 is the structural representation of arm for connecting device;
Fig. 2 is the another kind of structural representation of arm for connecting device;
Fig. 3 is the another kind of structural representation of arm for connecting device;
Fig. 4 is a kind of structural representation in hole for connecting device;
The structural representation of filling-discharging duct when Fig. 5 irritates row for low level;
The structural representation of filling-discharging duct when Fig. 6 is the high-order dialysis or the row of filling.
The 1-waste liquid precipitation tube, the 2-arm, the 3-sealing device, the 4-hole, the 5-feed tube, the 6-air bag, the 7-piston, the 8-waste liquid is separated out the hole.
The specific embodiment
The present invention will be further described below in conjunction with accompanying drawing.
Be illustrated in figure 1 as the structural representation that connecting device is an arm.
Waste liquid precipitation tube 1 is provided with arm 2, arm 2 is arranged at for receding on waste liquid precipitation tube 1 body in the present embodiment, being convenient in the future like this, feed tube inserts waste liquid precipitation tube 1 back to the mouth of pipe and the extension of people's coelenteron, but arm 2 also can adopt other angle to be arranged on the waste liquid precipitation tube 1.
Among the present invention, arm 2 has the effect of two aspects.
One, the end arranged outside of arm 2 has sealing device 3, the annular ladder of sealing device 3 for setting gradually in the present embodiment, stagewise number can be one, also can be for a plurality of, simultaneously, stagewise cross sectional shape can also can be rectangle or circle etc. for triangle.
Utilize sealing device 3 just feed tube can be socketed in closely the end of arm 2, thereby the inner chamber of feed tube and waste liquid precipitation tube 1 is communicated.
Certainly sealing device 3 also can adopt other version, mechanical whorl structure as shown in Figure 2.
Feed tube also can adopt the connected mode that is inserted in arm 2 ends, and the sealing device 3 that is positioned at inboard, arm 2 end as shown in Figure 3, feed tube insert inboard, arm 2 ends and closely be socketed on the sealing device 3.
Certainly, arm 2 also can adopt pipe joint commonly used to be connected with feed tube.
Its two, feed tube also can be directly inner chamber by arm 2 insert in waste liquid precipitation tube 1 inner chamber, and extend to the front portion, so that to people's coelenteron perfusion fluid along the inner chamber of arm 2 and waste liquid precipitation tube 1.
Be illustrated in figure 4 as another embodiment of connecting device of the present invention.
In the present embodiment, connecting device is the hole 4 that is arranged on the waste liquid precipitation tube 1, and 4 inboard is provided with inner tube structure in the hole as shown in the figure, and pipe inboard is provided with sealing device 3 in this, so that closely be connected with feed tube.
Hole 4 also can be simple pore structure, and it is inner and extend to the front portion along the inner chamber of arm 2 and waste liquid precipitation tube 1 that feed tube also can insert waste liquid precipitation tubes 1 by hole 4, so that to people's coelenteron perfusion fluid.
Figure 5 shows that the present invention carries out the low level filling and clears filling-discharging duct connection diagram when washing.
Waste liquid precipitation tube 1 is provided with arm 2, feed tube 5 is set in arm 2 ends, when carrying out the low level dialysis or cleaning, utilize piston 7 to get lodged in the front end mouth of pipe place of waste liquid precipitation tube 1, then waste liquid precipitation tube 1 is inserted patient's anus, since piston 7 heads be one with the suitable smooth surface structure of waste liquid precipitation tube 1 inner chamber, to help waste liquid precipitation tube 1 to insert the human anus smoothly, avoid the thin-walled mouth of pipe of waste liquid precipitation tube 1 that human anus or intestinal body are caused scuffing, piston 7 rear portions be one section with the suitable column structure of waste liquid precipitation tube 1 inner chamber caliber, just in time can block waste liquid and separate out hole 8, to avoid the intravital garbage of patient in operation to leak, end with feed tube 5 is sleeved on arm 2 ends then, promptly can be by feed tube 5 to people's coelenteron perfusion solution or cleanout fluid, stop perfusion then or block feed tube 5, piston 7 is taken out and receive guiding waste liquid to collection place with pipeline and get final product in waste liquid precipitation tube 1 rear end.
Be illustrated in figure 6 as that the present invention carries out high position dialysis or filling-discharging duct connection diagram when cleaning.
In high position filling row or cleaning treatment, at first need to carry out the low level filling and arrange or clean, its operating procedure is as previously mentioned.After treating that low bit manipulation is finished, need not withdraw from waste liquid precipitation tube 1, directly piston 7 being blocked in again waste liquid precipitation tube 1 rear end gets final product, then feed tube 5 is inserted in arm 2 tube chambers, pushing feed tube 5 moves forward and extends in the enteric cavity through the front end mouth of pipe along waste liquid precipitation tube 1 inner chamber, and under the effect that is arranged at feed tube 5 forward air bags 6, arrive an enteric cavity high position, then by feed tube 5 perfusion solutions or cleanout fluid, dabbling liquid is got back to waste liquid precipitation tube 1 place through the intestinal spontaneous current, and is expelled to collection place by the rear end and gets final product.
Air bag 6 after entering people's coelenteron, can constantly inflate or bleed air operation so that assist feed tube 5 to arrive enteric cavity high positions smoothly.Because the human colon position has more bending structure, when running into bending part, air bag 6 is inflated, expansible air bag 6 can stop up intestinal on the one hand and prevent that feed tube 5 from curving and turn back, on the other hand, expansible air bag 6 also can produce the axial tension effect on feed tube 5, overcome the tendency that feed tube 5 bends.
When feed tube 5 arrives dialysis or irritates ranking postpone, can utilize air bag 6 retardance liquid to drop naturally by regulating air bag 6 its filling degrees to regulate the retention time of liquid in enteric cavity and the flow and the speed of discharging liquid in the enteric cavity.
The filling of air bag 6, exit and observe bag control by being arranged at external gas injection device and air bag.
The above only is a preferred implementation of the present invention.For a person skilled in the art,, can also make a lot of modification and improvement, but these modification and improvement all will fall into protection scope of the present invention according to spirit of the present invention and essence.