CN201894642U - Central venous pressure (CVP) measuring instrument - Google Patents
Central venous pressure (CVP) measuring instrument Download PDFInfo
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- CN201894642U CN201894642U CN2010206344768U CN201020634476U CN201894642U CN 201894642 U CN201894642 U CN 201894642U CN 2010206344768 U CN2010206344768 U CN 2010206344768U CN 201020634476 U CN201020634476 U CN 201020634476U CN 201894642 U CN201894642 U CN 201894642U
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- 239000007788 liquid Substances 0.000 abstract description 12
- 238000001802 infusion Methods 0.000 description 10
- 238000000034 method Methods 0.000 description 8
- 238000005259 measurement Methods 0.000 description 7
- 238000009530 blood pressure measurement Methods 0.000 description 5
- 238000001514 detection method Methods 0.000 description 4
- 239000000243 solution Substances 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 230000036512 infertility Effects 0.000 description 3
- 239000002504 physiological saline solution Substances 0.000 description 3
- 239000012530 fluid Substances 0.000 description 2
- 230000002861 ventricular Effects 0.000 description 2
- 208000028399 Critical Illness Diseases 0.000 description 1
- 206010019280 Heart failures Diseases 0.000 description 1
- 206010021137 Hypovolaemia Diseases 0.000 description 1
- 238000003556 assay Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 150000002118 epoxides Chemical class 0.000 description 1
- 230000003601 intercostal effect Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000000691 measurement method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000036316 preload Effects 0.000 description 1
- 210000005245 right atrium Anatomy 0.000 description 1
- 210000001631 vena cava inferior Anatomy 0.000 description 1
- 210000002620 vena cava superior Anatomy 0.000 description 1
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Abstract
本实用新型公开了一种中心静脉压测量仪,包括滴斗和与滴斗两端连通的测压管,所述滴斗上段的测压管上设置有测压管开闭阀,滴斗下段的测压管上设置有刻度尺,滴斗上还设置有过滤连通器。由于在滴斗上设置了过滤连通器,可以防止滴斗内的测压液体介质直接与外界空气连接,避免了液体介质的污染,达到了无菌要求。同时,滴斗下段的测压管上设置刻度尺,可以直接对其进行读数,使用方便,减小操作误差。而且该中心静脉压测量仪结构简单,成本低廉,普遍适用性强。
The utility model discloses a measuring instrument for central venous pressure, which comprises a drip funnel and a pressure measuring tube connected to both ends of the drip funnel. A scale is arranged on the pressure measuring tube, and a filter connector is also arranged on the dropping funnel. Since the filter connector is arranged on the dropping funnel, it can prevent the pressure measuring liquid medium in the dropping funnel from being directly connected with the outside air, avoiding the pollution of the liquid medium, and meeting the aseptic requirement. At the same time, a scale is set on the pressure measuring tube at the lower part of the dropping funnel, which can be directly read, which is convenient to use and reduces operating errors. Moreover, the central venous pressure measuring instrument has the advantages of simple structure, low cost and strong universal applicability.
Description
技术领域technical field
本实用新型涉及一种医疗设备,特别涉及一种用于测量中心静脉压的装置。The utility model relates to a medical device, in particular to a device for measuring central venous pressure.
背景技术Background technique
中心静脉压(CVP)是指上下腔静脉或右心房内的压力,为评估血容量、右心前负荷及右心功能的重要指标,正常值为 5~12cmH20。CVP 过低表示血容量不足或者静脉回流受阻,应给予补液。CVP 过高表示输入液体量过多或心功能不全。随着医学科学的发展,中心静脉压的检测已广泛运用于临床,尤其是在危重患者的急救中作用更为明显,随着疾病谱的改变、人均寿命延长,危重患者日益增多,CVP的检测也成为是临床工作中不可缺少的重要诊疗措施。目前临床测定中心静脉压的方法主要有:传统测定法、压力传感器动态检测法和床旁简易中心静脉压测定法三种。但是,传统测定法测量过程繁琐,用物准备较多,需要至少两人方可完成操作。压力传感器动态检测法测量CVP具有测量结果可靠,可连续检测等优点,但是设备要求高,费用昂贵,在普通病房很难采用;且易出现并发症。因此,床旁简易中心静脉压测定法因具有操作方便,成本较低等特点被普通病房广泛采用。Central venous pressure (CVP) refers to the pressure in the superior and inferior vena cava or the right atrium. It is an important index for evaluating blood volume, right ventricular preload and right ventricular function. The normal value is 5-12cmH 2 0. A low CVP indicates hypovolemia or obstructed venous return and should be given fluids. A high CVP indicates excessive fluid intake or cardiac insufficiency. With the development of medical science, the detection of central venous pressure has been widely used clinically, especially in the first aid of critically ill patients. It has also become an indispensable important diagnosis and treatment measure in clinical work. At present, there are mainly three methods for clinical measurement of central venous pressure: traditional measurement method, pressure sensor dynamic detection method and bedside simple central venous pressure measurement method. However, the measurement process of the traditional assay method is cumbersome and requires a lot of material preparation, requiring at least two people to complete the operation. The pressure sensor dynamic detection method to measure CVP has the advantages of reliable measurement results and continuous detection. However, the equipment requires high equipment and is expensive, so it is difficult to use in general wards; and it is prone to complications. Therefore, the bedside simple central venous pressure measurement method is widely used in general wards because of its convenient operation and low cost.
床旁简易中心静脉压测定法主要包括以下步骤:(1)器械准备:标有刻度的直尺1把,500 mL生理盐水1瓶;(2)测量:患者取仰卧位,单腔导管需将生理盐水替换正在补液的液体;三腔导管需关闭另外2个导管,保持一管与生理盐水相接,快速滴注生理盐水,以冲洗静脉管道,以保证CVP的准确性,拔下输液瓶上的输液针头使输液管路与大气压相通;(3)读数:待输液管内的液体下降至一定水平不再下降时,此时输液管内的液平与腋中线的垂直距离(单位cmH2O)即为CVP值。The bedside simple central venous pressure measurement method mainly includes the following steps: (1) Equipment preparation: 1 ruler with scale, 1 bottle of 500 mL normal saline; Physiological saline replaces the liquid being infused; the three-lumen catheter needs to close the other two catheters, keep one tube connected to the normal saline, and quickly infuse the normal saline to flush the venous pipeline to ensure the accuracy of CVP. (3) Reading: When the liquid in the infusion tube drops to a certain level and stops falling, the vertical distance between the liquid level in the infusion tube and the midaxillary line (unit cmH 2 O) is is the CVP value.
在实际工作中,采用床旁简易中心静脉压测定法测量中心静脉压时,拔下输液瓶上的输液针头导致输液管直接与大气压相通,不能达到无菌的起码要求。另外,用直尺读取刻度时,需要两手将软质输液管拉直并用刻度尺进行测量,仍然需要至少两人方可完成操作,使用十分不便,而且容易产生误差。In actual work, when the central venous pressure is measured by the bedside simple central venous pressure measurement method, pulling out the infusion needle on the infusion bottle will cause the infusion tube to directly communicate with the atmospheric pressure, which cannot meet the minimum requirements for sterility. In addition, when using a ruler to read the scale, two hands are required to straighten the soft infusion tube and measure with a scale, which still requires at least two people to complete the operation, which is very inconvenient to use and prone to errors.
针对上述不足,需要研发一种新的中心静脉测量仪,不仅能够减小成本,而且还能满足无菌要求,同时减小人为操作误差,而且一个人即可完成测量,操作方便。In view of the above deficiencies, it is necessary to develop a new central venous measuring instrument, which can not only reduce the cost, but also meet the sterility requirements, and reduce human operation errors, and one person can complete the measurement, which is easy to operate.
发明内容Contents of the invention
有鉴于此,本实用新型的目的是提供一种中心静脉测量仪,不仅能够减小误差,而且还能满足无菌要求。In view of this, the purpose of this utility model is to provide a central venous measuring instrument, which can not only reduce the error, but also meet the sterility requirement.
本实用新型的目的是通过以下技术方案实现的:一种中心静脉压测量仪,包括滴斗和与滴斗两端连通的测压管,所述滴斗上段的测压管上设置有测压管开闭阀,滴斗下段的测压管上设置有刻度尺,滴斗上还设置有过滤连通器。The purpose of this utility model is achieved through the following technical solutions: a central venous pressure measuring instrument, comprising a drip funnel and a pressure measuring tube connected to both ends of the dropping funnel, the pressure measuring tube in the upper section of the dropping funnel is provided with a pressure measuring tube The tube opening and closing valve, the pressure measuring tube of the lower part of the dropping funnel is provided with a scale, and the dropping funnel is also provided with a filter connector.
进一步,所述过滤连通器与滴斗之间为可拆卸式连接;Further, there is a detachable connection between the filter connector and the dropping funnel;
进一步,所述刻度尺与测压管之间为可拆卸式连接;Further, there is a detachable connection between the scale and the pressure measuring tube;
进一步,所述刻度尺为横截面为圆弧形的硬质刻度尺;Further, the scale is a hard scale with an arc-shaped cross section;
进一步,所述过滤连通器为针头式过滤连通器。Further, the filter connector is a needle filter connector.
本实用新型的有益效果:本实用新型的中心静脉压测量仪,包括滴斗和与滴斗两端连通的测压管,所述滴斗上段的测压管上设置有夹子,滴斗下段的测压管上设置有刻度尺,滴斗上还设置有过滤连通器。由于在滴斗上设置了过滤连通器,可以防止滴斗内的测压液体介质直接与外界空气连接,避免了液体介质的污染,达到了无菌要求。同时,滴斗下段的测压管上设置刻度尺,可以直接对其进行读数,使用方便,减小操作误差。而且该中心静脉压测量仪结构简单,成本低廉,普遍适用性强。Beneficial effects of the present utility model: the central venous pressure measuring instrument of the present utility model comprises a drip funnel and a pressure measuring tube connected to both ends of the drip funnel, a clip is arranged on the pressure measuring tube of the upper section of the drip funnel, and a clamp is arranged on the pressure measuring tube of the lower section of the drip funnel. A scale is arranged on the pressure measuring tube, and a filter connector is also arranged on the dropping funnel. Since the filter connector is arranged on the dropping funnel, it can prevent the pressure measuring liquid medium in the dropping funnel from being directly connected with the outside air, avoiding the pollution of the liquid medium, and meeting the aseptic requirement. At the same time, a scale is set on the pressure measuring tube at the lower part of the dropping funnel, which can be directly read, which is convenient to use and reduces operating errors. Moreover, the central venous pressure measuring instrument has the advantages of simple structure, low cost and strong universal applicability.
附图说明Description of drawings
下面结合附图和实施例对本实用新型作进一步描述:Below in conjunction with accompanying drawing and embodiment the utility model is further described:
附图1为本实用新型的结构示意图;Accompanying drawing 1 is the structural representation of the utility model;
附图2为图1中沿A-A向截面示意图。Accompanying
具体实施方式Detailed ways
附图1为本实用新型的结构示意图;附图2为图1中沿A-A向截面示意图。如图所示:一种中心静脉压测量仪,包括滴斗1和与滴斗1两端连通的测压管2,所述滴斗1上段(本实用新型中所指的方位上与下是指测量时测压管的上段和下段)的测压管上设置有测压管开闭阀3,本实施例中测压管开闭阀为夹子,滴斗下段的测压管上设置有刻度尺4,滴斗1上还设置有过滤连通器5。本实用新型的中心静脉压测量仪的使用方法为:患者取平卧位,将中心静脉导管外接测压管2下端,测压管2上端与集液瓶相连,集液瓶内盛装生理盐水,测量时,先将测压管2及滴斗1灌满生理盐水,用夹子3加紧测压管,使滴斗上端的测压管密封,然后打开过滤连通器5,此时测压管与大气压相通,将测压管上的刻度尺零点刻度与腋中线第四肋间平齐,在大气压的作用下液面自然下降,当液面下降至有轻微波动而不再下降时的读取测压管上的刻度尺上的刻度,即为CVP值。由于在滴斗1上设置了过滤连通器5,可以防止滴斗内的测压液体介质与外界空气直接接触,避免了液体介质的污染,达到了无菌要求。同时,滴斗下段的测压管上设置刻度尺,可以直接对其进行读数,使用方便,减小操作误差。而且该中心静脉压测量仪结构简单,成本低廉,普遍适用性强。Accompanying drawing 1 is a schematic structural view of the utility model; Accompanying
本实施例中,所述过滤连通器5与滴斗1之间为可拆卸式连接。所述刻度尺4与测压管2之间也为可拆卸式连接。过滤连通器5具体采用针头式过滤器,即在针头上设置过滤器,所述测压管2采用普通输液管,使用时,可以采用针头式过滤连通器直接插进输液管滴斗,使滴斗与大气压相连通,再将滴斗下部的输液管与刻度尺直接粘结在一起。可拆卸式连接可以将刻度尺4和针头式过滤器包装在一起,经过环氧已烷消毒灭菌备用,不仅方便包装和携带,而且可以直接将其与普通输液管进行配合使用,就地取材,避免采用专用的三通管进行连接,节约成本。In this embodiment, the filter connector 5 is detachably connected to the dropping funnel 1 . The
本实施例中,如图2所示,刻度尺4为横截面为圆弧形的硬质刻度尺。测量时,可以直接将测压管2与圆弧形硬质刻度尺粘结,刻度尺4的横截面采用与测压管相适应的圆弧形使二者之间的粘结强度更好,不易脱落。医务人员可直接用其进行测量,不仅一人即可完成中心静脉压的测量,节约人力,而且减小了人为拉伸校对等误差,测量结果准确,使用方便。In this embodiment, as shown in FIG. 2 , the
最后说明的是,以上实施例仅用以说明本实用新型的技术方案而非限制,尽管参照较佳实施例对本实用新型进行了详细说明,本领域的普通技术人员应当理解,可以对本实用新型的技术方案进行修改或者等同替换,而不脱离本实用新型技术方案的宗旨和范围,其均应涵盖在本实用新型的权利要求范围当中。Finally, it is noted that the above embodiments are only used to illustrate the technical solutions of the present utility model without limitation. Although the utility model has been described in detail with reference to the preferred embodiments, those of ordinary skill in the art should understand that the utility model can be Modifications or equivalent replacements of the technical solutions without departing from the purpose and scope of the technical solutions of the utility model shall be covered by the claims of the utility model.
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CN102743163A (en) * | 2012-01-10 | 2012-10-24 | 陈宇 | Double-atrium pressure measuring and medicine injection catheter |
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Granted publication date: 20110713 Termination date: 20111201 |