CN202478249U

CN202478249U - Thoracic cavity closed type drainage kit

Info

Publication number: CN202478249U
Application number: CN2012200839836U
Authority: CN
Inventors: 张奇; 綦俊; 江跃全; 蔡荣华
Original assignee: Individual
Current assignee: Individual
Priority date: 2012-03-08
Filing date: 2012-03-08
Publication date: 2012-10-10
Anticipated expiration: 2022-03-08

Abstract

The utility model discloses a thoracic cavity closed type drainage kit. The thoracic cavity closed type drainage kit comprises a disposable anaesthetic skin puncture and incision suite, a chest wall casing catheter suite and a drainage tube suite. The chest wall casing catheter suite comprises a skin expansion catheter and a puncture casing, the puncture casing comprises a tube sheath 7 and a puncture cone core 17, and the tube sheath 7 and the puncture cone core 17 are both rigid. Due to the structure, the thoracic cavity closed type drainage kit is convenient to operate and time-saving, and leads to little trauma and few pains; the catheter can be placed easily; and the thoracic cavity closed type drainage kit can be fixed easily, has good sealing performance, a long indwelling time and good drainage effect, is not prone to causing infection, can be easily accepted by a postoperative patient, and is quite suitable for surgical popularization in clinics.

Description

A kind of closed drainage of pleural cavity external member

Technical field

This utility model relates to a kind of closed drainage of pleural cavity external member, relates in particular to a kind of closed drainage of pleural cavity external member that is used to treat diseases such as hydrothorax, pneumatosis.

Background technology

Acute and chronic hydrothorax, pneumatosis are the respiratory system disease common complication, can come across behind thoracic injury, chronic lung disease, pulmonary infection, pulmonary tuberculosis, tumor and the cardiothoracic operation etc.If a large amount of hydrops, pneumatosis in the thoracic cavity must cause the serious pressurized of other organ in lungs, heart and the mediastinum, and are shifted to strong side, cardiopalmus, symptom such as feel oppressed dyspnea appear; But the severe patient threat to life needs in time to handle.

Closed drainage of pleural cavity can make pneumatosis in the thoracic cavity, hydrops discharge the thoracic cavity, alleviates mediastinum organ compressings such as lung and cardiovascular, breathes and circulatory function thereby improve.

Common closed drainage of thoracic cavity operation has four kinds of methods at present: thick silica gel tube, central venous catheter, bladder creating-fistula and double channel foley balloon indwelling catheter.Every kind of method cuts both ways.

Thick intubation catheter drain is adopted in traditional thick silica gel tube drain, and caliber is thick, and side opening is arranged, and drainage effect is good; But need scalpel to cut thoracic wall, mosquito forceps separates subcutaneous tissue, muscle, tear process such as pleura, exists and puts the pipe difficulty; Tissue injury is big, and wound pain is obvious, and the local skin reaction is heavy; And be prone to cause subcutaneous emphysema, thoracic cavity infection etc., postoperative patient is handicapped; Cicatrix is left in the part behind the tube drawing, and drawbacks such as nursing difficulty can increase patient's misery and financial burden.

Central venous catheter is that FNA is put pipe, tube chamber is thin, histocompatibility good, so wound is little, and zest is low, puts the pipe processing ease, and can keep somewhere for a long time; But because the aperture is little, drainage speed is slow and drainage flow is few, causes inadequate drainage so the tube chamber obstruction very easily takes place, and need heparin washing pipe repeatedly, can increase the exogenous infection chance.

And bladder creating-fistula, double channel foley balloon indwelling catheter need carry out thoracic wall equally and cut, and have certain wound, and complication such as its drainage effect, subcutaneous emphysema, thoracic cavity infection and drainage tube obstruction are between silica gel tube and central venous catheter.

The utility model content

To the defective of above-mentioned prior art, this utility model aim to provide a kind of easy and simple to handle, wound is little, not easy infection, closed drainage of pleural cavity external member that drainage effect is good.

To achieve these goals, this utility model adopts following technical scheme: the closed drainage of pleural cavity external member comprises that disposable anesthetic puncture incision of skin external member, thoracic wall sleeve pipe put pipe box spare and drainage tube external member; The thoracic wall sleeve pipe is put pipe box spare and is comprised skin expansion conduit and puncture casing; Puncture casing comprises pipe sheath and puncture awl core, and the pipe sheath is hard with puncture awl core.

Compare with prior art; This utility model is owing to adopted technique scheme; Have easy to operate, save time, wound is little, pain is little, put pipe easily, be easy to fix, sealing is good, not easy infection, outstanding advantage that drainage effect is good; Postoperative patient is acceptant, and indwelling time is long, is very suitable for clinical expansion.

Description of drawings

Fig. 1 is the sketch map of the disposable anesthetic puncture incision of skin external member of this utility model embodiment employing;

The thoracic wall sleeve pipe that Fig. 2 adopts for this utility model embodiment is put the sketch map of pipe box spare;

Fig. 3 is the cross sectional representation of the pipe sheath 7 of this utility model embodiment employing;

Fig. 4 is the sketch map of the drainage tube external member of this utility model embodiment employing.

The specific embodiment

Through embodiment this utility model is carried out concrete description below; Be necessary to be pointed out that at this following examples only are used for this utility model is further explained; Can not be interpreted as the restriction to this utility model protection domain, those skilled in the art can make some nonessential improvement and adjustment to this utility model according to foregoing.

Embodiment: a kind of closed drainage of pleural cavity external member comprises that disposable anesthetic puncture incision of skin external member, thoracic wall sleeve pipe put pipe box spare and drainage tube external member.

As shown in Figure 1, disposable anesthetic puncture incision of skin external member comprises incision of skin blade 1, syringe 2, puncture needle 3 and seal wire 4.Puncture needle 3 band scale and unidirectional flap valve holes, backshank side.Seal wire 4 is processed by soft metal, the band scale, and front end curls.

As shown in Figure 2, the thoracic wall sleeve pipe is put pipe box spare and is comprised skin expansion conduit 5, skin expansion conduit 6 and puncture casing.Skin expansion conduit 5 is coniform with skin expansion conduit 6 front ends, and expand the rear end.Skin expansion conduit 6 is bigger than skin expansion conduit 5 contour dimensions.Puncture casing comprises pipe sheath 7 and puncture awl core 17, and pipe sheath 7 is hard with puncture awl core 17.Visible by Fig. 3, pipe sheath 7 can on average split along central authorities.For the ease of the guiding location, puncture awl core 17 central design have passage, and seal wire 4 can be along this passage through puncture awl core 17.

As shown in Figure 4, the drainage tube external member comprises empty needle, calparine cap 8 and drainage tube.

Drainage tube in the present embodiment is that three chamber drainage tubes, 9, three chamber drainage tubes, 9 afterbodys contain air bag path 10, drainage channel 11 and irrigation channel 12, and front end contains main conduction hole 13, side conduction hole 14, flushing hole 15 and air bag 16.

Before the operation, technological means such as utilization X line rabat, chest B ultrasonic or CT scan are carried out the auxiliary examination location earlier, confirm that intrathoracic drain is concentrated relatively, drain is carried out at the position of no pleural space adhesion.If can't locate, generally adopt midclavicular line the 2nd, 3 intercostals to do the pneumothorax drain, midaxillary line or posterior axillary line the 7th, 8 intercostals are done drain pleural effusion.

Adopt empty needle, the next rib upper limb on the anchor point edge, each layer of local infiltration anesthesia thoracic wall.Puncture pleura to pleural space, gas or liquid are seen in pumpback, and unobstructed, smooth, write down and thrust the degree of depth.

Incision of skin blade 1 is made otch in the local anaesthesia place, cuts skin, reaches subcutaneous shallow-layer, does not cut subcutaneous layer of fat and flesh layer.

Syringe 2 connects former anesthesia path, puncture needle 3 edge negative pressure inserting needle, behind the breakthrough pleural space, gets into certain depth again, writes down the empty needle high scale.Insert seal wire 4 from the empty needle side opening, insert certain depth.Finger is seal wire 4 fixedly, withdraws from empty needle.

Successively adopt skin expansion conduit 5 and skin expansion conduit 6, continuously, slowly expand subcutaneous, flesh layer and pleura, make thoracic wall form a soft passage through seal wire 4.This operation is wanted soft, is rotated into the thoracic cavity.Because nose circle is blunt, can not injure lungs; Advise patient to deeply breathe or cough, if see that gas or flow of liquid flow out smoothly, show the entering pleural space.

Withdraw from skin expansion conduit 6, the thoracic wall passage place after expansion, the pipe sheath 7 of the band puncture being bored core 17 is through seal wire 4 guiding; Former road is soft, slowly the thoracic cavity is thrust in rotation; Extracting puncture awl core 17 then, finger is seal wire 4 fixedly, advises patient to deeply breathe or coughs and see that gas or flow of liquid flow out smoothly; Show that pipe sheath 7 gets into pleural space, withdraws from seal wire 4.

Rapidly three chamber drainage tubes 9 are inserted the thoracic cavity through pipe sheath 7.Drainage channel 11 connects water-sealed drainage bottle, advises the patient to cough and sees that gas or flow of liquid flow out smoothly, show that drainage tube is positioned at pleural space, and the position is normal.Inject air or normal saline from the air bag path 10,, make air bag 16 be close to thoracic wall three chamber drainage tubes, 9 outer drawing, thus shutoff thoracic wall passage.After irrigation channel 12 injects low molecular sodium heparin, with calparine cap 8 sealings.

The fixing three chamber drainage tubes 9 of finger, will manage sheath 7 soft, slowly, rotation withdraws from thoracic wall, will manage sheath 7 fractionations from pipe sheath 7 central authorities.

Cover with aseptic dressing, end operation is observed patient symptom and drain situation, often pushes drainage tube, keeps it unobstructed.Like need thoracic cavity washing, injection, can carry out through irrigation channel 12.

Adopt the closed drainage of pleural cavity external member in the present embodiment, percutaneous incision skin tissue only, adopt skin expansion conduit 5,

skin expansion conduit

6 and 7 pairs of thoracic wall tissues of pipe sheath carry out repeatedly, softly, rotation expansion entering thoracic cavity, damage very little.

The quantity of skin expansion conduit can make skin histology progressively expand more than or equal to 2 like this, is convenient to insert pipe sheath 7 and drainage tube.

Utilization has fixedly, and the pipe sheath 7 of gabarit can for inserting of drainage tube constitutes a fixed space, greatly facilitate the process of inserting of drainage tube in skin expansion.It is very convenient that the introducing of puncture casing makes drainage tube insert, and need not the wound that causes the patient big, so the patient is acceptant, and the postoperative indwelling time is long.Pipe sheath 7 Front-end Design in the present embodiment are blunt for circle, more are difficult for injuring intercostal tissue and lung tissue, and safety coefficient is high.Pipe sheath 7 in the present embodiment can on average split along central authorities, is more convenient for managing the taking-up of sheath 7.

Three chamber drain rubber tube calibers are moderate, and front end has side opening, and drainage effect is good.Put duct ligation bundle rear gasbag 16 and be close to thoracic wall, guarantee the thoracic cavity seal, need not sutured.Simultaneously, when satisfying good drain, the irrigation channel 12 of three chamber drainage tubes 9 can carry out intracavity flushing and drug-injection in treatment, and is very convenient.

The drainage tube quality is soft partially, has reduced patient's pain, and the patient is easy to accept.Drainage tube can design according to actual needs, as not washing or not using air bag 16 as fixture, then can not design irrigation channel 12 or air bag path 10.Therefore, the quantity in the chamber of drainage tube is 1,2 or 3 all can.

This utility model can once be accomplished rapidly by flow process owing to simple to operate, and other drainage technology has been practiced thrift the time relatively, has also improved and has put tube efficiency, and the inside and outside doctor of section all is easy to grasp, and is applicable to clinical expansion.

Claims

1. closed drainage of pleural cavity external member comprises that disposable anesthetic puncture incision of skin external member, thoracic wall sleeve pipe put pipe box spare and drainage tube external member, its characteristic with: the thoracic wall sleeve pipe is put pipe box spare and is comprised skin expansion conduit and puncture casing; Puncture casing comprises pipe sheath (7) and puncture awl core (17), and pipe sheath (7) and puncture awl core (17) are hard.

2. closed drainage of pleural cavity external member as claimed in claim 1 is characterized in that: the quantity of said skin expansion conduit is greater than 1.

3. closed drainage of pleural cavity external member as claimed in claim 1 is characterized in that: pipe sheath (7) can on average split along central authorities.

4. closed drainage of pleural cavity external member as claimed in claim 1 is characterized in that: the nose circle of pipe sheath (7) and puncture awl core (17) is blunt.

5. closed drainage of pleural cavity external member as claimed in claim 1 is characterized in that: puncture awl core (17) central authorities can pass through seal wire (4).

6. closed drainage of pleural cavity external member as claimed in claim 1 is characterized in that: said drainage tube external member comprises empty needle, calparine cap (8) and drainage tube.

7. closed drainage of pleural cavity external member as claimed in claim 6 is characterized in that: the quantity in the chamber of said drainage tube is greater than 1.

8. closed drainage of pleural cavity external member as claimed in claim 7 is characterized in that: the quantity in the chamber of said drainage tube is 3.