CN202537526U - Infant radio-examination assisting device - Google Patents

Infant radio-examination assisting device Download PDF

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CN202537526U
CN202537526U CN2012201468941U CN201220146894U CN202537526U CN 202537526 U CN202537526 U CN 202537526U CN 2012201468941 U CN2012201468941 U CN 2012201468941U CN 201220146894 U CN201220146894 U CN 201220146894U CN 202537526 U CN202537526 U CN 202537526U
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infant
fixed
base
child
movable
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黄成�
窦丽华
史刚
刘勇
贺现营
田金凤
常连刚
李思振
李先鹏
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Feicheng Mining Center Hospital
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Feicheng Mining Center Hospital
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Abstract

The utility model discloses an infant radio-examination assisting device relating to the field of medical instruments. The infant radio-examination assisting device comprises a combined fixing plate and a movable sternum stand with a base, wherein the movable sternum stand with the base comprises the base, a movable lifting bracket and a fixed leaning frame; the movable lifting bracket and the fixed leaning frame are respectively arranged at two sides of the base; the movable lifting bracket is provided with an IP (Internet Protocol) board box clamp which can vertically move along with the movable lifting bracket and can be fixed; the combined fixing plate comprises a basal plate on which fixing bands distributed according to the body of an infant are arranged; and the fixed leaning frame is provided with a vertical double-linked sliding rail. The infant radio-examination assisting device is simple in structure and convenient to use; the infant can be fixed according to the concrete condition to take the photograph in a sitting or standing way; the infant is easier and comfortable to fix and can silently obey to a doctor to take the photograph, so that high photograph quality is achieved, more diagnosis information is obtained, the work efficiency is increased, hurt for the infant because of repeated photography is avoided, the opportunity for generating contradiction between the doctor and the infant is reduced, and the benefits of patients are protected.

Description

幼儿放射检查协助装置Toddler Radiology Assistance Device

技术领域 technical field

本实用新型涉及医疗器械领域,具体地说是一种幼儿放射检查协助装置。 The utility model relates to the field of medical equipment, in particular to an assisting device for infant radiation examination.

背景技术 Background technique

儿童X光拍片是放射科每天要完成的工作之一,据我院放射科统计其中胸部X线摄影检查占儿科影像检查总数的90%以上,外伤及骨病的四肢骨关节拍片检查占不足10%。儿童呼吸道疾病还有明显的群发性和季节性,而且,3岁以下的小儿在拍胸片时,由于患者年龄小、恐惧等原因,常哭闹、挣扎,需要把儿童强制按在摄影台上,由两位家属协作,一个按头一个按脚来完成,家属和技师花费较多的时间,即便如此,有的还是需要重拍,这样一来使患儿过多接受了照射,同时造成工作效率下降;传统的小儿胸部X线摄影位置采用仰卧、前后位拍摄,卧位胸片膈肌位置高、肺充气不足、心脏呈横位, 这种体位拍摄的胸片提供的影像信息不够理想,在四肢关节摄影时哭闹也是影像质量的主要原因,这都是小儿拍片的难题。另一方面,由于需要向家属解释清楚如何配合检查,则需要大量时间交谈,并且做解释工作的医生态度好坏,还可能引起医患关系问题。 Children's X-ray filming is one of the tasks that the radiology department must complete every day. According to the statistics of the Radiology Department of our hospital, chest X-ray examinations account for more than 90% of the total pediatric imaging examinations, and examinations of limbs, bones and joints for trauma and bone diseases account for less than 10%. %. Children's respiratory diseases also have obvious clusters and seasonality. Moreover, when children under the age of 3 are taking chest X-rays, due to their young age and fear, they often cry and struggle. , with the cooperation of two family members, one pressing the head and the other foot. The family members and technicians spend a lot of time. Even so, some of them still need to be re-taken. Decreased efficiency; the traditional position of pediatric chest X-ray photography is supine, anteroposterior position, supine chest radiograph with high diaphragm, insufficient lung inflation, and transverse heart. The image information provided by chest radiographs taken in this position is not ideal. Crying during photography of limb joints is also the main reason for image quality, which is a difficult problem in children's filming. On the other hand, since it is necessary to explain to the family members how to cooperate with the examination, it takes a lot of time to talk, and the attitude of the doctor who explains the work may also cause problems in the doctor-patient relationship.

儿童坐比站立在发育上要提前半年多时间。有研究表明小儿坐位胸片也同样能达到立位姿势胸片的效果。当人体处于站立姿势时,人体重力由髋关节向下传导,坐位姿势时,人体躯干仍保持直立状态,身体的重力转移到坐骨。坐位时躯干与站立位仍处于同一姿态,胸部自主呼吸运动的幅度、强度不会受到限制,回心血量没有区别,心脏的形态和大小不会受到影响,腹腔脏器的压力也相等,膈肌的运动也一致。 Children sit more than half a year earlier in development than standing. Studies have shown that sitting chest X-rays in children can also achieve the effect of standing posture chest X-rays. When the human body is in a standing posture, the body's gravity is transmitted downwards from the hip joints. When sitting in a sitting posture, the human trunk remains upright, and the body's gravity is transferred to the ischia. When seated, the torso is still in the same posture as the standing position, the amplitude and intensity of the chest spontaneous breathing movement will not be limited, there will be no difference in the return of blood to the heart, the shape and size of the heart will not be affected, the pressure of the abdominal organs will be equal, and the pressure of the diaphragm will be equal. Movement is also consistent.

发明内容 Contents of the invention

为解决上述存在的技术问题,本实用新型提供了一种幼儿放射检查协助装置,根据幼儿情况采取坐位或者站位进行摄影,固定患儿方便、舒适,使之能安静配合检查,减少医患之间产生的摩擦,较仰卧位摄影质量和诊断信息有明显改善。 In order to solve the above-mentioned technical problems, the utility model provides an auxiliary device for radiological examination of infants. According to the situation of infants, taking a sitting or standing position for photography, it is convenient and comfortable to fix infants, so that they can quietly cooperate with the examination and reduce the time between doctors and patients. Compared with the supine position, the photographic quality and diagnostic information are significantly improved.

为达到上述目的,本实用新型采用的技术方案如下: In order to achieve the above object, the technical scheme adopted by the utility model is as follows:

一种幼儿放射检查协助装置,包含有活动带座胸片架和组合固定板两个部分,所述活动带座胸片架包含有底座、可移动升降支架和固定靠架,所述可移动升降架和固定靠架分别设置于所述底座的两侧,所述可移动升降架上设置有IP板盒夹,所述IP板盒夹可随可移动升降架上下移动并可固定,所述组合固定板包含有基板,所述基板上设置有按幼儿形体分布的固定带,用以固定幼儿身体,所述固定靠架上设置有上下方向的双联滑轨,所述双联滑轨内侧设置有卡口,用以放置组合固定板,所述组合固定板可在所述双联滑轨上滑动并可固定,所述固定靠架的底部设置有可折叠的座板。 An auxiliary device for radiological examination of infants, comprising two parts: a movable chest frame with a seat and a combined fixed plate, the movable chest frame with a seat includes a base, a movable elevating bracket and a fixed support, the movable elevating The frame and the fixed frame are respectively arranged on both sides of the base, and the movable lifting frame is provided with an IP board box clip, and the IP board box clip can move up and down with the movable lifting frame and can be fixed. The fixed plate includes a base plate, on which the fixed belts distributed according to the shape of the child are arranged to fix the child’s body, and the double slide rails in the upper and lower directions are arranged on the fixed support frame, and the inner side of the double slide rails is set There is a bayonet for placing the combined fixing plate, the combined fixing plate can slide on the double slide rail and can be fixed, and the bottom of the fixed support frame is provided with a foldable seat plate.

所述IP板盒夹内设置有自动居中装置。 An automatic centering device is arranged in the IP board box clip.

本实用新型结构简单,设计了活动带座胸片架和组合固定板,二者可以组合使用,也可分开应用,使用方便,可根据患儿的情况固定,采用坐位或者站立位进行摄影,患儿固定式比较容易且舒适,能够安静地配合摄影,得到的摄影质量好,诊断信息多,提高了工作效率,避免了重复摄影给患儿带来的伤害,减少了医患之间产生摩擦的机会,保护了患者利益。 The utility model has a simple structure, and a movable chest frame with a seat and a combined fixed plate are designed. The two can be used in combination or separately. The fixed infant is easier and more comfortable. It can quietly cooperate with the photography. The quality of the photography obtained is good, and the diagnostic information is more, which improves the work efficiency, avoids the harm caused by repeated photography to the patient, and reduces the friction between the doctor and the patient. opportunities to protect the interests of patients.

附图说明 Description of drawings

图1为本实用新型活动带座胸片架的结构示意图; Fig. 1 is the structural representation of the movable belt seat chest X-ray frame of the present utility model;

图2为图1中可移动升降支架2的正面视图; Fig. 2 is a front view of the movable elevating support 2 in Fig. 1;

图3为图1中固定靠架4的正面视图; Fig. 3 is a front view of the fixed frame 4 in Fig. 1;

图4为组合固定板6的正面视图。 FIG. 4 is a front view of the combined fixing plate 6 .

具体实施方式 Detailed ways

下面结合附图和具体实施例对本实用新型进行详细描述: The utility model is described in detail below in conjunction with accompanying drawing and specific embodiment:

如图1、图2、图3和图4所示为本实用新型的一个具体实施例,包含有活动带座胸片架和组合固定板两个部分,所述活动带座胸片架包含有底座1、可移动升降支架2和固定靠架4,所述可移动升降架2和固定靠架4分别设置于所述底座1的两侧,所述可移动升降架2上设置有IP板盒夹5,所述IP板盒夹5可随可移动升降架2上下移动并可固定,固定按钮设置于所述可移动升降架2上,所述固定靠架4上设置有上下方向的双联滑轨7,所述双联滑轨7内侧设置有卡口8。 As shown in Fig. 1, Fig. 2, Fig. 3 and Fig. 4, it is a specific embodiment of the present utility model, comprising two parts of a movable chest film stand with a seat and a combined fixed plate, and the movable chest film stand with a seat includes The base 1, the movable lifting frame 2 and the fixed support frame 4, the movable lifting frame 2 and the fixed support frame 4 are respectively arranged on both sides of the base 1, and the movable lifting frame 2 is provided with an IP board box Clamp 5, the IP board box clamp 5 can move up and down with the movable lifting frame 2 and can be fixed, the fixing button is arranged on the movable lifting frame 2, and the fixed support frame 4 is provided with a double-link in the up and down direction. The slide rail 7, the inner side of the double slide rail 7 is provided with a bayonet 8.

所述底座1为一两侧着地、中间离地少许的长方形支架结构,在所述底座1上设置有导轨用于所述可移动升降架2的移动, The base 1 is a rectangular support structure with both sides on the ground and a little distance from the ground in the middle. Guide rails are arranged on the base 1 for the movement of the movable lifting frame 2.

所述组合固定板包含有基板6,所述基板6上设置有按幼儿形体分布的3处固定带9,用以固定幼儿身体。所述的组合固定板的基板6采用长方形的亚克力板加金属边框,固定带9可采用尼龙粘扣带。 The combined fixing plate includes a base plate 6 on which three fixing belts 9 distributed according to the body of the child are arranged to fix the body of the child. The base plate 6 of the combined fixing plate adopts a rectangular acrylic plate with a metal frame, and the fixing belt 9 can adopt a nylon hook and loop.

所述固定靠架4上的卡口8用以放置组合固定板,所述组合固定板可在所述双联滑轨7上滑动并可固定,固定按钮设置于固定靠架4上。 The bayonet 8 on the fixed support frame 4 is used to place the combined fixed plate, the combined fixed plate can slide on the double slide rail 7 and can be fixed, and the fixed button is arranged on the fixed support frame 4 .

所述固定靠架4的底部设置有可折叠的座板3,不能站立的幼儿在固定时可坐在座板3上,能够站立的幼儿固定时,将座板3折叠抬起,不影响站立位摄影。 The bottom of the fixed frame 4 is provided with a foldable seat board 3, and infants who cannot stand can sit on the seat board 3 when fixed, and when the infants who can stand are fixed, the seat board 3 is folded and lifted without affecting the standing position. photography.

所述IP板盒夹5内设置有自动居中装置,确保所述IP板盒夹5保持在底座1的中心线上。 An automatic centering device is arranged inside the IP board box clip 5 to ensure that the IP board box clip 5 remains on the center line of the base 1 .

底座1及可移动升降支架2使用强度高的铝合金材料或合格细管材组合或焊接,加工时所有棱角及活动处做到圆滑和紧密,在升降的地方留有足够间隙,都是为了防止刮碰、夹挤等危险的发生,在可能接触到小儿的地方使用柔软材料,例如座板3用有弹性的海绵包裹,IP板盒夹5的上缘辅以橡胶,底座1要足够的面积以保证这个装置能稳定地矗立在地面或检查床上,IP板盒夹5设计成可以夹置5in×7in(横放)、8in ×10in(横或竖放)、10in× 12in(竖放)3种规格的成像(IP)板(注1in=2.54cm)。 The base 1 and the movable lifting bracket 2 are combined or welded with high-strength aluminum alloy materials or qualified thin pipes. During processing, all edges and corners and movable parts should be smooth and tight, and enough clearance should be left in the lifting place to prevent scratches. In the event of dangers such as bumping and pinching, soft materials should be used in places that may come into contact with children. For example, the seat plate 3 is wrapped with elastic sponge, the upper edge of the IP board box clip 5 is supplemented with rubber, and the base 1 should have a sufficient area. To ensure that the device can stand stably on the ground or on the examination bed, the IP board box clamp 5 is designed to hold 3 types of 5in×7in (horizontal), 8in×10in (horizontal or vertical), and 10in×12in (vertical). Spec imaging (IP) plate (note 1in=2.54cm).

本实用新型在使用时,先将活动带座胸片架放到检查床上使其中心线(底座上设计标志)与检查床的中心线重合。 When the utility model is in use, the movable chest film stand with seat is first placed on the examination bed so that its center line (the design mark on the base) coincides with the center line of the examination bed.

若患儿小于1岁且能抬头(注不能抬头的婴幼儿不能使用本装置),可以先将患儿着适当衣物放到组合固定板的基板6上,展开双臂,适当移动尼龙粘贴扣9的位置,将双臂和躯干固定,根据患儿高度及在基板6上的位置,适当上下调节固定靠架4上滑轨7的位置,将座板3折起或放下,由技师和家属将已固定了患儿的组合固定板和患儿轻轻托起,与滑轨7方向一致轻放入滑轨7内的卡口8,使组合固定板固定,此时患儿形成了背紧靠组合固定板的站立或坐姿势,再根据患儿身材选取合适尺寸的影像采集板固定到IP板盒夹5上,所述IP板盒夹5上设计自动装置能使IP板盒保持在该底座1的中心线上,调节其高度与患儿胸片所需位置保持一致,并旋紧高度固定旋钮,然后将这一组合好的升降支架2向固定靠架4移动,使之紧靠患儿胸部。将球管置于尾侧的后方适当距离,约100cm以远,焦点对准组合固定板上可以看到的患儿的背部中心,合理控制光圈大小,选择适当摄影条件,在患儿吸气末曝光,拍片过程中家属(可以着适当防护)立于患儿的前外侧以分散其注意力,至此使用此装置拍片完成。平时不使用时可以将这一装置自床上取下,放置在检查室一适当的地方,以方便随时取用。 If the child is less than 1 year old and can raise his head (note that infants and young children who cannot raise their head cannot use this device), you can first put the child with appropriate clothing on the base plate 6 of the combined fixing plate, spread out your arms, and move the Velcro buckle 9 appropriately According to the height of the child and the position on the base plate 6, adjust the position of the sliding rail 7 on the fixed support frame 4 up and down appropriately, fold up or put down the seat plate 3, and the technician and family members will The combination fixing plate that has fixed the child and the child are gently lifted up, and lightly put into the bayonet 8 in the slide rail 7 in the same direction as the slide rail 7, so that the combination fixation plate is fixed. At this time, the child forms a back-to-back Combine the standing or sitting posture of the fixed board, and then select an image acquisition board of suitable size according to the body of the child and fix it on the IP board box clip 5. An automatic device is designed on the IP board box clip 5 to keep the IP board box on the base 1 on the center line, adjust its height to be consistent with the required position of the child's chest X-ray, and tighten the height fixing knob, and then move the combined lifting bracket 2 to the fixed support frame 4, making it close to the patient Chest. Place the tube at an appropriate distance behind the caudal side, about 100cm away, focus on the center of the child's back that can be seen on the combined fixed plate, reasonably control the size of the aperture, choose appropriate photography conditions, Exposure, during the filming process, the family members (who can wear appropriate protection) stand on the anterolateral side of the child to distract the child, and the filming is completed with this device. When not in use at ordinary times, this device can be taken off from the bed, and placed in an appropriate place in the examination room, so as to be convenient to take at any time.

若患儿能够站立及走动,可以先将组合固定板置于滑轨7上并根据患儿高度适当固定,再将患儿以背靠于该板前,并用尼龙粘扣9固定上肢及躯干,其余步骤与情况一类似。 If the child can stand and walk, the combination fixing board can be placed on the slide rail 7 and fixed properly according to the height of the child, and then the child can be leaned against the front of the board, and the upper limbs and trunk can be fixed with Velcro 9, and the rest The steps are similar to Case 1.

组合固定板在四肢拍片时可以单独使用,在下肢及骨盆拍片时,固定方法与前类似,只需将患儿和组合固定板平放到检查床上即可,只需一位家属可以专心配合技师摆设体位,拍片过程也与常规拍片相同,能够解决大部分下肢拍片患儿乱动的问题。 The combination fixation plate can be used alone when taking X-rays of the limbs. When taking X-rays of the lower limbs and pelvis, the fixation method is similar to the previous one. Just put the patient and the combination fixing plate flat on the examination table, and only one family member can concentrate on cooperating with the technician. The positioning and filming process are the same as conventional filming, which can solve the problem of restless movement in most children with lower extremity filming.

组合固定板也可以在在透视时单独使用,在遥控透视床上的两侧把手上安装能与其相连的的横杆,横杆上设计两挂钩,可以将设有与之对应小孔的组合固定板挂起,患儿的固定方法同拍片,但尼龙粘扣9一定要粘牢!患儿脚下可以占一小凳,使之在透视曝光可见范围内,整个过程也要有一名家属陪伴和看护,这样就可以进行立位透视了,因为小儿透视多是腹透,这样就可以观察气液平面和异物了,需要转动身体时,只需挪动患儿的下肢即可带动腹部在一定范围内转动。 The combination fixing plate can also be used alone during fluoroscopy, and a cross bar that can be connected to it is installed on the handles on both sides of the remote control fluoroscopy bed. Two hooks are designed on the cross bar, and the combination fixing plate with corresponding small holes can be installed Hang up, the fixation method for children is the same as filming, but the Velcro 9 must be glued firmly! A small stool can be occupied under the child's feet so that it is within the visible range of fluoroscopy exposure. A family member should accompany and take care of the whole process, so that standing fluoroscopy can be performed, because most children's fluoroscopy is performed by peritoneal dialysis, so you can observe When the gas-liquid level and foreign matter are removed, when the body needs to be turned, only the lower limbs of the child can be moved to drive the abdomen to rotate within a certain range.

组合固定板还可以在肠套叠气钡整复时单独使用,与透视的使用方法类似,但只需要患儿平卧,此时起到的作用就是固定患儿,作用也是显而易见的。由于相对安静,有利于医生检查和治疗,减少检查时间,减少了患儿在射线下的照射剂量。 The combination fixation plate can also be used alone in the restoration of intussusception with air barium, which is similar to the use of fluoroscopy, but only requires the child to lie on his back. At this time, the role is to fix the child, and the effect is obvious. Because it is relatively quiet, it is beneficial for doctors to examine and treat, reducing examination time and reducing the radiation dose of children under radiation.

经过30例60张X线片的对照分析可以看出,坐位摄影比仰卧位摄影的胸部X线片在影像质量、诊断信息有明显改善。仰卧位时,膈肌位置升高,回心血量增加,肺充气不足,当处于同一呼气或吸气相时,在卧坐不同体位时膈肌一般相差1个以上肋间,前后卧位摄影的胸部影像肺充气不足,肺血管和支气管显示欠清楚,心脏上抬,呈横位,心影被放大,心胸比例增大,提供的诊断信息量减少。而采用后前坐位拍摄的胸部X线片显示类似于站立位膈肌下移,肺充气足,肺血管和支气管显示清楚,心影呈立位,心胸比例接近正常,坐位胸片为诊断提供了更多的诊断信息接近于站立位胸片。 After comparative analysis of 60 X-ray films in 30 cases, it can be seen that the image quality and diagnostic information of chest X-ray films taken in the sitting position are significantly improved compared with those taken in the supine position. In the supine position, the position of the diaphragm rises, the blood volume returned to the heart increases, and the lungs are insufficiently inflated. When in the same expiratory or inspiratory phase, the diaphragm generally differs by more than one intercostal space when sitting in different positions. Chest photographed in the front and rear positions The lungs are insufficiently inflated, the pulmonary vessels and bronchi are not clearly displayed, the heart is elevated and in a transverse position, the heart shadow is enlarged, the cardiothoracic ratio is increased, and the amount of diagnostic information provided is reduced. However, the chest X-ray film taken in the back-to-front position shows that the diaphragm moves down, the lungs are sufficiently inflated, the pulmonary vessels and bronchi are clearly displayed, the heart shadow is in the upright position, and the cardiothoracic ratio is close to normal. The sitting position chest film provides a more accurate diagnosis. Much diagnostic information is close to that of a standing chest radiograph.

当然,上述说明并非是对本实用新型的限制,本实用新型也并不仅限于上述举例,本技术领域的技术人员在本实用新型的实质范围内所做出的变化、改型、添加或替换,也应属于本实用新型的保护范围。 Of course, the above description is not a limitation of the present utility model, and the present utility model is not limited to the above-mentioned examples, and changes, modifications, additions or replacements made by those skilled in the art within the essential scope of the present utility model are also acceptable. Should belong to the protection scope of the present utility model.

Claims (2)

1. child's radioscopy assistance device; It is characterized in that; Include activity usher to seat breast photograph shelf and combination fixing head two parts, the said activity breast photograph shelf of usheing to seat includes base (1), removable lifting support (2) and the fixing frame (4) that leans on, said removable crane (2) with fix the both sides that are arranged at said base (1) by frame (4) respectively; Said removable crane (2) is provided with IP plate box folder (5); Said IP plate box folder (5) can move up and down and can fix with removable crane (2), and said combination fixing head includes substrate (6), and said substrate (6) is provided with the fixing band (9) that distributes by child's body; In order to fixing child's health; The said fixing duplex slide rail (7) that leans on frame (4) to be provided with above-below direction, said duplex slide rail (7) inboard is provided with bayonet socket (8), in order to place the combination fixing head; Said combination fixing head can be gone up to slide and also can fix at said duplex slide rail (7), and the said fixing bottom of frame (4) of leaning on is provided with folding seat board (3).
2. child's radioscopy assistance device according to claim 1 is characterized in that, is provided with automatic centering means in the said IP plate box folder (5).
CN2012201468941U 2012-04-10 2012-04-10 Infant radio-examination assisting device Expired - Fee Related CN202537526U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103110426A (en) * 2012-12-05 2013-05-22 首都儿科研究所附属儿童医院 Radiography auxiliary device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103110426A (en) * 2012-12-05 2013-05-22 首都儿科研究所附属儿童医院 Radiography auxiliary device

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