CN203107450U - Percutaneous puncture war injury early-stage multifunctional first-aid sleeve piece - Google Patents

Percutaneous puncture war injury early-stage multifunctional first-aid sleeve piece Download PDF

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Publication number
CN203107450U
CN203107450U CN 201320006971 CN201320006971U CN203107450U CN 203107450 U CN203107450 U CN 203107450U CN 201320006971 CN201320006971 CN 201320006971 CN 201320006971 U CN201320006971 U CN 201320006971U CN 203107450 U CN203107450 U CN 203107450U
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China
Prior art keywords
external member
percutaneous puncture
sacculus
early stage
functional
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Expired - Fee Related
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CN 201320006971
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Chinese (zh)
Inventor
王强
髙子军
张巧梅
董海龙
熊利泽
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Abstract

The utility model discloses a percutaneous puncture war injury early-stage multifunctional first-aid sleeve piece which is an immediate life-saving device, wherein the immediate life-saving device is convenient to carry, simple to operate and effective. Artificial airways, closed drainage of a pleural cavity and rapid transfusion (blood) antishock can be built in few minutes for wounded personnel and battlefield health personnel, self-rescue and mutual-rescue ability can be strengthened, dead and disable personnel can be reduced, and army rescue capacity and fighting capacity are improved.

Description

The early stage multi-functional first aid external member of percutaneous puncture war wound
Technical field
This utility model belongs to field of medical technology, is specifically related to the multi-functional external member of first aid of percutaneous puncture endotracheal tube, the two sacculus thoracic duction instruments of percutaneous puncture saddle-shape and Vein Tube multifunctional all.
Background technology
Multiple injury refer to same wound because of strike under, human body simultaneously or have the tissue of two or more regions of anatomy or organ to be subjected to severe trauma in succession, even one of them individualism wound also may threat to life.Report is arranged, and multiple injury is 93.0% in the case that wound causes death, and patient's traumatic condition complexity, the change of illness state of severe multiple injuries are fast.According to statistics, because of the dead wounded of wound, 50% dies from the wound scene, and 30% to die from wound early stage, and 20% dies from the wound late complication, thus emphasize to hinder the rescue of back " gold 1h ", and 10min be otherwise known as " platinum 10min " before in this 1h.During this period of time, airway obstruction, hemopneumothorax and hemorrhagic shock are to cause three dead big main causes, if can prevent that patient suffocates, the generation of hemopneumothorax and hemorrhage control, can avoid patient death.
In the middle of the acute injury, the wounded's respiratory tract blocks may make its death by suffocation in a short period of time, so must remove various obstruction reasons against time when rescuing, keeps the unobstructed of respiratory tract.And the common critical illness that needs in the trauma care to set up urgent artificial airway comprises: 1. behind jaw face, the neck injury, and the airway obstruction that blood, blood clot, GUSUIPIAN etc. cause; 2. the airway obstruction that causes of the heavy cranium brain injury person of causing injury degree of depth stupor; 3. during inhalation injury, larynx and air flue myxedema; 4. the pneumorrhagia or the tracheal injury that cause of pulmonary's blast injury.Tracheotomy is to rescue privileged sites wound such as critical multiple trauma patient and bottleneck throat and need set up the requisite means of reliable artificial airway, can thoroughly remove upper respiratory tract obstruction and removing lower respiratory tract secretions.And traditional operation method is because of the higher training technology of needs, and the operating procedure complexity, wound is big, complication is more, apparatus requires highly, and is subjected to the restriction of factors such as place, position restriction and operating time be long, and is unfavorable for on-the-spot emergency care of trauma extensive use.
Open pneumothorax, tension pneumothorax and hemopneumothorax are the common complications behind the thoracic trauma, also are one of early stage main causes of death.In the first aid guide, the aerothorax that the treatment a variety of causes causes, the effective ways of hydrops are the row closed drainage of pleural cavities, and have emphasized the necessity of early stage capable closed drainage of thoracic cavity operation.But, conventional closed drainage of pleural cavity technical operation complexity, time-consuming and be difficult to grasp, and employed thoracic duction instrument volume is big, inconvenience is carried, and these characteristics make conventional closed drainage of pleural cavity method be difficult to be applied to field first aid.
Traumatic shock is in that to reach wartime at ordinary times all common, incidence rate and vulnerant character, damage location, injury energy, action time, the degree of losing blood, patient at ordinary times physiological situation with to hinder the back early time treatment all relevant.The incidence rate of suffering a shock in the multiple injury can be up to more than 50%.Therefore, the early stage treatment of shock seems extremely important, and shock also is the basis of successive treatment.At present, the most important treatment measure of hemorrhagic shock remains transfusion (blood), yet the scalp acupuncture of still using is set up the peripheral vein path now, both easily displacement deviate from and internal diameter droplet speed slow, be difficult to satisfy the antishock needs of multiple emergency care of trauma, how searching sets up quick infusion channel thing must gone.
Equally, natural disaster is brought huge disaster to the mankind.According to the statistics to nineteen eighty-three in 1900, tsunami took place 405 times in the Pacific region altogether, wherein caused reaching 84 times of injures and deaths and remarkable economic loss, namely every year on average once.Since 20th century, earthquake takes place more than 7 grades 121 times in the whole world altogether, injures and deaths 2,604,835 people.Wherein dead above the above earthquake of 500 people 87 times, be total to injures and deaths 2,585,870 people.On December 26th, 2004, reach 9.1-9.3 grades of violent earthquakes of Richter scale by force and attacked Indonesia's Sumatra seashore, dead 22.6 ten thousand people.In Kuomintang-Communist earthquake takes place more than 7 grades 36 times, injures and deaths 781,874 people altogether.Wherein death toll surpasses 100 people's earthquake 16 times, the casualties 781,521 people.The Wenchuan violent earthquake that on May 12nd, 2008 took place, by 12 o'clock on the 11st August, the Sichuan Wenchuan earthquake confirmed that 69225 people are wrecked, 374640 people are injured, missing 17939 people.At present, the elimination natural disaster is seen almost impossible from reality, have very important meaning and reduce dead and wounded rate.When review, when summing up the Wenchuan earthquake first aid, find that China's trauma care level and developed country remain certain gap, not only relevant with relevant first aid knowledge with shortage system treatment program, and with lack instant first-aid equipment easy to carry, simple to operate, effective much relations arranged.
Summary of the invention
The purpose of this utility model provides a kind of percutaneous puncture war wound early stage multi-functional first aid external member, its instant help equipment easy to carry, simple to operate, effective, make the wounded and field sanitation personnel can in several minutes, set up effective artificial airway, closed drainage of pleural cavity and (blood) shock of infusing fast, enhancing is saved oneself and is rescued ability mutually, reduce death and wounded or disabled, improved army's treatment power and fighting capacity.
In order to realize above-mentioned technical assignment, this utility model adopts following technical scheme to be achieved:
The early stage multi-functional first aid external member of a kind of percutaneous puncture war wound, comprise the external member box, the external member box is divided into middle chamber, annular housing and peripheral cavity, and wherein middle chamber is respectively arranged with puncture needle, rubber medical glove, has sterilization brush, disposable sterilized syringe, hospital gauze, aseptic pad pasting, lignocaine, normal saline, medical suture needle and line and the aseptic operation hole towel of disinfectant solution; The periphery cavity is provided with band air bag catheter for tracheostomy, the two sacculus intrathoracic drains of saddle-shape, veins indwelling catheter and medical needle holder; Annular housing is provided with " J " type guiding seal wire and skin expansion conduit; Annular housing is looped around between middle chamber and the peripheral cavity.
This utility model also has following other technologies characteristics:
Described middle chamber edge direction in length and breadth is divided into 6-9 cavity.
The two sacculus intrathoracic drains of described saddle-shape comprise drainage tube, are provided with two air bags at an end of drainage tube, are provided with the air bag entrance below two air bags; The other end of drainage tube links to each other with sacculus by joint; The two poles of the earth up and down at sacculus are respectively arranged with one-way cock.
The below of described pair of air bag is provided with the air bag entrance that the air bag entrance is one-way cock control.
Side at the drainage tube top is provided with side opening, and the size of side opening is 5mm * 8mm.Described pair of balloon-shaped concavity groove, the pressure of two air bags are greater than 5kpa, and the volume of two air bags is 15ml-20ml.
The volume of described sacculus is 200-300ml.
This utility model compared with prior art has following technical characterstic: because the external member group comprises: puncture needle 1, " J " type guiding seal wire 2, skin expansion conduit 3, rubber medical glove 4, the sterilization brush 5 that has disinfectant solution, disposable sterilized syringe 6, medical needle holder 7, hospital gauze 8, aseptic pad pasting 9, lignocaine 10, normal saline 11, band air bag catheter for tracheostomy 12, the two sacculus intrathoracic drains 13 of saddle-shape, veins indwelling catheter 15, medical suture needle and line 16, aseptic operation hole towel 17, the external member group is movably connected in the cavity 19 that external member box 18 cuts apart; Particularly puncture needle 1, " J " type guiding seal wire 2, skin expansion conduit 3, disposable sterilized syringe 6, medical needle holder 7, band air bag catheter for tracheostomy 12, intrathoracic drain 13, veins indwelling catheter 14 are placed in the external member box, can in a few minutes, finish percutaneous puncture trachea tube placing operation, percutaneous thoracic puncture closed drainage and percutaneous puncture Vein Tube art.Thoroughly take leave of the history with scalpel tracheostomize, chest wall and vein.This external member is easy to carry, simple to operate, effective.Being about to percutaneous puncture endotracheal intubation, intrathoracic Tube Drain art, passages through which vital energy circulates tube placing operation, to close three be one, and the definite multiple wound for the treatment of of saying so is convenient to on-the-spot emergency rescue use with multi-functional first aid external member.
Description of drawings
Fig. 1 is the early stage multi-functional first aid external member structural representation of this utility model percutaneous puncture war wound.
Fig. 2 is the structural representation of the two sacculus intrathoracic drains of one of them parts saddle-shape of the present utility model.
1, puncture needle; 2, " J " type guiding seal wire; 3, skin expansion conduit; 4, rubber medical glove; 5, the sterilization brush that has disinfectant solution; 6, disposable sterilized syringe; 7, medical needle holder; 8, hospital gauze; 9, aseptic pad pasting; 10, lignocaine; 11, normal saline; 12, band air bag catheter for tracheostomy; 13, the two sacculus intrathoracic drains of saddle-shape; 14, veins indwelling catheter; 15, medical suture needle and line; 16, aseptic operation hole towel; 17, external member box; 18, annular housing; 19, cavity; 20, middle chamber; 21, peripheral cavity.22, drainage tube; 23, side opening, 24, two air bag, 25, the air bag entrance, 26, joint, 27, sacculus, 28, one-way cock.
The utility model is described in further detail below in conjunction with the drawings and specific embodiments:
The specific embodiment
As shown in Figure 1, the early stage multi-functional first aid external member of percutaneous puncture war wound of the present utility model comprises external member box 17, and wherein external member box 17 is divided into middle chamber 20, annular housing 18 and peripheral cavity 21; Middle chamber 20 divides broken 6 cavitys that are slit in length and breadth.Annular housing 21 is looped around between middle chamber 20 and the peripheral cavity 21." J " type guiding seal wire 2 and skin expansion conduit 3 are placed in the annular housing 18.Band air bag catheter for tracheostomy 12, the two sacculus intrathoracic drains 13 of saddle-shape, veins indwelling catheter 14 and medical needle holder are placed in the peripheral cavity 21.Middle chamber 20 upper left aseptic pad pasting 9, lignocaine 10 and the normal saline 11 of being placed with.Be placed with hospital gauze 8 and medical suture needle and line 15 in middle chamber 20 left sides.Middle chamber 20 lower-lefts are placed with rubber medical glove 4.The middle chamber 20 upper right sterilization brushes 5 that have disinfectant solution that are placed with; Middle chamber is placed with disposable sterilized syringe 6 in 20 right sides; Middle chamber 20 bottom rights are placed with puncture needle 1.Aseptic operation hole towel 16 is placed on and plays cushioning effect on the middle chamber 20 simultaneously.
Middle chamber 20 also can divide brokenly in length and breadth and is slit into 8 or 9 in this utility model.According to designing.The external member that middle chamber 20 is placed is rule on demand.
In this utility model, puncture needle 1: puncture enters central vein, trachea or thoracic cavity, and the guiding seal wire is inserted central vein, trachea or breast chamber by the trocar;
" J " type guiding seal wire 2: special " J " type is damaged tissue not, and the two sacculus intrathoracic drains of guiding veins indwelling catheter, catheter for tracheostomy and saddle-shape are inserted central vein, trachea or breast chamber;
Skin expansion conduit 3: by " J " type guiding seal wire skin expansion and tissue, be conducive to the two sacculus intrathoracic drains of veins indwelling catheter, catheter for tracheostomy and saddle-shape and insert central vein, trachea or breast chamber;
Rubber medical glove 4: sterile working;
The sterilization brush 5 that has disinfectant solution: sterilization site of puncture;
Disposable sterilized syringe 6: be used for the injection site anesthetics, give sleeve bag gas-filling, pumpback blood etc.;
Medical needle holder 7, needlework: sew up wound and A/C;
Hospital gauze 8: adsorb hemorrhage etc.;
Aseptic pad pasting 9: sticking obedient wound;
Lignocaine 10: local anesthesia;
Normal saline 11: flushing veins indwelling catheter, cleaning wound etc.;
Band air bag catheter for tracheostomy 12: insert trachea by " J " type guiding seal wire, keep airway patency and ventilation;
The two sacculus intrathoracic drains 13 of saddle-shape: comprise drainage tube 20, be provided with two air bags 22 at an end of drainage tube 20, below two air bags 22, be provided with air bag entrance 23; The other end of drainage tube 20 links to each other with sacculus 25 by joint 24; The two poles of the earth up and down at sacculus 25 are respectively arranged with one-way cock 26.Wherein the side at drainage tube 1 top is provided with side opening 2.Side opening is apart from drainage tube 1 top 10mm.Drainage tube 1 top is open, drainage tube 1 pipe diameter 7mm, thickness of pipe wall 1mm.The size of side opening is 5mm * 8mm.Two air bags 3 form Baltimore groove, are used for adding press fit inside and outside the chest wall, and play the hemostasis by compression effect.The original state of two air bags 3 is for withering, and expands in the inflation back, and the pressure of two air bags 3 is at least greater than 5kpa, and the volume of two air bags 3 is 15ml-20ml.
The one-way cock 26 of the sealing that arranges respectively of the two poles of the earth up and down of sacculus 26 wherein, its original state is for closing, and during the extruding bulb, the upper one-way valve door is closed, and the bottom one-way cock is open.After sacculus 25 internal pressures disappeared, sacculus 25 restored automatically and expands, and this moment, the one-way cock of top was open, and the one-way cock of below is closed.The volume of sacculus inside is 200-300ml.
The below of two air bags 22 is provided with air bag entrance 23 can directly connect the injector for medical purpose standard interface, and for one-way cock control, extracts syringe air bag entrance 23 and close automatically after injecting control, does not leak gas.
At distance drainage tube 20, the 70mm position is the tail end of drainage tube 20, and the tail end of this drainage tube 20 can connect intraoperative autologous blood transfusion device or extracorporeal circulation blood reservior.
The two sacculus intrathoracic drains 13 of saddle-shape are inserted the thoracic cavity, drain thoracic cavity blood and gas by " J " type guiding seal wire;
Veins indwelling catheter 14: insert central vein by " J " type guiding seal wire, be conducive to transfusion and administration fast;
Medical suture needle and line 15: be used for fixedly veins indwelling catheter;
Aseptic operation hole towel 16: be used for being covered in the site of puncture, implement the sterile working.

Claims (7)

1. the early stage multi-functional first aid external member of percutaneous puncture war wound, comprise external member box (17), it is characterized in that: external member box (17) is divided into middle chamber (20), annular housing (18) and peripheral cavity (21), wherein middle chamber (20) is respectively arranged with puncture needle (1), rubber medical glove (4), the sterilization brush (5) that has disinfectant solution, disposable sterilized syringe (6), hospital gauze (8), aseptic pad pasting (9), lignocaine (10), normal saline (11), medical suture needle and line (15) and aseptic operation hole towel (16); Periphery cavity (21) is provided with band air bag catheter for tracheostomy (12), the two sacculus intrathoracic drains (13) of saddle-shape, veins indwelling catheter (14) and medical needle holder (7); Annular housing (18) is provided with " J " type guiding seal wire (2) and skin expansion conduit (3); Annular housing (21) is looped around between middle chamber (20) and the peripheral cavity (21).
2. the early stage multi-functional first aid external member of percutaneous puncture as claimed in claim 1 war wound is characterized in that: described middle chamber (20) is divided into 6-9 cavity (19) along direction in length and breadth.
3. the early stage multi-functional first aid external member of percutaneous puncture as claimed in claim 1 war wound, it is characterized in that: the two sacculus intrathoracic drains (13) of described saddle-shape comprise drainage tube (22), end at drainage tube (22) is provided with two air bags (24), is provided with air bag entrance (25) in the below of two air bags (24); The other end of drainage tube (22) links to each other with sacculus (27) by joint (26); Be respectively arranged with one-way cock (28) at the two poles of the earth up and down of sacculus (27).
4. the early stage multi-functional first aid external member of percutaneous puncture as claimed in claim 3 war wound, it is characterized in that: the below of described pair of air bag (24) is provided with the air bag entrance that air bag entrance (25) is controlled for one-way cock.
5. the early stage multi-functional first aid external member of percutaneous puncture as claimed in claim 3 war wound, it is characterized in that: the side at drainage tube (22) top is provided with side opening (23), and the size of side opening is 5mm * 8mm.
6. the early stage multi-functional first aid external member of percutaneous puncture as claimed in claim 3 war wound, it is characterized in that: described pair of air bag (24) forms Baltimore groove, and the pressure of two air bags (24) is greater than 5kpa, and the volume of two air bags (24) is 15ml-20ml.
7. the early stage multi-functional first aid external member of percutaneous puncture as claimed in claim 3 war wound, it is characterized in that: the volume of described sacculus (27) is 200-300ml.
CN 201320006971 2013-01-07 2013-01-07 Percutaneous puncture war injury early-stage multifunctional first-aid sleeve piece Expired - Fee Related CN203107450U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 201320006971 CN203107450U (en) 2013-01-07 2013-01-07 Percutaneous puncture war injury early-stage multifunctional first-aid sleeve piece

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Application Number Priority Date Filing Date Title
CN 201320006971 CN203107450U (en) 2013-01-07 2013-01-07 Percutaneous puncture war injury early-stage multifunctional first-aid sleeve piece

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CN203107450U true CN203107450U (en) 2013-08-07

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105963839A (en) * 2016-06-24 2016-09-28 河南曙光健士医疗器械集团股份有限公司 Disposable kit for tracheotomy

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105963839A (en) * 2016-06-24 2016-09-28 河南曙光健士医疗器械集团股份有限公司 Disposable kit for tracheotomy
CN105963839B (en) * 2016-06-24 2019-06-21 河南曙光健士医疗器械集团股份有限公司 Disposable tracheotomy suit packet

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CF01 Termination of patent right due to non-payment of annual fee
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Granted publication date: 20130807

Termination date: 20170107