A kind of emergency department mercury sphygmomanometer
Technical field
This utility model belongs to technical field of medical instruments, relates to a kind of emergency department mercury sphygmomanometer.
Background technology
Blood pressure is one of important indicator reflecting that whether steady human body vital sign is, is also the basic document of nursery work human assessment patient physical and mental statuse simultaneously.The accuracy of blood pressure values is most important, and its accuracy measured directly affects the treatment of patient and carrying out of nursery work.
Blood pressure measurement is one of the most frequently used clinically technical operation, its accuracy measured directly affects observation to conditions of patients, judgement and process, especially, in change of illness state, fluctuation of blood pressure and rescue process, accuracy and the comparability of blood pressure values is more required.The selection of sphygomanometer has impact to the accuracy recording blood pressure.In order to make the numerical value of blood pressure more accurate, more accurately can reflect the state of an illness, during Measure blood pressure, answering the sphygomanometer that choice for use is simple, quick, accurate, practical.
The method of current emergency department clinical measurement blood pressure presents diversification, except traditional mercury sphygmomanometer, also has electric sphygmomanometer and function ICU monitor sphygomanometer.
(1) electric sphygmomanometer
Electric sphygmomanometer is as a kind of gauge without hydrargyrum, measure not tested person person's audition, vision, audiovisual error, measure the impact of the factors such as custom, measuring method is easily grasped, make patient's teaching display stand Measure blood pressure, contribute to the compliance of drug therapy improving hypertensive patient, be easy to carry simultaneously, enter more family by Zhejiang as a kind of health product.Also there is certain problem in electric sphygmomanometer itself.Because cuff inner sensor is highly sensitive instrument, the situations such as cuff is tied up and sensor placement is improper, body kinematics can cause error, measurement reproducibility is also not as mercury column desk model sphygmomanometer, capacity of resisting disturbance is also poor simultaneously, measuring range is wide not, especially to the examinee that thin weak person, child and blood pressure are more abnormal, numerical value accurately and effectively cannot be recorded, measure numerical value difference even several times larger.It is not suitable for following crowd and uses: the patient of a. obesity; B. the patient of arrhythmia; C. extremely weak, the severe dyspnea of pulse and hypothermia patient; D. the patient of heart-lung machine is connected; E. heart rate is lower than 40 beats/min with higher than the patient of 240 beats/min; F. blood pressure patient jumpy during pressure measurement; G. Parkinson's disease patient.Therefore electric sphygmomanometer is not suitable for the monitoring and evaluation being applied to emergency department's emergency first-aid or emergency and severe disease patients' blood.
(2) function ICU monitor sphygomanometer
Function ICU monitor is widely used in the monitoring of critical diseases, can continue dynamically to carry out many-sided monitoring such as heart rate, breathing, blood pressure, quick, accurate, timing acquisition parameter.Should note when monitor is used for blood pressure monitoring: the cuff 1. selecting different size according to the age of patient, guarantee that patient's type selecting item is correct.If select mistake that measurement numerical value may be caused inaccurate, even do not measure; 2. cuff should be wrapped in 1cm ~ 2cm place on patient's elbow joint after launching.Elasticity refers to be advisable can insert 1 finger or 2; 3. during pressure measurement, patient's arm should keep concordant with heart, advises patient not talk or disorderly move during blood pressure cuff inflation; 4. pernicious wound be infused or be had to pressure measurement arm should not, otherwise can cause blood backflow or wound bleeding; 5. long-term measurement regularly should change the position of pressure measurement, and prevent because bundle pricks cuff tension, pressing times is long, causes local blood circulation obstacle.
In some monitor, the connecting line between cuff and main frame is long, excessively soft, sometimes pressurized or curling, die down after making air pressure transmission intestinal stasis relieving, the simultaneously also vibration in the more acceptant external world and noise jamming, thus cause measurement error comparatively large, even cannot measure data.And the pressure transducer used in monitor (be quasiconductor or capacitive) is all there is the non-linear error of elastic fatigue and high low side based on elastic deformation, and this also can have influence on the stability of measurement.
(3) mercury sphygmomanometer
Mercury sphygmomanometer because it is with accurately famous, the calibration criterion of Chang Zuowei other types sphygomanometer.Office hypertension be exactly according to adopt check and approve mercurial sphygmomanometer measure pressure value be standard.Mercury sphygmomanometer Measure blood pressure is used to be the standard method be most widely used clinically at present, it sends the principle design of sound when being and forming vortex according to blood by narrow vascular canal, is made up of inflating ball, air bag and hydrargyrum pressure gage three part.In blood pressure measurement, the pressure of hydrargyrum pressure gage display is additional pressure, it directly acts on the soft tissue on brachial artery and presses off tremulous pulse, during venting, brachial artery reduces along with pressure and recovers blood flow gradually, and when the pressure in cuff is lower than systolic pressure, namely blood wash the vascularization vortex be blocked open, just the sound of beating can be heard, now the scale of sphygomanometer indication and systolic pressure with stethoscope.Continue slowly venting, when pressure in cuff equals diastole pressure, brachial artery flow recovers unobstructed, and sound of beating disappears, and now the scale of sphygomanometer indication is diastolic pressure.
In emergency department's emergency first-aid process, usually use monitor monitors patients' blood to be worth change, but also usually run into following situation and cause nursery work personnel cannot promptly and accurately obtain patients' blood's value:
(1) when emergency room monitor number deficiency is to meet emergency first-aid 120, emergency and severe disease needs of patients, now need to use mercury sphygmomanometer to measure patients' blood, but due to first aid horizontal cart width narrow (width is about 65-70cm), causes can placing mercury sphygmomanometer without position after patient lies low and measure patients' blood;
(2) Emergency Room patient because of state of an illness situation extremely dysphoria or restless time, monitor cannot accurate measurements blood pressure;
(3) at common observation ward, when patient is because of when the state of an illness needs recumbent position or autumn and winter season patient sick bed upper berth lid thicker cotton-wadded quilt, also lays mercury sphygmomanometer nowhere and measure patients' blood;
Utility model content
In order to overcome defect of the prior art, solve the problems of the technologies described above, this utility model provides a kind of emergency department's mercury sphygmomanometer of easy to use, efficient quick.
Its technical scheme is as follows:
A kind of emergency department mercury sphygmomanometer, comprise panel 1, sphygomanometer placement plate 2, draw-in groove 3, fixture 4, hook 5, common mercury sphygmomanometer, described sphygomanometer places one end that plate 2 is positioned at panel 1, sphygomanometer is placed plate 2 and is provided with draw-in groove 3, draw-in groove 3 inside is provided with fixture 4, and draw-in groove 3 is flexibly connected with fixture 4, and the outside of draw-in groove 3 is provided with hook 5, put common mercury sphygmomanometer into 2, sphygomanometer can be fixed by fixture 4 firmly.
Further preferably, described panel 1 is of a size of long 24cm, wide 8cm.
Further preferably, described draw-in groove 3 is of a size of: the long 9cm in bottom, wide 8cm, high 5cm.
The beneficial effects of the utility model:
1. can be applicable to first aid horizontal cart be measured the instant blood pressure of patient;
2. can be applicable to function ICU monitor when accurately cannot measure extremely irritated or restless patients' blood;
3. can be applicable to common observation ward recumbent position or settle the patient of mercury sphygmomanometer nowhere, during non-invasivetesting, the zero point of sphygomanometer need not be emphasized with heart at same level Measure blood pressure, nursing teaching material emphasizes that the zero point of sphygmomanometer mercury post will be in phase same level with heart very much, and this is difficult to accomplish in daily work in fact.What the air bag of sphygomanometer filled is gas, is not liquid, according to physics theory, in height above sea level 2000 meters, often raises 12 meters, the pressure difference 1mmHg of gas.In addition, the equation of gas state in physics does not consider height yet, so the difference of the height of sphygomanometer position can be ignored.In European Hypertension Guideline in 2007, blood pressure measurement does not emphasize the height of sphygomanometer position, but emphasizes that upper arm cuff and heart will in same levels.Under the prerequisite that upper arm cuff and heart level are consistent, the dead-center position of mercurial sphygmomanometer has no significant effect blood pressure measurement
Accompanying drawing explanation
Fig. 1 is the structural representation of this utility model emergency department mercury sphygmomanometer.
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, the technical solution of the utility model is described in more detail.
With reference to Fig. 1, a kind of emergency department mercury sphygmomanometer, comprise panel 1, sphygomanometer placement plate 2, draw-in groove 3, fixture 4, hook 5, common mercury sphygmomanometer, described sphygomanometer places one end that plate 2 is positioned at panel 1, sphygomanometer is placed plate 2 and is provided with draw-in groove 3, draw-in groove 3 inside is provided with fixture 4, and draw-in groove 3 is flexibly connected with fixture 4, and the outside of draw-in groove 3 is provided with hook 5.Described panel 1 is of a size of long 24cm, wide 8cm.Described draw-in groove 3 is of a size of: the long 9cm in bottom, wide 8cm, high 5cm.The left wall of draw-in groove 3 is about 6.5cm, and high 4cm place is provided with fixture 4, and right wall opens a groove in the place corresponding with left wall, and after common mercury sphygmomanometer puts in, sphygomanometer can be fixed by fixture 4 firmly.
This utility model emergency department mercury sphygmomanometer is in concrete use procedure:
1, according to the state of an illness by patient setup to bed or on flatcar, as far as possible horizontal position;
2, under sphygomanometer panel 1 being placed on patient's upper part of the body, panel 1 is firmly fixed by the gravity by patient self;
3, the fixture 4 in draw-in groove 3 is pulled out, then mercury sphygmomanometer is placed in draw-in groove 3, open sphygomanometer upper cover, fixture 4 is fixed in groove, confirm that sphygomanometer fixes, open the measurement that sphygmomanometer mercury switch carries out blood pressure.
4, after finishing using, open fixture 4, take out sphygomanometer, closing mercury switch, places sphygmomanometer girding, opening and closing sphygomanometer.The sphygomanometer panel of improvement is extracted out gently from patient's body, hangs up properly for subsequent use with hook 5.
The above; be only this utility model preferably detailed description of the invention; protection domain of the present utility model is not limited thereto; anyly be familiar with those skilled in the art in the technical scope that this utility model discloses, the simple change of the technical scheme that can obtain apparently or equivalence are replaced and are all fallen in protection domain of the present utility model.