CN204045100U - A kind of Sengstaken-Blakemore tube put pipe teaching mode - Google Patents

A kind of Sengstaken-Blakemore tube put pipe teaching mode Download PDF

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Publication number
CN204045100U
CN204045100U CN201420347638.8U CN201420347638U CN204045100U CN 204045100 U CN204045100 U CN 204045100U CN 201420347638 U CN201420347638 U CN 201420347638U CN 204045100 U CN204045100 U CN 204045100U
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China
Prior art keywords
tube
sengstaken
esophagus
simulative
model
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Expired - Fee Related
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CN201420347638.8U
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Chinese (zh)
Inventor
曹小萍
方仕婷
曹蕾
罗艺
袁爱娣
吴晓琴
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Ningbo College of Health Sciences
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Ningbo College of Health Sciences
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Abstract

What the utility model discloses a kind of Sengstaken-Blakemore tube puts pipe teaching mode, comprise head model and upper human trunk model, Mouthsimulator and simulation nasal cavity is provided with in head model, esophagus simulative tube and respiratory tract simulative tube is provided with in upper human trunk model, feature is that the bottom of esophagus simulative tube is provided with simulation stomach, the top of esophagus simulative tube is provided with primary importance sensor, the top of respiratory tract simulative tube is provided with second place sensor, primary importance sensor is connected with the first suggestion device, and second place sensor is connected with the second suggestion device; Advantage be Sengstaken-Blakemore tube through primary importance sensor, the first suggestion device produces and the corresponding cue of insertion esophagus; Sengstaken-Blakemore tube is through second place sensor, second suggestion device produces the cue corresponding with inserting respiratory tract simulative tube, user can know grasp Sengstaken-Blakemore tube put pipe position, so that the pipe of putting carrying out correcting a mistake operate and strengthens the proficiency correctly put pipe and operate.

Description

A kind of Sengstaken-Blakemore tube put pipe teaching mode
Technical field
What the utility model related to a kind of medical stomach built-in pipe puts pipe teaching mode, especially a kind of Sengstaken-Blakemore tube put pipe teaching mode.
Background technology
Sengstaken-Blakemore tube is made up of jointly three lumens, stomach Qi capsule and esophageal balloon, mainly utilize the gasbag pressure of its softness, directly be pressed on hemorrhage cirso-and reach hemostasis object, there is the advantages such as easy and simple to handle, practicality is high, use safety is effective, be mainly used in carrying out emergent hemostasis to the patient of the treatment for esophageal varices bleeding caused by portal hypertension.
Find according to the study, the danger of esophagus fundus ventricularis varication patient's bleeding is 25-33%, and Sengstaken-Blakemore tube hemostasis by compression 1 hour gross hemostasis rate can reach 50%.Therefore, the patient that, curative effect of medication large for amount of bleeding is not good enough, Sengstaken-Blakemore tube hemostasis by compression is the comparatively effective treatment means of one, is one of emergent haemostatic measures of clinical first-selection.
Upper gastrointestinal bleeding is cirrhosis modal severe complication in late period, and majority, caused by oesophagus-Therapy for Gastric Variceal, often shows as spitting blood and melaena, bleeds profusely and can cause shock, and bring out ascites and hepatic encephalopathy, can threat to life as rescued not in time.
Cirrhosis esophageal varices Rupture haemorrhag because of its amount of bleeding large, often cause patient to fear because the heart is afraid or the concurrent hepatic encephalopathy disturbance of consciousness and can not coordinating, what need nurse to assist a physician skillfully to carry out fast and accurately Sengstaken-Blakemore tube puts pipe, treated by Sengstaken-Blakemore tube hemostasis by compression, shock is caused, threat to life to avoid massive blood loss.Therefore, medical personnel grasp putting pipe operation and improving and put pipe proficiency and be very important Sengstaken-Blakemore tube.The pipe teaching mode of putting of current Sengstaken-Blakemore tube generally adopts opaque material to be made, put supervisor learn and exercise time can only the position of expression Sengstaken-Blakemore tube in teaching mode roughly, teaching efficiency is directly perceived not and desirable, to associative operation contents such as bleeding part observation and judgements, student's indigestion and grasp, and cannot carry out water filling or inflation to Sengstaken-Blakemore tube due to structural limitations, thus the hemostasis by compression that can not realize realistic operation does simulated exercises.
Summary of the invention
Technical problem to be solved in the utility model be to provide a kind of teaching efficiency directly perceived, put pipe do simulated exercises can realistic operation Sengstaken-Blakemore tube put pipe teaching mode.
The utility model solves the problems of the technologies described above adopted technical scheme: a kind of Sengstaken-Blakemore tube put pipe teaching mode, comprise upper half of human body model, described upper half of human body model comprises interconnective head model and upper human trunk model, Mouthsimulator and simulation nasal cavity is provided with in described head model, the esophagus simulative tube and respiratory tract simulative tube that are communicated with described Mouthsimulator and described simulation nasal cavity is respectively provided with in described upper human trunk model, the bottom of described esophagus simulative tube is provided with simulation stomach, the top of described esophagus simulative tube is provided with primary importance sensor, the top of described respiratory tract simulative tube is provided with second place sensor, described primary importance sensor is connected with the first suggestion device, described second place sensor is connected with the second suggestion device.
The first described suggestion device is the first sound prompt device, and the second described suggestion device is the second sound prompt device.Prompting effect is comparatively timely, first sound prompt device can be set to send the sound of the n and V that human body sends when simulation Sengstaken-Blakemore tube enters esophagus, second sound prompt device can be set to the sound that sending chokes coughs, thus more fit practical operation time real scene so that put pipe exercise personnel can make corresponding reaction in time when practical operation is slipped up.
Described esophagus simulative tube and described respiratory tract simulative tube are tube of elastic material.Water filling or inflation can be carried out to Sengstaken-Blakemore tube, carry out more realistic operational circumstances when hemostasis by compression does simulated exercises with Sengstaken-Blakemore tube.
Described esophagus simulative tube is disposed with the first narrow of the position of the structural three place's physiological stenosises of the actual esophagus of simulation, the second narrow and the 3rd narrow from top to bottom, the first described narrow, the second described narrow and the 3rd described narrow are clamped with flexible clamping device respectively.Actual esophagus structure has three place's physiological stenosises, the resilient clamping force of relevant position to Sengstaken-Blakemore tube is simulated by the first narrow, the second narrow and the 3rd narrow, what enable student clearly experience Sengstaken-Blakemore tube puts pipe position, improves and puts pipe proficiency.
Described upper human trunk model, described esophagus simulative tube and described simulation stomach are transparent configuration, and the transparency of described upper human trunk model is higher than the transparency of described esophagus simulative tube and described simulation stomach.Make Sengstaken-Blakemore tube put pipe and to the teaching of the identification of bleeding part and exercise more directly perceived, make exercise personnel be familiar with correctly putting the operation of pipe, improve and put pipe proficiency, and can the accurate observation state of an illness.
Described upper human trunk model is covered with dismountable opaque covering layer.Be familiar with correctly putting the operation of pipe exercise personnel after, after covering opaque covering layer, carry out the exercise of simulating actual conditions, to strengthen the proficiency correctly putting pipe operation.
Described upper human trunk model comprises front trunk and the rear torso of detachable connection.Directly can observe esophagus simulative tube and respiratory tract simulative tube after front trunk and rear torso dismounting, conveniently put supervisor and learn and exercise.
Corrugated tube is provided with between described head model and described upper human trunk model.Patient with liver cirrhosis massive haemorrhage often accompanies the disturbance of consciousness, therefore corrugated tube is set between head model and upper human trunk model, the position of put correctly model can be carried out according to action need Curved Corrugated pipe, position corresponding with real mandibular on head model is made to press close to the position corresponding with true manubrium of upper human trunk model, so that student can more real simulating actual conditions practise, thus increases the success ratio of putting pipe operation.
Compared with prior art, the utility model has the advantage of that esophagus simulative tube is provided with primary importance sensor, when Sengstaken-Blakemore tube inserts esophagus simulative tube through primary importance sensor, the position signalling detected is sent to the first suggestion device by primary importance sensor, thus generation inserts the corresponding cue of esophagus with Sengstaken-Blakemore tube; The top of respiratory tract simulative tube is provided with second place sensor, when Sengstaken-Blakemore tube inserts respiratory tract simulative tube through second place sensor, the position signalling detected is sent to the second suggestion device by second place sensor, thus generation inserts the corresponding cue of respiratory tract simulative tube with Sengstaken-Blakemore tube, what when teaching and exercise, user clearly can grasp Sengstaken-Blakemore tube puts pipe position, so that the pipe of putting carrying out correcting a mistake operate and strengthens the proficiency correctly put pipe and operate.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model.
Embodiment
Below in conjunction with accompanying drawing embodiment, the utility model is described in further detail.
A kind of Sengstaken-Blakemore tube put pipe teaching mode, comprise upper half of human body model, upper half of human body model comprises the head model 1 and upper human trunk model 2 that are connected by corrugated tube (figure does not show), Mouthsimulator 11 and simulation nasal cavity 12 is provided with in head model 1, upper human trunk model 2 is covered with dismountable opaque covering layer (figure does not show), upper human trunk model 2 comprises front trunk (figure does not show) and the rear torso (figure does not show) of detachable connection, be provided with respectively with Mouthsimulator 11 and simulate the esophagus simulative tube 21 and respiratory tract simulative tube 22 that nasal cavity 12 is communicated with in upper human trunk model 2, the bottom of esophagus simulative tube 21 is provided with simulation stomach 23, upper human trunk model 2, esophagus simulative tube 21 and simulation stomach 23 are transparent configuration, the transparency of upper human trunk model 2 is higher than esophagus simulative tube 21 and the transparency simulating stomach 23, esophagus simulative tube 21 and respiratory tract simulative tube 22 are tube of elastic material, the top of esophagus simulative tube 21 is provided with primary importance sensor 31, the top of respiratory tract simulative tube 22 is provided with second place sensor 41, primary importance sensor 31 is connected with the first sound prompt device 32, second place sensor 41 is connected with the second sound prompt device 42, esophagus simulative tube 21 is disposed with the first narrow 51 of the position of the structural three place's physiological stenosises of the actual esophagus of simulation from top to bottom, second narrow 52 and the 3rd narrow 53, first narrow 51, second narrow 52 and the 3rd narrow 53 are clamped with flexible clamping device 54 respectively.

Claims (8)

1. a Sengstaken-Blakemore tube put pipe teaching mode, comprise upper half of human body model, described upper half of human body model comprises interconnective head model and upper human trunk model, Mouthsimulator and simulation nasal cavity is provided with in described head model, the esophagus simulative tube and respiratory tract simulative tube that are communicated with described Mouthsimulator and described simulation nasal cavity is respectively provided with in described upper human trunk model, it is characterized in that the bottom of described esophagus simulative tube is provided with simulation stomach, the top of described esophagus simulative tube is provided with primary importance sensor, the top of described respiratory tract simulative tube is provided with second place sensor, described primary importance sensor is connected with the first suggestion device, described second place sensor is connected with the second suggestion device.
2. a kind of Sengstaken-Blakemore tube according to claim 1 put pipe teaching mode, it is characterized in that the first described suggestion device is the first sound prompt device, the second described suggestion device is the second sound prompt device.
3. a kind of Sengstaken-Blakemore tube according to claim 1 put pipe teaching mode, it is characterized in that described esophagus simulative tube and described respiratory tract simulative tube are tube of elastic material.
4. a kind of Sengstaken-Blakemore tube according to claim 3 put pipe teaching mode, it is characterized in that the first narrow of the position described esophagus simulative tube being disposed with the structural three place's physiological stenosises of the actual esophagus of simulation from top to bottom, the second narrow and the 3rd narrow, the first described narrow, the second described narrow and the 3rd described narrow are clamped with flexible clamping device respectively.
5. a kind of Sengstaken-Blakemore tube according to claim 1 put pipe teaching mode, it is characterized in that described upper human trunk model, described esophagus simulative tube and described simulation stomach are transparent configuration, the transparency of described upper human trunk model is higher than the transparency of described esophagus simulative tube and described simulation stomach.
6. a kind of Sengstaken-Blakemore tube according to claim 5 put pipe teaching mode, it is characterized in that described upper human trunk model is covered with dismountable opaque covering layer.
7. a kind of Sengstaken-Blakemore tube according to claim 1 put pipe teaching mode, it is characterized in that described upper human trunk model comprises front trunk and the rear torso of detachable connection.
8. a kind of Sengstaken-Blakemore tube according to claim 1 put pipe teaching mode, it is characterized in that being provided with corrugated tube between described head model and described upper human trunk model.
CN201420347638.8U 2014-06-26 2014-06-26 A kind of Sengstaken-Blakemore tube put pipe teaching mode Expired - Fee Related CN204045100U (en)

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CN201420347638.8U CN204045100U (en) 2014-06-26 2014-06-26 A kind of Sengstaken-Blakemore tube put pipe teaching mode

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106935121A (en) * 2017-05-12 2017-07-07 刘文博 Animal model and animal model component
CN108630049A (en) * 2018-04-28 2018-10-09 苏州敏行医学信息技术有限公司 Set pipe detection module and the tube placing operation virtual emulation equipment with the module
CN110738892A (en) * 2018-07-19 2020-01-31 苏州敏行医学信息技术有限公司 Intelligent training method and system for gastrolavage
CN110738891A (en) * 2018-07-19 2020-01-31 苏州敏行医学信息技术有限公司 Intelligent training method and system for three-cavity two-capsule tube compression hemostasis
CN114913749A (en) * 2022-04-18 2022-08-16 中国人民解放军西部战区总医院 Esophagus and stomach fundus venous bleeding and hemostasis teaching model

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106935121A (en) * 2017-05-12 2017-07-07 刘文博 Animal model and animal model component
CN108630049A (en) * 2018-04-28 2018-10-09 苏州敏行医学信息技术有限公司 Set pipe detection module and the tube placing operation virtual emulation equipment with the module
CN110738892A (en) * 2018-07-19 2020-01-31 苏州敏行医学信息技术有限公司 Intelligent training method and system for gastrolavage
CN110738891A (en) * 2018-07-19 2020-01-31 苏州敏行医学信息技术有限公司 Intelligent training method and system for three-cavity two-capsule tube compression hemostasis
CN114913749A (en) * 2022-04-18 2022-08-16 中国人民解放军西部战区总医院 Esophagus and stomach fundus venous bleeding and hemostasis teaching model

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Granted publication date: 20141224

Termination date: 20160626