CN204563089U - That rinses for venous chambers in a kind of No heparinization HD therapy process injects system - Google Patents

That rinses for venous chambers in a kind of No heparinization HD therapy process injects system Download PDF

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CN204563089U
CN204563089U CN201520179819.9U CN201520179819U CN204563089U CN 204563089 U CN204563089 U CN 204563089U CN 201520179819 U CN201520179819 U CN 201520179819U CN 204563089 U CN204563089 U CN 204563089U
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pot
tube
infusion set
venous
syringe
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方明
李墨奇
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Second Affiliated Hospital of Army Medical University
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Second Affiliated Hospital of TMMU
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Abstract

本实用新型提供一种无肝素透析过程中用于静脉壶冲洗的推注系统,所述推注系统包括一副一次性普通输液器、一支50毫升注射器和一瓶500毫升生理盐水;其中,所述50毫升注射器与所述一次性普通输液器的药物注射件连接,并用所述50毫升注射器抽吸50毫升生理盐水备用;所述一次性普通输液器的瓶塞穿刺端与所述一瓶500毫升生理盐水连接,并利用重力因素让生理盐水充满输液器的滴管和软管;所述一次性普通输液器的滴锥端与静脉壶的补液管连接,待静脉壶补液管上夹闭的管路夹打开时向静脉壶补液管静推生理盐水。本实用新型提供的推注系统,除符合静脉壶冲洗过程中的技术要求外,其操作起来非常方便、简单、容易控制,并且整个推注系统的制作成本也比较低。

The utility model provides a bolus injection system for venous pot flushing in a heparin-free dialysis process, the bolus injection system includes a pair of disposable common infusion sets, a 50 ml syringe and a bottle of 500 ml physiological saline; wherein, The 50 milliliter syringe is connected with the drug injection part of the disposable common infusion set, and 50 milliliters of normal saline is sucked with the 50 milliliter syringe for standby; Connect with 500 ml of normal saline, and use the gravity factor to let the normal saline fill the dropper and hose of the infusion set; the drop cone end of the disposable common infusion set is connected to the rehydration tube of the intravenous pot, and the rehydration tube of the intravenous pot is clamped When the tube clamp of the tube is opened, the physiological saline is statically pushed into the intravenous pot rehydration tube. The bolus injection system provided by the utility model meets the technical requirements in the venous pot flushing process, and is very convenient, simple and easy to operate, and the manufacturing cost of the whole bolus injection system is relatively low.

Description

一种无肝素透析过程中用于静脉壶冲洗的推注系统A push-injection system for venous pot flushing during heparin-free dialysis

技术领域technical field

本实用新型属于血液透析领域,具体涉及一种无肝素透析过程中用于静脉壶冲洗的推注系统。The utility model belongs to the field of hemodialysis, in particular to a push injection system used for venous pot flushing in the heparin-free dialysis process.

背景技术Background technique

在血液透析过程中,因部分病人有活动性出血、处于围手术期等原因不宜使用现有抗凝剂,需采用无抗凝剂透析治疗,以免引起或加重出血倾向,通称无肝素透析。无肝素透析最常见的并发症就是透析器和透析回路管凝血,导致透析无法继续进行,如更换透析器及管路,会加重患者经济上的负担;更为严重的是如果透析回路管完全堵塞(其中以静脉壶最为常见),会导致血液无法回输到患者体内,以至于患者丢失大量血液,增加贫血程度,因此如何预防无肝素透析凝血成为了维持患者体外血液循环的重要环节。In the process of hemodialysis, some patients are not suitable to use the existing anticoagulant due to active bleeding, perioperative period and other reasons, and non-anticoagulant dialysis treatment is needed to avoid causing or aggravating the bleeding tendency, commonly known as heparin-free dialysis. The most common complication of heparin-free dialysis is the coagulation of the dialyzer and the dialysis circuit tube, which makes the dialysis unable to continue, such as replacing the dialyzer and the circuit, which will increase the economic burden of the patient; what is more serious is that if the dialysis circuit tube is completely blocked (Among them, the venous pot is the most common), which will lead to the inability of blood to be returned to the patient, so that the patient loses a large amount of blood and increases the degree of anemia. Therefore, how to prevent heparin-free dialysis coagulation has become an important part of maintaining the patient's extracorporeal blood circulation.

对于高危出血的患者进行无肝素透析时,采用有效的措施是可以预防透析器及管路凝血的,从而保证透析的顺利进行。目前在透析中所采取的护理干预措施主要是生理盐水冲洗,它是一种比较安全的方法,其操作方法有间歇盐水冲洗法、持续盐水输注法以及温热盐水冲洗等。由于这几种方法都是从血泵前小管补入生理盐水以稀释血液和冲洗管壁,因此对动脉壶和透析器的凝血起到很好的预防作用;但是当血液流经透析器之后,就会变得粘稠,即对预防透析器之后管路凝血的效果就会减弱,因而不方便观察静脉壶凝血的情况。For patients with high-risk bleeding who undergo heparin-free dialysis, effective measures can prevent blood coagulation in the dialyzer and tubing, thereby ensuring the smooth progress of dialysis. At present, the nursing intervention measures adopted in dialysis are mainly physiological saline flushing, which is a relatively safe method, and its operation methods include intermittent saline flushing, continuous saline infusion, and warm saline flushing. Since these methods all add physiological saline from the small tube before the blood pump to dilute the blood and flush the tube wall, they have a good preventive effect on the coagulation of the arterial jug and the dialyzer; but when the blood flows through the dialyzer, It will become viscous, that is, the effect of preventing blood coagulation in the tube after the dialyzer will be weakened, so it is inconvenient to observe the blood coagulation of the venous pot.

由于预防静脉壶凝血在整个凝血过程中是至关重要的一环,且静脉壶凝血是无肝素透析提前下机的主要原因,不仅会导致透析时间缩短,而且会丢失大量血液,严重影响病人预后。为了保证无肝素透析的顺利进行,预防及减少静脉壶凝血,目前已出现采用一路生理盐水来对静脉壶进行单独冲洗。但是,本实用新型的发明人研究发现,现有在对静脉壶进行单独冲洗的过程中,还未见有一套专门的系统或装置来对静脉壶冲洗的生理盐水进行静推,因而操作起来很不方便。Since the prevention of coagulation in the venous pot is a crucial part of the whole coagulation process, and the coagulation in the venous pot is the main reason for early discontinuation of heparin-free dialysis, it will not only shorten the dialysis time, but also lose a large amount of blood, seriously affecting the prognosis of patients . In order to ensure the smooth progress of heparin-free dialysis and prevent and reduce blood coagulation in the venous jug, it has been used to flush the venous jug separately with normal saline. However, the inventors of the present utility model have found that in the existing process of separately flushing the venous pot, there is no special system or device to statically push the physiological saline for venous pot flushing, so it is very difficult to operate. inconvenient.

实用新型内容Utility model content

针对现有技术中未见有一套专门的系统或装置来对静脉壶冲洗的生理盐水进行静推,导致操作起来很不方便的技术问题,本实用新型提供一种无肝素透析过程中用于静脉壶冲洗的推注系统,该推注系统在符合静脉壶冲洗过程中的技术要求外,其操作起来非常方便、简单、容易控制,并且整个推注系统的制作成本也比较低。Aiming at the technical problem that there is no special system or device in the prior art to statically push the physiological saline for venous pot flushing, resulting in inconvenient operation, the utility model provides a heparin-free dialysis process for venous The bolus injection system for jug flushing, the bolus injection system meets the technical requirements in the venous jug flushing process, it is very convenient, simple and easy to operate, and the manufacturing cost of the whole bolus injection system is relatively low.

为了实现上述目的,本实用新型采用如下技术方案:In order to achieve the above object, the utility model adopts the following technical solutions:

一种无肝素透析过程中用于静脉壶冲洗的推注系统,所述推注系统包括一副一次性普通输液器、一支50毫升注射器和一瓶500毫升生理盐水;其中,A bolus injection system for venous pot flushing in a heparin-free dialysis process, the bolus injection system includes a pair of disposable common infusion sets, a 50 ml syringe and a bottle of 500 ml normal saline; wherein,

所述50毫升注射器与所述一次性普通输液器的药物注射件连接,并用所述50毫升注射器抽吸50毫升生理盐水备用;The 50 milliliter syringe is connected to the drug injection part of the disposable common infusion set, and the 50 milliliter syringe is used to suck 50 milliliters of normal saline for standby;

所述一次性普通输液器的瓶塞穿刺端与所述一瓶500毫升生理盐水连接,并利用重力因素让生理盐水充满输液器的滴管和软管;The bottle stopper puncture end of described disposable common infusion set is connected with described a bottle of 500 milliliters of normal saline, and utilizes gravity factor to allow the dropper and flexible pipe of normal saline to be filled with infusion set;

所述一次性普通输液器的滴锥端与静脉壶的补液管连接,待静脉壶补液管上夹闭的管路夹打开时向静脉壶补液管静推生理盐水。The dripping cone end of the disposable common infusion set is connected with the rehydration tube of the venous pot, and when the clamp on the rehydration tube of the venous pot is opened, physiological saline is statically pushed to the rehydration tube of the venous pot.

本实用新型提供的无肝素透析过程中用于静脉壶冲洗的推注系统,是一个密闭的操作环境,整个操作过程避免了传统方法中静脉壶侧管反复暴露在空气中的弊端,使得从静脉壶静推生理盐水此项操作更加符合无菌技术的要求;该推注系统中的50毫升注射器和静脉壶之间有一段软管和一个滴管,可以起到缓冲和泄压作用,不会使静脉壶受到的压力出现瞬间大幅度波动,增强了操作的安全性,也使操作变得方便、简单和容易控制;同时,该推注系统采用的部件都来自科室内常见的耗材,制作简单,价格便宜。The push injection system used for venous jug flushing in the heparin-free dialysis process provided by the utility model is a closed operating environment. The whole operation process avoids the drawbacks of the traditional method in which the side tube of the venous jug is repeatedly exposed to the air, so that the blood from the venous The operation of static injection of physiological saline in the jug is more in line with the requirements of aseptic technology; there is a section of hose and a dropper between the 50ml syringe and the intravenous jug in the injection system, which can play a buffer and pressure relief role, and will not The pressure on the intravenous pot fluctuates greatly instantaneously, which enhances the safety of the operation and makes the operation convenient, simple and easy to control; at the same time, the components used in the injection system are all from the common consumables in the department, and the production is simple ,cheap price.

进一步,所述一次性普通输液器的瓶塞穿刺端与输液器滴管之间的软管上设有软管夹。Further, a hose clip is provided on the hose between the bottle stopper puncture end of the disposable common infusion set and the dropper of the infusion set.

进一步,所述输液器采用山东威高集团医用高分子制品股份有限公司生产的一次性使用输液器。Further, the infusion set is a disposable infusion set produced by Shandong Weigao Group Medical Polymer Products Co., Ltd.

进一步,所述注射器采用山东威高集团医用高分子制品股份有限公司生产的50毫升注液器。Further, the syringe is a 50ml injector produced by Shandong Weigao Group Medical Polymer Products Co., Ltd.

附图说明Description of drawings

图1是本实用新型提供的无肝素透析过程中用于静脉壶冲洗的推注系统结构示意图。Fig. 1 is a schematic structural diagram of a push injection system used for venous pot flushing in the heparin-free dialysis process provided by the present invention.

图中,1、一副一次性普通输液器;11、药物注射件;12、瓶塞穿刺端;13、滴管;14、软管;15、滴锥端;16、软管夹;2、一支50毫升注射器;3、一瓶500毫升生理盐水;4、静脉壶;41、补液管;5、管路夹。In the figure, 1, a pair of disposable common infusion set; 11, drug injection parts; 12, bottle stopper puncture end; 13, dropper; 14, hose; 15, drop cone end; 16, hose clamp; 2, A 50ml syringe; 3. A bottle of 500ml normal saline; 4. An intravenous pot; 41. A fluid rehydration tube; 5. A tube clamp.

具体实施方式Detailed ways

为了使本实用新型实现的技术手段、创作特征、达成目的与功效易于明白了解,下面结合具体图示,进一步阐述本实用新型。In order to make the technical means, creative features, goals and effects achieved by the utility model easy to understand, the utility model will be further elaborated below in conjunction with specific illustrations.

请参考图1所示,本实用新型提供一种无肝素透析过程中用于静脉壶冲洗的推注系统,所述推注系统包括一副一次性普通输液器1、一支50毫升注射器2和一瓶500毫升生理盐水3;其中,Please refer to Fig. 1, the utility model provides a bolus injection system used for venous pot flushing in a heparin-free dialysis process, the bolus injection system includes a pair of disposable ordinary infusion set 1, a 50 ml syringe 2 and A bottle of 500ml normal saline 3; of which,

所述50毫升注射器2与所述一次性普通输液器1的药物注射件11连接,并用所述50毫升注射器2抽吸50毫升生理盐水备用;The 50 milliliter syringe 2 is connected to the drug injection part 11 of the disposable common infusion set 1, and the 50 milliliter syringe 2 is used to suck 50 milliliters of normal saline for standby;

所述一次性普通输液器1的瓶塞穿刺端12与所述一瓶500毫升生理盐水3连接,并利用重力因素让生理盐水充满输液器的滴管13和软管14;The bottle stopper puncture end 12 of described disposable common infusion set 1 is connected with described one bottle of 500 milliliters of normal saline 3, and utilizes gravity factor to allow the dropper 13 and flexible pipe 14 of the infusion set to be filled with normal saline;

所述一次性普通输液器1的滴锥端15与静脉壶4的补液管41连接,待静脉壶补液管41上夹闭的管路夹5打开时向静脉壶补液管静推生理盐水。The dripping cone end 15 of the disposable common infusion set 1 is connected to the rehydration tube 41 of the venous pot 4, and when the clamp 5 clamped on the rehydration tube 41 of the venous pot is opened, physiological saline is statically pushed to the rehydration tube of the venous pot.

本实用新型提供的无肝素透析过程中用于静脉壶冲洗的推注系统,是一个密闭的操作环境,整个操作过程避免了传统方法中静脉壶侧管反复暴露在空气中的弊端,使得从静脉壶静推生理盐水此项操作更加符合无菌技术的要求;该推注系统中的50毫升注射器和静脉壶之间有一段软管和一个滴管,可以起到缓冲和泄压作用,不会使静脉壶受到的压力出现瞬间大幅度波动,增强了操作的安全性,也使操作变得方便、简单和容易控制;同时,该推注系统采用的部件都来自科室内常见的耗材,制作简单,价格便宜。The push injection system used for venous jug flushing in the heparin-free dialysis process provided by the utility model is a closed operating environment. The whole operation process avoids the drawbacks of the traditional method in which the side tube of the venous jug is repeatedly exposed to the air, so that the blood from the venous The operation of static injection of physiological saline in the jug is more in line with the requirements of aseptic technology; there is a section of hose and a dropper between the 50ml syringe and the intravenous jug in the injection system, which can play a buffer and pressure relief role, and will not The pressure on the intravenous pot fluctuates greatly instantaneously, which enhances the safety of the operation and makes the operation convenient, simple and easy to control; at the same time, the components used in the injection system are all from common consumables in the department, and the production is simple ,cheap price.

作为具体实施例,请参考图1所示,所述一次性普通输液器1的瓶塞穿刺端12与输液器滴管13之间的软管上设有软管夹16。具体地,为了让所述注射器2抽吸的50毫升生理盐水静推入静脉壶补液管41,需要对所述输液器滴管13上端的软管即所述一次性普通输液器的瓶塞穿刺端12与输液器滴管13之间的软管进行截流控制,一方面可以直接将所述输液器滴管上端的软管进行反折,另一方面可以采用本实施例提供的方式,在所述一次性普通输液器的瓶塞穿刺端12与输液器滴管13之间的软管上设置软管夹16;当等到对无肝素透析病人定时使用生理盐水冲洗管路时,即由血泵前补入的生理盐水稀释到静脉壶时,通过所述软管夹16来夹闭所述一次性普通输液器的瓶塞穿刺端12与输液器滴管13之间的软管,从而可以方便所述注射器2抽吸的50毫升生理盐水静推入静脉壶补液管41中。As a specific example, please refer to FIG. 1 , a hose clip 16 is provided on the hose between the stopper piercing end 12 of the disposable common infusion set 1 and the dropper 13 of the infusion set. Specifically, in order to statically push the 50 milliliters of normal saline sucked by the syringe 2 into the intravenous pot rehydration tube 41, it is necessary to puncture the flexible tube at the upper end of the dropper 13 of the infusion set, that is, the bottle stopper of the disposable common infusion set. The hose between the end 12 and the dropper of the infusion set 13 is controlled to cut off. On the one hand, the hose at the upper end of the dropper of the infusion set can be directly folded back; on the other hand, the method provided in this embodiment can be used. A hose clip 16 is arranged on the flexible pipe between the bottle stopper puncture end 12 of the disposable common infusion set and the infusion set dropper 13; When the physiological saline added before is diluted to the venous pot, the flexible pipe between the bottle stopper puncture end 12 and the infusion set dropper 13 of the disposable common infusion set is clamped by the hose clamp 16, so that it can be conveniently The 50 milliliters of physiological saline sucked by the syringe 2 is statically pushed into the intravenous pot rehydration tube 41 .

作为具体实施例,所述输液器采用所述输液器采用山东威高集团医用高分子制品股份有限公司生产的一次性使用输液器,由此可以使50毫升注射器与输液器的药物注射件的连接相吻合。As a specific embodiment, the infusion set adopts the disposable infusion set produced by Shandong Weigao Group Medical Polymer Products Co., Ltd., so that the connection of the 50 ml syringe and the drug injection part of the infusion set can be made match.

作为具体实施例,所述注射器采用山东威高集团医用高分子制品股份有限公司生产的50毫升注液器,由此可以精确推注50毫升生理盐水。As a specific example, the syringe uses a 50 ml injector produced by Shandong Weigao Group Medical Polymer Products Co., Ltd., so that 50 ml of normal saline can be injected accurately.

为了使本领域的技术人员更加容易理解本实用新型提供的推注系统,以下将对该推注系统的操作方法进行详细说明。In order to make it easier for those skilled in the art to understand the bolus injection system provided by the present invention, the operation method of the bolus injection system will be described in detail below.

由于此操作系统主要用于透析过程中静脉壶的冲洗,因此首先需要连接该自制管路,具体为:将所述50毫升注射器与所述一次性普通输液器的药物注射件连接,并用所述50毫升注射器抽吸50毫升生理盐水备用;将所述一次性普通输液器的瓶塞穿刺端与所述一瓶500毫升生理盐水连接,并利用重力因素让生理盐水充满输液器的滴管和软管,以此排除输液器滴管和软管内的空气;并将所述一次性普通输液器的滴锥端与静脉壶的补液管连接,并夹闭静脉壶补液管上的管路夹;至此,本实用新型提供的推注系统已连接完成。Since this operating system is mainly used for the flushing of the venous pot in the dialysis process, it is first necessary to connect the self-made pipeline, specifically: connect the 50 ml syringe with the drug injection part of the disposable common infusion set, and use the 50 milliliters of syringe suction 50 milliliters of normal saline is standby; The bottle stopper puncture end of described disposable common transfusion set is connected with described bottle of 500 milliliters of normal saline, and utilize the gravitational factor to allow normal saline to be full of the dropper and soft water of transfusion set. tube, so as to get rid of the air in the dropper and flexible pipe of the infusion set; and connect the drop cone end of the disposable common infusion set to the rehydration tube of the venous pot, and clamp the clamp on the rehydration tube of the venous pot; So far, the injection system provided by the utility model has been connected.

等到对无肝素透析病人定时使用生理盐水冲洗管路时,即由血泵前补入的生理盐水稀释到静脉壶时,通过反折滴管上端的软管或通过所述软管夹来夹闭滴管上端的软管,然后打开静脉壶补液管的管路夹,再将准备好的50毫升生理盐水缓慢推入到静脉壶的补液管中,推注的速度控制在100毫升/分钟左右,其推注的速度主要依靠操作者依据操作经验、观察注射器的刻度和秒表来达到,由此可以防止推注过快,将已经粘附在管壁上的小血块冲到静脉壶的滤网上,造成堵塞。When the non-heparin dialysis patients are regularly flushed with normal saline, that is, when the normal saline added before the blood pump is diluted to the venous pot, the hose at the upper end of the dropper is folded back or clamped by the hose clamp The hose at the upper end of the dropper, and then open the clamp of the intravenous pot rehydration tube, and then slowly push the prepared 50 ml of normal saline into the intravenous pot rehydration tube, and the injection speed is controlled at about 100 ml/min. The speed of the bolus is mainly achieved by the operator based on the operating experience, observing the scale of the syringe and the stopwatch, so as to prevent the bolus from being too fast, and flush the small blood clots that have adhered to the tube wall to the filter screen of the venous pot. cause blockage.

在本实用新型提供的推注系统进行推注的方法中,冲洗静脉壶的生理盐水推入的时机是在血泵前小管补入的生理盐水稀释到静脉壶时,此推注方法充分利用护理工作人员在等待观察静脉壶凝血情况时的空余时间来进行操作的,并没有增加护理工作量,反而使护理工作人员的观察结果更加清晰和有效。In the bolus injection method provided by the bolus injection system provided by the utility model, the timing of pushing in the physiological saline for flushing the venous pot is when the normal saline replenished in the small tube before the blood pump is diluted to the venous pot. This bolus injection method makes full use of the nursing When the staff is waiting to observe the blood coagulation situation of the venous pot to operate in the spare time, it does not increase the nursing workload, but makes the observation results of the nursing staff clearer and more effective.

以上仅为本实用新型的实施方式,并非因此限制本实用新型的专利范围,凡是利用本实用新型说明书及附图内容所作的等效结构,直接或间接运用在其他相关的技术领域,均同理在本实用新型的专利保护范围之内。The above are only embodiments of the present utility model, and are not intended to limit the scope of patents of the present utility model. All equivalent structures made using the description of the utility model and the contents of the accompanying drawings are directly or indirectly used in other related technical fields, all in the same way Within the scope of patent protection of the utility model.

Claims (2)

1. A push injection system for flushing a venous pot in a heparin-free dialysis process is characterized by comprising a disposable common infusion set, a 50 ml syringe and a 500 ml bottle of normal saline; wherein,
the 50 ml syringe is connected with the medicine injection piece of the disposable common infusion apparatus, and the 50 ml syringe is used for sucking 50 ml of normal saline for standby;
the puncture end of the bottle stopper of the disposable common infusion apparatus is connected with the 500 ml physiological saline in the bottle, and the dropper and the hose of the infusion apparatus are filled with the physiological saline by utilizing the gravity factor;
the dropping cone end of the disposable common infusion apparatus is connected with the fluid infusion tube of the venous pot, and when the pipeline clamp clamped on the fluid infusion tube of the venous pot is opened, physiological saline is pushed to the fluid infusion tube of the venous pot statically.
2. The bolus system for venous pot flushing in a hepareless dialysis process of claim 1, wherein a hose clamp is provided on the hose between the stopper piercing end of the disposable common infusion set and the dropper of the infusion set.
CN201520179819.9U 2015-03-27 2015-03-27 That rinses for venous chambers in a kind of No heparinization HD therapy process injects system Expired - Fee Related CN204563089U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111617333A (en) * 2020-06-05 2020-09-04 李霞 A device for treating blood coagulation in venous jug in hemodialysis

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111617333A (en) * 2020-06-05 2020-09-04 李霞 A device for treating blood coagulation in venous jug in hemodialysis

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