CN204797937U - Blood vessel level pressure haemostat - Google Patents

Blood vessel level pressure haemostat Download PDF

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CN204797937U
CN204797937U CN201520357848.XU CN201520357848U CN204797937U CN 204797937 U CN204797937 U CN 204797937U CN 201520357848 U CN201520357848 U CN 201520357848U CN 204797937 U CN204797937 U CN 204797937U
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pressure
blood vessel
blood
belt
constant pressure
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蔺吉顺
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Inner Mongolia University for Nationlities
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Inner Mongolia University for Nationlities
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Abstract

本实用新型涉及一种机械装置,具体的是一种医疗器械,即一种血管定压止血器,其特点是:有一个由硬质杆件围成的矩形固定架(1),在一侧杆件中部设有加压带(2),加压带(2)通过气管(3)和充气囊(4)相连,加压带(2)与压力计(5)相连通。使用时,将需要止血的部位穿过固定架(1),再挤压充气囊(4)向加压带(2)充气,并且同时观察压力计(5)的数值,参考事先确定的血液流通底限压力值进行针孔的止血操作。有益效果是:可参考人体的血压值确定血管的止血压力,既能止血,又能避免血管内血液长时间停滞堵塞,防止血栓形成和组织坏死,且结构简单,造价低廉,操作方便,可望成为高压血管针孔止血的普及型用具。

The utility model relates to a mechanical device, in particular to a medical device, that is, a blood vessel constant pressure hemostatic device, which is characterized in that: there is a rectangular fixing frame (1) surrounded by hard rods, on one side A pressurization belt (2) is arranged in the middle of the bar, and the pressurization belt (2) is connected with the air bag (4) through the trachea (3), and the pressurization belt (2) is communicated with the manometer (5). When in use, pass the part to be hemostatic through the fixed frame (1), then squeeze the inflatable bag (4) to inflate the pressure belt (2), and observe the value of the pressure gauge (5) at the same time, refer to the blood flow determined in advance The bottom pressure value is used for the hemostasis operation of the pinhole. The beneficial effects are: the hemostatic pressure of the blood vessel can be determined with reference to the blood pressure value of the human body, which can not only stop bleeding, but also avoid blood stagnation and blockage in the blood vessel for a long time, and prevent thrombosis and tissue necrosis. It has become a popular tool for pinhole hemostasis in high-pressure blood vessels.

Description

血管定压止血器Blood vessel constant pressure hemostat

技术领域 technical field

本实用新型涉及一种机械装置,具体的是一种医疗器械,即一种血管定压止血器。 The utility model relates to a mechanical device, in particular to a medical device, that is, a hemostatic device for constant pressure of blood vessels.

背景技术 Background technique

血液透析(hemodialysis,HD)等需要通过血管穿刺进行抽血或输血的医疗过程,结束以后都需要对血管的针孔进行止血。对于血管内血流压力较小的针孔来说,简单按压片刻就可以止血。而对于血液压力较大血管,止血过程难度较大,需要持续较长的时间,少则几十分钟,多则几小时。在按压过程中,需要根据情况随时调整按压的力度,压力太小不能止血,压力过大,又会造成血液堵塞或形成血栓,甚至造成组织坏死。一旦出现血栓,有时需要进行手术,对血管造成损坏。目前临床采用的止血方式主要有人工按压、沙袋压迫和止血带捆扎等方法。其中,人力按压可以随时调整压力,但难以坚持很长的时间。沙袋止血是通过变换不同重量的沙袋来改变压力,沙袋的重量间隔较大,不能实现无极调压,或重或轻,很难选到合适的沙袋。止血带需要打开调整松紧,力度指标更难把握。因此,在临床实践中,尽管医护人员倍加小心,血管损坏事故仍然时有发生。对于长期透析的患者来说,血管通道非常宝贵,损坏血管相当于减少生存的机会。因此,在有效止血的同时,保证血管的流通,防止血管坏死,是急需解决的难题。 Hemodialysis (hemodialysis, HD) and other medical procedures that require blood drawing or blood transfusion through vascular puncture all need to stop bleeding from the pinhole of the blood vessel after the end. For needle holes with low blood flow pressure in blood vessels, bleeding can be stopped simply by pressing for a moment. For blood vessels with high blood pressure, the hemostasis process is more difficult and needs to last for a longer period of time, ranging from tens of minutes to several hours. During the pressing process, it is necessary to adjust the pressing force at any time according to the situation. If the pressure is too small, the bleeding cannot be stopped, and if the pressure is too high, it will cause blood blockage or thrombus formation, and even cause tissue necrosis. Once a blood clot develops, surgery is sometimes required, causing damage to the blood vessel. At present, the methods of hemostasis clinically adopted mainly include methods such as manual compression, sandbag compression, and tourniquet binding. Among them, manual pressing can adjust the pressure at any time, but it is difficult to persist for a long time. Sandbag hemostasis is to change the pressure by changing sandbags of different weights. The weight interval of sandbags is large, and stepless pressure adjustment cannot be realized. It is heavy or light, and it is difficult to choose a suitable sandbag. The tourniquet needs to be opened to adjust its tightness, and the strength index is more difficult to grasp. Therefore, in clinical practice, despite the care of medical staff, blood vessel damage accidents still occur from time to time. For patients on long-term dialysis, vascular access is invaluable, and damaging a vessel equates to a reduced chance of survival. Therefore, it is an urgent problem to be solved to ensure the circulation of the blood vessels and prevent the necrosis of the blood vessels while effectively stopping the bleeding.

发明内容 Contents of the invention

本实用新型的目的是提供一种既能防止透析针孔出血,又能避免血管堵塞和损坏的血管定压止血器。 The purpose of the utility model is to provide a blood vessel constant pressure hemostat which can not only prevent dialysis pinhole bleeding, but also avoid blood vessel blockage and damage.

上述目的是由以下技术方案实现的:研制一种血管定压止血器,其特点是:有一个由硬质杆件围成的矩形固定架,在一侧杆件中部设有加压带,加压带通过气管和充气囊相连,加压带与压力计相连通。使用时,将需要止血的部位穿过固定架,再挤压充气囊向加压带充气,并且同时观察压力计的数值,参考事先确定的血液流通底限压力值进行针孔的止血操作。 The above-mentioned purpose is achieved by the following technical solutions: develop a blood vessel constant pressure hemostat, which is characterized in that: there is a rectangular fixing frame surrounded by hard rods, a pressure belt is arranged in the middle of one side rod, and The pressure belt is connected with the air bag through the trachea, and the pressure belt is connected with the manometer. When in use, pass the part that needs to be hemostatic through the fixed frame, then squeeze the inflatable bag to inflate the pressure belt, and observe the value of the pressure gauge at the same time, and perform the hemostasis operation of the pinhole with reference to the predetermined blood circulation bottom pressure value.

所述的矩形固定架的硬质杆件包括一个U形架和一条有通孔的夹板,U形架的上口两侧杆件设有螺纹,且与夹板上的通孔相配合,通过定位螺母固定夹板的上限位置。 The rigid bar of the rectangular fixed frame includes a U-shaped frame and a splint with a through hole. The bars on both sides of the upper opening of the U-shaped frame are provided with threads, and are matched with the through holes on the splint. The nut fixes the upper limit position of the splint.

所述加压带的进气管安装在夹板中部。 The air intake pipe of the pressurized belt is installed in the middle of the splint.

所述加压带是透明的球囊。 The compression band is a transparent balloon.

所述U形架下底的杆件装有托板。 The bar at the bottom of the U-shaped frame is equipped with a supporting plate.

所述压力计是汞柱式压力计。 The pressure gauge is a mercury column pressure gauge.

本实用新型的有益效果是:可参考人体的血压值确定血管的止血压力,既能止血,又能避免血管内血液长时间停滞堵塞,防止血栓形成和组织坏死,且结构简单,造价低廉,操作方便,可望成为高压血管针孔止血的普及型用具。 The beneficial effects of the utility model are: the hemostatic pressure of the blood vessel can be determined with reference to the blood pressure value of the human body, which can not only stop bleeding, but also avoid blood stagnation and blockage in the blood vessel for a long time, prevent thrombosis and tissue necrosis, and the structure is simple, the cost is low, and the operation is easy. It is convenient and is expected to become a popular tool for hemostasis due to pinhole hemostasis in high-pressure blood vessels.

附图说明 Description of drawings

图1是一种实施例的主视图; Fig. 1 is the front view of a kind of embodiment;

图2是这种实施例的部件固定架的主视图; Fig. 2 is the front view of the component holder of this embodiment;

图3是这种实施例的部件固定架的左视图; Fig. 3 is the left side view of the component holder of this embodiment;

图4是这种实施例的部件加压带及相关部件的主视图; Figure 4 is a front view of the component press belt and associated components of this embodiment;

图5是这种实施例的使用状态示意图。 Fig. 5 is a schematic diagram of the use state of this embodiment.

图中可见:固定架1,加压带2,气管3,充气囊4,压力计5,U形架6,夹板7,定位螺母8,托板9,开关10,单向阀11。 Visible in the figure: fixed frame 1, pressurization belt 2, trachea 3, inflatable bag 4, manometer 5, U-shaped frame 6, splint 7, positioning nut 8, supporting plate 9, switch 10, one-way valve 11.

具体实施方式 Detailed ways

本实用新型总的构思是提供一种可以按照一定的压力指标进行高压血管针孔止血的器械。下面围绕这一构思介绍一种实施例: The general idea of the utility model is to provide a device that can stop bleeding through pinholes in high-pressure blood vessels according to a certain pressure index. Introduce a kind of embodiment around this design below:

由图1可见,这种血管定压止血器有一个由固定架1、加压带2、气管3、充气囊4、压力计5等部件构成。结合图3可见:固定架1是由硬质杆件围成的U形架6和一条带有通孔的夹板7,U形架6的两端杆件设有螺纹,且与夹板7上的通孔相配合,通过定位螺母8固定夹板7的上限位置。 As can be seen from Fig. 1, this vascular constant-pressure hemostat has a component consisting of a fixed frame 1, a pressurizing belt 2, a trachea 3, an inflatable bag 4, a manometer 5 and the like. It can be seen in conjunction with Fig. 3 that the fixed frame 1 is a U-shaped frame 6 surrounded by hard rods and a splint 7 with a through hole. The through holes match, and the upper limit position of the splint 7 is fixed by the positioning nut 8 .

加压带2的进气管安装在夹板的中部。加压带2的形式有多种,只要是柔性材料制成的密闭中空的囊袋即可。加压带2最好如图4所示:是一个透明的球囊。为了防止压迫人的肢体,增加舒适度,U形架6下底的杆件采用一种比较宽的托板9。 The air intake pipe of the pressurized belt 2 is installed in the middle part of the splint. There are many forms of the pressurizing belt 2, as long as it is an airtight and hollow pouch made of flexible material. The pressure band 2 is preferably as shown in Figure 4: it is a transparent balloon. In order to prevent oppressing people's limbs and increase comfort, the bar at the bottom of the U-shaped frame 6 adopts a wider supporting plate 9.

压力计5可以使用的产品也有多种,最好如图1和图4所示的与人的血压计一样的汞柱式压力计。因为这种压力计能够更方便的参考人的血压值。 There are many kinds of products that the pressure gauge 5 can use, preferably the same mercury column pressure gauge as shown in Figure 1 and Figure 4 . Because this kind of pressure gauge can more conveniently refer to the blood pressure value of a person.

这种器械的止血压力值主要是参考患者的血压值来确定的。因为在血管外部施加的压力大于血管高压值时,血管内的血液不流通。在高压值以下,血管不同程度的流通,直到低压值时完全流通。根据上述规律,在止血时,可以把止血压力设定在适当的范围内,即可控制血液的流通,达到通血并止血的目的。为此,在止血操作前掌握人体的血压值,最好是掌握进行止血时的血压值。 The hemostatic pressure value of this device is mainly determined with reference to the blood pressure value of the patient. Because when the pressure applied outside the blood vessel is greater than the high pressure value of the blood vessel, the blood in the blood vessel does not flow. Below the high pressure value, the blood vessels flow to varying degrees, until the low pressure value is completely open. According to the above rules, when hemostasis, the hemostatic pressure can be set within an appropriate range, so as to control the circulation of blood and achieve the purpose of bleeding and hemostasis. For this reason, the blood pressure value of the human body is known before the hemostasis operation, preferably the blood pressure value at the time of hemostasis.

操作时如图5所示:患者针孔所在的肢体部位穿过固定架1,如果透析针孔是在胳膊上,即可把胳膊穿过框架,在针孔上面覆盖消毒的绵纱,再把加压带2压在绵纱的外面,拧动定位螺母8确定夹板7的位置,再用手挤压充气囊4,向加压带2里面充气加压。开始时,压力可以大一些,应大于血管的高压值,以达到止血的目的,随后缓慢减小压力到高压值以下,低压值以上,但不出血的压力。实践中可以透过透明的加压带2看到微微出血时,再稍微增加压力即可。间隔一段时间,再按上述方法调整一次,间隔的时间段应先短后长,即可避免出血,有保证血管流通,不会损坏血管。 The operation is as shown in Figure 5: the limb where the patient’s pinhole is located passes through the fixed frame 1. If the dialysis pinhole is on the arm, the arm can be passed through the frame, and the needle hole is covered with sterile cotton gauze, and then the The pressure belt 2 is pressed on the outside of the cotton yarn, the positioning nut 8 is screwed to determine the position of the clamping plate 7, and then the air bag 4 is squeezed by hand to inflate and pressurize the pressure belt 2 inside. At the beginning, the pressure can be higher and should be greater than the high pressure value of the blood vessel to achieve the purpose of hemostasis, and then slowly reduce the pressure to below the high pressure value and above the low pressure value, but the pressure without bleeding. In practice, when slight bleeding can be seen through the transparent pressurization belt 2, the pressure can be slightly increased. After a period of time, adjust it again according to the above method. The interval should be short first and then long, so as to avoid bleeding, ensure the circulation of blood vessels, and not damage the blood vessels.

Claims (6)

1.一种血管定压止血器,其特征在于:有一个由硬质杆件围成的矩形固定架(1),在一侧杆件中部设有加压带(2),加压带(2)通过气管(3)和充气囊(4)相连,加压带(2)与压力计(5)相连通。 1. A blood vessel constant pressure hemostat is characterized in that: a rectangular fixed frame (1) surrounded by hard rods is arranged, and a pressure belt (2) is arranged in the middle part of a side rod, and the pressure belt ( 2) It is connected with the air bag (4) through the trachea (3), and the pressurized belt (2) is connected with the manometer (5). 2.根据权利要求1所述的血管定压止血器,其特征在于:所述的矩形固定架(1)的硬质杆件包括一个U形架(6)和一条有通孔的夹板,U形架(6)的上口两侧杆件设有螺纹,且与夹板(7)上的通孔相配合,通过定位螺母(8)固定夹板(7)的上限位置。 2. The blood vessel constant pressure hemostat according to claim 1, characterized in that: the rigid bar of the rectangular fixing frame (1) comprises a U-shaped frame (6) and a splint with through holes, U The rods on both sides of the upper mouth of the frame (6) are provided with threads, and cooperate with the through holes on the clamping plate (7), and fix the upper limit position of the clamping plate (7) by the positioning nut (8). 3.根据权利要求1所述的血管定压止血器,其特征在于:所述加压带(2)的进气管安装在夹板(7)中部。 3. The vascular constant pressure hemostat according to claim 1, characterized in that: the air intake pipe of the pressurized belt (2) is installed in the middle of the splint (7). 4.根据权利要求1所述的血管定压止血器,其特征在于:所述加压带(2)是透明的球囊。 4. The blood vessel constant pressure hemostat according to claim 1, characterized in that: the pressure belt (2) is a transparent balloon. 5.根据权利要求2所述的血管定压止血器,其特征在于:所述U形架(6)下底的杆件装有托板(9)。 5. The blood vessel constant pressure hemostat according to claim 2, characterized in that: the rod at the bottom of the U-shaped frame (6) is equipped with a supporting plate (9). 6.根据权利要求1所述的血管定压止血器,其特征在于:所述压力计(5)是汞柱式压力计。 6. The blood vessel constant pressure hemostat according to claim 1, characterized in that: the pressure gauge (5) is a mercury column pressure gauge.
CN201520357848.XU 2015-05-20 2015-05-20 Blood vessel level pressure haemostat Expired - Fee Related CN204797937U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111728663A (en) * 2020-07-20 2020-10-02 南京森林警察学院 A semi-surrounding compression hemostatic device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111728663A (en) * 2020-07-20 2020-10-02 南京森林警察学院 A semi-surrounding compression hemostatic device

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