CN205163387U - Belly infection of incisional wound is split and is merged dressing device that courage leaks - Google Patents

Belly infection of incisional wound is split and is merged dressing device that courage leaks Download PDF

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Publication number
CN205163387U
CN205163387U CN201520872932.5U CN201520872932U CN205163387U CN 205163387 U CN205163387 U CN 205163387U CN 201520872932 U CN201520872932 U CN 201520872932U CN 205163387 U CN205163387 U CN 205163387U
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CN
China
Prior art keywords
sponge
split
syringe pipe
tube
applicator
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Expired - Fee Related
Application number
CN201520872932.5U
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Chinese (zh)
Inventor
杨薛康
陈俏华
李志强
赵辉
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Priority to CN201520872932.5U priority Critical patent/CN205163387U/en
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Publication of CN205163387U publication Critical patent/CN205163387U/en
Expired - Fee Related legal-status Critical Current
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Abstract

The utility model discloses a belly infection of incisional wound is split and is merged dressing device that courage leaks, including attracting pipe, drainage tube, flushing pipe, lavage tube and liquid collection bottle, attract pipe, drainage tube and flushing pipe to be linked together through three way connection, during the play liquid of drainage tube end stretched into liquid collection bottle, liquid collection bottle passed through connecting pipe connection center negative pressure, attract the outer cladding sponge of pipe wall of pipe feed liquor end, and place in and offer a plurality of through -hole on the pipe wall in the sponge, set up a plurality of side opening on the pipe wall of flushing pipe free end, the flushing pipe passes through two -chamber glass articulate lavage tube, still including the pellicle that is used for the sealed surface of a wound. The device has quick closed wound, reduces characteristics such as the surface of a wound, the drainage is good, the healing is fast, the misery is little.

Description

Abdominal incision infects to split and merges the applicator of gallbladder leakage
Technical field
This utility model relates to medical dressing field, and particularly a kind of abdominal incision infects to split and merges the applicator of gallbladder leakage.
Background technology
It is the common a kind of complication of operation on biliary tract that the infection of operative incision is split, and leak if merge gallbladder, treatment of wounds is very difficult.The feature of this wound comprises: 1. sepage is many.Mainly comprise purulent secretion and the bile of infected wound, seepage discharge number according to gallbladder leak and infect the order of severity and different.2. slough is many.Bile has extremely strong zest, the bile chafe leaked outside and subcutaneous tissue, makes wound there is a large amount of sloughs.3. mortality rate is high.The stimulation of bile can increase the weight of tissue edema, and cause stomach wall holostrome to split, abdominal viscera leaks outside, and causes full abdomen to infect, death.
Traditional way is based on Wound during Dressing Change, but because wound exudate is many, slough is many, just likely keep the clean of wound so only have every day through changing dressings repeatedly, be generally 4-10 times/day, this can cause working doctor amount very big, and patient is also very painful.In recent years, also someone advocates and leaks collar extension placing drainage at gallbladder, by abundant for bile drain, but early stage at wound, sinus tract is not yet formed, so cannot find gallbladder leak, is difficult to drain abundant; In wound mid-term, although sinus tract is formed, due to the slough that wound is a large amount of, be also difficult to find gallbladder leak; In the wound later stage, placing drainage after finding gallbladder leak, but still have bile around tube wall and ooze out, be difficult to accomplish thorough drain.So this kind of wound must be changed dressings by long-term, after the collar extension only leaked at gallbladder is closed, wound just has the possibility of healing, and this process is more than 1 year.
Utility model content
The purpose of this utility model is to provide a kind of abdominal incision and infects to split and merge the applicator that gallbladder leaks, the features such as this device has quick closure wound, reduces wound surface, drain is good, healing is fast, misery is little.
For achieving the above object, this utility model adopts following technological means:
Abdominal incision infects to split and merges an applicator for gallbladder leakage, comprises suction catheter, drainage tube, syringe pipe, irrigating tube and liquid-collecting bottle; Suction catheter, drainage tube are connected by three way cock with syringe pipe; The liquid outlet of drainage tube stretches in liquid-collecting bottle, and liquid-collecting bottle connects central negative pressure by connection tube; The tube wall outer cladding sponge of suction catheter liquid feeding end, and be placed on the tube wall in sponge and offer several through holes; The tube wall of syringe pipe free end is offered several side openings, syringe pipe connects irrigating tube by two-chamber glass connector; Also comprise the semipermeable membrane for sealing wound surface.
Described sponge is compounded with sponge layer, is made up of the polyurethane foam sponge layer of centre and the polyvinylalcohol sponge layer of both sides, and one end that suction catheter is provided with side opening is placed in the polyurethane foam sponge layer of sponge.
All containing zinc ion in polyurethane foam sponge layer and polyvinylalcohol sponge layer.
During use, syringe pipe has the part of side opening be placed in kerf bottom, sponge is placed in above syringe pipe, and the side of sponge directly contacts with the lateral margin of otch, seals sponge outside with semipermeable membrane.
The diameter of described irrigating tube is less than the diameter of syringe pipe, and described two-chamber glass connector is made up of with the small end for being connected irrigating tube the large end for connecting syringe pipe.
Described suction catheter is provided with Pressure gauge, and during work, the pressure of applicator is 60-100mmHg.
Side opening diameter on described syringe pipe is 3mm.
Described liquid-collecting bottle is made up of transparent material.
Relatively and prior art, this utility model has the following advantages:
Abdominal incision disclosed in this utility model infects to split and merges the applicator of gallbladder leakage, by three way cock, suction catheter, drainage tube are connected with syringe pipe, syringe pipe is directly contacted with bottom patient incision, and cover sponge up, the side of sponge is directly contacted with the lateral margin of otch, and then utilizes semipermeable membrane wound closure.Be located in suction catheter by sponges cover and provide negative pressure to wound, the vacuum suction of wound surface contributes to the drain of bile and wound secretion, keeps wound surface to clean; Negative pressure can promote revascularization, also contributes to wound granulation organization formation, promotes that gallbladder leaks the closed of collar extension.Adopt syringe pipe to carry out lavation to otch deep, and by the attraction of negative pressure, irrigating solution is sucked in liquid-collecting bottle, by carrying out lavation to wound surface, wound secretion and bile can be diluted on the one hand, being convenient to drain; Also the slough of bulk in wound surface can be gone out on the other hand, avoid the slough blocking foam sponge of bulk, affect vacuum effect.Observed by the irrigating solution collected liquid-collecting bottle, contribute to the situation judging wound surface.Relative to artificial clean wound of the prior art, this device has that structure is simple, quick closure wound, reduce the advantages such as wound surface, drain is good, healing is fast, misery is little.
Further, compounded with sponge layer of the present utility model is " sandwich " shape, internal layer is wide-aperture polyurethane foam sponge, have drain better, not susceptible to plugging feature, both sides are polyvinylalcohol sponge layer, drainage effect is slightly poor compared with the polyurethane foam sponge of internal layer, but more easily promotes new vessels to be formed and granulation tissue regeneration.During use, by the vacuum suction continued, the polyvinylalcohol sponge layer of both sides and operative incision both sides tissue tight are attached, effectively can promote revascularization, and contribute to wound granulation organization formation; The vacuum suction continued makes to attach closely bottom middle polyurethane foam sponge layer and operative incision, contributes to the drain of bile and wound secretion, keeps wound surface to clean, and is conducive to the closed of gallbladder leak.
Further, be all rich in zinc ion in polyurethane foam sponge layer and polyvinylalcohol sponge layer in compounded with sponge layer, can effectively sterilize, not easily drug resistance, and there is the effect promoting tissue repair.Polyurethane foam sponge, compared with traditional polyvinylalcohol sponge, has the advantages that aperture is larger, drain better, not easily blocks, contractility is stronger.In a contracted state, obviously can alleviate otch tension force, reduce wound; Effective absorption otch secretions.
Further, the liquid-collecting bottle of transparent material contributes to the situation of directly observing liquid in liquid-collecting bottle, contributes to the situation understanding wound surface fast.
Further, experiment proves that the pressure in suction catheter is that 60-100mmHg helps lend some impetus to revascularization, also contributes to wound granulation organization formation, promotes that gallbladder leaks the closed of collar extension.
Accompanying drawing explanation
Fig. 1 is the applicator schematic diagram that this utility model abdominal incision infects merging gallbladder leakage of splitting.
In figure, 1. sponge, 2. suction catheter, 3. Pressure gauge, 4. three way cock, 5. drainage tube, 6. liquid-collecting bottle, 8. syringe pipe, 9. two-chamber glass connector, 10. irrigating tube, 11. semipermeable membranes.
Detailed description of the invention
Be described further this utility model below in conjunction with the drawings and specific embodiments, this utility model is not limited to following examples.
As shown in Figure 1, a kind of abdominal incision of this utility model infects to split and merges the applicator of gallbladder leakage, comprises sponge 1, suction catheter 2, Pressure gauge 3, three way cock 4, drainage tube 5, transparent liquid-collecting bottle 6, syringe pipe 8, two-chamber glass connector 9, irrigating tube 10 and semipermeable membrane 11.Wherein, three way cock 4 arranges A, B, C tri-ports, and suction catheter 2, drainage tube 5 and syringe pipe 8 are connected with A, B, C tri-ports of three way cock 4 respectively, realizes being communicated with.One end of syringe pipe 8 is used for lavation, and one end of syringe pipe 8 lavation entrance connects irrigating tube 10 by two-chamber glass connector 9.The diameter of irrigating tube 10 is less than the diameter of syringe pipe 8, and two-chamber glass connector 9 is made up of with the small end for being connected irrigating tube 10 the large end for connecting syringe pipe 8.The other end of syringe pipe 8 is outlet, and for drain, mid portion is the side opening of 3mm with diameter.Suction catheter 2 adopts hard material to make, and one end and three connects 4 and is connected, and the other end is placed in sponge 1, containing multiple side opening.Drainage tube 5 adopts soft material to make, flexible; Liquid-collecting bottle 6 is connected with central negative pressure by connection tube.Pressure gauge 3 is arranged on suction catheter 2, by Pressure gauge adjustable pressure size, maintains pressure at 60-100mmHg.
Wherein, sponge 1 is compounded with sponge layer, and compounded with sponge layer is made up of the polyurethane foam sponge layer of centre and the polyvinylalcohol sponge layer of both sides, and one end that suction catheter 2 is provided with side opening is placed in the polyurethane foam sponge layer of sponge 1,2mm bottom sponge.And all containing zinc ion in polyurethane foam sponge layer and polyvinylalcohol sponge layer, can effectively sterilize, not easily drug resistance, and there is the effect promoting tissue repair.Compared with traditional polyvinylalcohol sponge, compounded with sponge layer has the advantages that drain better, not easily blocks, contractility is stronger.In a contracted state, obviously can alleviate otch tension force, reduce wound; Effective absorption otch secretions; The negative pressure continued can also promote new vessels to be formed and granulation tissue regeneration, the collar extension quick-make that gallbladder is leaked, and promotes wound healing.The color of transparent liquid collecting 6 observable drainage-fluid and turbidity, contribute to judging wound surface situation (with or without hemorrhage, infect whether control, slough increase and decrease etc.).
This utility model also needs semipermeable membrane 11, and this semipermeable membrane 11 can carry out oxygen exchange, but antibacterial cannot pass through, and for wound surface provides good aerobic environment, is conducive to wound healing.
Assembling and the using method of this device are as follows:
During assembling, first syringe pipe 8 lavation end is placed in otch deep, then sponge 1 is cut into suitable size, be placed in syringe pipe 8 top, make it fully fill operative incision; Utilize semipermeable membrane 11 (PU semipermeable membrane) wound closure, then connect an irrigating tube 10 by two-chamber glass connector 9.Suction catheter 2 is connected with B, C port of three way cock 4 respectively with the port of export of syringe pipe 8; Drainage tube 5 one end is held with the A of three way cock 4 and is connected, and the other end stretches in liquid-collecting bottle 6, and liquid-collecting bottle 6 connects central negative pressure by connection tube, keeps the vacuum suction state continued.
During use, lasting vacuum suction makes sponge 1 and wound surface attach closely, and the vacuum suction of wound surface contributes to the drain of bile and wound secretion, keeps wound surface to clean; In addition, negative pressure can promote revascularization, also contributes to wound granulation organization formation, promotes that gallbladder leaks the closed of collar extension.Connected the arrival end of syringe pipe 8 by irrigating tube 10, can instil Irrigation liquid.By carrying out lavation to wound surface, wound secretion and bile can be diluted on the one hand, being convenient to drain; Also the slough of bulk in wound surface can be gone out on the other hand, avoid the slough blocking sponge 1 of bulk, affect vacuum effect.

Claims (8)

1. abdominal incision infects to split and merges the applicator of gallbladder leakage, it is characterized in that: comprise suction catheter (2), drainage tube (5), syringe pipe (8), irrigating tube (10) and liquid-collecting bottle (6); Suction catheter (2), drainage tube (5) are connected by three way cock (4) with syringe pipe (8); The liquid outlet of drainage tube (5) stretches in liquid-collecting bottle (6), and liquid-collecting bottle (6) connects central negative pressure by connection tube; The tube wall outer cladding sponge (1) of suction catheter (2) liquid feeding end, and be placed on the tube wall in sponge (1) and offer several through holes; The tube wall of syringe pipe (8) free end offers several side openings, and syringe pipe (8) connects irrigating tube (10) by two-chamber glass connector (9); Also comprise the semipermeable membrane (11) for sealing wound surface.
2. abdominal incision according to claim 1 infects to split and merges the applicator of gallbladder leakage, it is characterized in that: described sponge (1) is compounded with sponge layer, be made up of the polyurethane foam sponge layer of centre and the polyvinylalcohol sponge layer of both sides, one end that suction catheter (2) is provided with side opening is placed in the polyurethane foam sponge layer of sponge (1).
3. abdominal incision according to claim 2 infects to split and merges the applicator that gallbladder leaks, and it is characterized in that, all containing zinc ion in polyurethane foam sponge layer and polyvinylalcohol sponge layer.
4. abdominal incision according to claim 1 infects to split and merges the applicator of gallbladder leakage, it is characterized in that: during use, syringe pipe (8) there is the part of side opening to be placed in kerf bottom, sponge (1) is placed in syringe pipe (8) top, the side of sponge (1) directly contacts with the lateral margin of otch, seals sponge (1) outside with semipermeable membrane (11).
5. abdominal incision according to claim 1 infects to split and merges the applicator of gallbladder leakage, it is characterized in that, the diameter of described irrigating tube (10) is less than the diameter of syringe pipe (8), and described two-chamber glass connector (9) is made up of with the small end for being connected irrigating tube (10) the large end for connecting syringe pipe (8).
6. abdominal incision according to claim 1 infects to split and merges the applicator of gallbladder leakage, and it is characterized in that: described suction catheter (2) is provided with Pressure gauge (3), during work, the pressure of applicator is 60-100mmHg.
7. abdominal incision according to claim 1 infects to split and merges the applicator of gallbladder leakage, it is characterized in that: the side opening diameter on described syringe pipe (8) is 3mm.
8. abdominal incision according to claim 1 infects to split and merges the applicator of gallbladder leakage, it is characterized in that: described liquid-collecting bottle (6) is made up of transparent material.
CN201520872932.5U 2015-11-03 2015-11-03 Belly infection of incisional wound is split and is merged dressing device that courage leaks Expired - Fee Related CN205163387U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201520872932.5U CN205163387U (en) 2015-11-03 2015-11-03 Belly infection of incisional wound is split and is merged dressing device that courage leaks

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201520872932.5U CN205163387U (en) 2015-11-03 2015-11-03 Belly infection of incisional wound is split and is merged dressing device that courage leaks

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Publication Number Publication Date
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106620905A (en) * 2016-12-23 2017-05-10 新乡医学院第附属医院 Postoperative wound surface auxiliary improving device
CN106989983A (en) * 2017-05-08 2017-07-28 中国人民解放军第二军医大学第二附属医院 The negative pressure drainage device of the convenient convection current of sampling repeatedly dialysis enrichment drainage-fluid

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106620905A (en) * 2016-12-23 2017-05-10 新乡医学院第附属医院 Postoperative wound surface auxiliary improving device
CN106989983A (en) * 2017-05-08 2017-07-28 中国人民解放军第二军医大学第二附属医院 The negative pressure drainage device of the convenient convection current of sampling repeatedly dialysis enrichment drainage-fluid
CN106989983B (en) * 2017-05-08 2023-09-19 中国人民解放军第二军医大学第二附属医院 Negative pressure drainage device convenient for repeatedly sampling convection dialysis enrichment drainage liquid

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20160420

Termination date: 20161103