CN206102890U - Use auxiliary device through periphery center vein catheterization semireclining position puncture - Google Patents
Use auxiliary device through periphery center vein catheterization semireclining position puncture Download PDFInfo
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- CN206102890U CN206102890U CN201620485796.9U CN201620485796U CN206102890U CN 206102890 U CN206102890 U CN 206102890U CN 201620485796 U CN201620485796 U CN 201620485796U CN 206102890 U CN206102890 U CN 206102890U
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- support plate
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- 210000003462 vein Anatomy 0.000 title description 5
- 230000002093 peripheral effect Effects 0.000 claims abstract description 13
- 206010010071 Coma Diseases 0.000 abstract description 3
- 208000001431 Psychomotor Agitation Diseases 0.000 abstract description 3
- 206010038743 Restlessness Diseases 0.000 abstract description 3
- 210000004204 blood vessel Anatomy 0.000 abstract description 3
- 238000000034 method Methods 0.000 description 2
- 210000001364 upper extremity Anatomy 0.000 description 2
- 208000019901 Anxiety disease Diseases 0.000 description 1
- 208000028399 Critical Illness Diseases 0.000 description 1
- 206010019280 Heart failures Diseases 0.000 description 1
- 230000036506 anxiety Effects 0.000 description 1
- 208000006673 asthma Diseases 0.000 description 1
- 238000002512 chemotherapy Methods 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 210000004731 jugular vein Anatomy 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000005399 mechanical ventilation Methods 0.000 description 1
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Abstract
本实用新型是一种经外周中心静脉置管半卧位穿刺用辅助装置,包括设在病床侧部且与病床垂直设置的支撑板,在支撑板的前部两侧分别铰接有可向支撑板背面翻转的辅助延宽板,在支撑板的前部上表面上设有手臂固定件。本实用新型通过在病床一侧设有支撑板,患者半卧位时可将手臂很轻松的放置在支撑板上,手握住把手,如有昏迷或者躁动等不能配合者可将手臂通过约束带固定在支撑板上,通过调节支撑板的角度,暴露要穿刺的血管,支撑板两侧的辅助延宽板可以加宽支撑板的宽度,方便操作者操作时放置手臂,便于穿刺,从而提高了穿刺成功率,减轻了患者的不适。
The utility model is an auxiliary device for puncturing in a semi-recumbent position via peripheral central venous catheterization, which includes a support plate arranged at the side of the hospital bed and perpendicular to the bed, and hinged on both sides of the front of the support plate. The auxiliary widening board which is turned over on the back is provided with an arm fixing piece on the front upper surface of the support board. The utility model is equipped with a support plate on one side of the hospital bed, and the patient can easily place the arm on the support plate when the patient is in a semi-recumbent position, and hold the handle with the hand. If there is a coma or restlessness, the patient can pass the arm through the restraint belt. It is fixed on the support plate, and by adjusting the angle of the support plate, the blood vessel to be punctured is exposed. The auxiliary widening plates on both sides of the support plate can widen the width of the support plate, which is convenient for the operator to place the arm and facilitate puncture, thereby improving the The success rate of puncture reduces the discomfort of patients.
Description
技术领域technical field
本实用新型涉及一种医疗器材,特别是一种经外周中心静脉置管半卧位穿刺用辅助装置。The utility model relates to a medical device, in particular to an auxiliary device for puncturing in a semi-recumbent position via peripheral central vein catheterization.
背景技术Background technique
PICC是指经外周中心静脉置管,其操作简单、并发症少,留置时间长,为患者提供了一种长期化疗的安全、可靠、易于护理的深静脉置管途径,在临床广泛开展应用。常规采取平卧位上肢与躯干呈垂直的角度进行置管,研究表明,半卧位置管可以预防导管异位,置管时将床头抬高45度,肩部高于心房平面,且血流增加,PICC管依靠重力作用增加向下行进的几率,避免异位至颈内静脉,而且,半卧位适用于心衰、气喘、使用呼吸机机械通气等危重患者,不能平卧时的置管体位,患者更容易配合,由于置管时间较长,半卧位可以降低患者的焦虑情绪,减少患者不适。因此,临床上PICC置管时采取半卧位是有效可行的。PICC refers to peripheral central venous catheterization, which is simple to operate, has few complications, and has a long indwelling time. It provides patients with a safe, reliable, and easy-to-care deep venous catheterization method for long-term chemotherapy, and is widely used in clinical practice. Routinely, the upper limbs in the supine position and the trunk are placed at a perpendicular angle. Studies have shown that the semi-recumbent position can prevent the catheter from being misplaced. Increase, the PICC tube relies on gravity to increase the probability of downward travel, avoiding misplacement to the internal jugular vein, and the semi-recumbent position is suitable for critically ill patients such as heart failure, asthma, and ventilator mechanical ventilation. The position makes it easier for the patient to cooperate, and the semi-recumbent position can reduce the anxiety and discomfort of the patient due to the long time of catheterization. Therefore, it is effective and feasible to adopt the semi-recumbent position during PICC catheterization clinically.
但是现有的半卧位置管存在以下问题:But there are following problems in existing semi-lying position pipe:
1、由于置管时间较长,患者半卧位上肢抬高时间长,患者不能耐受。1. Due to the long time of catheterization and the long time of raising the upper limbs in the semi-recumbent position, the patient cannot tolerate it.
2、常规穿刺的静脉位于手臂内侧,半卧位时患者不能很好的暴露穿刺血管。2. The conventionally punctured vein is located on the inner side of the arm, and the patient cannot expose the punctured vessel well in the semi-recumbent position.
3、不便于置管者操作。3. It is not convenient for the tuber to operate.
发明内容Contents of the invention
本实用新型所要解决的技术问题是针对现有技术的不足,提供一种结构合理、使用方便、帮助护士进行穿刺操作的经外周中心静脉置管半卧位穿刺用辅助装置。The technical problem to be solved by the utility model is to provide an auxiliary device for puncturing in a semi-recumbent position through peripheral central venous catheterization, which is reasonable in structure, easy to use, and helps nurses to perform puncture operations.
实用新型所要解决的技术问题是通过以下的技术方案来实现,本实用新型是一种经外周中心静脉置管半卧位穿刺用辅助装置,其特点是:包括设在病床侧部且与病床垂直设置的支撑板,在支撑板的前部两侧分别铰接有可向支撑板背面翻转的辅助延宽板,在支撑板的前部上表面上设有手臂固定件。The technical problem to be solved by the utility model is achieved through the following technical solutions. The utility model is an auxiliary device for puncturing in the semi-recumbent position through peripheral central venous catheterization. The supporting board is provided with auxiliary widening boards hinged on both sides of the front part of the supporting board, which can be turned over to the back of the supporting board, and an arm fixing part is arranged on the upper surface of the front part of the supporting board.
本实用新型所要解决的技术问题还可以通过以下的技术方案来进一步实现,所述经外周中心静脉置管半卧位穿刺用辅助装置中,所述支撑板通过一根螺杆固定在病床上。The technical problem to be solved by the utility model can be further realized by the following technical scheme, in the auxiliary device for puncturing with a semi-recumbent central venous catheter, the support plate is fixed on the hospital bed by a screw.
本实用新型所要解决的技术问题还可以通过以下的技术方案来进一步实现,所述经外周中心静脉置管半卧位穿刺用辅助装置中,所述辅助延宽板通过蝴蝶铰链与支撑板相连。The technical problem to be solved by the utility model can be further realized by the following technical scheme, in the auxiliary device for puncturing with a semi-recumbent catheter inserted through the peripheral central vein, the auxiliary widening plate is connected with the support plate through a butterfly hinge.
本实用新型所要解决的技术问题还可以通过以下的技术方案来进一步实现,所述经外周中心静脉置管半卧位穿刺用辅助装置中,所述辅助延宽板的长度为支撑板长度的1/3-1/2。The technical problem to be solved by the utility model can also be further realized by the following technical scheme, in the auxiliary device for puncturing in the semi-recumbent position through the peripheral central venous catheter, the length of the auxiliary widening plate is 1 of the length of the supporting plate /3-1/2.
本实用新型所要解决的技术问题还可以通过以下的技术方案来进一步实现,所述经外周中心静脉置管半卧位穿刺用辅助装置中,所述手臂固定件为手握把手。The technical problem to be solved by the utility model can be further realized by the following technical scheme, in the auxiliary device for puncturing with a semi-recumbent catheter inserted through the peripheral central vein, the arm fixing part is a hand grip.
本实用新型所要解决的技术问题还可以通过以下的技术方案来进一步实现,所述经外周中心静脉置管半卧位穿刺用辅助装置中,所述手臂固定件为约束带。The technical problem to be solved by the utility model can be further realized by the following technical scheme, in the auxiliary device for puncturing in the semi-recumbent position through the peripheral central venous catheter, the arm fixing part is a restraint belt.
与现有技术相比,本实用新型通过在病床一侧设有支撑板,患者半卧位时可将手臂很轻松的放置在支撑板上,手握住把手,如有昏迷或者躁动等不能配合者可将手臂通过约束带固定在支撑板上,通过调节支撑板的角度,暴露要穿刺的血管,支撑板两侧的辅助延宽板可以加宽支撑板的宽度,方便操作者操作时放置手臂,便于穿刺,从而提高了穿刺成功率,减轻了患者的不适。Compared with the prior art, the utility model is equipped with a support plate on one side of the hospital bed, and the patient can easily place the arm on the support plate when the patient is in a semi-recumbent position, and hold the handle with his hand. If there is coma or restlessness, the patient cannot cooperate The operator can fix the arm on the support plate through the restraint belt. By adjusting the angle of the support plate, the blood vessel to be punctured is exposed. The auxiliary widening plates on both sides of the support plate can widen the width of the support plate, which is convenient for the operator to place the arm during operation. , which is convenient for puncture, thereby improving the success rate of puncture and reducing the discomfort of patients.
附图说明Description of drawings
图1是本实用新型的一种结构示意图。Fig. 1 is a kind of structural representation of the utility model.
具体实施方式detailed description
以下参照附图,进一步描述本实用新型的具体技术方案,以便于本领域的技术人员进一步地理解本实用新型,而不构成对其权利的限制。The specific technical solutions of the utility model will be further described below with reference to the accompanying drawings, so that those skilled in the art can further understand the utility model without constituting a limitation on the rights thereof.
参照附图1所示,一种经外周中心静脉置管半卧位穿刺用辅助装置,包括设在病床1侧部且与病床1垂直设置的支撑板2,支撑板2通过一根螺杆固定在病床1上。使用时,可以根据需要旋转支撑板2,使支撑板2带动患者胳膊一起沿着螺杆转动一定的角度,暴露要穿刺的血管,方便操作。Referring to the accompanying drawing 1, an auxiliary device for puncturing in the semi-recumbent position through peripheral central venous catheterization, comprising a support plate 2 arranged on the side of the hospital bed 1 and perpendicular to the hospital bed 1, the support plate 2 is fixed on the bed by a screw Bed 1. When in use, the support plate 2 can be rotated as required, so that the support plate 2 drives the patient's arm to rotate along the screw rod at a certain angle, exposing the blood vessel to be punctured for easy operation.
在支撑板2的前部两侧分别通过蝴蝶铰链4铰接有可向支撑板2背面翻转的辅助延宽板3,支撑板2的宽度大于两个辅助延宽板3的宽度,辅助延宽板3的长度为支撑板2长度的1/3。在进行穿刺操作时,护士可以打开辅助延宽板3,使支撑板2加宽,从而方便护士操作。不用时,可以将辅助延宽板3翻折收纳在支撑板2的背面。Both sides of the front of the support plate 2 are respectively hinged with an auxiliary widening plate 3 that can be turned over to the back of the support plate 2 through butterfly hinges 4. The width of the support plate 2 is greater than the width of the two auxiliary widening plates 3, and the auxiliary widening plate The length of 3 is 1/3 of the length of support plate 2. When performing a puncture operation, the nurse can open the auxiliary widening plate 3 to widen the support plate 2, thereby facilitating the nurse's operation. When not in use, the auxiliary widening board 3 can be folded and stored on the back of the supporting board 2 .
在支撑板2的前部上表面上设有手臂固定件5。手臂固定件5可以为手握把手,也可以为约束带。正常的患者,在穿刺时,可以用手握住手握把手,进行手臂固定。对于昏迷或者躁动等不能配合者,可将手臂通过约束带进行固定。On the front upper surface of the support plate 2, an arm fixing member 5 is provided. The arm fixing part 5 can be a handle or a restraint belt. For normal patients, when puncturing, the hand grip can be held by hand to fix the arm. For those who cannot cooperate such as coma or restlessness, the arm can be fixed with a restraint belt.
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN114917095A (en) * | 2021-12-15 | 2022-08-19 | 泰州市人民医院 | Arm fixing device and special bed for placing central venous catheter through peripheral vein |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN114917095A (en) * | 2021-12-15 | 2022-08-19 | 泰州市人民医院 | Arm fixing device and special bed for placing central venous catheter through peripheral vein |
CN114917095B (en) * | 2021-12-15 | 2023-08-15 | 泰州市人民医院 | Arm fixing device for placing central venous catheter through peripheral vein and special bed |
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Granted publication date: 20170419 Termination date: 20180525 |