CN209033292U - A thoracoabdominal drainage tube - Google Patents
A thoracoabdominal drainage tube Download PDFInfo
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- CN209033292U CN209033292U CN201820739954.8U CN201820739954U CN209033292U CN 209033292 U CN209033292 U CN 209033292U CN 201820739954 U CN201820739954 U CN 201820739954U CN 209033292 U CN209033292 U CN 209033292U
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- 238000002347 injection Methods 0.000 claims abstract description 64
- 239000007924 injection Substances 0.000 claims abstract description 64
- 239000003814 drug Substances 0.000 claims abstract description 52
- 229940079593 drug Drugs 0.000 claims abstract description 31
- 210000000683 abdominal cavity Anatomy 0.000 claims abstract description 27
- 238000011010 flushing procedure Methods 0.000 claims abstract description 6
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims abstract 2
- 239000000463 material Substances 0.000 claims abstract 2
- 239000000741 silica gel Substances 0.000 claims abstract 2
- 229910002027 silica gel Inorganic materials 0.000 claims abstract 2
- 210000000115 thoracic cavity Anatomy 0.000 claims description 42
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 35
- 230000003187 abdominal effect Effects 0.000 claims description 7
- 239000012530 fluid Substances 0.000 claims description 7
- 238000001802 infusion Methods 0.000 claims description 5
- 229920001296 polysiloxane Polymers 0.000 claims description 5
- 239000002504 physiological saline solution Substances 0.000 claims description 4
- 229940126585 therapeutic drug Drugs 0.000 claims description 3
- 206010011409 Cross infection Diseases 0.000 abstract description 2
- 206010029803 Nosocomial infection Diseases 0.000 abstract description 2
- 210000003281 pleural cavity Anatomy 0.000 abstract 1
- 206010003445 Ascites Diseases 0.000 description 23
- 201000010099 disease Diseases 0.000 description 6
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 6
- 238000000034 method Methods 0.000 description 4
- 208000024891 symptom Diseases 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 230000000916 dilatatory effect Effects 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 206010033675 panniculitis Diseases 0.000 description 2
- 210000004304 subcutaneous tissue Anatomy 0.000 description 2
- 206010058467 Lung neoplasm malignant Diseases 0.000 description 1
- 206010027406 Mesothelioma Diseases 0.000 description 1
- 206010033128 Ovarian cancer Diseases 0.000 description 1
- 206010061535 Ovarian neoplasm Diseases 0.000 description 1
- 208000002151 Pleural effusion Diseases 0.000 description 1
- 206010040007 Sense of oppression Diseases 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002262 irrigation Effects 0.000 description 1
- 238000003973 irrigation Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 201000007270 liver cancer Diseases 0.000 description 1
- 208000014018 liver neoplasm Diseases 0.000 description 1
- 238000002690 local anesthesia Methods 0.000 description 1
- 201000005202 lung cancer Diseases 0.000 description 1
- 208000020816 lung neoplasm Diseases 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 201000002628 peritoneum cancer Diseases 0.000 description 1
- 239000011343 solid material Substances 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 201000008827 tuberculosis Diseases 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及医疗器械技术领域，特别涉及一种胸腹腔引流管。The utility model relates to the technical field of medical devices, in particular to a thoracic and abdominal cavity drainage tube.
背景技术Background technique
胸腹水是临床很多疾病的常见症状之一，胸腹水会引起人体许多不适的症状及严重的后果，对于胸腹水的治疗如果单一的内科药物治疗，效果欠佳，故大部分的病人需安置胸腹腔引流管引流胸腹水以减轻胸腹水对患者脏器的压迫症状，且部分疾病需经胸腹水引流管注入生理盐水反复冲洗胸腹腔，或注入药物控制胸腹水。该发明主要应用于有胸腹水的患者需留置胸腹腔引流管引流胸腹水，特别适合于某些持续或间断产生胸腹水需长时间带管反复引流胸腹水，及需要进行对胸腹腔进行冲洗，或进行胸腹腔注入药物治疗的患者。Pleural and ascites is one of the common symptoms of many clinical diseases. Pleural and ascites can cause many uncomfortable symptoms and serious consequences in the human body. For the treatment of pleural and ascites, if a single medical drug treatment is used, the effect is not good, so most patients need to be placed in the chest. Abdominal drainage tube is used to drain thoracic and ascites fluid to reduce the symptoms of pleural and ascites fluid compression on the patient's organs, and for some diseases, it is necessary to inject normal saline through the pleural and ascites drainage tube to repeatedly flush the thoracic and abdominal cavity, or inject drugs to control the pleural and ascites. The invention is mainly applied to patients with pleural and ascites who need to indwell a thoracic and ascites drainage tube to drain the thoracic and ascites, and is especially suitable for some continuous or intermittent generation of thoracic and ascites that requires repeated drainage of thoracic and ascites with a tube for a long time, and the need to flush the thoracic and abdominal cavity. Or patients undergoing thoracoabdominal injection of drug therapy.
临床上许多疾病，例如肺癌、间皮瘤、肺结核等疾病极易发生胸水，而肝癌、卵巢癌、腹膜癌等疾病极易发生腹水，大部分患者均需行胸腹腔穿刺置管，引流胸腹水以减轻对患者脏器的压迫症状；或进行胸腹冲洗；或药物注入胸腹腔治疗胸腹水。Clinically, many diseases, such as lung cancer, mesothelioma, tuberculosis and other diseases, are prone to pleural effusion, while liver cancer, ovarian cancer, peritoneal cancer and other diseases are prone to ascites. To relieve the symptoms of oppression on the patient's organs; or perform thoracic and abdominal flushing; or inject drugs into the thoracic and abdominal cavity to treat pleural and ascites.
目前，在临床上需进行胸腹腔穿刺引流胸腹水时，一般情况下医生使用一次性胸腔穿刺引流包，该引流管构成为粗针头与橡胶管相连接，穿刺成功后引流胸腹水过程中需医务人员用手固定，且固定保留困难，只能引流胸腹水后立即拔出，若患者为反复产生胸腹水，且因病情需要反复引流时，则需反复多次进行有创穿刺操作。反复穿刺一方面会增加病人痛苦，增加病人感染机会，另一方面也会大大增加医务人员工作量，浪费医疗资源。其次，在引流胸腹水过程中，因胸腹水中悬浮的固态物质经常导致管腔堵塞，引流不畅的情况，需医务人员反复用注射器注入生理盐水冲洗甚至更换引流管。At present, when thoracoabdominal puncture and drainage of thoracic and ascites are required in clinical practice, doctors generally use a disposable thoracocentesis drainage package, which is composed of a thick needle connected to a rubber tube. The personnel can fix it by hand, and it is difficult to retain the fixation. It can only be drained immediately after the pleural and ascites. If the patient has repeated pleural and ascites and needs to be drained repeatedly due to the disease, the invasive puncture operation needs to be repeated many times. On the one hand, repeated puncture will increase the pain of the patient and increase the chance of the patient's infection. On the other hand, it will greatly increase the workload of medical staff and waste medical resources. Secondly, in the process of drainage of pleural and ascites, the solid material suspended in the pleural and ascites often leads to blockage of the lumen and poor drainage. Medical personnel need to repeatedly inject physiological saline with a syringe to flush or even replace the drainage tube.
若要保留胸腹腔置管，临床上部分医务人员使用深静脉导管置入胸腹腔进行胸腹水引流，但深静脉导管作为胸腹水引流管有其弊端：1、连接口与外接引流袋接口不匹配，需另剪切消毒一小段橡胶管作为两者之间的连接，有消毒不严导致感染的风险。2、固定静脉导管只能在皮肤表面外贴胶布，导管脱落几率高。3、静脉导管管径较小，且只有顶端一个引流孔，堵管及引流不畅发生几率高。4、因导管为单管，无法进行胸腹腔冲洗(边注入生理盐水边引流)。To keep the thoracic and abdominal cavity, some medical staff use a deep venous catheter into the thoracic and abdominal cavity for thoracic and ascites drainage, but the deep venous catheter as a thoracic and ascites drainage tube has its disadvantages: 1. The connection port does not match the interface of the external drainage bag , it is necessary to cut and disinfect a small piece of rubber tube as the connection between the two, there is a risk of infection caused by lax disinfection. 2. The fixed venous catheter can only be pasted with tape on the surface of the skin, and the probability of the catheter falling off is high. 3. The diameter of the venous catheter is small, and there is only one drainage hole at the top, so the probability of blockage and poor drainage is high. 4. Because the catheter is a single tube, it is impossible to perform thoracic and abdominal irrigation (drainage while injecting normal saline).
实用新型内容Utility model content
本实用新型针对现有技术的缺陷，提供了一种胸腹腔引流管，能有效的解决上述现有技术存在的问题。Aiming at the defects of the prior art, the utility model provides a thoracic and abdominal cavity drainage tube, which can effectively solve the problems existing in the prior art.
为了实现以上实用新型目的，本实用新型采取的技术方案如下：In order to realize the purpose of the above utility model, the technical scheme adopted by the present utility model is as follows:
一种胸腹腔引流管，包括材料都为硅胶的引流管1、注药管2和球囊管；A chest and abdominal cavity drainage tube, comprising a drainage tube 1 all made of silicone, a drug injection tube 2 and a balloon tube;
所述引流管1有入口和出口，出口能够与临床常规引流袋接口相匹配，引流管的左右外侧壁分别连接固定注药管2和球囊管，使得引流管1、注药管2和球囊管并排；The drainage tube 1 has an inlet and an outlet, and the outlet can be matched with the interface of a conventional clinical drainage bag. The left and right outer walls of the drainage tube are respectively connected to the fixed drug injection tube 2 and the balloon tube, so that the drainage tube 1, the drug injection tube 2 and the balloon are respectively connected. Bladder tubes side by side;
所述注药管2与引流管1的长度相同，注药管2的两端设有出药口和进药口，进药口与引流管的入口平行，出药口与引流管的出口平行，注药管2的入药口用于连接输液器或注射器，将治疗药物或胸腹腔冲洗液注入胸腹腔内。The length of the medicine injection tube 2 is the same as that of the drainage tube 1, and both ends of the medicine injection tube 2 are provided with a medicine outlet and a medicine inlet, the medicine inlet is parallel to the inlet of the drainage tube, and the medicine outlet is parallel to the outlet of the drainage tube. , the drug injection port of the drug injection tube 2 is used to connect an infusion set or a syringe, and inject the therapeutic drug or the thoracic and abdominal cavity flushing fluid into the thoracic and abdominal cavity.
所述球囊管包括注水管3和球囊4，注水管3两端点设有出水口和注水口，注水口与引流管1的出口平行，所述球囊4设在引流管1外侧壁的中部位置；球囊4表面设有一孔，注水管3的出水口与球囊4的孔对接，注水管3的注水口能够外接注射器，对球囊4注入生理盐水致球囊4充盈，从而防止再手术过程中胸腹腔引流管从胸腹腔抽离出来。The balloon tube includes a water injection pipe 3 and a balloon 4. The two ends of the water injection pipe 3 are provided with a water outlet and a water injection port, and the water injection port is parallel to the outlet of the drainage pipe 1. The middle position; the surface of the balloon 4 is provided with a hole, the water outlet of the water injection pipe 3 is connected with the hole of the balloon 4, the water injection port of the water injection pipe 3 can be connected to a syringe, and the balloon 4 is injected with physiological saline to cause the balloon 4 to be filled, thereby preventing During the reoperation, the thoracoabdominal drainage tube was withdrawn from the thoracic and abdominal cavity.
作为优选，引流管1靠近入口的侧壁设有3-5个椭圆形侧孔5，防止入口堵塞不能引流。Preferably, the side wall of the drainage tube 1 close to the inlet is provided with 3-5 elliptical side holes 5 to prevent the inlet from being blocked and unable to drain.
作为优选，引流管1靠近出口的外侧壁没有和注药管2以及球囊管的注水管3连接固定，使得该段的三管分开形成三叉状，方便各自连接不同的器械。Preferably, the outer wall of the drainage tube 1 near the outlet is not connected and fixed to the drug injection tube 2 and the water injection tube 3 of the balloon tube, so that the three tubes in this section are separated into a trident shape, which is convenient for connecting different instruments.
作为优选，所述引流管1的出口、注药管2的进药口和注水管3的注水口都设有单向硅胶阀门。Preferably, the outlet of the drainage pipe 1 , the drug inlet of the drug injection pipe 2 and the water injection port of the water injection pipe 3 are all provided with one-way silicone valves.
作为优选，所述球囊4容积为3ml。Preferably, the volume of the balloon 4 is 3ml.
作为优选，所述引流管1长度为20cm；注药管2的直径小于引流管1直径。Preferably, the length of the drainage tube 1 is 20 cm; the diameter of the drug injection tube 2 is smaller than the diameter of the drainage tube 1 .
与现有技术相比本实用新型的优点在于：具有引流、注药和固定限位三种功能；外接匹配度高、不易交叉感染；防止堵管和引流不畅；可同时进行胸腹腔冲洗和引流。Compared with the prior art, the utility model has the advantages of: three functions of drainage, drug injection and fixed position limit; high external matching degree, not easy to cross infection; preventing pipe blockage and poor drainage; drainage.
附图说明Description of drawings
图1为本实用新型实施例结构示意图。FIG. 1 is a schematic structural diagram of an embodiment of the present invention.
具体实施方式Detailed ways
为使本实用新型的目的、技术方案及优点更加清楚明白，以下参照附图并举实施例，对本实用新型做进一步详细说明。In order to make the purpose, technical solutions and advantages of the present utility model more clearly understood, the present utility model will be further described in detail below with reference to the accompanying drawings and examples.
如图1所示，一种胸腹腔引流管，包括材料都为硅胶的引流管1、注药管2和球囊管；As shown in Figure 1, a chest and abdominal cavity drainage tube includes a drainage tube 1, a drug injection tube 2 and a balloon tube all made of silicone;
所述引流管1有入口和出口，出口能够与临床常规引流袋接口相匹配，引流管的左右外侧壁分别连接固定注药管2和球囊管，使得引流管1、注药管2和球囊管并排；The drainage tube 1 has an inlet and an outlet, and the outlet can be matched with the interface of a conventional clinical drainage bag. The left and right outer walls of the drainage tube are respectively connected to the fixed drug injection tube 2 and the balloon tube, so that the drainage tube 1, the drug injection tube 2 and the balloon are respectively connected. Bladder tubes side by side;
所述注药管2与引流管1的长度相同，注药管2的两端设有出药口和进药口，进药口与引流管的入口平行，出药口与引流管的出口平行，注药管2的入药口用于连接输液器或注射器，将治疗药物或胸腹腔冲洗液注入胸腹腔内。The length of the medicine injection tube 2 is the same as that of the drainage tube 1, and both ends of the medicine injection tube 2 are provided with a medicine outlet and a medicine inlet, the medicine inlet is parallel to the inlet of the drainage tube, and the medicine outlet is parallel to the outlet of the drainage tube. , the drug injection port of the drug injection tube 2 is used to connect an infusion set or a syringe, and inject the therapeutic drug or the thoracic and abdominal cavity flushing fluid into the thoracic and abdominal cavity.
所述球囊管包括注水管3和球囊4，注水管3两端点设有出水口和注水口，注水口与引流管1的出口平行，所述球囊4设在引流管1外侧壁的中部位置；球囊4表面设有一孔，注水管3的出水口与球囊4的孔对接，注水管3的注水口能够外接注射器，对球囊4注入生理盐水致球囊4充盈，从而防止再手术过程中胸腹腔引流管从胸腹腔抽离出来。The balloon tube includes a water injection pipe 3 and a balloon 4. The two ends of the water injection pipe 3 are provided with a water outlet and a water injection port, and the water injection port is parallel to the outlet of the drainage pipe 1. The middle position; the surface of the balloon 4 is provided with a hole, the water outlet of the water injection pipe 3 is connected with the hole of the balloon 4, the water injection port of the water injection pipe 3 can be connected to a syringe, and the balloon 4 is injected with physiological saline to cause the balloon 4 to be filled, thereby preventing During the reoperation, the thoracoabdominal drainage tube was withdrawn from the thoracic and abdominal cavity.
引流管1靠近入口的侧壁设有3-5个椭圆形侧孔5，防止入口堵塞不能引流。The side wall of the drainage tube 1 close to the inlet is provided with 3-5 elliptical side holes 5 to prevent the inlet from being blocked and unable to drain.
引流管1靠近出口的外侧壁没有和注药管2以及球囊管的注水管3连接固定，使得该段的三管分开形成三叉状，方便各自连接不同的器械。The outer side wall of the drainage tube 1 near the outlet is not connected and fixed with the drug injection tube 2 and the water injection tube 3 of the balloon tube, so that the three tubes in this section are separated into a trident shape, which is convenient for connecting different instruments.
引流管1的出口、注药管2的进药口和注水管3的注水口都设有单向硅胶阀门。The outlet of the drainage tube 1, the drug inlet of the drug injection tube 2 and the water injection port of the water injection tube 3 are all provided with one-way silicone valves.
球囊4容积为3ml；引流管1长度为20cm。The volume of the balloon 4 is 3ml; the length of the drainage tube 1 is 20cm.
在使用时，具体流程如下When using, the specific process is as follows
步骤1，经过彩超在人体定位，确定穿刺点后，在穿刺点消毒，铺巾，局部麻醉Step 1: After the color Doppler ultrasound is used to locate the puncture point and determine the puncture point, disinfect the puncture point, apply a towel, and perform local anesthesia
步骤2，由带注射器的Y型空芯针穿刺入胸腹腔，回抽出胸腹水确定针头在胸腹腔内。Step 2, puncture the thoracic and abdominal cavity with a Y-shaped hollow needle with a syringe, and withdraw the thoracic and ascites fluid to confirm that the needle is in the thoracic and abdominal cavity.
步骤3，由Y型空芯针的另一头，导入导丝，长度约15cm，拔出穿刺针，留下导丝。Step 3, introduce a guide wire from the other end of the Y-shaped hollow core needle with a length of about 15cm, pull out the puncture needle, and leave the guide wire.
步骤4，空芯扩皮针经过导丝穿刺入皮下，扩张皮肤及皮下组织后拔出扩皮针。In step 4, the hollow skin dilating needle is punctured into the subcutaneous tissue through the guide wire, and the skin and subcutaneous tissue are expanded, and then the dilating needle is pulled out.
步骤5，经过导丝导入本实用新型的胸腹腔引流管，置入胸腹腔引流管约15cm，拔出导丝。装有3ml生理盐水的注射器外接注水口，注入3ml生理盐水至球囊。外接引流袋于引流管，则可引流胸腹水。皮肤穿刺点外敷无菌纱布。In step 5, the thoracic and abdominal cavity drainage tube of the present invention is introduced through the guide wire, and the thoracic and abdominal cavity drainage tube is placed for about 15 cm, and the guide wire is pulled out. The external injection port of the syringe filled with 3ml of normal saline is injected into the balloon. An external drainage bag is connected to the drainage tube to drain the pleural and ascites. Apply sterile gauze to the skin puncture site.
若需进行胸腹腔注入冲洗液及药物时，则将输液器或注射器接于注药管，打开输液器则可进行胸腔灌注液体及药物。If the thoracic and abdominal cavity needs to be injected with flushing fluid and drugs, connect the infusion set or syringe to the drug injection tube, and open the infusion set to perfuse the thoracic cavity with liquid and drugs.
本领域的普通技术人员将会意识到，这里所述的实施例是为了帮助读者理解本实用新型的实施方法，应被理解为本实用新型的保护范围并不局限于这样的特别陈述和实施例。本领域的普通技术人员可以根据本实用新型公开的这些技术启示做出各种不脱离本实用新型实质的其它各种具体变形和组合，这些变形和组合仍然在本实用新型的保护范围内。Those of ordinary skill in the art will realize that the embodiments described herein are intended to help readers understand the implementation method of the present invention, and it should be understood that the protection scope of the present invention is not limited to such specific statements and embodiments . Those skilled in the art can make various other specific deformations and combinations without departing from the essence of the present invention according to the technical inspiration disclosed by the present invention, and these deformations and combinations are still within the protection scope of the present invention.
Claims (6)
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| CN201820739954.8U CN209033292U (en) | 2018-05-17 | 2018-05-17 | A thoracoabdominal drainage tube |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113082475A (en) * | 2021-05-08 | 2021-07-09 | 王志国 | Thoracic drainage tube |
| CN113926060A (en) * | 2021-10-27 | 2022-01-14 | 深圳市慧极创新医疗科技有限公司 | Novel ventricular drainage device |
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2018
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113082475A (en) * | 2021-05-08 | 2021-07-09 | 王志国 | Thoracic drainage tube |
| CN113926060A (en) * | 2021-10-27 | 2022-01-14 | 深圳市慧极创新医疗科技有限公司 | Novel ventricular drainage device |
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