CN209575388U - A kind of double bag polylinker peritoneal dialysis solution systems of duplex - Google Patents
A kind of double bag polylinker peritoneal dialysis solution systems of duplex Download PDFInfo
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- 239000000385 dialysis solution Substances 0.000 title abstract description 8
- 238000000502 dialysis Methods 0.000 claims abstract description 63
- 239000007788 liquid Substances 0.000 claims abstract description 26
- 239000012530 fluid Substances 0.000 claims abstract description 25
- 239000002699 waste material Substances 0.000 claims abstract description 24
- 239000003330 peritoneal dialysis fluid Substances 0.000 claims description 58
- 239000000463 material Substances 0.000 claims description 6
- 239000004698 Polyethylene Substances 0.000 claims description 3
- -1 polyethylene Polymers 0.000 claims description 3
- 229920000573 polyethylene Polymers 0.000 claims description 3
- 238000011282 treatment Methods 0.000 abstract description 9
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 abstract description 8
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 abstract description 8
- 229960002897 heparin Drugs 0.000 abstract description 8
- 229920000669 heparin Polymers 0.000 abstract description 8
- 239000011780 sodium chloride Substances 0.000 abstract description 8
- 210000001015 abdomen Anatomy 0.000 abstract description 2
- 230000000903 blocking effect Effects 0.000 abstract 1
- 239000000203 mixture Substances 0.000 abstract 1
- 238000000034 method Methods 0.000 description 6
- 238000001631 haemodialysis Methods 0.000 description 4
- 230000000322 hemodialysis Effects 0.000 description 4
- 238000001802 infusion Methods 0.000 description 4
- 210000000683 abdominal cavity Anatomy 0.000 description 3
- 208000015181 infectious disease Diseases 0.000 description 3
- 230000010412 perfusion Effects 0.000 description 3
- 102000004169 proteins and genes Human genes 0.000 description 3
- 108090000623 proteins and genes Proteins 0.000 description 3
- 241001391944 Commicarpus scandens Species 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 231100000252 nontoxic Toxicity 0.000 description 2
- 230000003000 nontoxic effect Effects 0.000 description 2
- 238000004806 packaging method and process Methods 0.000 description 2
- 210000003200 peritoneal cavity Anatomy 0.000 description 2
- 238000012959 renal replacement therapy Methods 0.000 description 2
- 238000010561 standard procedure Methods 0.000 description 2
- ZCYVEMRRCGMTRW-UHFFFAOYSA-N 7553-56-2 Chemical compound [I] ZCYVEMRRCGMTRW-UHFFFAOYSA-N 0.000 description 1
- 206010056519 Abdominal infection Diseases 0.000 description 1
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- 230000002009 allergenic effect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 230000000004 hemodynamic effect Effects 0.000 description 1
- 230000036512 infertility Effects 0.000 description 1
- 229910052740 iodine Inorganic materials 0.000 description 1
- 239000011630 iodine Substances 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 208000017169 kidney disease Diseases 0.000 description 1
- 230000003907 kidney function Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
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- 210000002747 omentum Anatomy 0.000 description 1
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- 230000002980 postoperative effect Effects 0.000 description 1
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- 230000001235 sensitizing effect Effects 0.000 description 1
- 238000002054 transplantation Methods 0.000 description 1
- 208000009852 uremia Diseases 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及一种双联双袋多接头腹膜透析液系统,适用于肾脏疾病领域长期行腹膜透析的患者,尤其适合于腹膜透析管堵塞需要肝素盐水冲管后再次连接腹膜透析液的患者,以避免腹透液的浪费,减轻患者的经济负担,同时减少因操作不当所致的感染风险。The utility model relates to a peritoneal dialysis fluid system with double-connection, double-bag and multi-joint, which is suitable for patients who have been undergoing peritoneal dialysis for a long time in the field of kidney disease, and is especially suitable for patients whose peritoneal dialysis tube is blocked and needs to be reconnected to the peritoneal dialysis fluid after flushing the tube with heparin saline. In order to avoid the waste of peritoneal dialysis fluid, reduce the economic burden of patients, and reduce the risk of infection caused by improper operation.
背景技术Background technique
随着医学诊疗技术水平的逐渐提高,每年确诊为尿毒症的患者人数逐年增高,患者往往面临的是后续长期肾脏替代治疗。在三种肾脏替代治疗(血液透析、腹膜透析和肾移植)方式的选择上,由于腹膜透析有着血液透析无法比拟的便捷性、操作简单、避免血液传播疾病的发生、血流动力学稳定以及对残余肾功能保护明显优于血液透析等优点,国内外的专家、学者均建议在患者无明显腹膜透析禁忌证的情况下首选腹膜透析替代治疗。目前传统的腹膜透析过程如下:首先患者需行腹膜透析置管术建立腹膜透析通路,术后患者腹部可见腹膜透析外管自皮肤引出;其次,选择合适的腹膜透析液,目前市面上使用的腹膜透析液系统无论是国产透析液还是进口透析液均采用的是双联双袋单接头腹膜透析液系统,如图1所示,它由含有腹透液的腹透液袋1、废液袋2以及两个引流管(入液管路3和出液管路4)组成,两个引流管的一端分别与腹透液袋1和废液袋2相连接,另一端相融合后并延长形成一个共用接头,整体类似于一个“Y”字型结构;然后,遵照无菌原则开始腹膜透析治疗:1)清洁桌面,预备所需物品,包括:双联双袋腹透液、口罩、碘伏帽、腹膜透析夹、并检查腹透液容量、浓度和有效期,碘伏帽的有效期及包装是否密闭;2)戴口罩并洗净双手,打开腹透液外袋,检查接头拉环、管路、折断塞和透析液袋是否完好无损,如需添加药物,按医生处方将药物在腹透液袋1的加药孔处加入腹透液中;3)取出患者身上的腹膜透析外管,确保外管是处于关闭状态,拉开新鲜腹透液接口拉环,取下外管上的碘伏帽,旋转腹透液管路共用接头连接端口与腹膜透析外管末端迅速相连,连接时应将腹膜透析外管管口朝下,避免牵拉管路,旋拧共用接头端口与外管至完全密合;4)用腹膜透析夹夹住入液管路3,将腹透液袋1袋口的折断塞折断,悬挂透析液袋1,将废液袋2放于低位,打开外管旋扭开关开始引流,同时观察引流液是否浑浊,是否存在蛋白凝块,引流完毕后关闭外管;5)移开入液管路3的腹膜透析夹,使透析液流入废液袋2中,慢数到5秒后再用腹膜透析夹夹闭出液管路4;6)打开外管旋钮开关,使腹透液迅速灌入腹腔,灌注结束后关闭腹膜透析外管,并用另一个腹膜透析夹夹闭入液管路3;7)撕开碘伏帽的外包装,将腹膜透析外管朝下,将外管与腹透液管路连接端口分离,旋拧碘伏帽与外管至完全密合,丢弃使用过的物品。With the gradual improvement of the level of medical diagnosis and treatment technology, the number of patients diagnosed with uremia is increasing year by year, and patients often face follow-up long-term renal replacement therapy. In the choice of the three types of renal replacement therapy (hemodialysis, peritoneal dialysis and kidney transplantation), peritoneal dialysis has the incomparable convenience of hemodialysis, simple operation, avoidance of blood-borne diseases, stable hemodynamics and resistance to hemodialysis. The protection of residual renal function is obviously superior to that of hemodialysis. Experts and scholars at home and abroad all suggest that peritoneal dialysis is the first choice for patients with no obvious contraindications to peritoneal dialysis. The current traditional peritoneal dialysis process is as follows: first, the patient needs to undergo peritoneal dialysis catheterization to establish a peritoneal dialysis access, and postoperative peritoneal dialysis outer tube can be seen in the patient's abdomen. The dialysate system, whether it is domestic dialysate or imported dialysate, adopts a double-connected double-bag single-joint peritoneal dialysate system. As shown in Figure 1, it consists of a peritoneal dialysis fluid bag 1 containing peritoneal dialysis fluid and a waste fluid bag 2. and two drainage tubes (inlet pipeline 3 and outlet pipeline 4), one end of the two drainage tubes is respectively connected with the peritoneal dialysis fluid bag 1 and the waste fluid bag 2, and the other ends are fused and extended to form a Share the joint, the whole is similar to a "Y"-shaped structure; then, follow the aseptic principle to start the peritoneal dialysis treatment: 1) Clean the table and prepare the necessary items, including: double double bag peritoneal dialysis solution, mask, iodophor cap , peritoneal dialysis clip, and check the volume, concentration and validity period of the peritoneal dialysis fluid, the validity period of the iodophor cap and whether the package is airtight; 2) Wear a mask and wash your hands, open the outer bag of peritoneal dialysis fluid, and check the connector pull-ring, pipeline, Whether the broken plug and the dialysate bag are intact, if you need to add drugs, add the drug to the peritoneal dialysis solution at the dosing hole of the peritoneal dialysis bag 1 according to the doctor's prescription; 3) Take out the peritoneal dialysis outer tube on the patient to ensure that the external The tube is in a closed state, pull the ring of the fresh peritoneal dialysis fluid interface, remove the iodophor cap on the outer tube, and quickly connect the peritoneal dialysis fluid pipeline common joint connection port with the end of the peritoneal dialysis outer tube. The mouth of the outer dialysis tube faces down, avoid pulling the tube, and screw the common joint port and the outer tube until they are completely tight; Break the plug, hang the dialysate bag 1, put the waste bag 2 in a low position, turn on the outer tube rotary switch to start drainage, and observe whether the drainage fluid is turbid and whether there is protein clot, and close the outer tube after drainage; 5) Remove the peritoneal dialysis clip of the liquid inlet pipe 3, so that the dialysate flows into the waste bag 2, and then use the peritoneal dialysis clip to clamp the liquid outlet pipe 4; The peritoneal dialysis solution was quickly poured into the peritoneal cavity. After the perfusion was completed, the peritoneal dialysis outer tube was closed, and another peritoneal dialysis clip was used to clamp the inlet pipeline 3; 7) Tear off the outer packaging of the iodophor cap, and place the peritoneal dialysis outer tube downward. Separate the outer tube from the connection port of the peritoneal dialysis fluid pipeline, twist the iodophor cap and the outer tube until they are completely sealed, and discard the used items.
在腹透液引流和灌入的过程中,无论是医务人员还是患者往往最担心的就是腹透管不通畅,导致腹透液自腹腔引流或向腹腔内灌入的速度明显减慢,甚至不能引流或灌入。临床上引起腹透管不通的原因比较多,比如:1.腹腔中因为感染等原因产生大量蛋白凝块堵塞腹透管;2.大网膜或其它脏器包裹腹透管;3.腹透管移位等等。其中以蛋白凝块堵塞腹透管最为常见,临床上往往需要医生立即断开腹膜透析外管与腹透液管路连接端口,然后用含有肝素盐水的注射器与腹膜透析外管相连接进行肝素盐水通管。通管结束后患者往往需要再次连接腹膜透析液进行透析治疗。依据无菌原则,以及为避免患者因操作不当所致的腹腔感染,往往腹透液管路连接端口一旦与腹膜透析外管断离后不能二次重新连接,需要更换新的腹膜透析液进行治疗,这就造成了原有腹透液的浪费,进一步加重患者的经济负担。In the process of peritoneal dialysis fluid drainage and infusion, both medical staff and patients are often most worried that the peritoneal dialysis tube is not smooth, resulting in a significant slowdown in the rate of peritoneal dialysis fluid drainage from the abdominal cavity or infusion into the abdominal cavity, or even unable to Drain or infuse. There are many clinical reasons for the obstruction of the peritoneal dialysis tube, such as: 1. A large number of protein clots in the abdominal cavity block the peritoneal dialysis tube due to infection and other reasons; 2. The omentum or other organs wrap the peritoneal dialysis tube; 3. The peritoneal dialysis tube Tube shift, etc. Among them, protein clots are the most common blockage of the peritoneal dialysis tube. In clinical practice, doctors often need to immediately disconnect the connection port between the peritoneal dialysis outer tube and the peritoneal dialysis fluid pipeline, and then use a syringe containing heparin saline to connect the peritoneal dialysis outer tube for heparin saline. through the tube. After catheterization, patients often need to reconnect peritoneal dialysis fluid for dialysis treatment. According to the principle of sterility, and in order to avoid abdominal infection caused by improper operation of patients, once the connection port of the peritoneal dialysis fluid is disconnected from the outer peritoneal dialysis tube, it cannot be reconnected for the second time, and a new peritoneal dialysis fluid needs to be replaced for treatment. , which resulted in the waste of the original peritoneal dialysis solution, further increasing the economic burden of patients.
发明内容SUMMARY OF THE INVENTION
为了解决现有的腹膜透析液系统在腹透液引流和灌入的过程中遇到腹透管不通畅时不能再次利用的技术问题,本实用新型提供一种双联双袋多接头腹膜透析液系统,能够避免因管路阻塞行肝素盐水通管治疗后所致的腹膜透析液系统浪费。In order to solve the technical problem that the existing peritoneal dialysis fluid system cannot be reused when the peritoneal dialysis tube is blocked during the process of peritoneal dialysis fluid drainage and infusion, the utility model provides a double-connected double-bag multi-joint peritoneal dialysis fluid The system can avoid the waste of the peritoneal dialysate system caused by the blockage of the pipeline after the heparin saline catheter treatment.
本实用新型解决其技术问题所采用的技术方案是:The technical scheme adopted by the utility model to solve its technical problems is:
一种双联双袋多接头腹膜透析液系统,该系统的特征在于,包括含有腹透液的腹透液袋1、废液袋2、入液管路3和出液管路4,入液管路3的一端与腹透液袋1相连接,出液管路4的一端与废液袋2相连接;入液管路3和出液管路4的另一端相融合形成共通管道,共通管道向多方向延长形成至少两个共用接头,每个共用接头上均设置有用于关闭接头的管路夹。A peritoneal dialysis fluid system with double-connection, double-bag and multi-joint, which is characterized in that it comprises peritoneal dialysis fluid bag 1 containing peritoneal dialysis fluid, waste fluid bag 2, fluid inlet pipeline 3 and fluid outlet pipeline 4. One end of the pipeline 3 is connected to the peritoneal dialysis bag 1, and one end of the outflow pipeline 4 is connected to the waste bag 2; The pipeline is extended in multiple directions to form at least two common joints, and each common joint is provided with a pipe clamp for closing the joint.
为了控制腹透液,进一步在所述入液管路3与腹透液袋1的连接处中设置有折断塞。折断塞相当于一个开关,可以阻挡腹透液流出,当需要用时把它折断,腹透液就可以顺利流出。In order to control the peritoneal dialysis fluid, a breaking plug is further provided in the connection between the fluid inlet pipeline 3 and the peritoneal dialysis fluid bag 1 . The broken plug is equivalent to a switch, which can block the outflow of the peritoneal dialysis fluid. When it is needed, it can be broken off, and the peritoneal dialysis fluid can flow out smoothly.
惯常习惯,一般共用接头为两个,分别为第一接头和第二接头,当第一接头失败之后,启用第二接头。根据实际经验,一般不试第三次。It is customary to use two common joints, namely the first joint and the second joint. When the first joint fails, the second joint is enabled. According to actual experience, generally do not try the third time.
进一步的,腹透液袋1、废液袋2、入液管路3和出液管路4以及折断塞的材料均为聚乙烯材质。采用无毒、无致敏源、无致热源、耐高温的材质组成,入液管路和出液管路韧性强,夹闭重新开放后不易断裂,可迅速恢复原有通畅状态。Further, the materials of the peritoneal dialysis fluid bag 1, the waste fluid bag 2, the fluid inlet pipeline 3, the fluid outlet pipeline 4 and the broken plug are all polyethylene materials. It is composed of non-toxic, non-allergenic, non-pyrogenic, and high-temperature resistant materials. The liquid inlet and outlet pipes have strong toughness, and are not easy to break after being clamped and reopened, and can quickly restore the original smooth state.
进一步的,腹透液袋1和废液袋2设定容积均为2000ml,单袋最大容积为2500-3000ml。Further, the set volumes of the peritoneal dialysis fluid bag 1 and the waste fluid bag 2 are both 2000ml, and the maximum volume of a single bag is 2500-3000ml.
进一步的,入液管路和出液管路的的内径为6mm,外径为7.5-8mm,长度均为80-100cm,其末端相融合形成共通管道的直径为1.5-2cm。Further, the inner diameter of the liquid inlet pipeline and the liquid outlet pipeline is 6 mm, the outer diameter is 7.5-8 mm, and the length is 80-100 cm, and the diameter of the common pipeline formed by the fusion of the ends is 1.5-2 cm.
进一步的,所述共用接头的长度为3-4cm。Further, the length of the common joint is 3-4 cm.
本实用新型具有如下优点:The utility model has the following advantages:
1)本实用新型所提供的双联双袋多接头腹膜透析液系统制作简单,体型小,使用快速、方便,易掌握;1) The peritoneal dialysate system provided by the utility model is simple to manufacture, small in size, quick to use, convenient and easy to master;
2)利用本实用新型所提供的双联双袋腹膜透析液系统的多接头,在腹膜透析过程中出现腹透管不通畅的情况时,医护人员可迅速断离腹透液管路连接端口与患者腹膜透析外管,在完成肝素盐水通管后,可将原本正在使用的腹膜透析液系统通过第二个未曾使用过的无菌的共用接头与患者的腹膜透析外管相连接,然后继续进行腹膜透析治疗,这样可极大的减少腹透液的浪费,减轻患者的经济负担,同时并不增加患者感染风险。2) Utilizing the multi-connector of the double-connected double-bag peritoneal dialysis fluid system provided by the present utility model, when the peritoneal dialysis tube is not smooth in the peritoneal dialysis process, the medical staff can quickly disconnect the peritoneal dialysis fluid pipeline connection port and the peritoneal dialysis fluid. The patient's peritoneal dialysis outer tube, after the heparin saline cannulation is completed, can connect the peritoneal dialysis fluid system originally in use to the patient's peritoneal dialysis outer tube through a second unused sterile common connector, and then continue Peritoneal dialysis treatment can greatly reduce the waste of peritoneal dialysis fluid, reduce the economic burden of patients, and do not increase the risk of infection for patients.
附图说明Description of drawings
图1为现有的双联双袋腹膜透析液系统的结构示意图;Fig. 1 is the structural representation of the existing double-link double-bag peritoneal dialysate system;
图2为本发明一种双联双袋双接头腹膜透析液系统的结构示意图;Fig. 2 is the structural representation of a kind of double-connected double-bag double-joint peritoneal dialysis fluid system of the present invention;
图3为图2的局部放大图。FIG. 3 is a partial enlarged view of FIG. 2 .
具体实施方式Detailed ways
下面结合附图对本发明的结构原理和工作原理作进一步说明。The structural principle and working principle of the present invention will be further described below with reference to the accompanying drawings.
实施例1:如图2、图3所示,一种双联双袋双接头腹膜透析液系统,包括含有腹透液的腹透液袋1、废液袋2、入液管路3和出液管路4,其中入液管路3中含有折断塞,并与腹透液袋1相连接,出液管路4与废液袋2相连接。入液管路3和出液管路4的另一端相融合后并向左前方和右前方延长分别形成两个共用接头,分别为第一接头7和第二接头8,并且第一接头上安装有管路夹5,第二接头上安装有管路夹6,均可夹闭相应接头。该装置整体结构类似于一个“X”型结构。共用接头也可以是三个、四个等,但一般情况下两个足以。Embodiment 1: As shown in Figures 2 and 3, a double-connected, double-bag, double-joint peritoneal dialysis fluid system includes a peritoneal dialysis fluid bag 1 containing peritoneal dialysis fluid, a waste fluid bag 2, a fluid inlet pipeline 3 and an outlet peritoneal dialysis fluid bag. Liquid pipeline 4, wherein the liquid inlet pipeline 3 contains a broken plug and is connected with the peritoneal dialysis fluid bag 1, and the liquid outlet pipeline 4 is connected with the waste fluid bag 2. The other ends of the liquid inlet pipe 3 and the liquid outlet pipe 4 are fused and extended to the left front and the right front respectively to form two common joints, namely the first joint 7 and the second joint 8, and the first joint is installed on the There is a pipeline clamp 5, and a pipeline clamp 6 is installed on the second joint, which can clamp the corresponding joint. The overall structure of the device is similar to an "X"-shaped structure. Common joints can also be three, four, etc., but generally two are sufficient.
实施例2:一种双联双袋双接头腹膜透析液系统,腹透液袋和废液袋设定容积为2000ml,单袋最大容积为2500-3000ml。入液管路和出液管路的的内径约6mm,外径约7.5-8mm,长度均为80-100cm,其末端相融合形成一个直径为1.5-2cm共同管道,在共同管道的左前方和右前方分别向外延伸出长度约3-4cm长的第一接头和第二接头,并且在两者的根部分别带有一个管路夹,可随意夹闭第一和/或第二接头,整个双联双袋双接头腹膜透析液系统为无缝连接,一体化形成,整体类似于一个“X”型结构。Example 2: A double-connected double-bag double-joint peritoneal dialysis fluid system, the set volume of the peritoneal dialysis fluid bag and the waste fluid bag is 2000ml, and the maximum volume of a single bag is 2500-3000ml. The inner diameter of the liquid inlet pipeline and the liquid outlet pipeline is about 6mm, the outer diameter is about 7.5-8mm, and the length is 80-100cm. The ends are fused to form a common pipeline with a diameter of 1.5-2cm. The first joint and the second joint with a length of about 3-4cm extend outward from the front right, respectively, and there is a pipeline clamp at the root of the two, which can clamp the first and/or second joint at will. The double-connected double-bag double-connected peritoneal dialysate system is seamlessly connected and integrated, and the whole is similar to an "X"-shaped structure.
实施例3:一种双联双袋双接头腹膜透析液系统,腹透液袋、废液袋、入液管路和出液管路、管路夹以及折断塞均采用无毒、无致敏源、无致热源、耐高温的材质组成(如聚乙烯材质),入液管路和出液管路韧性强,夹闭重新开放后不易断裂,可迅速恢复原有通畅状态。Example 3: A double-connected double-bag double-joint peritoneal dialysis fluid system, the peritoneal dialysis fluid bag, waste fluid bag, fluid inlet and outlet pipelines, pipeline clamps and broken plugs are all non-toxic and non-sensitizing. Source, no heat source, high temperature resistant material (such as polyethylene material), the liquid inlet pipeline and the liquid outlet pipeline have strong toughness, it is not easy to break after the clamp is reopened, and the original smooth state can be quickly restored.
该装置的使用方法是:正常操作情况为:先按照腹膜透析液换液标准操作流程进行物品准备,戴口罩并洗净双手,将第一接头7和患者腹膜透析外管相连接;然后用管路夹6夹闭第二接头8,腹膜透析夹夹闭入液管路3,打开腹膜透析外管旋扭开关开始引流;引流完毕后关闭外管,移开入液管路3的腹膜透析夹,使透析液流入废液袋2中,慢数到5秒后再用腹膜透析夹夹闭出液管路4,打开外管旋钮开关,使腹透液灌入腹腔;灌注结束后关闭腹膜透析外管,用另一个腹膜透析夹夹闭入液管路3,撕开碘伏帽的外包装,将腹膜透析外管与第一接头7分离,碘伏帽封闭腹膜透析外管,治疗结束。The use method of the device is as follows: the normal operation is as follows: first prepare items according to the standard operating procedure for peritoneal dialysis fluid exchange, wear a mask and wash hands, and connect the first joint 7 with the patient's peritoneal dialysis outer tube; then use the tube The road clip 6 closes the second joint 8, the peritoneal dialysis clip closes the liquid inlet pipeline 3, and the peritoneal dialysis outer tube rotary switch is opened to start drainage; after the drainage is completed, the outer tube is closed, and the peritoneal dialysis clip of the liquid inlet pipeline 3 is removed , let the dialysate flow into the waste bag 2, slowly count to 5 seconds, then use the peritoneal dialysis clip to clamp the outlet pipeline 4, turn on the knob switch of the outer tube, so that the peritoneal dialysis fluid is perfused into the peritoneal cavity; after the perfusion is completed, turn off the peritoneal dialysis For the outer tube, use another peritoneal dialysis clip to close the liquid inlet pipeline 3, tear off the outer packaging of the iodophor cap, separate the peritoneal dialysis outer tube from the first joint 7, and seal the peritoneal dialysis outer tube with the iodophor cap, and the treatment ends.
若患者在腹透液引流或灌入过程中出现管路不畅通的情况,其操作为:先关闭腹膜透析外管旋钮开关,并用管路夹5夹闭第一接头7,随后立即将腹膜透析外管和第一接头7断离。然后将含有肝素盐水的注射器与腹膜透析外管相连接,开始进行肝素盐水通管。通管结束后关闭腹膜透析外管旋钮开关,并将注射器和腹膜透析外管断离,然后拉开第二接头8的拉环,并与腹膜透析外管相连接,然后打开第二接头8的管路夹6,最后按照腹膜透析液换液标准操作流程进行相应的腹透液引流或灌入的步骤,治疗结束后将腹膜透析外管与第二接头8分离,碘伏帽封闭腹膜透析外管,记录患者腹膜透析出超量。If the patient's pipeline is blocked during peritoneal dialysis drainage or perfusion, the operation is as follows: first turn off the knob switch of the peritoneal dialysis outer tube, and clamp the first joint 7 with the pipeline clip 5, and then immediately put the peritoneal dialysis The outer tube and the first joint 7 are disconnected. A syringe containing heparin saline was then connected to the outer peritoneal dialysis tubing, and the heparin saline cannula was started. After the end of the peritoneal dialysis tube, turn off the knob switch of the peritoneal dialysis outer tube, disconnect the syringe from the peritoneal dialysis outer tube, then pull out the pull ring of the second joint 8 and connect it with the peritoneal dialysis outer tube, and then open the second joint 8. Pipeline clamp 6, finally according to the standard operation procedure of peritoneal dialysis fluid exchange, the corresponding peritoneal dialysis fluid drainage or infusion steps are carried out, after the treatment is completed, the peritoneal dialysis outer tube is separated from the second joint 8, and the iodine cap seals the peritoneal dialysis outer tube. tube, and record the patient's peritoneal dialysis excess.
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