CN209809253U - Tracheotomy sleeve - Google Patents
Tracheotomy sleeve Download PDFInfo
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- CN209809253U CN209809253U CN201920407934.5U CN201920407934U CN209809253U CN 209809253 U CN209809253 U CN 209809253U CN 201920407934 U CN201920407934 U CN 201920407934U CN 209809253 U CN209809253 U CN 209809253U
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Abstract
Description
技术领域technical field
本实用新型涉及医疗护理用具技术领域,具体为一种气管切开套管。The utility model relates to the technical field of medical care appliances, in particular to a tracheotomy sleeve.
背景技术Background technique
气管切开术系切开颈段气管,放入金属气管套管和硅胶套管,是解除喉源性呼吸困难、呼吸功能失常或下呼吸道分泌物潴留所致呼吸困难的常见手术。Tracheotomy is to incise the cervical trachea and put in a metal tracheal cannula and a silicone cannula. It is a common operation to relieve dyspnea caused by laryngeal origin, respiratory dysfunction or retention of secretions in the lower respiratory tract.
手术步骤有:一.体位:一般取仰卧位,肩下垫一小枕,头后仰,使气管接近皮肤,暴露明显,以利于手术;二.局麻:沿颈前正中,上自甲状软骨下缘,下至胸骨上窝,以利多卡因浸润麻醉,对昏迷、危重或窒息患者,若已无知觉,也可不予麻醉;三.切口:多采用直切口,自甲状软骨下缘至接近胸骨上窝处,沿颈前正中线切开皮肤和皮下组织;四.分离气管前组织:用血管钳沿中线分离胸骨舌骨肌及胸骨甲状肌,暴露甲状腺峡部,若峡部过宽,可在其下缘稍加分离,用小钩将峡部向上牵引,必要时也可将峡部夹持切断缝扎,以便暴露气管;五.切开气管:确定气管后,一般于第二~四气管环处,用尖刀片自下向上弧形切开一~二个气管环前壁形成气管前壁瓣,待插管后固定皮下,刀尖勿插入过深,以免刺伤气管后壁和食管前壁而引起气管食管瘘;六.插入气管套管:以弯钳或气管切口扩张器撑开气管切口,插入大小适合、带有管芯的气管套管,插入外管后,立即取出管芯,放入内管,吸净分泌物,并检查有无出血,气管切开的病人咳嗽的时候会把氧气管喷出来,掉在外面容易造成污染,因为痰液喷洒在床单,被套上也很脏,另外意识不清,烦躁的病人有可能自己滑到被子下,这被子盖在这个气管口,容易造成窒息。The operation steps are as follows: 1. Body position: generally take the supine position, put a small pillow under the shoulders, and tilt the head back, so that the trachea is close to the skin, and the exposure is obvious, so as to facilitate the operation; 2. Local anesthesia: along the front center of the neck, from the thyroid cartilage The lower edge, down to the suprasternal fossa, is infiltrated with lidocaine for anesthesia. For comatose, critically ill or asphyxiated patients, if they are unconscious, no anesthesia is required; 3. Incision: a straight incision is mostly used, from the lower edge of the thyroid cartilage to the proximal At the suprasternal fossa, incise the skin and subcutaneous tissue along the anterior midline of the neck; 4. Separate the pretracheal tissue: Use vascular forceps to separate the sternohyoid and sternothyroid muscles along the midline to expose the thyroid isthmus. The lower edge is slightly separated, and the isthmus is pulled upward with a small hook. If necessary, the isthmus can also be clamped, cut and sutured to expose the trachea; 5. Cut the trachea: After the trachea is determined, it is usually at the second to fourth tracheal rings Use a sharp blade to incise one or two front walls of the tracheal ring in an arc from bottom to top to form an anterior tracheal wall flap. After intubation, fix the subcutaneous tissue. Do not insert the tip of the knife too deep to avoid stabbing the back wall of the trachea and the front wall of the esophagus. Cause tracheoesophageal fistula; 6. Insert the tracheal tube: use curved forceps or a tracheal incision dilator to open the tracheal incision, insert a tracheal tube with a suitable size and a tube core, after inserting the outer tube, immediately take out the tube core, put it in Inner tube, suck up secretions, and check for bleeding. When a patient with a tracheotomy coughs, the oxygen tube will be sprayed out, and if it falls outside, it will easily cause pollution, because the sputum is sprayed on the bed sheet, and the quilt cover is also dirty. Unconscious, irritable patients may slip under the quilt by themselves, and the quilt covers the trachea opening, which is likely to cause suffocation.
现有的气管切开套管存在着上述的不足之处,因此,需要一种气管切开套管来解决现有技术中所存在的不足之处。The existing tracheostomy sleeve has the above-mentioned shortcomings, therefore, a tracheostomy sleeve is needed to solve the shortcomings in the prior art.
实用新型内容Utility model content
本实用新型的目的在于提供一种气管切开套管,以解决上述背景技术中提出的问题。The purpose of this utility model is to provide a tracheotomy sleeve to solve the problems raised in the above-mentioned background technology.
为实现上述目的,本实用新型提供如下技术方案:In order to achieve the above object, the utility model provides the following technical solutions:
一种气管切开套管,包括弧形基板,所述弧形基板的两端内壁固定开设有束带连接孔,所述束带连接孔的圆周内壁固定穿绕有弹性束带,所述弧形基板的内壁中部固定开设有套管接口部,所述套管接口部的内壁固定设有气管套管,所述弧形基板的顶部固定设有杯体,所述杯体的底壁中部固定开设有连通孔,所述气管套管的顶端固定开设有端口,所述杯体的内部底端固定设有内腔体,所述内腔体的一侧内壁底端固定连接有内导管,所述杯体靠近内导管的一侧外壁固定开设有外管接口部,所述外管接口部远离杯体的一侧通口固定连接有直通管,所述直通管远离外管接口部的一端通口固定卡接有密封端盖,所述直通管的顶壁固定开设有氧气管接口部,所述氧气管接口部的顶部固定连接有氧气管端头,所述杯体的两侧内壁中部均固定连接有第一固定件,所述第一固定件的顶部固定设有第一活性炭层,所述杯体的两侧内壁顶端均固定连接有第二固定件,所述第二固定件的顶部固定设有第二活性碳层,所述杯体的顶部通口包裹有纱布层。A tracheotomy sleeve, comprising an arc-shaped base plate, the inner walls of both ends of the arc-shaped base plate are fixed with belt connection holes, and the circumferential inner wall of the belt connection hole is fixedly wound with elastic belts, and the arc The middle part of the inner wall of the arc-shaped substrate is fixed with a casing interface part, the inner wall of the casing interface part is fixed with a trachea casing, the top of the arc-shaped substrate is fixed with a cup body, and the middle part of the bottom wall of the cup body is fixed. A communication hole is provided, a port is fixedly provided at the top of the tracheal tube, an inner cavity is fixed at the inner bottom of the cup body, and an inner catheter is fixedly connected to the bottom end of one side of the inner wall of the inner cavity. The outer wall of the cup close to the inner conduit is fixed with an outer pipe interface, the side of the outer pipe interface away from the cup body is fixedly connected with a straight-through pipe, and the end of the straight-through pipe far away from the outer pipe interface is connected to the The mouth of the cup is fixedly clamped with a sealing end cover, and the top wall of the straight-through tube is fixedly provided with an oxygen tube interface, and the top of the oxygen tube interface is fixedly connected with an oxygen tube end, and the middle parts of the inner walls on both sides of the cup body are A first fixing part is fixedly connected, and the top of the first fixing part is fixedly provided with a first activated carbon layer. A second activated carbon layer is fixedly arranged, and the top opening of the cup body is wrapped with a gauze layer.
优选的,所述弧形基板为上凸型柔性塑料材质。Preferably, the arc-shaped substrate is made of an upwardly convex flexible plastic material.
优选的,所述杯体为塑料材质,侧壁厚度为两毫米。Preferably, the cup body is made of plastic, and the thickness of the side wall is two millimeters.
优选的,所述气管套管的顶端端口依次穿过套管接口部和连通孔连通至内腔体。Preferably, the top end port of the tracheal cannula communicates with the inner cavity through the cannula interface and the communication hole in sequence.
优选的,所述氧气管端头依次连通于内导管。Preferably, the ends of the oxygen tubes are sequentially connected to the inner conduit.
优选的,所述第一活性炭层与第二活性炭层为可更换设置。Preferably, the first activated carbon layer and the second activated carbon layer are replaceable.
优选的,所述纱布层固定设有一层,且纱布层包裹于杯体的顶部通口。Preferably, the gauze layer is fixedly provided with one layer, and the gauze layer is wrapped around the top opening of the cup body.
与现有技术相比,本实用新型的有益效果是:Compared with the prior art, the beneficial effects of the utility model are:
1、本实用新型中,通过设置的弧形基板结构形式为上凸型弧面设计,使其在使用时使患者的颈部舒适性相对更高,结构设计相对较为简单,适用性更强。1. In the utility model, the arc-shaped base plate is designed with an upward convex arc surface, so that the patient's neck is relatively more comfortable during use, the structural design is relatively simple, and the applicability is stronger.
2、本实用新型中,通过设置的杯体一侧外壁由外管接口部、直通管和氧气管接口部连接有氧气管端头,在使用氧气管时更加方便,减少了过于麻烦的操作处理过程。2. In the utility model, the outer wall of one side of the cup body is connected with the end of the oxygen tube by the interface of the outer tube, the straight-through tube and the interface of the oxygen tube. It is more convenient to use the oxygen tube and reduces the troublesome operation. process.
3、本实用新型中,通过设置的纱布层、第一活性炭层和第二活性炭层避免空气中的细菌粉尘等进入杯体,整体具有一定的高度,不会被被子盖住,避免造成窒息。3. In the utility model, the gauze layer, the first activated carbon layer and the second activated carbon layer are used to prevent bacterial dust in the air from entering the cup body. The whole has a certain height and will not be covered by the quilt to avoid suffocation.
附图说明Description of drawings
图1为本实用新型整体结构主视图;Fig. 1 is a front view of the overall structure of the utility model;
图2为本实用新型整体结构主视剖面图;Fig. 2 is a front sectional view of the overall structure of the utility model;
图3为图2局部结构放大图。Fig. 3 is an enlarged view of the partial structure of Fig. 2 .
图中:1-弧形基板、2-束带连接孔、3-弹性束带、4-套管接口部、5-气管套管、6-杯体、7-连通孔、8-端口、9-内腔体、10-内导管、11-外管接口部、12-直通管、13-密封端盖、14-氧气管接口部、15-氧气管端头、16-第一固定件、17-第一活性炭层、18-第二固定件、19-第二活性炭层、20-纱布层。In the figure: 1-curved base plate, 2-band connection hole, 3-elastic band, 4-tube interface, 5-tracheal tube, 6-cup body, 7-communication hole, 8-port, 9 -inner cavity, 10-inner conduit, 11-outer tube interface, 12-straight through tube, 13-sealing end cap, 14-oxygen tube interface, 15-oxygen tube end, 16-first fixing member, 17 - the first activated carbon layer, 18 - the second fixing piece, 19 - the second activated carbon layer, 20 - the gauze layer.
具体实施方式Detailed ways
下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例,基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. For example, based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present invention.
请参阅图1-3,本实用新型提供一种技术方案:Please refer to Figure 1-3, the utility model provides a technical solution:
一种气管切开套管,包括弧形基板1,通过设置的弧形基板1结构形式为上凸型弧面设计,使其在使用时使患者的颈部舒适性相对更高,结构设计相对较为简单,适用性更强,弧形基板1的两端内壁固定开设有束带连接孔2,束带连接孔2的圆周内壁固定穿绕有弹性束带3,弧形基板1的内壁中部固定开设有套管接口部4,套管接口部4的内壁固定设有气管套管5,弧形基板1 的顶部固定设有杯体6,杯体6的底壁中部固定开设有连通孔7,气管套管5 的顶端固定开设有端口8,杯体6的内部底端固定设有内腔体9,内腔体9的一侧内壁底端固定连接有内导管10,杯体6靠近内导管10的一侧外壁固定开设有外管接口部11,外管接口部11远离杯体6的一侧通口固定连接有直通管 12,直通管12远离外管接口部11的一端通口固定卡接有密封端盖13,直通管12的顶壁固定开设有氧气管接口部14,氧气管接口部14的顶部固定连接有氧气管端头15,通过设置的杯体6一侧外壁由外管接口部11、直通管12和氧气管接口部14连接有氧气管端头15,在使用氧气管时更加方便,减少了过于麻烦的操作处理过程,杯体6的两侧内壁中部均固定连接有第一固定件 16,第一固定件16的顶部固定设有第一活性炭层17,杯体6的两侧内壁顶端均固定连接有第二固定件18,第二固定件18的顶部固定设有第二活性炭层 19,杯体6的顶部通口包裹有纱布层20,通过设置的纱布层20、第一活性炭层17和第二活性炭层19避免空气中的细菌粉尘等进入杯体6,整体具有一定的高度,不会被被子盖住,避免造成窒息。A tracheostomy tube, comprising an arc-shaped base plate 1, the structural form of the arc-shaped base plate 1 is designed as an upwardly convex arc surface, so that the comfort of the patient's neck is relatively higher when used, and the structural design is relatively It is relatively simple and has stronger applicability. The inner walls of both ends of the arc-shaped base plate 1 are fixed with a belt connection hole 2, and the inner wall of the belt connection hole 2 is fixed with an elastic belt 3. A casing interface portion 4 is provided, the inner wall of the casing interface portion 4 is fixedly provided with a trachea casing 5, the top of the arc-shaped base plate 1 is fixedly provided with a cup body 6, and the middle part of the bottom wall of the cup body 6 is fixedly provided with a communication hole 7, The top end of the tracheal cannula 5 is fixedly provided with a port 8, and the inner bottom of the cup body 6 is fixedly provided with an inner cavity body 9, and the bottom end of one side of the inner wall of the inner cavity body 9 is fixedly connected with an inner conduit 10, and the cup body 6 is close to the inner conduit One side of the outer wall of 10 is fixedly provided with an outer tube interface 11, and the side port of the outer tube interface 11 away from the cup body 6 is fixedly connected with a straight-through tube 12, and the through-hole 12 is fixed at one end away from the outer tube interface 11. Connected with a sealing end cover 13, the top wall of the straight-through pipe 12 is fixedly provided with an oxygen pipe interface 14, and the top of the oxygen pipe interface 14 is fixedly connected with an oxygen pipe end 15, and the outer wall of the cup body 6 is passed through the outer wall of the outer tube. The interface part 11, the straight-through pipe 12 and the oxygen tube interface part 14 are connected with the oxygen tube end 15, which is more convenient when using the oxygen tube and reduces the troublesome operation process. The first fixed part 16, the top of the first fixed part 16 is fixedly provided with the first activated carbon layer 17, and the top of the inner wall of both sides of the cup body 6 is fixedly connected with the second fixed part 18, and the top of the second fixed part 18 is fixedly provided with The second activated carbon layer 19, the top opening of the cup body 6 is wrapped with a gauze layer 20, and the gauze layer 20, the first activated carbon layer 17 and the second activated carbon layer 19 prevent the bacterial dust in the air from entering the cup body 6, the whole It has a certain height and will not be covered by the quilt to avoid suffocation.
本实用新型工作原理:使用时,通过弹性束带3将气管套管5相对固定在患者的颈部处,通过气管套管5的底端与患者的气管连通,然后气管套管5 的另一端穿过套管接口部4和连通孔7至内腔体9,并且通过氧气管端头15 连接于氧气管接口部14,以此氧气管端头15通过氧气管接口部14连通于直通管12和内导管10,并最终将氧气输送至内腔体9向患者提供,同时杯体6 的上面通口再盖一层纱布层20,避免空气中的细菌粉尘等进去,再由第一活性碳层17、第二活性炭层19对一些细微杂质进行吸收处理,并且杯体6有一定的高度,不会被被子盖住,造成窒息,以此完成本气管切开套管的全部工作。The working principle of the utility model: when in use, the tracheal tube 5 is relatively fixed on the neck of the patient through the elastic band 3, and the bottom end of the tracheal tube 5 communicates with the patient's trachea, and then the other end of the tracheal tube 5 Pass through the sleeve interface 4 and the communication hole 7 to the inner cavity 9, and connect to the oxygen tube interface 14 through the oxygen tube end 15, so that the oxygen tube end 15 communicates with the straight-through tube 12 through the oxygen tube interface 14 and the inner catheter 10, and finally deliver oxygen to the inner cavity body 9 to provide for the patient, and at the same time, the upper opening of the cup body 6 is covered with a layer of gauze layer 20 to prevent bacterial dust in the air from entering, and then the first activated carbon Layer 17, the second activated carbon layer 19 absorb and process some tiny impurities, and the cup body 6 has a certain height, which can not be covered by a quilt and cause suffocation, so as to complete all the work of this tracheotomy sleeve.
尽管已经示出和描述了本实用新型的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本实用新型的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本实用新型的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, those skilled in the art can understand that various changes and modifications can be made to these embodiments without departing from the principle and spirit of the present invention , replacements and modifications, the scope of the present utility model is defined by the appended claims and their equivalents.
Claims (7)
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