CN211724300U - An adult thin replaceable tube reinforced tracheal tube - Google Patents
An adult thin replaceable tube reinforced tracheal tube Download PDFInfo
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- CN211724300U CN211724300U CN201922113162.7U CN201922113162U CN211724300U CN 211724300 U CN211724300 U CN 211724300U CN 201922113162 U CN201922113162 U CN 201922113162U CN 211724300 U CN211724300 U CN 211724300U
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Abstract
本实用新型公开了一种成人细型可换管加强气管导管,该导管由单腔导气管、防漏套囊、导管接头、螺旋换管器组成,单腔导气管长度为35~38厘米,单腔导气管内径为4.0‑5.0毫米,防漏套囊密封套接在单腔导气管的管体上,单腔导气管与导管接头螺纹连接,导管接头连接呼吸机螺纹管道,螺旋换管器的一端与单腔导气管螺旋接头相匹配。成人细型可换管加强气管导管用于存在声门下水肿、肿物或气管受压狭窄急诊呼吸困难患者的人工气道建立。该导管的使用不仅可以及时、有效建立人工气道,而且减轻了对呼吸道的进一步损害,从而改善患者氧合,挽救患者生命,且可在气道阻塞接触后,保证常规气管插管的插入,为患者的进一步治疗提供保障。
The utility model discloses an adult thin replaceable tube reinforced trachea catheter. The catheter is composed of a single-lumen airway, a leak-proof cuff, a catheter joint and a spiral tube changer. The length of the single-lumen airway is 35-38 cm. The inner diameter of the single-lumen airway is 4.0-5.0 mm, and the leak-proof cuff is sealed and sleeved on the tube body of the single-lumen airway. One end of the single lumen airway screw fitting is matched. The adult thin-tube reinforced endotracheal tube is used for the establishment of artificial airway in emergency patients with subglottic edema, mass or tracheal stenosis with dyspnea. The use of the catheter can not only establish an artificial airway in a timely and effective manner, but also reduce further damage to the respiratory tract, thereby improving the oxygenation of the patient and saving the patient's life. Provide protection for further treatment of patients.
Description
技术领域technical field
本实用新型属于医疗器械技术领域,是一种成人细型可换管加强气管导管。The utility model belongs to the technical field of medical equipment, and relates to an adult thin replaceable tube reinforced trachea catheter.
背景技术Background technique
患有声门下水肿、肿物或气管受压狭窄的急诊患者,由于呼吸道梗阻,有效通气不足,导致机体缺氧及二氧化碳蓄积,出现紫绀、心率增快和血压升高等临床表现,严重者短时间内可出现昏迷,甚至呼吸心跳停止,迅速有效地实施气管插管、建立人工气道是挽救患者生命的重要措施之一。然而,对于此类急诊入院的患者,因病情危急,常无法及时全面评估声门下水肿、肿物或气管受压狭窄情况,即使应用可视喉镜、视可尼喉镜等困难气道处理工具,也仅能观察声门上呼吸道的情况,但对于下呼吸道,尤其是气管狭窄的程度却无法判断,因此如何选择气管导管,进而成功实施气管插管,建立人工气道,对于患者的预后与转归至关重要。常规型号成人加强气管导管是为匹配成人正常的气管而设计,气管导管的长度和管径均具有相应的标准。显然,此种气管导管不适用于存在声门下水肿、肿物或气管受压狭窄的患者。若采用常规成人加强气管导管建立人工气道,不仅成功率低,而且还可能加重气管水肿,甚至导致肿物损伤破裂出血,从而进一步加重呼吸困难,恶化患者病情。Emergency patients with subglottic edema, tumor or tracheal stenosis due to airway obstruction and insufficient effective ventilation lead to hypoxia and carbon dioxide accumulation in the body, resulting in clinical manifestations such as cyanosis, increased heart rate, and elevated blood pressure. Coma and even respiratory and cardiac arrest may occur. Rapid and effective implementation of endotracheal intubation and establishment of artificial airways are one of the important measures to save patients' lives. However, for such patients admitted to the emergency department, due to their critical condition, it is often impossible to comprehensively assess the subglottic edema, mass or tracheal stenosis in a timely manner. , can only observe the situation of the upper glottis respiratory tract, but the lower respiratory tract, especially the degree of tracheal stenosis can not be judged, so how to choose a tracheal tube, and then successfully implement tracheal intubation, establish an artificial airway, the prognosis of patients and Outcomes are critical. The conventional model adult reinforced endotracheal tube is designed to match the normal adult trachea, and the length and diameter of the endotracheal tube have corresponding standards. Obviously, this type of endotracheal tube is not suitable for patients with subglottic edema, mass or tracheal stenosis. If the conventional adult strengthening tracheal tube is used to establish an artificial airway, not only the success rate is low, but also it may aggravate tracheal edema, and even lead to the rupture and bleeding of the tumor, thereby further aggravating dyspnea and worsening the patient's condition.
实用新型内容Utility model content
本实用新型公开了一种成人细型可换管加强气管导管,用于存在声门下水肿、肿物或气管受压狭窄急诊呼吸困难患者的人工气道建立。该导管的使用不仅可以及时、有效建立人工气道,而且减轻了对呼吸道的进一步损害,从而改善患者氧合,挽救患者生命,且可在气道阻塞接触后,保证常规气管插管的插入,为患者的进一步治疗提供保障。The utility model discloses an adult thin replaceable tube reinforced tracheal catheter, which is used for the establishment of artificial airway in emergency patients with subglottic edema, tumor or tracheal compression and stenosis with difficulty in breathing. The use of the catheter can not only establish an artificial airway in a timely and effective manner, but also reduce further damage to the respiratory tract, thereby improving the oxygenation of the patient and saving the patient's life. Provide protection for further treatment of patients.
本实用新型的技术方案如下:The technical scheme of the present utility model is as follows:
一种成人细型可换管加强气管导管,该导管由单腔导气管、防漏套囊、导管接头、螺旋换管器组成,单腔导气管长度为 35~38厘米,单腔导气管内径为4.0-5.0毫米,防漏套囊密封套接在单腔导气管的管体上,防漏套囊通过充气管与单向活瓣连通,防漏套囊由单向活瓣充气,单腔导气管与导管接头螺纹连接,导管接头连接呼吸机螺纹管道,所述螺旋换管器为实心导管,螺旋换管器的一端与单腔导气管螺旋接头相匹配。An adult thin replaceable tube reinforced tracheal catheter, the catheter is composed of a single-lumen airway, a leak-proof cuff, a catheter joint, and a spiral tube changer, the length of the single-lumen airway is 35-38 cm, and the inner diameter of the single-lumen airway It is 4.0-5.0 mm, and the leak-proof cuff is sealed and sleeved on the tube body of the single-lumen airway. The leak-proof cuff is communicated with the one-way valve through the inflation tube. The air conduit is threadedly connected with the conduit joint, the conduit joint is connected to the ventilator threaded pipe, the spiral tube changer is a solid conduit, and one end of the spiral tube changer is matched with the single-lumen air conduit screw joint.
单腔导气管、螺旋换管器为质地坚韧、无毒,对咽、喉、气管组织无刺激,亦不引起过敏反应的塑料制成的管壁光滑的导管。The single-lumen airway and spiral tube changer are tough, non-toxic, non-irritating to the pharynx, larynx, and trachea tissue, and do not cause allergic reactions. Plastic catheters with smooth walls.
本实用新型的优点在于:1、该气管导管具备常规成人气管导管的长度,但导管内径却是小儿加强气管导管的直径。此种设计不仅能够满足声门下水肿、肿物或气管受压狭窄患者的气管管径,减少对患者气道的二次损害,而且具有足够的长度通过气管狭窄处,从而有效建立人工气道,维持患者呼吸功能,抢救患者生命,改善患者预后;2、待进行有效的医疗救治,声门下水肿消除,声门下肿物切除后,则可通过将该气管导管的螺旋接头更换为与之匹配一段导管,此时该气管导管具备换管器的功能,可引导插入常规气管导管,这样既可以成功更换气管导管,亦可避免再次常规气管插管对患者所造成的损害;3、实用新型具有操作简单、安全可靠,不仅可以迅速有效改善患者的氧合,还可节约医疗资源,在临床急诊抢救工作中具有广泛地应用和推广价值;4、单腔导气管、螺旋换管器均为质地坚韧、无毒,对咽、喉、气管等组织无刺激,亦不引起过敏反应的塑料制成的管壁光滑导管。使用一次性无菌塑料导管,不但使用方便,而且杜绝交叉感染的危险。The advantages of the utility model are: 1. The tracheal catheter has the length of a conventional adult tracheal catheter, but the inner diameter of the catheter is the diameter of a pediatric reinforced tracheal catheter. This design can not only meet the tracheal diameter of patients with subglottic edema, tumor or tracheal stenosis, reduce secondary damage to the patient's airway, but also have sufficient length to pass through the tracheal stenosis, thereby effectively establishing an artificial airway. Maintain the patient's respiratory function, save the patient's life, and improve the patient's prognosis; 2. After effective medical treatment, the subglottic edema has been eliminated, and the subglottic tumor has been removed, the screw joint of the tracheal tube can be replaced by a matching section. At this time, the tracheal tube has the function of a tube changer, which can guide the insertion of a conventional tracheal tube, so that the tracheal tube can be successfully replaced, and the damage caused by the conventional tracheal intubation to the patient can be avoided; 3. The utility model has the ability to operate Simple, safe and reliable, it can not only quickly and effectively improve the oxygenation of patients, but also save medical resources, and has wide application and promotion value in clinical emergency rescue work; 4. The single-lumen airway and spiral tube changer are both tough in texture , Non-toxic, non-irritating to the pharynx, larynx, trachea and other tissues, and does not cause allergic reactions to plastic catheters with smooth walls. The use of disposable sterile plastic catheters is not only convenient to use, but also eliminates the risk of cross-infection.
附图说明Description of drawings
图1为本实用新型的结构示意图;Fig. 1 is the structural representation of the utility model;
图2为导管接头的结构示意图;Fig. 2 is the structural representation of conduit joint;
图3为螺旋换管器的结构示意图;Fig. 3 is the structural representation of spiral tube changer;
1、防漏套囊;2、单向活瓣;3、导管接头;4、螺旋换管器; 5、换管器螺旋接头;6、单腔导气管螺旋接头;7、单腔导气管。1. Leak-proof cuff; 2. One-way valve; 3. Catheter joint; 4. Spiral tube changer; 5. Spiral joint of tube changer; 6. Spiral joint of single lumen airway;
具体实施方式Detailed ways
一种成人细型可换管加强气管导管由单腔导气管7、防漏套囊1、导管接头3、螺旋换管器4组成。单腔导气管7长度与成人气管导管长度相同,即单腔导气管7长度为35~38厘米,单腔导气管7从中切牙至导气管中段距离为 20~21厘米,插管时可匹配成人呼吸道的长度,而单腔导气管管径则与小儿气管导管相同,即单腔导气管7内径为4.0-5.0毫米,单腔导气管7借助喉镜经过声门置入气管,导管接头3可与单腔导气管7匹配。对于存在声门下水肿、肿物或气管受压狭窄急诊呼吸困难患者而言,更细的导管管径不仅可以满足患者的通气,而且不会对狭窄的气管造成二次损害。防漏套囊1 由单向活瓣2充气,是单腔导气管7的防漏装置,既可防止呕吐物、血液或口咽分泌部流入气管,也可防止机械通气时漏气,套囊充气后,可将单腔导气管7固定于气管内,保证呼吸通畅。导管接头3则可连接呼吸机,通过机械通气,维持患者氧供及二氧化碳排出,保证患者生命生命安全,待气道梗阻解除后,使用螺旋换管器4可引导置入常规气管导管,保证患者的呼吸支持。An adult thin replaceable tube reinforced tracheal catheter is composed of a single-lumen airway tube 7 , a leak-proof cuff 1 , a
当患者存在声门下水肿声门下肿物等无法使用喉镜清晰观察到声门下呼吸道情况的急诊呼吸困难,则可使用成人细型可换管加强气管导管解除梗阻,插入单腔导气管7,达到插入长度要求(男22-24厘米、女21-23厘米);使用单向活瓣2向防漏套囊1予以充气,保证呼吸道不漏气,同时防止血液和口腔分泌物进入肺部;导管接头3则可连接呼吸机,保证呼吸机可供应患者氧气供应。此时,患者在保证通气的情况下,可进行下一步治疗,待呼吸道梗阻解除,卸下导管接头3,换上螺旋换管器4,螺旋换管器的直径与单腔导气管内径均为4.0-5.0毫米毫米,不仅可以匹配衔接且均小于常规气管导管7.0内径,将防漏套囊1中的气体排空,引导可置入常规气管导管,这样不仅可保证气管插管的成功,也避免再次常规气管插管对患者造成的损害。When the patient has subglottic edema and subglottic mass and other emergency breathing difficulties that cannot be clearly observed by laryngoscope, the adult thin replaceable tube can be used to strengthen the tracheal tube to relieve the obstruction, and a single-lumen airway can be inserted. Insertion length requirements (male 22-24 cm, female 21-23 cm); use one-way valve 2 to inflate the leak-proof cuff 1 to ensure airtight airways, while preventing blood and oral secretions from entering the lungs;
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