CN212037507U - Jejunum nutrient canal capable of measuring peripancreatic pressure - Google Patents

Jejunum nutrient canal capable of measuring peripancreatic pressure Download PDF

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Publication number
CN212037507U
CN212037507U CN201921223132.5U CN201921223132U CN212037507U CN 212037507 U CN212037507 U CN 212037507U CN 201921223132 U CN201921223132 U CN 201921223132U CN 212037507 U CN212037507 U CN 212037507U
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China
Prior art keywords
pressure measuring
channel
perfusion
saccule
pressure
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Expired - Fee Related
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CN201921223132.5U
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Chinese (zh)
Inventor
胡良硕
柴祎超
朱皓阳
张春
王铮
仵正
王博
吕毅
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First Affiliated Hospital of Medical College of Xian Jiaotong University
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First Affiliated Hospital of Medical College of Xian Jiaotong University
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Abstract

The utility model provides a jejunum nutrient canal of measurable quantity pancreas week pressure. Comprises a tube body; the front end of the tube body is inserted into a human body, and the rear end of the tube body is placed outside the human body; the tube body is provided with a pressure measuring assembly and a food injection assembly; the food injection assembly comprises a food injection port arranged at the rear end of the tube body and used for injecting food, and also comprises a plurality of through holes arranged at the front end of the tube body; the pressure measuring component comprises a pressure measuring saccule perfusion port group arranged at the rear end of the tube body, a perfusion channel group arranged on the inner wall of the tube body and a pressure measuring saccule group arranged at the front end of the tube body; the perfusion port can be communicated with the pressure measuring saccule through a perfusion channel. The utility model provides a reflection abdominal cavity internal pressure that can be accurate, prediction intra-abdominal cavity high pressure and abdominal cavity compartment syndrome, the operation of being convenient for again, and can realize the jejunum nutrient canal of real-time, continuous monitoring's measurable quantity pancreas week pressure.

Description

Jejunum nutrient canal capable of measuring peripancreatic pressure
Technical Field
The utility model belongs to the technical field of clinical medicine detects, a jejunum nutrient canal is related to, especially relate to a jejunum nutrient canal of measurable quantity pancreas week pressure.
Background
Severe Acute Pancreatitis (SAP) belongs to a special type of Acute Pancreatitis (AP), is acute abdomen with serious illness, more complications and higher fatality rate, and accounts for 10-20% of the whole acute pancreatitis. With the progress of surgical treatment, SAP cure rates increased, but overall mortality rates remained as high as 20%. The cause of death in SAP patients is associated with a series of complications, in addition to the severity of the disease itself. Abdominal Hypertension (IAH), Abdominal Compartment Syndrome (ACS) are serious complications of SAP with incidence rates of 61% and 56%, respectively, but mortality rates as high as 40% -60%. Therefore, early diagnosis of IAH, timely intervention, and prevention of progression to ACS are critical to reducing mortality. The monitoring methods of intra-abdominal pressure mainly include direct measurement and indirect measurement, and currently, indirect pressure measurement methods are mostly adopted clinically, wherein cystometry is mainly used for monitoring severe pancreatitis and IAP. However, the ideal IAP measurement should be dynamic and real-time, and the bladder manometry can only achieve 1 measurement every 4 hours due to the complexity of the operation, so that the change trend of the intra-abdominal pressure cannot be prompted in real time. In addition, after some patients are subjected to laparotomy drainage, the bladder pressure is obviously reduced, but peripancreatic exudation is still very obvious, the epigastric distention of the patients still persists, and severe complications such as infectious hemorrhage and the like easily occur, so the bladder pressure cannot completely reflect the prognosis of ACS. Secondly, the urinary catheter must be left for cystometry, which increases the risk of infection.
Therefore, there is a clinically urgent need for a device or method for measuring peripancreatic pressure in a manner other than cystometry.
SUMMERY OF THE UTILITY MODEL
The method aims to solve the problems that the existing severe acute pancreatitis adopts an indirect pressure measurement method, cannot prompt the change trend of intra-abdominal pressure in real time and is easy to cause serious complications such as infectious hemorrhage and the like in the background art. The utility model provides a jejunum nutrient canal of measurable quantity pancreas week pressure, through this nutrient canal measurable quantity duodenum internal pressure, indirect reflection pancreas is all oozed and is close on the extrusion that the internal organs produced, reflection abdominal cavity internal pressure that can be accurate, prediction intra-abdominal cavity high pressure and abdominal cavity compartment syndrome, the operation of being convenient for again, and can realize real-time, continuous monitoring.
The utility model provides a technical scheme is: a jejunal nutrient canal capable of measuring peripancreatic pressure comprises a canal body; the front end of the tube body is inserted into a human body, and the rear end of the tube body is placed outside the human body; it is characterized in that: the tube body is provided with a pressure measuring assembly and a food injection assembly;
the food injection assembly comprises a food injection port arranged at the rear end of the tube body and used for injecting food, and a plurality of through holes arranged at the front end of the tube body;
the food injection opening is provided with a plug which can be inserted or screwed in;
the pressure measuring assembly comprises a pressure measuring saccule filling port group arranged at the rear end of the tube body, a filling channel group arranged on the inner wall of the tube body and a pressure measuring saccule group arranged at the front end of the tube body;
the pressure measuring saccule perfusion port group comprises a plurality of perfusion ports; the perfusion channel group comprises a plurality of perfusion channels; the pressure measuring sacculus group comprises a plurality of pressure measuring sacculus; the perfusion opening can be communicated with the pressure measuring saccule through a perfusion channel.
The pressure measuring saccule perfusion port group comprises a first perfusion port, a second perfusion port, a third perfusion port, a fourth perfusion port and a fifth perfusion port; the perfusion channel group comprises a first channel, a second channel, a third channel, a fourth channel and a fifth channel; the pressure measuring balloon group comprises a first pressure measuring balloon, a second pressure measuring balloon, a third pressure measuring balloon, a fourth pressure measuring balloon and a fifth pressure measuring balloon;
one end of the first channel is connected with the first perfusion opening, and the other end of the first channel is connected with the first pressure measuring saccule;
one end of the second channel is connected with a second perfusion opening, and the other end of the second channel is connected with a second pressure measuring saccule;
one end of the third channel is connected with a third perfusion opening, and the other end of the third channel is connected with a third pressure measuring saccule;
one end of the fourth channel is connected with a fourth perfusion opening, and the other end of the fourth channel is connected with a fourth pressure measuring saccule;
one end of the fifth channel is connected with a fifth perfusion opening, and the other end of the fifth channel is connected with a fifth pressure measuring saccule.
Preferably, the diameter of the perfusion channel is 1mm to 2 mm.
Preferably, the pressure measuring balloons are distributed at the front end of the pipe body, the interval between the first pressure measuring balloon and the second sample measuring balloon is 6cm, the interval between the second sample measuring balloon and the third sample measuring balloon is 8cm, the interval between the third pressure measuring balloon and the fourth pressure measuring balloon is 10cm, and the interval between the fourth pressure measuring balloon and the fifth pressure measuring balloon is 5 cm.
Preferably, the pressure measuring balloon is an elliptical balloon, and the outer surface of the balloon is provided with an anti-skid device.
Preferably, the pouring openings are provided with plug covers which can be inserted or screwed in.
The utility model has the advantages that: utilize the utility model provides a jejunum nutrient canal of measurable quantity pancreas week pressure carries out pancreas week pressure measurement to the patient, accessible duodenum internal pressure, reflects pancreas week and oozes the extrusion to closing on the internal organs production, reflection abdominal cavity internal pressure that can be accurate, prediction intra-abdominal cavity high pressure and abdominal cavity compartment syndrome, the operation of being convenient for again, and can realize in real time, under the real pathological state of continuous monitoring pancreas week nearest space pressure variation trend.
In the traditional measuring method, namely the bladder pressure measurement method which is frequently used in clinic, the pressure is generally measured for 1 time every 6 hours due to the complexity of the operation, so the change trend of the intra-abdominal pressure cannot be prompted in real time.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic cross-sectional view of the tube body of the present invention;
the device comprises a food injection port 1, a first injection port 2, a second injection port 3, a third injection port 4, a fourth injection port 5, a tube body 6, a second pressure measuring sacculus 7, a third pressure measuring sacculus 8, a fourth pressure measuring sacculus 9, a fifth pressure measuring sacculus 10, a through hole 11, a second channel 12, a third channel 13, a fourth channel 14, a fifth channel 15, a fifth channel 16, a fifth injection port 17, a first channel 18 and the first pressure measuring sacculus 18.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
Referring to fig. 1-2, a jejunal nutrient canal for measuring peripancreatic pressure includes a tubular body 6; the front end of the tube body 6 is inserted into the human body, and the rear end of the tube body 6 is placed outside the human body; the tube body 6 is provided with a pressure measuring assembly and a food injection assembly;
the food injection assembly comprises a food injection port 1 arranged at the rear end of the tube body 6 and used for injecting food, and also comprises a plurality of through holes arranged at the front end of the tube body;
the food injection port 1 is provided with a plug which can be inserted or screwed in;
the pressure measuring component comprises a pressure measuring saccule perfusion port group arranged at the rear end of the tube body 6, a perfusion channel group arranged on the inner wall of the tube body and a pressure measuring saccule group arranged at the front end of the tube body;
the pressure measuring saccule perfusion opening group comprises a plurality of perfusion openings; the perfusion channel group comprises a plurality of perfusion channels; the pressure measuring sacculus group comprises a plurality of pressure measuring sacculus; the perfusion port can be communicated with the pressure measuring saccule through a perfusion channel.
The pressure measuring saccule perfusion port group comprises a first perfusion port 2, a second perfusion port 3, a third perfusion port 4, a fourth perfusion port 5 and a fifth perfusion port 16; the perfusion channel set comprises a first channel 17, a second channel 12, a third channel 13, a fourth channel 14 and a fifth channel 15; the pressure measuring balloon group comprises a first pressure measuring balloon 18, a second pressure measuring balloon 7, a third pressure measuring balloon 8, a fourth pressure measuring balloon 9 and a fifth pressure measuring balloon 10;
one end of the first channel 17 is connected with the first perfusion opening 2, and the other end is connected with the first pressure measuring saccule 18;
one end of the second channel 7 is connected with the second perfusion opening 3, and the other end is connected with the second pressure measuring saccule 7;
one end of the third channel 13 is connected with the third perfusion opening 4, and the other end is connected with the third pressure measuring saccule 8;
one end of the fourth channel 14 is connected with the fourth perfusion opening 5, and the other end is connected with the fourth pressure measuring saccule 9;
one end of the fifth channel 15 is connected with the fifth perfusion opening 16, and the other end is connected with the fifth pressure measuring saccule 10.
The diameter of the perfusion channel is 1mm-2 mm.
The pressure measuring saccule is distributed at the front end of the tube body 6, the first pressure measuring saccule 18 is 6cm apart from the second sample measuring saccule 7, the second pressure measuring saccule 7 is 8cm apart from the third pressure measuring saccule 8, the third pressure measuring saccule 8 is 10cm apart from the fourth pressure measuring saccule 9, and the fourth pressure measuring saccule 9 is 5cm apart from the fifth pressure measuring saccule 10.
The pressure measuring saccule is an oval saccule, and the outer surface of the saccule is provided with an anti-skidding arrangement.
The filling openings are provided with plug covers which can be inserted or screwed in.
It needs to be further explained that: the pressure measurement sacculus equipartition is at the body front end, and the interval is different between every pressure measurement sacculus, totally 5 sacculus, and first pressure measurement sacculus is located the stomach, and the distance is 65cm apart from the food infusion mouth, and the second pressure measurement sacculus is located the duodenum ball portion, and 6cm apart from first pressure measurement sacculus, the third pressure measurement sacculus is located the duodenum descending part, and 8cm apart from the second pressure measurement sacculus, the fourth pressure measurement sacculus is located the duodenum horizontal part, and 10cm apart from the third sacculus, the fifth sacculus is located jejunum initial part, and 5cm apart from the fourth sacculus.
It is further explained that: the utility model provides a but measuring quantity pancreas week pressure's jejunal nutrient canal is different with conventional jejunal nutrient canal application environment, and its main action is also different, the utility model discloses a replacement is through the conventional jejunal nutrient canal of replacement, makes nutrient canal measure the effect of pressure in the duodenum, reflects the extrusion that pancreas week is oozed to closing on the internal organs production behind the peritonaeum, and the reflection abdominal cavity internal pressure that can be accurate predicts high pressure in the abdominal cavity and abdominal cavity compartment syndrome, is convenient for operate again, and can realize real-time, continuous monitoring.
Examples
After a Severe Acute Pancreatitis (SAP) patient completes an operation, inserting a jejunal nutrient canal capable of measuring the peripancreatic pressure into the body of the patient from an oral cavity or a nasal cavity, then injecting liquid or gas into a pressure measuring saccule group through a pressure measuring saccule injection port group, and blocking an injection port by using a positive pressure injection plug after injecting a certain amount of liquid or gas; and then measuring the pressure of each pressure measuring saccule by connecting the positive pressure perfusion plug by using a pressure measuring instrument every half hour so as to obtain the intra-abdominal pressure of the patient, thereby ensuring that the patient can continuously monitor the physical condition in real time after the operation.
When abdominal distension or painful condition appear in the patient, in time monitor patient intra-abdominal pancreas week pressure condition with the side pressure appearance, make things convenient for medical personnel's timely correct judgement of making.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (6)

1. A jejunal nutrient canal capable of measuring peripancreatic pressure comprises a canal body; the front end of the tube body is inserted into a human body, and the rear end of the tube body is placed outside the human body; the method is characterized in that: the tube body is provided with a pressure measuring assembly and a food injection assembly;
the food injection assembly comprises a food injection port arranged at the rear end of the tube body and used for injecting food, and also comprises a plurality of through holes arranged at the front end of the tube body;
the food injection opening is provided with a plug which can be inserted or screwed in;
the pressure measuring assembly comprises a pressure measuring saccule perfusion port group arranged at the rear end of the tube body, a perfusion channel group arranged on the inner wall of the tube body and a pressure measuring saccule group arranged at the front end of the tube body;
the pressure measuring saccule perfusion port group comprises a plurality of perfusion ports; the perfusion channel set comprises a plurality of perfusion channels; the pressure measuring sacculus group comprises a plurality of pressure measuring sacculus; the perfusion port can be communicated with the pressure measuring saccule through a perfusion channel.
2. The jejunal nutrient canal of claim 1, wherein: the pressure measuring saccule perfusion port group comprises a first perfusion port, a second perfusion port, a third perfusion port, a fourth perfusion port and a fifth perfusion port; the perfusion channel group comprises a first channel, a second channel, a third channel, a fourth channel and a fifth channel; the pressure measuring balloon group comprises a first pressure measuring balloon, a second pressure measuring balloon, a third pressure measuring balloon, a fourth pressure measuring balloon and a fifth pressure measuring balloon;
one end of the first channel is connected with the first perfusion opening, and the other end of the first channel is connected with the first pressure measuring saccule;
one end of the second channel is connected with the second perfusion opening, and the other end of the second channel is connected with the second pressure measuring saccule;
one end of the third channel is connected with a third perfusion opening, and the other end of the third channel is connected with a third pressure measuring saccule;
one end of the fourth channel is connected with the fourth perfusion opening, and the other end of the fourth channel is connected with the fourth pressure measuring saccule;
one end of the fifth channel is connected with the fifth perfusion opening, and the other end of the fifth channel is connected with the fifth pressure measuring saccule.
3. The jejunal nutrient canal of claim 1, wherein: the diameter of the perfusion channel is 1mm-2 mm.
4. The jejunal nutrient canal of claim 2, wherein: the pressure measuring sacculus is distributed at the front end of the pipe body, the interval between the first pressure measuring sacculus and the second sample measuring sacculus is 6cm, the interval between the second sample measuring sacculus and the third sample measuring sacculus is 8cm, the interval between the third pressure measuring sacculus and the fourth pressure measuring sacculus is 10cm, and the interval between the fourth pressure measuring sacculus and the fifth pressure measuring sacculus is 5 cm.
5. The jejunal nutrient canal of claim 1, wherein: the pressure measuring saccule is an oval saccule, and the outer surface of the saccule is provided with an anti-skidding arrangement.
6. The jejunal nutrient canal of claim 5, wherein: the filling openings are provided with plug covers which can be inserted or screwed in.
CN201921223132.5U 2019-07-31 2019-07-31 Jejunum nutrient canal capable of measuring peripancreatic pressure Expired - Fee Related CN212037507U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201921223132.5U CN212037507U (en) 2019-07-31 2019-07-31 Jejunum nutrient canal capable of measuring peripancreatic pressure

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201921223132.5U CN212037507U (en) 2019-07-31 2019-07-31 Jejunum nutrient canal capable of measuring peripancreatic pressure

Publications (1)

Publication Number Publication Date
CN212037507U true CN212037507U (en) 2020-12-01

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ID=73507703

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201921223132.5U Expired - Fee Related CN212037507U (en) 2019-07-31 2019-07-31 Jejunum nutrient canal capable of measuring peripancreatic pressure

Country Status (1)

Country Link
CN (1) CN212037507U (en)

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CF01 Termination of patent right due to non-payment of annual fee
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Granted publication date: 20201201

Termination date: 20210731