CN212369360U - Drainage and air guide equipment for chest wall subcutaneous emphysema - Google Patents
Drainage and air guide equipment for chest wall subcutaneous emphysema Download PDFInfo
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- CN212369360U CN212369360U CN202021663142.3U CN202021663142U CN212369360U CN 212369360 U CN212369360 U CN 212369360U CN 202021663142 U CN202021663142 U CN 202021663142U CN 212369360 U CN212369360 U CN 212369360U
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Abstract
The utility model is suitable for the field of medical equipment, in particular to a drainage and air guide device for chest wall subcutaneous emphysema, which comprises a negative pressure interface tube provided with a negative pressure interface; a plurality of air guide structures are communicated with the negative pressure interface tube; the air guide structure is provided with a plurality of air guide cavity structures, and the plurality of air guide cavity structures comprise a plurality of one-way air guide cavity structures and a plurality of direct-current air guide cavity structures; drainage air guide equipment is fixed in the notched subcutaneous, because negative pressure mouth-piece cooperation intercommunication has a plurality of air guide structures to utilize a plurality of single air guide cavity structures and a plurality of direct current air guide cavity structure to carry out the negative pressure suction, and then need not extrude, also lead to the serious oozing blood of wound when avoiding extruding, the protection wound to and avoid increasing patient's painful sense, reduced wound length, also need not open repeatedly, avoid leading to the wound infection, operation wound healing is fast.
Description
Technical Field
The utility model relates to the field of medical equipment, in particular to a drainage and air guide device for subcutaneous emphysema of chest wall.
Background
Subcutaneous emphysema of the chest wall is a common complication. Especially, the incidence of chronic lung blocking diseases of chest trauma and old people is very high, and one of the common complications of IUP intubation patients is usually secondary to sternum and rib fracture with pneumothorax, is often seen in a plurality of rib fractures with pneumothorax, and can also be caused by tracheal, bronchial, lung and esophageal injuries. Post surgical procedures are also common. Occasionally secondary to endoscopic lesions. The clinical manifestations are chest distress or pain after sternum, and severe cases have jugular vein dilatation, tachycardia, dyspnea and even heart failure. The etiology is as follows: closed and open lesions of the chest are often accompanied by subcutaneous pneumatosis, and there are three general routes for air to enter the subcutaneous tissue through the affected area: firstly, when the pneumothorax is accompanied by the damage of parietal pleura, air in the thorax can enter subcutaneous tissues of the chest wall through the damaged part; when the trachea, the bronchus or the esophagus is ruptured, air can directly enter the mediastinum from the rupture opening and then spread to the neck surface and the chest subcutaneous tissue through the upper fovea of the sternum; and thirdly, air directly enters subcutaneous tissues through the body surface wound of the chest wall.
The existing treatment needs to control the gas source in time except some slight subcutaneous emphysema and limited special treatment without any special treatment, including pneumothorax drainage, and operation treatment of trachea, bronchus, lung or esophagus injury and the like. If the cause is removed in time, the subcutaneous emphysema can be absorbed within several days. The extensive or severe subcutaneous emphysema compresses the trachea, the dyspnea symptom appears and endangers the life of a patient, the condition of the patient is aggravated, the general edema is caused, the large-area subcutaneous emphysema is quick to get ill, the acute symptoms are that the general edema and the infection are caused, once the internal pressure of the mediastinum is increased, and the venous stasis of the neck are shown, the mediastinum incision drainage operation should be timely carried out. The existing subcutaneous emphysema method is that the operation is performed under local anesthesia, a transverse neck incision (the incision length is 5-6cm) at the upper edge of a sternal notch is made, muscles and fascia are separated, the front wall of a trachea is exposed, a pointer is tightly attached to the trachea wall to perform blunt separation (the periphery is extruded towards the middle) every two hours or so until the aortic arch is flat, a thick drainage tube which is not easy to collapse and is provided with multiple holes beside a tail end tube is placed, and the skin incision at the neck is loosely sutured.
In general, the limitations of the current methods are: 1. the wound needs to be repeatedly squeezed, so that the burden of a doctor is increased, and the pain of a patient is increased; 2. the repeatedly squeezed wound also needs to be repeatedly opened, so that wound infection is easily caused; 3. severe bleeding from the wound also results when squeezed; the operation scar is obvious because the operation wound is hard to heal greatly.
Disclosure of Invention
The utility model aims to provide a drainage and air guide device for chest wall subcutaneous emphysema, which aims to solve the limitation of the prior method that the wound needs to be repeatedly extruded, the burden of a doctor is increased, and the pain of a patient is increased; the repeatedly squeezed wound also needs to be repeatedly opened, so that wound infection is easily caused; severe bleeding from the wound also results when squeezed; the surgical scar is obvious due to the difficulty in healing the large surgical wound. In order to realize the purpose, the following technical scheme is specifically provided:
a drainage and air guide device for subcutaneous emphysema of chest wall comprises a negative pressure interface tube provided with a negative pressure interface;
a plurality of air guide structures are communicated with the negative pressure interface tube; wherein the content of the first and second substances,
the air guide structure is provided with a plurality of air guide cavity structures, and the air guide cavity structures comprise a plurality of one-way air guide cavity structures and a plurality of direct-current air guide cavity structures.
The drainage air guide device is fixed under the skin with 2-3cm incisions, and the negative pressure mouthpiece is communicated with a plurality of air guide structures to perform negative pressure suction by utilizing a plurality of single air guide cavity structures and a plurality of direct current air guide cavity structures, so that extrusion is not needed, serious blood seepage of the wounds is avoided during extrusion, the wounds are protected, pain feeling of patients is avoided being increased, the length of the wounds is reduced, repeated opening is not needed, wound infection is avoided, and the healing of the wounds is fast.
The utility model discloses drainage air guide equipment of chest wall subcutaneous emphysema: the air guide structure is an air guide pipe; the air guide cavity structure is an air guide hole and is arranged on the air guide pipe at equal intervals.
Further scheme: the length of the air guide pipe is 1-7 cm.
Preferably: the length of the air guide pipe is 2-5 cm.
Further scheme: the air guide hole is formed in the side wall of the air guide tube.
The utility model discloses drainage air guide equipment of chest wall subcutaneous emphysema: the number of the one-way air guide cavity structures accounts for 20-90% of the number of the air guide cavity structures.
Further scheme: the number of the one-way air guide cavity structures accounts for 30-70% of the number of the air guide cavity structures.
The utility model discloses drainage air guide equipment of chest wall subcutaneous emphysema: the negative pressure interface tube 1 is provided with a plurality of positioning lugs, wherein the distance between each positioning lug and the negative pressure interface is set to be 0.3-1.3 cm.
Further scheme: the negative pressure interface tube is provided with a plurality of positioning lugs, wherein the distance between each positioning lug and the negative pressure interface is set to be 0.5-1 cm.
Compared with the prior art, the drainage and air guide device for the subcutaneous emphysema of the chest wall comprises a negative pressure interface tube provided with a negative pressure interface; a plurality of air guide structures are communicated with the negative pressure interface tube; the air guide structure is provided with a plurality of air guide cavity structures, and the plurality of air guide cavity structures comprise a plurality of one-way air guide cavity structures and a plurality of direct-current air guide cavity structures; drainage air guide equipment is fixed in the notched subcutaneous, because negative pressure mouth-piece cooperation intercommunication has a plurality of air guide structures to utilize a plurality of single air guide cavity structures and a plurality of direct current air guide cavity structure to carry out the negative pressure suction, and then need not extrude, also lead to the serious oozing blood of wound when avoiding extruding, the protection wound to and avoid increasing patient's painful sense, reduced wound length, also need not open repeatedly, avoid leading to the wound infection, operation wound healing is fast.
Drawings
Fig. 1 is a schematic structural view of the drainage and gas guide device for treating subcutaneous emphysema of chest wall of the present invention.
Fig. 2 is a schematic top view of a drainage and gas guide device for treating subcutaneous emphysema of chest wall.
In the figure: 1-negative pressure mouthpiece; 2-a gas-guide tube; 3-air vents; 4-positioning the ear.
Detailed Description
The technical solution of the present invention will be described in further detail with reference to the following embodiments.
The utility model aims to provide a drainage and air guide device for chest wall subcutaneous emphysema, which aims to solve the limitation of the prior method that the wound needs to be repeatedly extruded, the burden of a doctor is increased, and the pain of a patient is increased; the repeatedly squeezed wound also needs to be repeatedly opened, so that wound infection is easily caused; severe bleeding from the wound also results when squeezed; the surgical scar is obvious due to the difficulty in healing the large surgical wound. In order to realize the purpose, the following technical scheme is specifically provided:
in the embodiment of the utility model, as shown in fig. 1 and fig. 2, a drainage and gas guide device for treating chest wall subcutaneous emphysema comprises a negative pressure interface tube 1 provided with a negative pressure interface; a plurality of air guide structures are communicated with the negative pressure interface tube 1; the air guide structure is provided with a plurality of air guide cavity structures, and the air guide cavity structures comprise a plurality of one-way air guide cavity structures and a plurality of direct-current air guide cavity structures.
The embodiment of the utility model provides an in, drainage air guide equipment is fixed in the incision and is 2 cm's skin, because negative pressure mouth-piece 1 cooperation intercommunication has a plurality of air guide structures to utilize a plurality of single guide cavity structures and a plurality of direct current air guide cavity structure to carry out the negative pressure attraction, and then do not need the extrusion, also lead to the serious oozing blood of wound when avoiding the extrusion, the protection wound to and avoid increasing patient's painful sense, the wound length has been reduced, also need not open repeatedly, avoid leading to wound infection, operation wound healing is fast.
In the embodiment of the present invention, as shown in fig. 1 and 2, the air guide structure is an air guide tube 2; the air guide cavity structure is an air guide hole 3 and is arranged on the air guide pipe 2 at equal intervals; in a further scheme, the length of the air duct 2 is 1-7 cm; the air guide hole 3 is formed in the side wall of the air guide pipe 2; and further optimizing: the length of the air duct 2 is 2-5 cm. The gas guide tube 2 can be columnar, prismoid and the like, and the specific structure is not limited as long as the gas guide can be satisfied; the air guide cavity structure capable of guiding air is not limited to the air guide hole 3, and can be replaced by an air guide seam or an air guide notch and the like, and the specific structure is not limited as long as air guide can be achieved, and the preferable air guide cavity structure is the air guide hole 3.
The single-direction air guide cavity structure is a single-direction air guide hole, and the direct-current air guide cavity structure is a direct-current air guide hole; and a one-way valve is arranged in the one-way air guide hole.
In the embodiment of the present invention, as shown in fig. 1 and 2, the number of the single air guide cavity structures accounts for 20% -90% of the number of the air guide cavity structures. In a further scheme, the number of the one-way air guide cavity structures accounts for 30-70% of the number of the air guide cavity structures.
The one-way air guide cavity structure can play a role in protection, so that in case of mechanical failure, under the action of external air pressure, a valve port of the one-way valve is in a closed state, external air is prevented from entering a human body, and air pressure injury is prevented;
in the early stage of healing, the inflammation can increase the permeability of capillary vessels, so that excessive liquid flows into a wound, subcutaneous liquid can only walk outwards in a single channel and does not return to the subcutaneous part any more, pus and necrotic tissues in the subcutaneous liquid are led out in time, and fresh granulation tissues grow out along with the reduction of exudate to accelerate healing;
almost all wounds can be polluted by bacteria in the air or bacteria from tissues and organs near the wounds to different degrees, the bacteria enter a human body along with the air, the unidirectional air guide cavity prevents external air from entering the human body, the bacteria cannot enter the human body, and the risk of prevention and control of external infection can be reduced.
The single-direction air guide cavity and the direct-current air guide cavity are combined for drainage according to the proportion, so that subcutaneous gas can only move outwards in a single channel without returning to the subcutaneous part, the purpose of fully draining and timely controlling gas sources is achieved, and severe symptoms of jugular vein expansion, tachycardia, dyspnea and severe heart failure caused by subcutaneous emphysema on the chest wall are prevented; if all the one-way air guide cavity structures have unsatisfactory drainage effect, the optimal proportion of the number of the one-way air guide cavity structures to the number of the air guide cavity structures is 40-60%, and the optimal size is 2cm when balancing the ideal drainage effect with the actual need of achieving the beneficial effects.
In the embodiment of the present invention, as shown in fig. 1 and fig. 2, the negative pressure interface tube 1 is provided with a plurality of positioning lugs 4, wherein the distance between the positioning lugs 4 and the negative pressure interface is set to be 0.3-1.3 cm. In a further scheme, a plurality of positioning lugs 4 are arranged on the negative pressure interface tube 1, wherein the distance between the positioning lugs 4 and the negative pressure interface is set to be 0.5-1 cm.
In the embodiment of the present invention, as shown in fig. 1 and 2, the drainage and gas guide device for treating chest wall subcutaneous emphysema of the present invention comprises a negative pressure interface tube 1 with a negative pressure interface; a plurality of air guide structures are communicated with the negative pressure interface tube 1; the air guide structure is provided with a plurality of air guide cavity structures, and the plurality of air guide cavity structures comprise a plurality of one-way air guide cavity structures and a plurality of direct-current air guide cavity structures; drainage air guide equipment fixes in the notched subcutaneous, because negative pressure mouth-piece 1 cooperation intercommunication has a plurality of air guide structures to utilize a plurality of single air guide cavity structures and a plurality of direct current air guide cavity structure to carry out the negative pressure attraction, and then need not extrude, also lead to the serious oozing blood of wound when avoiding extruding, the protection wound to and avoid increasing patient's painful sense, reduced wound length, also need not open repeatedly, avoid leading to the wound infection, operation wound healing is fast.
The one-way air guide cavity structure is an all-plastic micro one-way valve and a processing method thereof (publication number: CN107448648A) applied by Shanghai applied technology university, and the one-way valve can reach 2mm 0.325mm at the minimum.
In the description of the present invention, "a plurality" means two or more unless otherwise specified.
In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art through specific situations.
Although the preferred embodiments of the present invention have been described in detail, the present invention is not limited to the above embodiments, and various changes can be made without departing from the spirit of the present invention, including the adoption of different unidirectional air guide cavity structures and the like, within the knowledge scope of those skilled in the art.
Claims (9)
1. A drainage and air guide device for subcutaneous emphysema of chest wall, which is characterized in that,
comprises a negative pressure mouthpiece provided with a negative pressure interface;
a plurality of air guide structures are communicated with the negative pressure interface tube; wherein the content of the first and second substances,
the air guide structure is provided with a plurality of air guide cavity structures, and the air guide cavity structures comprise a plurality of one-way air guide cavity structures and a plurality of direct-current air guide cavity structures.
2. The chest wall subcutaneous emphysema drainage airway device of claim 1 wherein the airway structure is an airway tube; the air guide cavity structure is an air guide hole and is arranged on the air guide pipe at equal intervals.
3. The chest wall subcutaneous emphysema drainage airway device of claim 2 wherein the airway is 1-7cm in length.
4. The chest wall subcutaneous emphysema drainage airway device of claim 3 wherein the airway is 2-5cm in length.
5. The chest wall subcutaneous emphysema drainage airway device of claim 2 wherein the air vents are provided in the side walls of the airway tube.
6. The drainage and air guide device for the chest wall subcutaneous emphysema according to claim 1, wherein the number of the single air guide cavity structures is 20-90% of the number of the air guide cavity structures.
7. The drainage and air guide device for the chest wall subcutaneous emphysema according to claim 6, wherein the number of the single air guide cavity structures is 30-70% of the number of the air guide cavity structures.
8. The drainage and gas guide device for the subcutaneous emphysema of the chest wall as claimed in any one of claims 1 to 6, wherein a plurality of positioning ears are arranged on the negative pressure interface tube, and the distance between the positioning ears and the negative pressure interface is set to be 0.3-1.3 cm.
9. The drainage and gas guide device for the subcutaneous emphysema of the chest wall as claimed in claim 8, wherein a plurality of positioning ears are arranged on the negative pressure interface tube, and the distance between the positioning ears and the negative pressure interface is set to be 0.5-1 cm.
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CN202021663142.3U CN212369360U (en) | 2020-08-10 | 2020-08-10 | Drainage and air guide equipment for chest wall subcutaneous emphysema |
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CN202021663142.3U CN212369360U (en) | 2020-08-10 | 2020-08-10 | Drainage and air guide equipment for chest wall subcutaneous emphysema |
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Address after: No.3, Sanyou South Road, Shiwan, Chancheng District, Foshan City, Guangdong Province Patentee after: Foshan Fuxing Chancheng hospital Co.,Ltd. Address before: No.3, Sanyou South Road, Shiwan, Chancheng District, Foshan City, Guangdong Province Patentee before: FOSHAN CHANCHENG CENTRAL Hospital |