CN213098234U

CN213098234U - Chest wall fixture

Info

Publication number: CN213098234U
Application number: CN202020997698.XU
Authority: CN
Inventors: 王忠义; 郭尚德
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-06-03
Filing date: 2020-06-03
Publication date: 2021-05-04
Anticipated expiration: 2030-06-03

Abstract

The utility model discloses a chest wall fixture, fixed plate, through-hole, aseptic gauze, first about band, first magic subsides, the about band of second, the subsides of second magic and baldric, a plurality of through-hole has been seted up to the front side of fixed plate, the rear side of fixed plate is provided with aseptic gauze, the first about band of the equal fixedly connected with in left top of fixed plate and bottom. The utility model discloses an adopt the chest wall external fixation, utilize the thoracoscope, also can not utilize under the no thoracoscope condition, with purpose-built suture or purpose-built gasbag or other instrument, be fixed in the fixed plate with patient's chest wall on, need not cut skin, and easy operation does not influence the patient and sit the walking of crouching, can not cause the deformity to patient's chest, solved abnormal breathing, reach and cut the same effect of internal fixation with the chest wall, greatly reduced patient's treatment expense, and the operation is thus simple, the wound is little, economical and practical, the effect is clear and definite, no secondary damage, no implant and exclusive reaction.

Description

Chest wall fixture

Technical Field

The utility model relates to the technical field of medical treatment, in particular to a chest wall fixture.

Background

In recent years, with the increase of car accidents, flail breasts with chest trauma are more and more, and the treatment methods are more and more, which have both advantages and disadvantages. After the fracture of multiple multi-section ribs caused by blunt injury of flail chest, the large chest wall is softened and the broken ribs are dissociated from the chest, also called floating chest wall. Chest wall integrity, compliance, is severely compromised, causing two changes, either separately or simultaneously, abnormal breathing. The treatment of the floating chest wall, abnormal breathing caused by the floating chest wall or the degree of chest wall collapse enough to disturb the breathing of the patient causes ventilation obstruction, flail chest also causes mediastinal swing and hemodynamics instability, and the fixation of the chest wall is the primary purpose of treating flail chest. After the floating chest wall is corrected, the patient's breathing will improve rapidly. The conventional fixing method comprises the following steps: rib fixation methods include external fixation and internal fixation. The external fixation is like the traditional hanging traction of the tissue clamp and the fixing bracket of the chest wall, and the tissue clamp hanging traction has the advantages of easy material obtaining, quick implementation, small striking, simplicity, convenience, effectiveness and use value. Some of the old chest wall external fixation methods such as wide adhesive tape, compression pads and elastic chest bands should not be used. Because these methods are at the cost of sacrificing chest volume and limiting breathing, they will exacerbate ventilatory dysfunction based on the original pulmonary contusion, and as secretions are not easily coughed, there is a significant increase in complications such as secondary lung infection and atelectasis, as well as thoracic deformities, and collapse. Flail chest is the floating chest wall formed after fracture of a plurality of multi-section ribs. The integrity and compliance of the chest wall are seriously damaged, abnormal breathing and chest collapse occur, and the mediastinal swing and hemodynamics are unstable. Chest wall fixation to correct abnormal breathing is still a very important means. After correction, the patient's breathing will improve rapidly. The breathing frequency of the patient is observed and blood gas analysis and examination are carried out, thus being verified. The long-time traction can be avoided by the intra-operative fixation, and the accurate anatomical reduction is achieved; the need for mechanical ventilation, which is significantly reduced and has a shortened ventilatory time, as well as a decrease in ICU retention and total hospitalization days, is increasingly being treated as an important treatment for flail chest at home and abroad. The internal fixation materials are various, mainly including four categories of steel (titanium) plate screws, encircling brackets, intramedullary nails and steel wire cerclage, and contain various absorbable materials, which have advantages and disadvantages. At present, more rib encircling memory alloys are used, although the use is convenient and the fixation is reliable, Nirula and the like indicate that the Judet frame can press intercostal nerve vessels and then stubborn intercostal neuralgia like steel wire cerclage. The minimally invasive fixation in surgery is also a necessary trend. Currently, common methods of rib fixation include external fixation and internal fixation. Minimally invasive intra-operative fixation has become a current trend for treating thoracic trauma. The existing external fixation method has poor effect, and the patient needs to lie in bed, thereby limiting the movement of the patient.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a chest wall fixture to solve the problem that proposes among the above-mentioned background art.

In order to achieve the above object, the utility model provides a following technical scheme: the utility model provides a chest wall fixture, includes that fixed plate, through-hole, aseptic gauze, first about band, first magic are pasted, about band of second, second magic are pasted and are shouldered, the front side of fixed plate is opened and is equipped with a plurality of through-hole, the rear side of fixed plate is provided with aseptic gauze, the first about band of the equal fixedly connected with in left top of fixed plate and bottom, the front side of first about band is provided with first magic subsides, the top on fixed plate right side and the about band of the equal fixedly connected with second in bottom, the rear side of the about band of second is provided with the subsides of second magic, first magic is pasted and is used with the cooperation of the subsides of second magic, the equal fixedly connected with in the left and right sides at fixed plate top is shouldered.

Preferably, the fixing plate is made of a low-temperature thermoplastic plate or a metal mesh which can be prefabricated into a specific shape.

Preferably, the first magic tape and the first restraint strap are connected through sewing.

Preferably, the second magic tape is connected with the second restraint strap through sewing.

Preferably, the shoulder strap is made of an elastic material.

Preferably, the fixing plate can be freely cut according to the fracture part, and the area larger than the abnormal breathing area is covered on a patient who handles abnormal breathing movement.

Preferably, the through hole on the fixing plate is suitable for positioning and threading.

Compared with the prior art, the beneficial effects of the utility model are as follows:

the utility model discloses an adopt the chest wall external fixation, utilize the thoracoscope, also can not utilize under the no thoracoscope condition, with purpose-built suture or purpose-built gasbag or other instrument, be fixed in the fixed plate with patient's chest wall on, need not cut skin, and easy operation does not influence the patient and sit the walking of crouching, can not cause the deformity to patient's chest, solved abnormal breathing, reach and cut the same effect of internal fixation with the chest wall, greatly reduced patient's treatment expense, and the operation is thus simple, the wound is little, economical and practical, the effect is clear and definite, no secondary damage, no implant and exclusive reaction.

Drawings

Fig. 1 is a schematic structural view of a front view of the present invention;

fig. 2 is a schematic structural diagram of a rear view of the present invention;

fig. 3 is an enlarged schematic view of a in fig. 1 according to the present invention.

In the figure: 1 fixed plate, 2 through-holes, 3 aseptic gauze, 4 first about bands, 5 first magic subsides, 6 about bands, 7 second magic subsides, 8 baldrics.

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. 1-3, a chest wall fixture comprises a fixing plate 1, through holes 2, a sterile gauze 3, a first restraint strap 4, a first magic tape 5, a second restraint strap 6, a second magic tape 7 and shoulder straps 8, wherein the fixing plate 1 is made of a low-temperature thermoplastic plate or a metal net which can be prefabricated into a specific shape, the fixing plate 1 can be freely cut according to the fracture part and covers the area larger than the abnormal breathing area for the person who handles the abnormal breathing, the front side of the fixing plate 1 is provided with a plurality of through holes 2, the through holes 2 on the fixing plate 1 are suitable for positioning and threading, the rear side of the fixing plate 1 is provided with the sterile gauze 3, the top and the bottom of the left side of the fixing plate 1 are fixedly connected with the first restraint strap 4, the front side of the first restraint strap 4 is provided with the first magic tape 5, the first magic tape 5 is connected with the first restraint strap 4 by sewing, the top and the bottom of the right side of the fixing, the rear side of the second restraint strap 6 is provided with a second magic tape 7, the second magic tape 7 is connected with the second restraint strap 6 through sewing, the first magic tape 5 is matched with the second magic tape 7 for use, the shoulder straps 8 are fixedly connected to the left side and the right side of the top of the fixing plate 1, and the shoulder straps 8 are made of elastic materials.

When in use, a patient pastes one side of the fixing plate 1 with the sterile gauze 3 on the chest wall, then the shoulder straps 8 are sleeved on the shoulders, then the first restraint strap 4 and the corresponding second restraint strap 6 are adhered through the first magic tape 5 and the second magic tape 7 to finish the primary fixation, then the chest wall is fixed outside the thoracoscope, a needle is penetrated into the chest cavity from the outside of the skin under the full anesthesia, the next rib penetrates out, the fractured rib is sutured by double-ten lines, the rib is fixed on the through hole 2 of the fixing plate 1 outside the rib, then the bandage is pressed and bandaged, the softened chest wall is hardened, the rib three-dimensional CT is carried out after the postoperative condition is stable, the strength of the traction line is adjusted according to the position of the fracture end, the traction direction is pulled, the fracture is reset is satisfied, and the chest wall is naturally hardened after two weeks, the method has simple operation, small wound, economy, practicality and clear effect, no secondary damage, no implant and no rejection.

In the design, the through holes on the fixing plate can be used for positioning and threading and can be matched with other auxiliary tools for fixing the rib cavity, for example, auxiliary tools such as an air bag, a cloth clamp, a metal clip, a metal clamp and a half-curved sewing needle can be matched; when the thoracic cavity drainage device is used, the air bag is a long and thin air bag, the air bag is placed into the thoracic cavity by using vascular forceps or a sleeve after a small opening is cut in skin, the outer side of the thoracic cavity is inflated and drawn, and the air bag is led out from a through hole in the fixing plate and is fixed by the clamp; removing the rear end of the towel forceps by using smaller towel forceps, clamping the ribs by using the towel forceps, and fixing the ribs on the fixing plate; directly clamping or clamping the ribs by using a metal clamp or a metal clamp and fixing the ribs on the fixing plate; or, a half-curved suture needle is directly penetrated into the skin, the broken rib is sutured by double ten-gauge threads, and the rib is fixed at the through hole of the outer fixing plate.

All operations are performed under thoracoscopic observation as much as possible, if the first-aid field is carried out unconditionally, the thoracic cavity can be inflated by using an injector to form an artificial pneumothorax, or a patient with the pneumothorax is firstly exhausted with a small amount of air or is firstly fixed to prevent the lung from being damaged, and intercostal blood vessels and nerves are avoided by people with rich experience. The chest wall can be fixed on the board by winding one rib or two ribs. Sterile gauze is arranged between the chest wall and the fixed object plate.

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

1. The utility model provides a chest wall fixture, includes fixed plate (1), through-hole (2), aseptic gauze (3), first about band (4), first magic subsides (5), about band (6) of second, second magic subsides (7) and baldric (8), its characterized in that: the front side of fixed plate (1) is opened and is equipped with a plurality of through-hole (2), the rear side of fixed plate (1) is provided with aseptic gauze (3), the first about band (4) of the equal fixedly connected with in left top and bottom of fixed plate (1), the front side of first about band (4) is provided with first magic subsides (5), the top on fixed plate (1) right side and the first about band (6) of the equal fixedly connected with second in bottom, the rear side of the about band (6) of second is provided with second magic subsides (7), first magic subsides (5) and second magic subsides (7) cooperation are used, the equal fixedly connected with in the left and right sides at fixed plate (1) top baldric (8).

2. A chest wall fixture as claimed in claim 1, wherein: the fixing plate (1) is made of a low-temperature thermoplastic plate or a metal mesh which can be prefabricated into a specific shape.

3. A chest wall fixture as claimed in claim 1, wherein: the first magic tape (5) is connected with the first restraint strap (4) in a sewing mode.

4. A chest wall fixture as claimed in claim 1, wherein: the second magic tape (7) is connected with the second restraint strap (6) in a sewing mode.

5. A chest wall fixture as claimed in claim 1, wherein: the shoulder straps (8) are made of an elastic material.

6. A chest wall fixture as claimed in claim 1, wherein: the fixed plate (1) can be freely cut according to the fracture part, and the area larger than the abnormal breathing area is covered for the patient who handles abnormal breathing movement.

7. A chest wall fixture as claimed in claim 1, wherein: the through hole (2) on the fixing plate (1) is suitable for positioning and threading.