Double-cavity sleeve for abdominal cavity irrigation
Technical Field
The utility model relates to the field of medical equipment, especially, relate to a double-chamber sleeve pipe for abdominal cavity flushing.
Background
For patients with appendicitis operation or gastrointestinal resection, the stomach is opened, and after the gastric resection, a doctor inserts a drainage tube at the wound during suturing to facilitate drainage of purulent secretion in consideration of the conditions that wound bleeding occurs subsequently and purulent secretion and the like are generated; clinically, the wound healing condition of some patients after the operation is not good, which is characterized in that the purulent secretion generated in the wound after a period of drainage deviates from the normal range, some patients generate a large amount of purulent secretion, and some patients generate less purulent secretion. At the moment, a doctor can flush the drainage tube by pumping water to flush the blood and purulent secretion in the wound, so as to promote the wound healing.
The existing double-cannula for abdominal cavity irrigation generally fixes a large drainage tube in the abdominal cavity of a patient, a thin small tube is specially found to be used as a suction tube to be inserted into the drainage tube, another tube is connected to be used as a flushing tube to be inserted into the side wall of the drainage tube, and a gap at an interface is stuck by an adhesive tape, so that the device has a plurality of problems:
firstly, the wound in the abdominal cavity of a patient is not a fixed point but an area with the length of about 10-15cm, the existing suction tube cannot be movably stretched and retracted, the flexible adjustment is carried out according to the body position of the patient, and the effect of sucking purulent secretion is not good;
secondly, the suction head of the existing suction tube can not be movably turned, and the secretion in each part of the abdominal cavity of the patient can not be fully sucked out;
thirdly, the incision of the existing flushing pipe and the drainage pipe is stuck by an adhesive tape, the adhesive tape is torn off when not needed, the operation is inconvenient, and the condition of effusion backflow in the abdominal cavity of a patient can occur;
fourthly, the flushing pipe and the suction pipe are positioned in the same cavity in the drainage pipe, and some residual effusion in vivo can disperse out of the drainage area under the flushing pressure, so that mutual pollution is caused, and the risk of infection and diffusion of the wound is increased;
and fifthly, the joints of the drainage tube, the suction tube and the irrigation tube are adhered by adhesive tapes, so that water leakage is easy to occur during irrigation or liquid absorption, and the wound infection risk is increased.
Disclosure of Invention
The utility model aims at solving the defects existing in the prior art and providing a double cannula for abdominal cavity irrigation.
In order to achieve the above purpose, the utility model adopts the following technical scheme:
the utility model provides a two-chamber sleeve pipe for abdominal cavity washing, include the drainage tube, attract the pipe and follow drainage tube lateral wall male wash pipe, a plurality of drainage holes have been seted up to the pipe wall that the drainage tube is close to patient's belly one end, a plurality of washing holes have been seted up to the pipe wall that the wash pipe is close to patient's belly one end, it is located to attract the pipe in the drainage tube, it includes suction assembly and flexible subassembly to attract the pipe, suction assembly's end with flexible subassembly's front end is connected.
Preferably, the telescopic assembly comprises a first sleeve and a second sleeve, and the second sleeve is sleeved outside the first sleeve.
Preferably, two sides of the top end of the inner wall of the second sleeve are provided with limiting blocks.
Preferably, one end of the first sleeve positioned in the second sleeve is provided with a convex outer edge.
Preferably, the suction assembly comprises a suction head and a flexible hose.
Preferably, a one-way liquid inlet valve is arranged at the interface of the flushing pipe and the drainage pipe.
Preferably, a partition plate is arranged in the drainage tube, the partition plate is integrally connected to the inner wall of the drainage tube, and the partition plate is located between the flushing tube and the suction tube.
Preferably, one end of the drainage tube, which is far away from the abdominal cavity of the patient, is provided with a first sealing cover and a second sealing cover.
Preferably, the first sealing cover is covered in a tube cavity formed by the upper surface of the partition plate and the inner wall of the drainage tube, the second sealing cover is covered in a tube cavity formed between the lower surface of the partition plate and the inner wall of the drainage tube, a through hole is formed in the middle of the second sealing cover, and the diameter of the through hole 52 is the same as that of the second sleeve.
Compared with the prior art, the beneficial effects of the utility model are that:
the first sleeve and the second sleeve form a telescopic assembly, so that the suction tube becomes a movable state, the suction tube can be flexibly adjusted according to the body position of a patient, the defect that the conventional suction tube cannot be telescopic is overcome, and the efficiency of sucking secretions in the body is improved;
second, the key of control abdominal infection is that the peritoneal irrigation of early thorough peritoneal cavity and abundant effectual peritoneal drainage, and flexible hose can turn to flexible, clears up hydrops, the secretion of wound each place in patient's abdominal cavity, realizes fully attracting and prevents the infection.
And thirdly, a partition plate is arranged in the drainage tube, so that the outflow channel of the suction tube and the inflow channel of the flushing tube are completely separated, the phenomenon that residual effusion and secretion in the body of a patient are dispersed outside the drainage region under the flushing pressure due to flushing suction in the same space in the drainage tube is avoided, and the risk of wound infection is reduced.
Fourthly, the flushing pipe is externally connected with an infusion bottle of 0.5 percent povidone iodine normal saline for flushing, so that foreign matters and bacteria remained in the cavity can be cleared, the infection of a wound area can be effectively prevented, the condition of the back flow of accumulated liquid in the abdominal cavity of a patient is avoided by the one-way liquid inlet valve, the problem of water leakage in the flushing process is solved, and the safety of the flushing process of the abdominal cavity is improved.
Fifthly, the first sealing cover seals one end, far away from the abdominal cavity of the patient, of the cavity where the flushing pipe in the drainage pipe is located, so that liquid in the flushing pipe is prevented from leaking out, and inconvenience is brought to the flushing process of the abdominal cavity; the second sealing cover covers one end, far away from the abdominal cavity of the patient, of the cavity where the suction tube is located in the drainage tube, and the second sleeve can pass through the through hole and is externally connected with the negative pressure suction device, so that the problem of wound infection caused by water leakage due to sticking of adhesive tapes is solved, and the function of fixing the suction tube can be achieved;
sixth, this scheme sets up rationally, simple structure, and the tissue of wound cavity hydrops and necrosis of can in time, thoroughly discharge to amazing granulation tissue's growth has effectively reduced the harm of complication, promotes wound healing, has improved medical staff's work efficiency greatly, and has alleviateed patient's misery, is fit for clinical popularization.
Drawings
Fig. 1 is a schematic view of the overall structure of a double-lumen cannula for abdominal cavity irrigation according to embodiment 1 of the present invention;
fig. 2 is a schematic structural view of a dual-cavity cannula extension assembly for abdominal cavity irrigation according to embodiment 1 of the present invention;
fig. 3 is a schematic view of the first and second covers of the double-lumen cannula for peritoneal irrigation according to embodiment 1 of the present invention.
Detailed Description
In order to further understand the objects, structures, features, and functions of the present invention, the present embodiment will be described in detail below with reference to fig. 1, 2, and 3.
The utility model provides a double-cavity sleeve for abdominal cavity washing, as shown in figure 1, comprising a drainage tube 1, a suction tube 2 and a flushing tube 3 inserted from the side wall of the drainage tube 1, wherein the joint of the flushing tube 3 and the side wall of the drainage tube 1 is filled with sealing rubber to avoid leakage, the tube wall of the outer sleeve 1 near one end of the abdomen of a patient is provided with a plurality of drainage holes 11, the tube wall of the flushing tube 3 near one end of the abdomen of the patient is provided with a plurality of flushing holes 31, the drainage tube 1 is made of a plastic tube with hard material, which can not be absorbed by negative pressure to collapse and can also play a; the suction tube adopts a medical silicone tube, so that safety is relieved.
The suction tube 2 is positioned in the drainage tube 1, the suction tube 2 comprises a suction assembly 21 and a telescopic assembly 22, and the tail end of the suction assembly 21 is connected with the front end of the telescopic assembly 22. The suction assembly 21 extends out of the front end of the drainage tube 1, the telescopic assembly 21 is positioned in the drainage tube 1, and the tail end of the telescopic assembly 22 is positioned outside the drainage tube 1.
Further, as shown in fig. 1 and 2, the telescopic assembly 22 includes a first sleeve 23 and a second sleeve 24, and the second sleeve 24 is sleeved outside the first sleeve 23. The trailing end of the second cannula 24 is located outside the draft tube 1.
In the practical application, first sleeve pipe 23 and second sleeve pipe 24 constitute flexible subassembly 22, first sleeve pipe 23 can be in second sleeve pipe 24 back-and-forth movement, thereby make the middle part of whole suction tube become the state that can move about, can carry out nimble length of adjusting suction tube 2 according to patient's position, can in time get the accurate position of arranging in the secretion of waiting to aspirate of head end (suction subassembly 21 promptly) with suction tube, the secretion is aspirated to the accuracy, the not enough that current suction tube can not stretch has been overcome, the effect that has improved the suction secretion can efficiently and thoroughly aspirate the secretion.
Furthermore, as shown in fig. 2, two sides of the top end of the inner wall of the second sleeve 24 are provided with a limiting block 241.
Further, as shown in fig. 2, the end of the first sleeve 23 located in the second sleeve 24 is provided with a protruding outer edge 231. The length of the protruding outer edge 231 is greater than the distance between the two stoppers 241, so as to limit the extending length of the first sleeve 23, and ensure that the first sleeve 23 does not slip out of the second sleeve 24 when moving forward in the second sleeve 24.
Further, as shown in fig. 1, the suction module 21 includes a suction head 211 and a flexible hose 212. Thorough peritoneal irrigation and abundant effectual peritoneal drainage are the key of control abdominal cavity infection, and flexible hose 212 drives suction head 211, can turn to, stretch out and draw back, according to patient's position nimble adjustment, when confirming to wait to wash the position, buckles flexible hose 212, aims at the suction head and waits to wash the position, can accurately wash the wound position, helps each place of wound to obtain abundant washing and avoids infecting.
Further, as shown in fig. 1, a one-way liquid inlet valve 32 is arranged at the interface of the flushing pipe 3 and the drainage pipe 1. The washing tube 3 is externally connected with an infusion bottle of 0.5 percent povidone iodine normal saline for washing, which can remove the residual foreign matters and bacteria in the cavity, effectively prevent the infection of the wound area, avoid the condition of the effusion in the abdominal cavity of the patient from flowing back by the one-way liquid inlet valve 32 and improve the safety of the abdominal cavity washing process.
Further, as shown in fig. 1, a partition plate 4 is fixedly arranged in the drainage tube 1, two sides of the partition plate 4 are respectively and integrally connected with the side wall of the drainage tube 1, the partition plate 4 is positioned between the flushing tube 3 and the suction tube 2, the partition plate 4 divides the drainage tube 1 into an outflow channel of the suction tube 2 and an inflow channel of the flushing tube 3, so that residual effusion and secretion in the body of a patient are prevented from diffusing out of the drainage tube under the flushing pressure due to flushing suction in the same space in the drainage tube 1, and the risk of wound infection is reduced.
Further, as shown in FIG. 3, the drainage tube 1 is provided with a first sealing cover 51 and a second sealing cover 52 at the end away from the abdominal cavity of the patient. The first cap 51 seals the drainage tube 1.
Further, as shown in fig. 3, a first sealing cover 51 is covered in a lumen (i.e. a flushing tube inlet) formed between the upper surface of the partition plate 4 and the inner wall of the drainage tube 1, a second sealing cover 52 is covered in a lumen (i.e. a suction tube outlet) formed between the lower surface of the partition plate 4 and the inner wall of the drainage tube 1, a through hole 521 is formed in the middle of the second sealing cover 52, the diameter of the through hole 521 is the same as that of the second sleeve 24, and the through hole 521 is further provided with a matched cover 522.
In practical application, a first sealing cover and a second sealing cover are arranged at one end of the drainage tube, which is far away from the abdominal cavity of a patient, and the first sealing cover is used for sealing one end, which is far away from the abdominal cavity of the patient, of a cavity in which the flushing tube in the drainage tube is located, so that 0.5% of povidone-iodine normal saline in the flushing tube is prevented from leaking out, and inconvenience is brought to the flushing process of the abdominal cavity; the second sealing cover is in a semicircular shape with a larger area, a through hole is formed in the middle of the second sealing cover, the diameter of the through hole is the same as that of the second sleeve, the second sealing cover is used for covering one end, away from the abdominal cavity of the patient, of a cavity in the drainage tube where the suction tube is located, the second sleeve can pass through the through hole and is externally connected with the negative pressure bottle, the problem of wound infection caused by water leakage due to the fact that the second sleeve is stuck by adhesive tapes is solved, and the function of fixing the suction tube can; when drainage or suction is not required, the irrigation tube can also be removed and sealed by a cap 522 covering the through hole.
The scheme is reasonable in arrangement and simple in structure, and can timely and thoroughly discharge wound cavity effusion and necrotic tissues, so that the growth of granulation tissues is stimulated, the harm of complications is effectively reduced, the wound healing is promoted, the working efficiency of medical staff is greatly improved, the pain of a patient is relieved, and the clinical popularization is suitable.
The present invention has been described in relation to the above embodiments, which are only examples for implementing the present invention. It should be noted that the disclosed embodiments do not limit the scope of the invention. On the contrary, all changes and modifications which do not depart from the spirit and scope of the present invention are deemed to fall within the scope of the present invention.