CN213285218U - Integrated drainage tube for rib operation - Google Patents

Integrated drainage tube for rib operation Download PDF

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Publication number
CN213285218U
CN213285218U CN202021234843.5U CN202021234843U CN213285218U CN 213285218 U CN213285218 U CN 213285218U CN 202021234843 U CN202021234843 U CN 202021234843U CN 213285218 U CN213285218 U CN 213285218U
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China
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drainage tube
drainage
thoracic
tube
integrated
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CN202021234843.5U
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Chinese (zh)
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夏洪刚
王冬滨
李静
王居平
孙忠义
朱德清
朱鹏志
张永民
张海泉
李璇
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TIANJIN HOSPITAL
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TIANJIN HOSPITAL
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Abstract

Integrated drainage tube is used in rib operation, including drainage tube, chest drainage tube, bony thorax surface drainage tube, fixed block, drainage manifold, be equipped with the fixed block on the drainage tube, the fixed block divide into two parts with the drainage tube, and partly is for being located the drainage manifold of fixed block downside, and partly is for being located chest drainage tube, the bony thorax surface drainage tube of fixed block upside, and chest drainage tube, bony thorax surface drainage tube are linked together with drainage manifold respectively, and the fixed block is including fixed section of thick bamboo, bonding terminal surface again, fixed section of thick bamboo is hollow cylindrical structure, and its one end is equipped with the bonding terminal surface with one heart, and fixed section of thick bamboo overlaps on drainage manifold, bonding terminal surface is located the one end of keeping away from. The utility model discloses greatly reduced patient's misery, and when pulling out the drainage tube in the later stage combine the internal thoracic drainage tube of patient, bony thorax surface drainage tube once more for the integral type structure to extract, avoided patient's secondary pain, be favorable to patient's postoperative care and wound debridement.

Description

Integrated drainage tube for rib operation
Technical Field
The utility model relates to a thoracic surgery field especially relates to an one-piece type drainage tube is used in rib operation.
Background
The chest trauma accounts for about 13.5 percent of the total trauma, the direct death of the chest trauma accounts for 20 to 25 percent of the death of the total trauma, multiple rib fractures, especially multiple rib fractures, often cause respiratory failure, most of the multiple rib fractures need breathing assistance of a breathing machine, even the multiple rib fractures are life threatening, chest surgery emergency operation treatment is needed, effective chest wall fixation, pain relief and chest complication prevention are the primary purposes of chest trauma treatment, non-operative treatment usually adopts chest belt compression bandaging, rib traction, breathing assistance of a breathing machine and the like, but the healing effect is poor, the recovery is slow and the life quality of a patient is seriously affected, the more rib fractures are increased, the poorer the life quality of the patient is poor, at present, more scholars at home and abroad treat the multiple rib fractures, especially flail chests, the multiple main bones are timely fixed in operative incision and reduction, and the internal fixation treatment of the multiple rib fractures, especially the rib fracture incision and reduction of the flail chest in recent, the method has the advantages that satisfactory effects are achieved, and a plurality of retrospective researches are particularly carried out on a plurality of scholars and medical centers at home and abroad of the flail chest patients, and the practicability and the cost benefit of rib fixation on the flail chest patients are all proved, wherein the researches comprise reduction of pulmonary complications, reduction of ICU mechanical ventilation time, reduction of bedridden patients and use of large-dose analgesics and antibiotics, indirect reduction of digestive tract inhibition, reduction of death rate, reduction of hospitalization cost and the like.
Carry out time about 3 days after the thoracic operation and need carry out the drainage to the thorax, in order to prevent that the hydrops from causing infection or even leading to its necrosis to healthy tissue in the affected part, current drainage adopts two to three drainage tubes usually, set up the drainage tube inlet hole separately near the wound, lead osseous thorax surface and thorax intracavity by the body surface, carry out the drainage to the hydrops of osseous thorax surface and thorax department respectively, this kind of mode needs many drainage tubes to carry out the drainage, and need set up the inlet hole near patient's wound alone, patient's misery has greatly been increased, and can make the patient experience the secondary pain when pulling out the drainage tube in later stage, be unfavorable for patient's postoperative care.
Disclosure of Invention
According to the above technical problem, the utility model provides an integrated drainage tube for rib surgery, including drainage tube, thoracic drainage tube, bony thorax surface drainage tube, fixed block, drainage manifold, be equipped with the fixed block on the drainage tube, the fixed block divides the drainage tube into two parts, and a part is the drainage manifold that is located the fixed block downside, and a part is thoracic drainage tube, bony thorax surface drainage tube that are located the fixed block upside, thoracic drainage tube, bony thorax surface drainage tube are linked together with the drainage manifold respectively;
the fixed block comprises a fixed cylinder and a bonding end face, the fixed cylinder is of a hollow cylindrical structure, the bonding end face is concentrically arranged at one end of the fixed cylinder, the fixed cylinder is sleeved on the drainage main pipe, and the bonding end face is located at one end far away from the drainage main pipe.
Further, the diameter of the bonding end face is larger than that of the fixed cylinder.
Further, thoracic drainage tube, bony thorax surface drainage tube adopt outer connection structure to connect, outer connection structure includes C type auxiliary tube, connection piece, drainage hole again, the cladding of C type auxiliary tube is at the thoracic drainage tube outer wall, the outer wall of C type auxiliary tube passes through the connection piece with bony thorax surface drainage tube simultaneously and is connected, the connection piece adopts equidistant interval formula to set up, be equipped with the drainage hole on thoracic drainage tube, the bony thorax surface drainage tube respectively, the quantity in drainage hole is N respectively, and N is greater than or equal to 5, and N drainage hole is respectively along the equidistant distribution of pipeline wall of thoracic drainage tube, bony thorax surface drainage tube.
Further, the diameter of the inner wall of the C-shaped auxiliary tube is equal to that of the outer wall of the thoracic cavity drainage tube.
Further, the cross section of the C-shaped auxiliary pipe is of a three-quarter circular ring structure.
Furthermore, the thoracic drainage tube and the bony thoracic surface drainage tube are connected by adopting an internal connection structure, the internal connection structure comprises drainage holes and a drainage gap, the drainage gap is arranged at the position of a bus of the thoracic drainage tube, the thoracic drainage tube is split to form an open circular structure, the bony thoracic surface drainage tube is concentrically arranged in the thoracic drainage tube and is completely coated by the thoracic drainage tube, M drainage holes are arranged on the bony thoracic surface drainage tube at equal intervals, M is larger than or equal to 5, and the M drainage holes are arranged at equal intervals.
Furthermore, the drainage gap starts from the end part of the thoracic drainage tube positioned at the upper side and ends at the position of the fixing block.
Furthermore, still include and wash branch pipe I, wash branch pipe II, wash branch pipe I, wash branch pipe II and be located the lateral wall of thoracic drainage tube, bony thoracic surface drainage tube respectively, and respectively with thoracic drainage tube, bony thoracic surface drainage tube looks UNICOM.
Furthermore, the cross section of the pipeline wall where the drainage hole is positioned on the thoracic drainage tube and the skeletal thoracic surface drainage tube is of an isosceles trapezoid structure, the long side of the isosceles trapezoid is positioned on the outer side of the pipeline wall, and the short side of the isosceles trapezoid is positioned on the inner side of the pipeline wall.
Furthermore, the diameter range of the maximum position of the drainage hole is 2mm-2.5mm, and the diameter range of the minimum position of the drainage hole is 1.5mm-2 mm.
The utility model has the advantages that: the utility model relates to an one-piece type drainage tube is used in rib operation, when the drainage is carried out after thoracic surgery operation, introduce the drainage tube by the one corner of wicresoft's wound, need not to set up alone and introduce the hole, thoracic drainage tube when introducing, bony thorax surface drainage tube or through outer connection structure, or through interior connection structure zonulae occludens formula structure as an organic whole, with the reservation size that reduces the wicresoft's wound, thereby reduce patient's misery, introduce the back with thoracic drainage tube, bony thorax surface drainage tube separately, cut out to suitable length by oneself in combination best drainage position, arrange the drainage tube in respectively the thorax, bony thorax surface position department carries out the drainage can. The utility model discloses only needing a drainage house steward to cause the patient internal, combining the wicresoft wound department to select the best point of introduction, need not to set up separately and introduce the hole, greatly reduced patient's misery, and when later stage pulled out the drainage tube with internal thoracic drainage tube of patient, bony thorax surface drainage tube combine once more for the integral type structure to extract, avoided patient's secondary pain, be favorable to patient's postoperative care and wound debridement.
Drawings
FIG. 1 is a view of the main structure of the present invention;
FIG. 2 is an enlarged schematic view of point A of the present invention;
FIG. 3 is a schematic diagram of the structure of the present invention using internal connection;
FIG. 4 is a sectional view of the C-shaped auxiliary tube and the thoracic drainage tube of the present invention;
FIG. 5 is a cross-sectional view of the thoracic drainage tube and the thoracic surface drainage tube of the present invention;
FIG. 6 is a cross-sectional view of a drainage hole of the thoracic drainage tube of the present invention;
fig. 7 is a schematic view of the internal structure of the fixing block of the present invention;
fig. 8 is a schematic view of the fixing block structure of the present invention.
As shown in the figure, a thoracic drainage tube-1, a C-shaped auxiliary tube-2, a bone thoracic surface drainage tube-3, a drainage hole-4, a connecting sheet-5, a fixed block-6, a fixed cylinder-601, an adhesive end face-602, a drainage main tube-7, a flushing branch tube I-8, a flushing branch tube II-9 and a drainage gap-10.
Detailed Description
Example 1:
the present invention will be further explained with reference to the accompanying drawings: the utility model provides an integrated drainage tube for rib surgery, which comprises a drainage tube, a thoracic drainage tube 1, a bony thoracic surface drainage tube 3, a fixed block 6 and a drainage manifold 7, wherein the drainage tube is provided with the fixed block 6, the drainage tube is divided into two parts by the fixed block 6, one part is the drainage manifold 7 positioned at the lower side of the fixed block 6, the other part is the thoracic drainage tube 1 positioned at the upper side of the fixed block 6 and the bony thoracic surface drainage tube 3, and the thoracic drainage tube 1 and the bony thoracic surface drainage tube 3 are respectively communicated with the drainage manifold 7;
the fixing block 6 further comprises a fixing cylinder 601 and a bonding end face 602, the fixing cylinder 601 is of a hollow cylindrical structure, the bonding end face 602 is concentrically arranged at one end of the fixing cylinder 601, the fixing cylinder 601 is sleeved on the drainage main pipe 7, and the bonding end face 602 is located at one end far away from the drainage main pipe 7.
Further, the diameter of the adhesive end surface 602 is larger than that of the fixed cylinder 601.
Further, thoracic drainage tube 1, bony thorax surface drainage tube 3 adopt outer connection structure to connect, outer connection structure includes C type auxiliary tube 2, connection piece 5, drainage hole 4 again, the cladding of C type auxiliary tube 2 is at thoracic drainage tube 1 outer wall, the outer wall of C type auxiliary tube 2 is connected through connection piece 5 with bony thorax surface drainage tube 3 simultaneously, connection piece 5 adopts equidistant interval formula to set up, be equipped with drainage hole 4 on thoracic drainage tube 1, the bony thorax surface drainage tube 3 respectively, the quantity of drainage hole 4 is N respectively, and N is greater than or equal to 5, and N drainage hole 4 is along the equidistant distribution of pipeline wall of thoracic drainage tube 1, bony thorax surface drainage tube 3 respectively.
Further, the diameter of the inner wall of the C-shaped auxiliary tube 2 is equal to the diameter of the outer wall of the thoracic drainage tube 1.
Further, the cross section of the C-shaped auxiliary pipe 2 is of a three-quarter circular ring structure.
Furthermore, the thoracic drainage tube device further comprises a flushing branch tube I8 and a flushing branch tube II9, wherein the flushing branch tube I8 and the flushing branch tube II9 are respectively positioned on the side walls of the thoracic drainage tube 1 and the bone thoracic surface drainage tube 3 and are respectively communicated with the thoracic drainage tube 1 and the bone thoracic surface drainage tube 3.
Furthermore, the cross section of the pipeline wall where the drainage hole 4 is located on the thoracic drainage tube 1 and the skeletal thoracic surface drainage tube 3 is of an isosceles trapezoid structure, the long side of the isosceles trapezoid is located on the outer side of the pipeline wall, and the short side of the isosceles trapezoid is located on the inner side of the pipeline wall.
Furthermore, the diameter range of the maximum position of the drainage hole 4 is 2mm-2.5mm, and the diameter range of the minimum position is 1.5mm-2 mm.
Example 2:
the utility model discloses based on embodiment 1, with embodiment 1 the same basically, the same part is no longer being repeated, only describes the difference, and the difference lies in: the thoracic drainage tube 1 and the bony thoracic surface drainage tube 3 are connected by adopting an inner connecting structure, the inner connecting structure comprises drainage holes 4 and drainage gaps 10, the drainage gaps 10 are formed in the positions of buses of the thoracic drainage tube 1, the thoracic drainage tube 1 is cut open to form an open circular structure, the bony thoracic surface drainage tube 3 is concentrically arranged inside the thoracic drainage tube 1 and is completely coated by the thoracic drainage tube 1, M drainage holes 4 are arranged on the bony thoracic surface drainage tube 3 at equal intervals, M is larger than or equal to 5, and the M drainage holes 4 are arranged at equal intervals.
Further, the drainage slit 10 starts from the upper end of the thoracic drainage tube 1 and ends at the position of the fixing block 6.
Example 3:
when the thoracic drainage tube 1 and the bony thoracic surface drainage tube 3 are connected by adopting the external connection structure, when in use, the C-shaped auxiliary tube 2 is tightly wrapped on the outer wall of the thoracic drainage tube 1 in the initial state, and simultaneously, connecting sheets 5 arranged at intervals are connected with the drainage tube 3 on the surface of the bony thorax, the three are integrated into a whole and are introduced into the body of a patient from one corner of a reserved minimally invasive wound to determine the best drainage position of the thoracic cavity and the surface of the bony thorax, stripping the C-shaped auxiliary tube 2 from the thoracic drainage tube 1 in the body of the patient, automatically cutting to a proper length, respectively introducing into the thoracic cavity and the surface of the bony thorax, penetrating the fixing block 6 from one end of the drainage main tube 7 to the body surface of the patient, the bonding end face 602 is bonded on the body surface of a patient through medical glue to realize the effect of fixing the drainage tube, and the end part of the drainage main pipe 7 is connected into a negative pressure drainage device for drainage. Wherein, drainage hole 4 adopts the design of the hole pattern structure of outer big inner little, can be better carry out the negative pressure and adsorb to it is external effectual with the hydrops suction.
Example 4:
when the thoracic drainage tube 1 and the bony thoracic surface drainage tube 3 are connected by adopting an internal connection structure, in the use process, in the initial state, the thoracic drainage tube 1 is tightly wrapped on the outer wall of the bony thoracic surface drainage tube 3 and is introduced into the body of a patient from one corner of a reserved minimally invasive wound, the optimal drainage position of the thoracic and bony thoracic surfaces is determined, the thoracic drainage tube 1 is stripped from the bony thoracic surface drainage tube 3 in the body of the patient, the thoracic drainage tube is automatically cut to a proper length and is respectively introduced into the thoracic and bony thoracic surfaces, and drainage is carried out through the drainage holes 4 and the drainage slits 10, and other steps are the same as those of the embodiment 3.
Example 5:
when the drainage holes 4 of the thoracic drainage tube 1 and the osseous thoracic surface drainage tube 3 are blocked by blood clots, the blocked pipeline is judged, physiological saline is injected into the blocked pipeline through the flushing branch tube I8 or the flushing branch tube II9 for backwashing until the blocked blood clots fall off from the drainage holes 4 and return to the patient, and then negative pressure drainage is carried out to the outside of the body.
Example 6:
when the drainage tube needs to be pulled out, the thoracic drainage tube 1 and the thoracic surface drainage tube 3 are pushed back to the initial state in the patient body, namely, the C-shaped auxiliary tube 2 is tightly wrapped on the outer wall of the thoracic drainage tube 1 or the thoracic drainage tube 1 is tightly wrapped on the outer wall of the thoracic surface drainage tube 3, and then the whole body is pulled out.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, a plurality of modifications can be made without departing from the principle of the present invention, and these modifications should also be regarded as the protection scope of the present invention.

Claims (10)

1. The integrated drainage tube for rib surgery is characterized by comprising a drainage tube, a thoracic drainage tube, a bony thoracic surface drainage tube, a fixing block and a drainage main tube, wherein the drainage tube is provided with the fixing block, the fixing block divides the drainage tube into two parts, one part is the drainage main tube positioned at the lower side of the fixing block, the other part is the thoracic drainage tube and the bony thoracic surface drainage tube positioned at the upper side of the fixing block, and the thoracic drainage tube and the bony thoracic surface drainage tube are respectively communicated with the drainage main tube;
the fixed block comprises a fixed cylinder and a bonding end face, the fixed cylinder is of a hollow cylindrical structure, the bonding end face is concentrically arranged at one end of the fixed cylinder, the fixed cylinder is sleeved on the drainage main pipe, and the bonding end face is located at one end far away from the drainage main pipe.
2. The integrated drainage tube for rib surgery according to claim 1, wherein the diameter of the adhesive end surface is larger than that of the fixing cylinder.
3. The integrated drainage tube for rib surgery according to claim 1, wherein the thoracic drainage tube and the skeletal thoracic surface drainage tube are connected by an external connection structure, the external connection structure further comprises a C-shaped auxiliary tube, a connecting sheet and drainage holes, the C-shaped auxiliary tube is coated on the outer wall of the thoracic drainage tube, the outer wall of the C-shaped auxiliary tube is simultaneously connected with the skeletal thoracic surface drainage tube by the connecting sheet, the connecting sheet is arranged at equal intervals, the thoracic drainage tube and the skeletal thoracic surface drainage tube are respectively provided with the drainage holes, the number of the drainage holes is respectively N, N is not less than 5, and the N drainage holes are respectively distributed at equal intervals along the pipeline walls of the thoracic drainage tube and the skeletal thoracic surface drainage tube.
4. The integrated drainage tube for rib surgery according to claim 3, wherein the diameter of the inner wall of the C-shaped auxiliary tube is equal to the diameter of the outer wall of the thoracic drainage tube.
5. An integrated drainage tube for rib surgery according to claim 3, wherein the cross-section of the C-shaped auxiliary tube has a three-quarter circular ring structure.
6. The integrated drainage tube for rib surgery according to claim 1, wherein the thoracic drainage tube and the thoracic surface drainage tube are connected by an internal connection structure, the internal connection structure further comprises drainage holes and a drainage slit, the drainage slit is arranged at a position of a generatrix of the thoracic drainage tube, the thoracic drainage tube is split to form an open circular structure, the thoracic surface drainage tube is concentrically arranged in the thoracic drainage tube and is completely covered by the thoracic drainage tube, M drainage holes are arranged on the thoracic surface drainage tube at equal intervals, M is not less than 5, and the M drainage holes are arranged at equal intervals.
7. The integrated drainage tube for rib surgery according to claim 6, wherein the drainage slit starts from the end of the thoracic drainage tube at the upper side and ends at the position of the anchor block.
8. The integrated drainage tube for rib surgery according to claim 1, further comprising a washing branch tube I and a washing branch tube II, wherein the washing branch tube I and the washing branch tube II are respectively located at the side walls of the thoracic drainage tube and the thoracic surface drainage tube and are respectively communicated with the thoracic drainage tube and the thoracic surface drainage tube.
9. An integrated drainage tube for rib surgery according to claim 3 or 6, wherein the drainage hole is located on the wall of the channel where the thoracic drainage tube and the thoracic surface drainage tube are located, and has an isosceles trapezoid structure, the longer side of the isosceles trapezoid being located on the outer side of the channel wall, and the shorter side of the isosceles trapezoid being located on the inner side of the channel wall.
10. An integrated drainage tube for rib surgery according to claim 3 or 6, wherein the diameter of the drainage hole at the maximum position is in the range of 2mm to 2.5mm, and the diameter of the drainage hole at the minimum position is in the range of 1.5mm to 2 mm.
CN202021234843.5U 2020-06-29 2020-06-29 Integrated drainage tube for rib operation Active CN213285218U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202021234843.5U CN213285218U (en) 2020-06-29 2020-06-29 Integrated drainage tube for rib operation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202021234843.5U CN213285218U (en) 2020-06-29 2020-06-29 Integrated drainage tube for rib operation

Publications (1)

Publication Number Publication Date
CN213285218U true CN213285218U (en) 2021-05-28

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202021234843.5U Active CN213285218U (en) 2020-06-29 2020-06-29 Integrated drainage tube for rib operation

Country Status (1)

Country Link
CN (1) CN213285218U (en)

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