Upper limb auxiliary supporting device for CT examination
Technical Field
The utility model belongs to the technical field of supplementary medical instrument, especially, relate to a CT inspection is with supplementary strutting arrangement of upper limb.
Background
As is well known, CT examinations are widely used in medical services. At present, CT scanning beds are all provided with head frames, so that head scanning is very convenient; when the examination of each part of the body below the neck is carried out, both hands need to be lifted from both sides of the body to the top, but the existing CT scanning bed has no racks for supporting both hands, the both hands of the examined person are in a suspended state when the examined person lifts, the lifted person possibly holds most of the examined person in a short time, and most of the examined persons are difficult to support and the both hands are in a suspended fixed state for a long time when the examined person carries out the enhanced examination because of more examined parts. If the examinee moves both hands, it is easy to interfere with the scanning, and the scanning progress and the scanning quality are affected. Especially when the enhanced examination or blood vessel imaging of the part below the chest and the abdomen is carried out, the multi-period enhancement is often needed, the time is relatively too long, and if the suspended hands cannot keep a constant state, the scanning quality is inevitably influenced. The most clinically used non-ionic contrast medium for enhancing CT examination is a non-ionic contrast medium with a high concentration, and the flow rate is generally required to be 2.5-4.5ml/s when a high-pressure syringe is used for injection, so that a proper blood vessel is selected according to the difference of examined parts and the requirement of liquid medicine flow when the blood vessel is selected. Generally, a blood vessel with thicker and straight upper limb and good elasticity is selected, the median cubital vein is selected as the first choice, and a proper vein part is selected to be deeply buried and retained in the median cubital vein.
In actual work, for many patients with advanced age, weak body or unconsciousness, the two hands of the patients are difficult to keep a constant state for a long time, and an indwelling needle needs to be deeply buried in the elbow joint vein during the enhancement examination, if the elbow joint can not keep a corresponding straight state for a corresponding time and is bent, a light person can deform and bend the indwelling needle, the normal enhancement function can not be performed, and a serious person can puncture the blood vessel, so that the contrast agent can be leaked to cause a series of adverse effects.
For example, the radiology department in our hospital faces the national tumor patients, including the patients before and after operation and chemotherapy, in order to assist the diagnosis of the patients, the patients need to carry out the enhanced CT examination, and the increased CT is to carry out the imaging technology by intravenous injection of contrast medium containing iodine, thereby improving the display rate of the lesion. The method is characterized in that upper limb veins such as elbow middle and the like are added to a CT vein, the upper limb veins enter a CT room for examination after the vein is retained, for example, the chest examination of a breast cancer patient is taken as an example, the left side operation of the patient can only select the right elbow middle or lower limb vein, the patient lies on a CT examination bed and lifts up with both hands, an iodine-containing contrast medium is injected through a retaining needle, the iodine-containing contrast medium belongs to a hypertonic solution, about 120 plus 150ml of contrast medium (the dosage is calculated according to kilogram body weight) needs to be injected under a high-pressure injector during the reinforced CT according to the requirements in the operation specification, and if the upper limb of the patient is not straightened, the phenomenon that the injected medicine is not smooth and even the medicine is extravasated can be caused.
In addition, some people need to inspect both hands, blood vessel imaging of both upper limbs and the like, the fixation of the hands is more important, and if the hands slightly move, the whole inspection fails, so that the use of the upper limb bracket is particularly important for supporting and limiting the suspended both hands. However, the existing upper limb bracket has the disadvantages of complex structure, not simple and convenient operation, high production cost and poor practicability.
Therefore, the upper limb auxiliary supporting device for CT examination is suitable for patients of any body shapes, and can fix and support the arms and elbows of the patients in a comfortable manner for CT scanning to be smoothly carried out and the accuracy of scanned data is improved.
SUMMERY OF THE UTILITY MODEL
To the problem that prior art exists, the utility model provides a can fix and support patient's arm and elbow spacing under very comfortable condition for going on smoothly is scanned in the CT, improves the CT of the data accuracy of scanning and assists strutting arrangement with upper limbs for the inspection.
The utility model is realized in such a way, an upper limb auxiliary supporting device for CT examination; the method is characterized in that: including the supporting shoe, the one end of supporting shoe is equipped with the slope face of slant, the upper surface of supporting shoe is equipped with the upper limbs holding tank that is used for holding patient's upper limbs, and the degree of depth of upper limbs holding tank is degressive gradually in the length direction slant of supporting shoe.
Further preferably, the cross-section of the upper limb accommodating groove is C-shaped, and the joint of the upper limb accommodating groove and the slope and the upper edge corner of the upper limb accommodating groove are in arc smooth transition.
Preferably, two sides of the upper surface of the supporting block are provided with lugs, a binding belt is fixedly connected to the lug on one side of the upper surface, the other end of the binding belt is a free end, and the free end of the binding belt is provided with a nylon thread gluing in a matching manner; and a through groove is formed on the lug on the other side, and the free end of the binding belt penetrates through the through groove to be fixedly connected with the lug.
Further preferably, a heating medium accommodating cavity is formed in the supporting block, a through hole is formed in the other end face of the supporting block, an electric heating component is installed on the through hole, and the heating medium accommodating cavity is filled with a heating medium in a sealing mode.
Further preferably, the positions of the supporting blocks except the upper limb accommodating groove are provided with heat insulating layers.
Further preferably, the support device further comprises a fixed seat, the cross section of the fixed seat is in a U-shaped structure, one end, provided with a slope, of the supporting block is hinged to the fixed seat through a pin shaft, two sides of the other end of the supporting block are respectively connected with the inner sides of two side walls of the fixed seat through pneumatic supporting rods, and the supporting block rotates around the pin shaft under the condition that the pneumatic supporting rods are applied with pulling force/pressure.
Further preferably, a handle is provided at an end of the support block on the pneumatic support rod side.
Further preferably, two or four suckers are symmetrically arranged at the bottom of the supporting block.
Further preferably, the lateral plate outside the fixing seat is detachably provided with a box body for placing the isolation towel, the box body is provided with a box cover, and the box cover is provided with an extension opening of the isolation towel along the length direction of the box body.
Preferably, two T-shaped slots are integrally formed in the outer side of the fixing seat; the inner side surface of the box body corresponding to the T-shaped slot position is provided with a T-shaped inserting block, and the T-shaped inserting block of the box body is inserted into the T-shaped slot of the fixed seat.
Due to the adoption of the technical scheme, the utility model has the advantages of simple structure, convenient use, no influence on the normal operation of the CT examination equipment, simple operation, no increase of examination time due to the addition of the utility model, no increase of the burden of patients and improvement of the comfort level of patients; but also can realize the adjustment of the inclination angle of the supporting block according to different patients; the support block can be preheated, so that the discomfort caused by the contact of a patient and the support block is reduced; the isolation towel can be used for isolation in order to avoid cross infection, so that the condition of germ cross infection among patients caused by skin contact is avoided by 'one person, one towel, one replacement and one throwing' during the examination, and the isolation towel has the advantages of easiness in manufacturing, easiness in popularization and the like.
Drawings
Fig. 1 is a front view of embodiment 1 of the present invention;
FIG. 2 is a left side view of FIG. 1;
FIG. 3 is a right side view of FIG. 1;
FIG. 4 is a schematic perspective view of the structure of example 1;
fig. 5 is a schematic structural diagram of embodiment 2 of the present invention;
FIG. 6 is a front view of the support block of embodiment 2;
FIG. 7 is a left side view of FIG. 6;
FIG. 8 is a schematic perspective view of the support block;
fig. 9 is a schematic structural view of embodiment 3 of the present invention;
FIG. 10 is a right side view of FIG. 9;
FIG. 11 is a front view of the preferred embodiment 4;
FIG. 12 is a schematic perspective view of the preferred embodiment 4;
FIG. 13 is a schematic view showing the structure of the support block in embodiment 4;
FIG. 14 is a front view of the structure of embodiment 5;
FIG. 15 is a left side view of FIG. 14;
FIG. 16 is a right side view of FIG. 14;
FIG. 17 is a schematic perspective view of the preferred embodiment 5;
FIG. 18 is a schematic view showing a structure of a holder according to embodiment 5;
FIG. 19 is a schematic view of the mating structure of the case body and the case cover;
fig. 20 is a schematic view of a barrier napkin extended configuration.
In the figure, 1, supporting block; 1-1, slope surface; 1-2, upper limb accommodation grooves; 1-3, lugs; 1-4, heating medium accommodating cavity; 1-5, through holes; 1-6, a heat-insulating layer; 1-7, a handle; 2. binding tapes; 3. an electrical heating member; 4. a fixed seat; 4-1, T-shaped slot; 5. a pin shaft; 6. a pneumatic support rod; 7. a suction cup; 8. a box body; 8-1, T-shaped inserting blocks; 9. a box cover; 9-1, extending out of the isolation towel; 10. an isolation towel.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail with reference to the following embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
Embodiment 1, please refer to fig. 1 to 4, an upper limb auxiliary supporting device for CT examination; the upper limb CT examination bed comprises a supporting block 1, wherein one end of the supporting block is provided with an inclined surface 1-1 which plays a role in buffering upper limbs, fills the space between the upper limbs and the CT examination bed surface and reduces the vacancy feeling of a patient after being supported; the upper surface of the supporting block is provided with upper limb accommodating grooves 1-2 for accommodating upper limbs of a patient, the upper limb accommodating grooves are used for accommodating the upper limbs of the patient and simultaneously prevent the influence of the examination caused by the left-right sliding of the upper limbs of the patient; the depth of the upper limb containing groove gradually decreases in the oblique upward direction along the length direction of the supporting block, so that the upper arm of the patient is attached to the upper limb containing groove as softly as possible, the slope surface plays a good supporting role, the upper limb is prevented from having a vacant sense under the supporting effect of the supporting block, and the problem of arm numbness caused by the compression on the blood vessel due to the right-angle arris is avoided, and further the utility model improves the comfort level of the patient;
in order to further improve the comfort of the patient and reduce the discomfort of the edges and corners to the patient, the cross section of the upper limb accommodating groove is of a C shape, and the joint of the upper limb accommodating groove and the slope and the equal circular arc at the corner of the upper edge of the upper limb accommodating groove are in smooth transition.
Example 2, please refer to fig. 5 to 8, which are applicable to some special patients, such as unconscious patients, uncooperative examinations, children, etc., to reduce the influence of the patient's random swing or lift on the examination result during the examination; the two sides of the upper surface of the supporting block are provided with lugs 1-3, the lugs can be made into a discontinuous structure or a continuous structure, the embodiment adopts a continuous structure, the lug on one side of the lug is fixedly connected with a binding belt 2, the other end of the binding belt is a free end, and the free end of the binding belt is provided with a nylon thread gluing which is matched with the binding belt; through grooves 1-30 are arranged on the lugs on the other side, and the free end of the binding belt passes through the through grooves and is fixedly connected with the lugs; but is not limited thereto, and other means such as an elastic abdominal band with both ends fixed in advance or a fixedly installed buckle, etc. may be substituted.
In embodiment 3, referring to fig. 9 to 10, a heating medium accommodating cavity 1-4 is formed in the supporting block, a through hole 1-5 is formed in the other end face of the supporting block, an electric heating member 3 is installed on the through hole, and the heating medium accommodating cavity is filled with a heating medium in a sealed manner, so that the comfort level of the upper limb of the patient can be improved without affecting the examination by adopting the above technical scheme; the working principle of the heating device is that an electric heating component is adopted to heat a medium in advance to a constant temperature, the temperature can be set independently, and is preferably 35-40 ℃, wherein the electric heating component belongs to the known technology, such as a temperature control electric heating rod with temperature control. In practical use, the above embodiment is independently arranged relative to the CT examination bed, when in use, the external power supply is used, the electric heating rod is turned on for heating, after the heating is carried out to the set temperature, the external power supply is pulled off, and then the heated supporting block is placed on the CT examination bed for supporting the upper limb of the patient; meanwhile, a power socket can be arranged on the CT examination bed close to the upper limb end to directly heat; if the checking time is too long, the heating medium can be automatically started to heat after the temperature of the heating medium is reduced, and the circulation is carried out.
On the basis of the technical scheme, in order to reduce the too fast heat loss, heat preservation layers 1-6 are arranged on the outer sides of the supporting blocks except for the upper limb accommodating grooves.
Embodiment 4, the above-mentioned embodiment can adopt the direct placement or other banding way to place on the CT examining table, can also adopt the following technical scheme the utility model is fixed with CT examining table; referring to fig. 11 to 13, the pneumatic support device further includes a fixing seat 4, the fixing seat has a U-shaped cross section, one end of the support block having a slope is hinged to the fixing seat through a pin 5, two sides of the other end of the support block are respectively connected to inner sides of two side walls of the fixing seat through pneumatic support rods 6, and the support block rotates around the pin under the condition of applying tension/pressure to the pneumatic support rods. Foretell pneumatic bracing piece belongs to the well-known technique, according to the different market selective purchase of supporting pressure can, adopt above-mentioned technical scheme, can be through applying pulling force/pressure to pneumatic bracing piece, and then the inclination of adjustment supporting shoe to satisfy the different actual need of angle of lifting on different patient's upper limbs, enlarge the utility model discloses an application crowd scope.
In order to apply force to the supporting block, handles 1-7 are arranged at the end parts of the supporting block on the side of the pneumatic supporting rod, the supporting block can be conveniently lifted or pressed down through the handles, and the pneumatic supporting rod is convenient and quick.
In order to improve the convenience of installation and disassembly, two or four suckers 7 are symmetrically installed at the bottom of the supporting block, and the suckers can be fixedly installed at the bottom of the supporting block in an adhesive manner; because the edge of the outer side of the CT examination rotor is a smooth plane bed frame, the plane is just matched with the sucker to realize adsorption and fixation, and a metal connecting piece which influences the examination is avoided; the operation that does not also can not medical personnel bring complicacy at the actual operation in-process, only need after adjusting patient's position, adsorb the sucking disc on CT inspection bed frame's last plane can, convenient and fast.
Example 5, in order to prevent cross infection between medical staff and patients and between patients and patients, patients who have serious illness or are suspected to have illness, especially patients with infectious disease history, a box body for containing a separation towel is installed on the basis of any one of the above examples, the box body is used for placing a disposable separation towel, and the disposable separation towel is used for reducing the probability of cross infection; in the embodiment, the isolation towel is mounted on the fixing seat as an example, please refer to fig. 14 to 20, a box body 8 for placing the isolation towel is detachably mounted on a side plate outside the fixing seat, a box cover 9 is disposed on the box body, an isolation towel extension opening 9-1 is disposed on the box cover 9 along the length direction of the box body, for the convenience of placing the isolation towel 10, the box cover is opened in a pull-out type structure, the isolation towel is not interfered by normal pulling, and the inner side of the isolation towel extension opening is in an open type structure. When the materials are actually selected, the isolation towel can be a disposable sterile pull towel or a roll-shaped disinfection towel with a fracture.
Further, two T-shaped slots 4-1 are integrally formed in the outer side of the fixed seat 4; and a T-shaped inserting block 8-1 is arranged on the inner side surface of the box body 8 corresponding to the position of the T-shaped slot, and the T-shaped inserting block of the box body is inserted into the T-shaped slot of the fixed seat. Adopt above-mentioned structure can realize regularly disassembling the disinfection to box body and base, assembles after the disinfection, and the cartridge mode of adopting this structure need not other appurtenance, adjust well the cartridge can, convenient and fast.
To sum up, the utility model has the advantages of simple structure, convenient use, no influence on the normal operation of the CT examination equipment, simple operation, no increase of examination time due to the addition of the utility model, no increase of patient burden and improvement of patient comfort; but also can realize the adjustment of the inclination angle of the supporting block according to different patients; the support block can be preheated, so that the discomfort caused by the contact of a patient and the support block is reduced; in order to avoid cross infection, an isolation towel can be used for isolation, so that the condition that germs among patients are cross infected due to skin contact is avoided by 'one person, one towel, one replacement and one throwing' during examination, and the method has the advantages of easiness in manufacturing, easiness in popularization and the like.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not intended to limit the present invention, and any modifications, equivalent replacements, and improvements made within the spirit and principles of the present invention, such as the size, the type of heating medium, etc., should be included in the protection scope of the present invention.