Nasopharynx portion plugging device
Technical Field
The utility model relates to the field of medical equipment, in particular to nasopharynx portion obturating device.
Background
Nowadays, in patients with advanced malignant tumor of nasopharynx, massive hemorrhage of nasopharynx is often caused by tumor invasion of large blood vessels, which causes hemorrhagic shock or blood gushing into lower respiratory tract to suffocate, resulting in circulatory respiratory failure and death. Therefore, the first aid method for the diseases generally adopts a nasopharynx part filling mode to achieve the purpose of compressing blood vessels to stop bleeding and achieve the effect of treatment.
In addition, after excision of nasopharyngeal and skull base tumor, the repairing material and the mucous membrane valve are fixed by means of nasopharyngeal stuffing to protect wound and prevent postoperative hemorrhage. However, no device specifically for nasopharyngeal tamponade is clinically available and physicians often have to resort to the following two materials and methods as temporary alternatives:
one is that: the gauze pillow is stuffed in the large posterior naris, and is stuffed or moved to the nasopharynx part through a traction rope, so that the nasopharynx part is stuffed, and the purpose of oppressing and stuffing the nasopharynx part by the gauze pillow is achieved. However, the plugging material needs to be temporarily manufactured according to the size of the nasopharynx of a patient, the manufacturing method is complex, the plugging operation process is complicated, the time is consumed, particularly, doctors who lack experience need to complete the plugging repeatedly and repeatedly, and when the nasopharynx massive hemorrhage is rescued, the precious rescue time is delayed to cause the patient to shock or suffocate and die in a short time. Accidental release of the pull wire may also cause the tampon to fall off, resulting in obstruction of the airway by foreign bodies.
The other one is as follows: the method is that the catheter with the air bag at the front end is inserted into the nasopharynx of the patient through the nasal cavity, the air bag of the catheter is inflated to press the nasopharynx, then the nasal cavity is plugged with fillers such as yarn, finally the catheter is tightened forward, the front nostril is tied and fixed, the air bag is tightened by the elastic tension of the catheter, and the air bag is pressed to plug the nasopharynx. In this way, the balloon of the catheter is spherical and does not fit closely to the nasopharynx, and the balloon may be punctured by bone fragments, resulting in unreliable packing.
In addition, both of these two stuffing methods rely on forward pulling force to fix the stuffing (gauze pillow and air bag), so that the stuffing compression parts are mainly the anterior segment and posterior nostril area of nasopharynx, the posterior wall and side wall of nasopharynx are difficult to obtain enough pressure, and the position of occurrence of major hemorrhage of nasopharynx in clinic is mostly located on the posterior wall and side wall of nasopharynx, especially the internal carotid artery of the side wall of nasopharynx, therefore, the two stuffing materials and methods have very limited effect.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a nasopharynx portion obturating device, it will solve present obturating material and method loaded down with trivial details, consume time and be difficult to once only accomplish in the operation, the effect of obturating is limited, the obturating is unreliable in the effect, leads to aggravating the painful or dead problem of patient.
For realizing the purpose of the utility model, the utility model adopts the technical proposal that: a nasopharyngeal tamponade device comprising:
the inner core is coated with the expansion body, one end of the expansion body extends to form a filling part, and the filling part can be bent and/or folded; and
and one end of the first traction rope is arranged on the filling part.
Preferably, the inner core is a plastic rod, a wood rod or a metal rod made of hard materials.
Preferably, the inner core is of a cylindrical structure, an elliptic cylindrical structure or a cuboid structure.
Preferably, the nasal cavity part is formed by wrapping the expansion body between the other end of the inner core and the filling part; the diameter of the tamponade portion is greater than the diameter of the nasal cavity portion.
Preferably, a groove is formed in the middle of the filling part.
Preferably, the expansion body is a sponge.
Preferably, the outer surface of the expansion body is provided with a hemostatic layer and/or a blood coagulation layer.
Preferably, a second traction rope is arranged on the expansion body at the other end of the inner core.
Compared with the prior art, the beneficial effects of the utility model are as follows:
1. the inner core is coated by the expansion body, so that the expansion body has certain hardness, the expansion body is convenient to plug into the nasal cavity and the nasopharyngeal cavity, and a hard support is provided for the plugging of the expansion body in the nasopharyngeal cavity. And extend at the one end of inflation body and form the portion of packing, can pack the nasopharyngeal cavity, absorb the blood in the nasopharyngeal cavity simultaneously, can pull the portion of packing through first haulage rope and carry out the bending folding, realize the effect of packing completely to the nasopharyngeal cavity. Further, the purpose of filling and compressing the nasopharyngeal cavity is achieved, and the purpose of stopping bleeding of the nasopharyngeal cavity is achieved.
2. In order to facilitate the inflation body to be plugged into the nasal cavity and the nasopharyngeal cavity, the inner core can be a hard plastic rod and is of a cylindrical structure or a flat strip shape, the shape of the inner core can conform to the structure of the nasal cavity, and the use convenience is improved.
3. The overall dimension of the filling part can be set to be larger, and the expansion body can expand to further enlarge the volume after absorbing blood, thereby being convenient for filling wide nasopharyngeal cavity. Therefore, the first traction rope can be pulled and bent, so that the filling part can form oppressive filling in the nasopharyngeal cavity, and the bleeding part can be stopped.
4. The expansion body can also be provided with a hemostasis layer and a blood coagulation layer, and the hemostasis layer and the blood coagulation layer can be made of hemostasis materials such as blood powder, thrombin, blood coagulation factors and the like. Realize that the hemostatic material is conveyed into the nasopharyngeal cavity through the expansion body, thereby improving the hemostatic effect of the nasopharyngeal cavity.
Drawings
FIG. 1 is a cross-sectional view of a nasopharyngeal tamponade device in accordance with an embodiment;
FIG. 2 is a schematic view showing the bending and folding of the stuffer of the nasopharyngeal darning device according to the embodiment;
FIG. 3 is a schematic view of a nasopharyngeal tamponade device with a hemostatic layer and a blood clotting layer according to an embodiment;
FIG. 4 is a schematic view showing the distribution of the hemostatic and blood clotting layers of the nasopharyngeal darning device according to the embodiment.
Reference numerals:
10. an inner core;
20. a first pull cord;
30. an expansion body; 301. a plug section; 302. a nasal cavity portion; 303. a haemostatic layer;
304. a blood coagulation layer;
3011. a groove;
40. a second pull cord;
Detailed Description
The utility model provides a new scheme, for clearer show, make detailed explanation to the utility model in the following with the attached drawing.
Referring to fig. 1 to 4, the present embodiment provides a nasopharynx blocking device, which includes an inner core 10 and a first pull string 20. The expansion body 30 is coated on the inner core 10, one end of the expansion body 30 extends to form a filling part 301, the nasal cavity part 302 is formed between the other end of the expansion body 30 coated on the inner core 10 and the filling part 301, and the filling part 301 can be bent and/or folded. One end of the first traction rope 20 is disposed on the stuffing portion 301.
In this embodiment, the inner core 10 is a plastic rod, a wooden rod or a metal rod made of hard material, so that the expansion body 30 has a certain hardness, and the expansion body 30 can be conveniently plugged into the nasal cavity and the nasopharyngeal cavity and the plugging portion 301 plugged into the nasopharyngeal cavity to support the nasal cavity. One end of the expansion body 30 extends to form a filling part 301, so that the nasopharynx cavity can be filled, blood in the nasopharynx cavity can be absorbed, the filling part 301 can be pulled to be bent and folded through the first traction rope 20, and the effect of completely filling the nasopharynx cavity is achieved. Further, the purpose of filling and compressing the nasopharyngeal cavity is achieved, and the purpose of stopping bleeding of the nasopharyngeal cavity is achieved. Simple convenient in the operation, can be fast convenient fill in the nasopharyngeal cavity in the effect to utilize first haulage rope 20 to pack completely the nasopharyngeal cavity, carry out the hemostatic purpose of oppression formula.
The inner core 10 in this embodiment is a cylinder structure, an elliptic cylinder structure, or a rectangular parallelepiped structure. Take the inner core 10 as a rigid plastic and a cylindrical structure as an example. So that the shape of the whole nasopharyngeal darning device can conform to the structure of the nasal cavity, and the expansion body 30 can be conveniently padded into the nasopharyngeal cavity. And the length of the whole nasopharyngeal darning device can be set according to the length from the front end of the nasal cavity of the human body to the back wall of the nasopharyngeal cavity, so that the nasopharyngeal darning device can be padded into the nasopharyngeal cavity. And the length setting can be divided according to different age groups of people, for example: children, teenagers and adults, thereby meeting the requirements of people of different ages and improving the practicability of the nasopharynx part plugging device.
In this embodiment, a nasal cavity 302 is formed between the other end of the inner core 10 and the stuffing 301 of the expansion body 30, and the diameter of the stuffing 301 is larger than that of the nasal cavity 302. By increasing the diameter size of the filling part 301, the upper limit of the absorption capacity of the expansion body 30 can be improved, the liquid absorption amount of the expansion body 30 can be ensured, the volume of the expansion body 30 after the expansion of the absorption liquid can be ensured, the filling and pressing of the nasopharyngeal cavity can be ensured, and the purpose of hemostasis of the nasopharyngeal cavity can be realized.
The middle of the filler part 301 is provided with a recess 3011 in this embodiment. When the plugging portion 301 is plugged into the nasopharyngeal cavity, the blood in the nasopharyngeal cavity is absorbed first, and the blood is expanded after being absorbed, so that the effect of the plugging portion 301 on the plugging pressure of the nasopharyngeal cavity is enhanced. Therefore, the stuffer part 301 is pulled by the first traction rope 20 to bend and/or fold, so that more stuffer parts 301 enter into the nasopharyngeal cavity to perform stuffer compression, and the stuffer parts 301 form a compressive hemostasis effect on the bleeding part. The groove 3011 can make it easier for people to pull the packing portion 301 to fold it back, providing convenience and practicability for operating the nasopharynx packing device.
The expansion body 30 is a sponge in this embodiment. The sponge is medical sponge, so that the sanitation and water absorption of the sponge can be guaranteed. The absorption of blood in the nasopharyngeal cavity is realized, and the problem of infection caused by sponge materials is solved.
As shown in fig. 3 and 4, in the present embodiment, the outer surface of the expansion body 30 is provided with a hemostatic layer 303 and/or a blood coagulation layer 304, and the hemostatic layer 303 and the blood coagulation layer 304 may be arranged on the outer surface of the expansion body 30 in a multi-layer structure (as shown in fig. 3); it is also possible to use a local arrangement, in which the hemostatic layer 303 and the blood coagulation layer 304 are arranged at different positions of the expansion body 30 (as shown in fig. 4). The hemostatic layer 303 and/or the blood coagulation layer 304 may be provided only on the packing portion 301 (as shown in fig. 4). The hemostatic layer 303 and the blood coagulation layer 304 may be made of hemostatic materials such as hemostatic powder, thrombin, and blood coagulation factors. The hemostatic material is conveyed into the nasopharyngeal cavity through the expansion body 30, and the hemostatic effect on the nasopharyngeal cavity is improved.
In this embodiment, the second traction rope 40 is disposed on the expansion body 30 at the other end of the inner core 10. Pulling the expansion body 30 back and forth, adjusting the position of the expansion body 30, or removing the expansion body 30 may be accomplished by the second traction rope 40. And after the second traction rope 40 is arranged, more filling parts 301 can be pulled into the nasopharyngeal cavity through the first traction rope 20, so that the magnitude of the pressure on the nasopharyngeal cavity can be conveniently adjusted, the length and/or diameter of the filling parts 301 can be conveniently set, and the design and the practical use can be more flexible and convenient.
The above embodiments are only used for explaining the technical solution of the present invention and not for limiting the same, and although the above embodiments are specific to the present invention, it should be understood by those skilled in the art that the present invention can be modified or replaced with equivalents without departing from the spirit and scope of the present invention, which should be covered by the claims of the present invention.