CN2163651Y - Dirt-removing and irrigating device for full-enclosed intestinal canal operation - Google Patents

Abstract

The utility model relates to a drainage and lavage device in a totally-enclosed type intestinal canal operation, which is composed of a drainage part and a lavage part. A sleeving device for broken intestines in the drainage part is connected to broken intestines through a bevel pipe, the broken intestine position can be fixed tightly by an intestine pressing ring and a fixed ring, and the sleeving device for broken intestines is connected with a sewage collecting tank through a drainage pipe. The lavage part has a pressurizing cylinder which is connected with an oxygen cylinder and a lavage opening of the sleeving device for broken intestines. Sewage of an intestinal cavity in the intestinal canal operation can be drained and lavaged in a totally-enclosed pipeline. The pollution of surgery field instrument can be avoided, the stench expelled by the sewage can be eliminated, and the utility model causes the intestinal cavity to reduce pressure and clean. The utility model is favorable to the I period anastomosis of the intestinal canal, the occurrence of a fistula opening after the operation can be avoided and reduced, and the environment can be decontaminated.

Description

Dirt-removing and irrigating device for full-enclosed intestinal canal operation

This utility model belongs to blowdown and lavage apparatus in a kind of totally enclosed type intestinal art.

At present, when colon generation acute ileus, often need the emergency operation treatment, but volume feces is arranged, the I stage operation can not be carried out, can only make staging operation because of blocking near-end.Partly the colon tumor of choosing date for operation merges and blocks patient, even intestinal is prepared before having made art, Chang Yinwei tumor proximal colonic has more loose stool; even carry out I phase tumor resection reluctantly, colon coincide, and also regular meeting causes the wild pollution of art; increase the postoperative infection chance, or fistula of operative incision occurs.Decompression and blowdown lavation purify the method for intestinal in the intestinal art, have Jones to equal retrograde small intestinal---the stomach subtraction of nineteen sixty-eight report, colonic decompression lavage in the art that the colonic decompression method of Hardy etc. and Dudley etc. reported in 1980 abroad.Domestic Tang Wei pine etc. is improved methods such as Dudley, make intestinal surgery not pollute the art open country, make patient avoid staging operation, the polished grade of red sound has designed douche in the large intestine art---per anum large intestine lavation device and through abdominal cavity large intestine lavation device, make the lavation in the intestinal obstruction art be close to closed, also obtain better effects, but do not reach real sealing as yet, thoroughly destroy foul odors and environment purification and purpose.

The purpose of this utility model provides blowdown and lavage apparatus in a kind of totally enclosed type intestinal art, the dirt discharge and the lavation of enteric cavity in the art are all carried out in the totally enclosed type pipeline, avoid the wild apparatus contamination of art, eliminate the foul smell that dirt is discharged, make enteric cavity decompression and cleaning, it is identical to help the intestinal I phase, avoids and reduce the generation of postoperative fistula mouth, environment purification.

This utility model partly is made up of blowdown and lavation two, blowdown is partly irritated dirty device (20) by heartbroken invaginator (1) or anal irrigation, blow-off pipe (2), the dirty bucket of storage (3) is formed, heartbroken invaginator (1) is by inclined-plane pipe (4), intestine pressing ring (5), retainer ring (6), blow-off connection (7) and lavation mouth (8) are formed, there is screw thread to cooperate on the blow-off connection (7) with retainer ring (6), blow-off pipe (2) one ends and blow-off connection (7) link, the other end links with the blow-off pipe interface (9) of the dirty bucket of storage (3), and the dirty bucket of storage (3) is provided with portable seal cover (10) and connects vacuum extractor mouth (11) and links with vacuum extractor; Lavation partly is made up of irrigating tube (12) irrigating solution pressurized canister (13), the irrigating solution that belt switch is arranged on the lavation pressurized canister (13) of handle is housed to be added inlet (14), air discharge cook (15), high (perseverance) and presses oxygen intake (16), under pressurization irrigating solution outlet (17) arranged, link with pressurization irrigating tube (12), hyperbaric oxygen trachea (18) one ends press oxygen intake (16) to link with high (perseverance), another termination oxygen cylinder, pressurization irrigating tube (12) has switch, links with the lavation mouth (8) of heartbroken invaginator; Lavation also available lavation bag of part or irrigating solution are hung high, carry out lavation, not only convenient and simple but also safety, anal irrigation excretion machine (20) is made up of anal irrigation excretion machine stamen (21), lavation mouth (22), end-of-the-pipe (23), lavation mouth (22) links with the irrigating solution bottle, and end-of-the-pipe (23) links by blow-off pipe and the dirty bucket of storage (3).

This utility model is a totally enclosed type pipeline, and heartbroken overstating into device and intestinal stump closely fixed, and can not move, and deviates from.Avoid exposing, easily causing pollution with the intestinal stump that strap is whipped intestinal tube on the snakelike plastic tube of hard, reach aseptic principle operation, avoid the pollution of abdominal cavity, otch, apparatus, it is smelly to eliminate excrement, and environment purification alleviates medical personnel's labor intensity.

Description of drawings:

Fig. 1 is this utility model structure chart;

Fig. 2 is the heartbroken invaginator structure chart of this utility model;

Each member is all made of plastic in this utility model, presses Fig. 1 and connects.Do routine examination earlier after advancing abdomen, obstruct cloudy resistance part part and should be appreciated that as belonging to cancerous protuberance lump soaks scope and whether regional nodes arranged or hepatic metastases at a distance.Separate routinely then and block partly; the near-end intestinal tube divides longer slightly; intestinal contents is pressed to the intestinal tube near-end gently; immediately sentencing intestinal clamp and vising apart from intending cutting the about 10CM of intestinal tube; a toothed forceps on the far-end intestinal tube pincers at the about 8CM of distance intestinal clamp place; tight protection is cut off intestinal tube near tooth pincers place down, and the near-end intestinal tube is pulled out outside the otch; in enteric cavity, also can; the routine disinfection broken ends of fractured bone, the incisxal edge that vises intestinal with two skins properly is inserted in the about 6CM of mounted heartbroken invaginator (1), unclamps the skin pincers; move and press intestinal intestinal ring (5); heartbroken end is compressed, tighten retainer ring (6), heartbroken like this end and heartbroken overstating into device (1) are closely fixed.The nurse connects the air vent that stores up on the dirty bucket (3) to vacuum extractor under the platform, starts vacuum extractor, unclamps intestinal clamp, the content of enteric cavity is because negative pressure and siphonage, just automatic, flow into rapidly in the dirty bucket of storage (3), slowly push the enteric cavity content simultaneously and drive in heartbroken overstating into device (1).After intestinal contents is discharged, irrigating tube (12) is inserted heartbroken intestinal overstate lavation mouth (8) into device (1) back side, turn on switch and carry out lavation, become clear until irrigating solution, add each 1 gram of kanamycin and metronidazole in the last 1000ML liquid of lavation, in the time of need carrying out anal irrigation as sick degree, can insert anus blowdown douche (20) leggiero, carry out lavation simultaneously from anus.Cut off intestinal tube then apart from about 1CM place, heartbroken invaginator (1) inclined-plane, remove blowdown lavation loading amount, according to pathological changes situation excision intestinal loop, row end-to-end intestinal anastomosis or other respective handling.

Claims (2)

1, blowdown and lavage apparatus in a kind of totally enclosed type intestinal art, partly form by blowdown and lavation two, it is characterized in that: blowdown is partly by intestinal invaginator (1) or the anal irrigation excretion machine (20) of continuing, blow-off pipe (2), the dirty bucket of storage (3) is formed, the intestinal invaginator (1) that continues is by inclined-plane pipe (4), intestine pressing ring (5), retainer ring (6), blow-off connection (7) and lavation mouth (8) are formed, there is screw thread to cooperate on the blow-off connection (7) with retainer ring (6), blow-off pipe (2) one ends and blow-off connection (7) link, the other end links with the blow-off pipe interface (9) of the dirty bucket of storage (3), and the dirty bucket of storage (3) is provided with portable seal cover (10) and connects vacuum extractor mouth (11) and links with vacuum extractor; Lavation partly is made up of irrigating tube (12), irrigating solution pressurized cylinder (13), the irrigating solution that belt switch is arranged on the lavation pressurized cylinder (13) of handle is housed to be added inlet (14), air discharge cook (15), high (perseverance) and presses oxygen intake (16), has pressurization irrigating solution outlet (17) and pressurization irrigating tube (12) to link down, hyperbaric oxygen trachea (18) one ends press oxygen intake (16) to link with high (perseverance), another termination oxygen cylinder, pressurization irrigating tube (12) has switch, links with the lavation mouth (8) of heartbroken invaginator.

2, according to the described device of claim 1, it is characterized in that: anal irrigation excretion machine (20) is made up of anal irrigation excretion machine stamen (21), lavation mouth (22), end-of-the-pipe (23), lavation mouth (22) links with the irrigating solution bottle, and end-of-the-pipe (23) links by blow-off pipe and the dirty bucket of storage (3).

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