CN218607547U - Central venous catheter thrombolysis device for hemodialysis - Google Patents

Central venous catheter thrombolysis device for hemodialysis Download PDF

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CN218607547U
CN218607547U CN202221930437.1U CN202221930437U CN218607547U CN 218607547 U CN218607547 U CN 218607547U CN 202221930437 U CN202221930437 U CN 202221930437U CN 218607547 U CN218607547 U CN 218607547U
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central venous
venous catheter
syringe
flow
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孟可欣
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Harbin Medical University
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Harbin Medical University
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Abstract

A central venous catheter thrombolysis device for hemodialysis aims at solving the problems that a plurality of injectors and needles are needed to be used in hemodialysis, different injectors connected with a central venous catheter are repeatedly plugged and pulled, blood circulation infection of the central venous catheter is easily caused, and then a patient is heated, bacteremia, septicemia and sepsis, and air enters the central venous catheter to cause air embolism of the patient. The utility model discloses an output of drawing liquid pipe, flow inspection pipe, salt solution siphunculus and injection pipe all communicates with the connecting pipe, and the input of drawing liquid pipe links to each other with the drawing liquid syringe, and the input of flow inspection pipe links to each other with the flow syringe, and the input of salt solution siphunculus links to each other with the salt solution syringe, and the input of injection pipe links to each other with urine enzyme syringe, all installs the flow stopping valve on drawing liquid pipe, flow inspection pipe, salt solution siphunculus and the injection pipe. The utility model discloses can once only insert and extract again to the thrombolysis end, obeyed aseptic principle, the central venous catheter infection that can prevent a plurality of syringes and bring, the risk of air thrombolysis.

Description

一种血液透析用中心静脉导管溶栓器Central venous catheter thrombolysis device for hemodialysis

技术领域technical field

本实用新型属于一种静脉导管溶栓器,具体涉及一种血液透析用中心静脉导管溶栓器。The utility model belongs to a venous catheter thrombolysis device, in particular to a central venous catheter thrombolysis device for hemodialysis.

背景技术Background technique

在血液透析中,现有的方法是:1、用一个注射器连接中心静脉导管,抽出导管中原有的肝素+盐水封管液后,拔出该注射器并弃掉;2、用第二个注射器连接中心静脉导管,反复抽吸再推送导管中血液,来检查中心静脉导管通畅程度,检查完拔出该注射器并弃掉;3、用第三个注射器先抽好10ml无菌生理盐水,连接上中心静脉导管,向中心静脉导管中推注生理盐水,使导管中血液冲净,拔出该注射器并弃掉;4、用第四个注射器先抽好5ml用生理盐水配制的尿液酶,连接上中心静脉导管,向中心静脉导管中推注一定量的尿液酶溶液,使中心静脉导管管腔充满尿液酶溶液,保持40—60分钟,来使其腔内血栓溶解;5、40—60分钟后,连接注射器抽出导管中尿液酶溶液,再换带有生理盐水的注射器向中心静脉导管推注生理盐水,来冲净中心静脉导管中血液;6、再连接装有肝素+盐水封管液的注射器,向中心静脉导管推注,拔出该注射器,将中心静脉导管末端盖上导管帽。In hemodialysis, the existing method is: 1. Use a syringe to connect the central venous catheter, draw out the original heparin + saline lock solution in the catheter, pull out the syringe and discard it; 2. Use a second syringe to connect For the central venous catheter, repeatedly suck and push the blood in the catheter to check the patency of the central venous catheter, pull out the syringe after the inspection and discard it; 3. Use the third syringe to pump 10ml of sterile normal saline and connect it to the central venous catheter. Intravenous catheter, inject normal saline into the central venous catheter to flush out the blood in the catheter, pull out the syringe and discard it; 4. Use the fourth syringe to draw 5ml of urine enzyme prepared with normal saline, and connect it to the Central venous catheter, inject a certain amount of urine enzyme solution into the central venous catheter, so that the lumen of the central venous catheter is filled with urine enzyme solution, and keep it for 40-60 minutes to dissolve the thrombus in the cavity; 5, 40-60 Minutes later, connect the syringe to draw out the urine enzyme solution in the catheter, and then change the syringe with normal saline to inject normal saline into the central venous catheter to flush out the blood in the central venous catheter; 6. Connect the sealed tube with heparin + saline Inject the syringe with liquid into the central venous catheter, pull out the syringe, and cap the end of the central venous catheter.

上述方法的缺点:1、反复插拔与中心静脉导管相连的不同注射器,其中有的注射器反复应用,不符合无菌操作的原则,易引起中心静脉导管血行感染而引起的发热、菌血症、败血症、脓毒血症,从而不得不入院拔除中心静脉导管,造成患者无法及时透析,以及重新插管的费用,还易引起空气进入中心静脉导管引起患者空气栓塞,导致生命危险;2、需使用至少五个不同的注射器及针头,浪费医疗资源,增加患者医疗费用负担;3、反复插拔,浪费时间。The shortcoming of above-mentioned method: 1, repeatedly plug and unplug the different syringes that are connected to each other with central venous catheter, wherein the syringe that has is used repeatedly, does not meet the principle of aseptic operation, easily causes the heating that central venous catheter bloodstream infection causes, bacteremia, Sepsis, sepsis, and had to be admitted to the hospital to remove the central venous catheter, resulting in the patient's inability to dialysis in time, and the cost of re-intubation, it is also easy to cause air to enter the central venous catheter and cause air embolism in the patient, resulting in life-threatening; 2. Need to use At least five different syringes and needles waste medical resources and increase the burden of medical expenses for patients; 3. Repeated insertion and extraction waste time.

实用新型内容Utility model content

本实用新型是为了解决现有血液透析中,需使用至少五个不同的注射器及针头,反复插拔与中心静脉导管相连的不同注射器,易引起中心静脉导管血行感染,进而导致患者发热、菌血症、败血症、脓毒血症,还易引起空气进入中心静脉导管引起患者空气栓塞的问题,而提供的一种血液透析用中心静脉导管溶栓器。The utility model is to solve the problem that in the existing hemodialysis, at least five different syringes and needles need to be used, and different syringes connected to the central venous catheter are repeatedly inserted and pulled out, which may easily cause blood infection of the central venous catheter, and then lead to fever and bacterial blood in the patient. It is easy to cause the problem of air embolism caused by air entering the central venous catheter, and provides a central venous catheter thrombolysis device for hemodialysis.

本实用新型为解决上述问题而采用的技术方案是:The technical scheme that the utility model adopts for solving the above problems is:

一种血液透析用中心静脉导管溶栓器,其组成包括抽液管、流量检查管、盐水通管、注药管、抽液注射器、流量注射器、盐水注射器、尿液酶注射器、连接管和止流阀,所述抽液管、流量检查管、盐水通管和注药管的输出端均与连接管连通,所述抽液管的输入端与抽液注射器相连,所述流量检查管的输入端与流量注射器相连,所述盐水通管的输入端与盐水注射器相连,所述注药管的输入端与尿液酶注射器相连,所述抽液管、流量检查管、盐水通管和注药管上均安装有止流阀。A central venous catheter thrombolysis device for hemodialysis, which consists of a suction tube, a flow inspection tube, a saline through tube, a drug injection tube, a suction syringe, a flow syringe, a saline syringe, a urine enzyme syringe, a connecting tube and a stopper. flow valve, the output ends of the suction pipe, the flow inspection pipe, the brine pipe and the drug injection pipe are all communicated with the connecting pipe, the input end of the liquid suction pipe is connected with the liquid suction syringe, and the input end of the flow inspection pipe The end is connected with the flow injector, the input end of the saline pipe is connected with the saline syringe, the input end of the injection pipe is connected with the urine enzyme syringe, the suction pipe, the flow inspection pipe, the saline pipe and the medicine injection Stop valves are installed on the pipes.

进一步的,所述盐水注射器为单向注射器。Further, the saline syringe is a one-way syringe.

本实用新型具有以下有益效果:The utility model has the following beneficial effects:

1、不需要反复插拔注射器,利用本实用新型可一次性插入至溶栓结束再拔出,遵守了无菌原则,可预防多个注射器带来的中心静脉导管感染、空气溶栓的风险。1. There is no need to insert and pull out the syringe repeatedly. The utility model can be used for one-time insertion until the end of thrombolysis and then pulled out. It complies with the principle of sterility and can prevent the risk of central venous catheter infection and air thrombolysis caused by multiple syringes.

2、节约医疗资源,不需要若干个注射器,减轻患者经济负担。2. Save medical resources, do not need several syringes, and reduce the economic burden of patients.

3、不需要反复插拔注射器,节约了医护及患者的医治时间,更适合紧急溶栓后尽快行血液透析治疗的患者。3. There is no need to insert and pull out the syringe repeatedly, which saves the treatment time of doctors, nurses and patients, and is more suitable for patients who undergo hemodialysis treatment as soon as possible after emergency thrombolysis.

附图说明Description of drawings

图1是本实用新型血液透析用中心静脉导管溶栓器的整体结构示意图。Fig. 1 is a schematic diagram of the overall structure of the central venous catheter thrombolysis device for hemodialysis of the present invention.

具体实施方式Detailed ways

具体实施方式一:结合图1说明本实施方式,本实施方式包括抽液管1、流量检查管2、盐水通管3、注药管4、抽液注射器5、流量注射器6、盐水注射器7、尿液酶注射器8、连接管9和止流阀10,抽液管1、流量检查管2、盐水通管3和注药管4的输出端均与连接管9连通,抽液管1的输入端与抽液注射器5相连,流量检查管2的输入端与流量注射器6相连,盐水通管3的输入端与盐水注射器7相连,注药管4的输入端与尿液酶注射器8相连,抽液管1、流量检查管2、盐水通管3和注药管4上均安装有止流阀10。使用时,盐水注射器7的输入端与生理盐水袋11连接。盐水注射器7为单向注射器,即盐水注射器7只能将生理盐水从生理盐水袋11中注入中心静脉导管12中,不能将生理盐水抽回生理盐水袋11中。Specific embodiment 1: This embodiment is described in conjunction with FIG. 1. This embodiment includes a suction tube 1, a flow inspection tube 2, a saline through tube 3, a drug injection tube 4, a suction syringe 5, a flow rate syringe 6, a saline syringe 7, Urine enzyme syringe 8, connecting pipe 9 and stop valve 10, the output ends of the suction pipe 1, the flow inspection pipe 2, the saline through pipe 3 and the injection pipe 4 are all communicated with the connecting pipe 9, and the input of the suction pipe 1 The end is connected with the suction syringe 5, the input end of the flow inspection tube 2 is connected with the flow injector 6, the input end of the saline through pipe 3 is connected with the saline syringe 7, the input end of the injection pipe 4 is connected with the urine enzyme syringe 8, and the suction A stop valve 10 is installed on the liquid pipe 1 , the flow inspection pipe 2 , the brine passage pipe 3 and the drug injection pipe 4 . In use, the input end of the saline syringe 7 is connected with the physiological saline bag 11 . The saline injector 7 is a one-way injector, that is, the saline injector 7 can only inject physiological saline from the physiological saline bag 11 into the central venous catheter 12 , and cannot draw the physiological saline back into the physiological saline bag 11 .

本实用新型的工作原理:Working principle of the utility model:

将本实用新型血液透析用中心静脉导管溶栓器的连接管9与中心静脉导管12相连;Connect the connecting pipe 9 of the central venous catheter thrombolytic device for hemodialysis of the present invention to the central venous catheter 12;

步骤1、打开抽液管1上的止流阀10,通过抽液注射器5抽吸抽液管1,将中心静脉导管12中的封管液抽出,关闭抽液管1上的止流阀10;Step 1. Open the stop valve 10 on the pumping tube 1, suck the pumping tube 1 through the pumping syringe 5, extract the lock fluid in the central venous catheter 12, and close the stop valve 10 on the pumping tube 1 ;

步骤2、打开流量检查管2上的止流阀10,通过流量注射器6来回抽吸推送用以检查中心静脉导管12通畅程度,关闭流量检查管2上的止流阀10;Step 2, open the stop valve 10 on the flow inspection tube 2, pump back and forth through the flow injector 6 to check the patency of the central venous catheter 12, and close the stop valve 10 on the flow inspection tube 2;

步骤3、拉开盐水注射器7的活塞,通过盐水注射器7将生理盐水袋11中的盐水吸入盐水注射器7中,打开盐水通管3上的止流阀10,将盐水注射器7中生理盐水注入推注中心静脉导管12中,关闭盐水通管3上的止流阀10;Step 3, pull the piston of the saline syringe 7, suck the saline in the saline bag 11 into the saline syringe 7 through the saline syringe 7, open the stop valve 10 on the saline conduit 3, inject the saline in the saline syringe 7 into the pusher Inject in the central venous catheter 12, close the stop valve 10 on the saline conduit 3;

步骤4、使用前先将尿液酶注射器8中抽满用生理盐水配制好的尿液酶溶液,打开注药管4上的止流阀10,向注药管4中推注尿液酶溶液,推注完成后,关闭注药管4上的止流阀10,保持不动静置40—60分钟;Step 4, before use, fill the urine enzyme syringe 8 with the urine enzyme solution prepared with normal saline, open the stop valve 10 on the injection tube 4, and inject the urine enzyme solution into the injection tube 4 After the injection is completed, close the stop valve 10 on the injection tube 4, and keep it still for 40-60 minutes;

步骤5、打开注药管4上的止流阀10,抽出中心静脉导管12中尿液酶溶液,注药管4上的止流阀10;Step 5, open the stop valve 10 on the drug injection tube 4, extract the urine enzyme solution in the central venous catheter 12, and the stop valve 10 on the drug injection tube 4;

步骤6、打开盐水通管3上的止流阀10,向中心静脉导管12推入生理盐水,冲净中心静脉导管12管腔中的血液,关闭盐水通管3上的止流阀10;Step 6, open the stop valve 10 on the saline through pipe 3, push the physiological saline into the central venous catheter 12, flush out the blood in the lumen of the central venous catheter 12, and close the stop valve 10 on the saline through pipe 3;

步骤7、拔下连接管9,即本产品与中心静脉导管12脱离,用另外的注射器向中心静脉导管12推注肝素+盐水封管液,之后,拔下该注射器,盖上中心静脉导管管帽,溶栓结束。Step 7. Unplug the connecting tube 9, that is, the product is separated from the central venous catheter 12. Use another syringe to inject heparin + saline lock solution into the central venous catheter 12. After that, unplug the syringe and cover the central venous catheter tube cap, end of thrombolysis.

Claims (2)

1. The utility model provides a central venous catheter thrombolysis ware for hemodialysis which characterized in that: the thrombolytic device comprises a liquid pumping pipe (1), a flow checking pipe (2), a saline water through pipe (3), a medicine injection pipe (4), a liquid pumping injector (5), a flow injector (6), a saline water injector (7), an urine enzyme injector (8), a connecting pipe (9) and a stop valve (10), wherein the output ends of the liquid pumping pipe (1), the flow checking pipe (2), the saline water through pipe (3) and the medicine injection pipe (4) are communicated with the connecting pipe (9), the input end of the liquid pumping pipe (1) is connected with the liquid pumping injector (5), the input end of the flow checking pipe (2) is connected with the flow injector (6), the input end of the saline water through pipe (3) is connected with the saline water injector (7), the input end of the medicine injection pipe (4) is connected with the urine enzyme injector (8), and the stop valve (10) is arranged on the liquid pumping pipe (1), the flow checking pipe (2), the saline water through pipe (3) and the medicine injection pipe (4).
2. The central venous catheter thrombolysis device for hemodialysis according to claim 1, wherein: the saline injector (7) is a one-way injector.
CN202221930437.1U 2022-07-25 2022-07-25 Central venous catheter thrombolysis device for hemodialysis Active CN218607547U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115154715A (en) * 2022-07-25 2022-10-11 哈尔滨医科大学 Central venous catheter thrombolysis device for hemodialysis

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115154715A (en) * 2022-07-25 2022-10-11 哈尔滨医科大学 Central venous catheter thrombolysis device for hemodialysis

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