Chest strap for full-age period after cardiac surgery operation
Technical Field
The utility model belongs to the field of medical instruments, and particularly relates to a chest strap for fixing the chest after cardiac surgery.
Background
Open chest surgery is the mainstay of treatment for complex multiple coronary lesions and valvular disease. Surgery is also a major treatment for congenital heart diseases. With the improvement of the overall treatment level of pediatric congenital heart disease surgery in China, the development of pediatric heart surgery is in depth in the direction of the reduction of age and the correction of complex deformity, the proportion of low-age and critical infants who receive surgery is increased year by year, the proportion of old people, women and people with low immunity in surgery is also increased year by year, and postoperative recovery is very important.
Clinically, patients often have weight lower than that of the same-age population due to preoperative heart failure, low immunity and the like, especially newborns and infants are more obvious, and adults can be overweight. The troublesome problem is that the wound of the patient is not healed after the heart malformation operation is finished, and the recovery and discharge are affected.
The heart surgery usually adopts a classical surgical operation approach of median sternal cleavage, after finishing the heart deformity correction operation, the sternum is connected by a steel wire with a needle after the operation, namely, the split left half sternum and right half sternum are respectively twisted by steel wires, so that the sternum is folded smoothly, generally, 4-6 steel wires are used for wound, and then the skin is sutured.
The application of the postoperative chest belt can effectively fix the chest, reduce the tension of movements or coughs and other activities on wounds, is beneficial to stabilizing the sternum connection and skin flap healing, and can also prevent postoperative chest deformation.
The early wound after operation needs to be disinfected intermittently within 7-14 days, and auxiliary materials are replaced, so that bleeding and liquid seepage possibly occur in the early stage, and dressing replacement is needed. In the early stage of critical patients, because of delayed chest closing, respiratory machine application and other reasons, the wound cannot be wrapped and fixed by adopting gauze and bandages, the wound is covered by using multiple layers of gauze, and the outer surface of the wound is fixed on the skin by using rubberized fabric, but the method is ineffective in preventing postoperative flap and fracture from moving, and can not achieve the purposes of relieving pain and promoting healing. The chest belt applied in the market at present is only suitable for patients who need no long-term lying in bed and has incomplete model and thick and hard material. However, critical patients often need 7-14 days of breathing machine assistance after operation, need to lie in bed, and do not have proper chest straps.
Disclosure of Invention
Aiming at the problems in the prior art, the utility model provides a full-age chest belt for cardiac surgery, which is specially designed in size according to the chest data of different ages, has elasticity and self-adhesion, is convenient to disassemble and care wounds at any time by binding and adhering the chest bandage material in front of the chest, is suitable for postoperative bedridden patients, has proper constraint force on the chest, and is beneficial to postoperative chest fixation and wound healing.
In order to achieve the above purpose, the utility model comprises the following technical scheme:
a chest strap for full age after cardiac surgery, which comprises a back strap 1 and a chest strap 2; the back belt 1 is rectangular and is made of pure cotton fabrics, and the side length of the back belt is (12-42) x (10-37) cm according to different ages; the chest belt 2 is a plurality of elastic self-adhesive bandage ropes, the width is 2-5 cm, and the length of the chest belt is 18-46 cm according to different ages; the chest strap 2 is fixed on two short sides of the back strap 1, and each short side is fixed with 3-4 chest straps.
As described above, the chest strap for full-age after cardiac surgery is preferably used for neonates-3 months old, the back strap 1 has a size of (12-16) × (10-14) cm, 3 chest straps 2 are respectively fixed on two short sides of the back strap 1, and each chest strap 2 has a size of (2-5) × (18-22) cm.
As described above, the chest strap for full-age after cardiac surgery is preferably used for 3 months to 1 year old, the back strap 1 has a size of (16 to 20) × (14 to 18) cm, 3 chest straps 2 are respectively fixed on two short sides of the back strap 1, and each chest strap 2 has a size of (2 to 5) × (28 to 32) cm.
As described above, the chest strap for full-age after cardiac surgery is preferably used in 1 year to 3 years old, the back strap 1 has a size of (20 to 24) × (16 to 20) cm, 3 chest straps 2 are respectively fixed to both short sides of the back strap 1, and each chest strap 2 has a size of (2 to 5) × (30 to 34) cm.
As described above, the chest strap for full-age after cardiac surgery is preferably used for 3 years to 6 years old, the back strap 1 has a size of (24 to 28) × (18 to 24) cm, 4 chest straps 2 are respectively fixed on two short sides of the back strap 1, and each chest strap 2 has a size of (2 to 5) × (34 to 38) cm.
As described above, the chest strap for full-age after cardiac surgery is preferably used for 6 years to 12 years old, the back strap 1 has a size of (28 to 34) × (23 to 27) cm, 4 chest straps 2 are respectively fixed on two short sides of the back strap 1, and each chest strap 2 has a size of (2 to 5) × (38 to 42) cm.
As described above, the chest strap for full-age after cardiac surgery is preferably used for 12 years to 18 years old, the back strap 1 has a size of (33 to 37) × (28 to 32) cm, 4 chest straps 2 are respectively fixed on two short sides of the back strap 1, and each chest strap 2 has a size of (2 to 5) × (42 to 46) cm.
As described above, the chest strap for full-age after cardiac surgery is preferably used for 18 years-adults, the back strap 1 has a size of (38-42) × (33-37) cm, 4 chest straps 2 are respectively fixed on two short sides of the back strap 1, and each chest strap 2 has a size of (2-5) × (42-46) cm.
The beneficial effects of the utility model are as follows:
1. the chest belt is designed according to the chest data of different age groups, and can meet the requirements of stabilizing wound and fixing chest after heart disease operation of different age groups.
2. The chest belt material has self-adhesive property, is bound on the front of the chest in a binding way, is convenient to disassemble at any time for wound disinfection and auxiliary material replacement, and is convenient for the application of patients in bed.
3. The chest belt material has certain elasticity, has proper constraint force on the chest, adopts the folded chest to bind, is suitable for the chest constraint requirements of different tightness degrees, can effectively fix the chest, reduces the tension of activities such as movement or cough on wounds, is beneficial to stable sternum connection and flap healing, and can also prevent postoperative chest deformation.
4. The utility model is safe and convenient, can be used for cleaning for a certain number of times, and meets the requirement of protecting the chest of a patient before taking out stitches.
Drawings
Fig. 1 is a schematic diagram of the structure of a chest strap for full-age after cardiac surgery.
Fig. 2 is a view showing the state of use of the full-age chest belt after cardiac surgery.
Detailed Description
The utility model will be further illustrated with reference to specific examples. It is to be understood that these examples are illustrative of the present utility model and are not intended to limit the scope of the present utility model.
Example 1 chest strap for full-age after cardiac surgery
As shown in fig. 1, the chest strap for full age after cardiac surgery includes a back strap 1 and a chest strap 2.
The back belt 1 is rectangular, is made of pure cotton fabric, has the thickness of about 2mm, has no irritation to skin, and is suitable for bedridden patients or infants with sensitive skin.
The chest belt 2 is a plurality of elastic self-adhesive bandage ropes with the width of 3 cm to 5cm. The chest strap 2 is fixed on two short sides of the back strap 1, and each short side is fixed with 3-4 chest straps. The thickness of the elastic self-adhesive bandage is about 1.5mm, and the bandage has self-adhesion, namely only has adhesion with the bandage itself, and does not adhere to skin and hair; has good air permeability, no patient stuffy and high comfort level; the elasticity of the bandage can exceed 120% of the self length, and the binding force is 20-45cN/cm when the bandage is stretched by 30%. Has proper constraint force on the chest, can effectively fix the chest, reduce the tension of movements or coughs and other activities on wounds, is beneficial to stabilizing sternum connection and flap healing, and can also prevent postoperative chest deformation. The bandage material has waterproof property, can be washed for 2-5 times, and can transmit X-ray.
A set of chest strap sizes for each age group were designed based on different age group chest data, as shown in table 1:
TABLE 1
The using state of the chest belt for the whole age after cardiac surgery is shown in fig. 2, when the chest belt is used, the back belt 1 is placed on the back of a patient, the chest belts 2 on the left side and the right side are placed under the ribs on the two sides, the 1 st belt on the left side or the right side is alternately wrapped, and the 1 st belt is always pressed on the front 1 st belt. Proper tightness is achieved by inserting 1 finger, all the belts are wrapped according to the shape of a folded tile, and the last chest belt can be reversely self-adhered.