CN221731663U - Nasal intestinal nasal gastric universal tube - Google Patents

Nasal intestinal nasal gastric universal tube Download PDF

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CN221731663U
CN221731663U CN202322955381.6U CN202322955381U CN221731663U CN 221731663 U CN221731663 U CN 221731663U CN 202322955381 U CN202322955381 U CN 202322955381U CN 221731663 U CN221731663 U CN 221731663U
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tube
nasogastric tube
nasogastric
port
trachea
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刘敏
曾颖
孟心如
黄丽丽
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University of South China
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University of South China
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Abstract

The utility model discloses a nasal-intestinal nasal-gastric general tube, wherein one end of a nasal-gastric tube is provided with a three-way tube, the other end of the nasal-gastric tube is a spherical cambered surface, a port A and a port B of the three-way tube are directly connected, a port C is a bypass, the spherical cambered surface is divided into a flap-shaped structure by a notch, the side wall of the nasal-gastric tube is provided with a liquid through hole A, the inner wall of the nasal-gastric tube, a nasal-intestinal tube limiting air bag positioned between the liquid through hole A and the spherical cambered surface, the outer side wall of the nasal-gastric tube, the nasal-gastric tube limiting air bag positioned between the liquid through hole A and the three-way tube, the two opposite sides positioned at one end of the three-way tube are respectively provided with a gas tube A communicated with the nasal-gastric tube limiting air bag and a gas tube B communicated with the nasal-intestinal tube limiting air bag, one end of the nasal-gastric tube is provided with a connecting tube matched with the port B, and the side wall at the other end of the nasal-gastric tube is provided with the liquid through hole B. According to the structure, the nose intestine nose stomach universal tube is more convenient to penetrate into a nose stomach tube compared with directly penetrating into a patient, so that the patient is relieved of pain during tube penetration, and the applicability of the patient is improved.

Description

鼻肠鼻胃通用管Nasogastric tube

技术领域Technical Field

本实用新型涉及一种鼻饲医疗装置的技术领域,具体涉及一种鼻肠鼻胃通用管。The utility model relates to the technical field of a nasogastric feeding medical device, in particular to a universal nasointestinal and nasogastric tube.

背景技术Background Art

鼻饲法是在患者昏迷、无法自主进食的特殊情况下人工把管道经鼻腔置入消化道中,然后把食物用磨碎机打成糊等流食,用大注射器连接胃管接头下面的大注食口,连接牢固后,手动加压推杆活塞往患者的胃或肠道内打水和食物,帮助不能自主吞咽的患者提供水和食物,维持体内代谢、体重和营养。目前常用的鼻饲管为鼻胃管和鼻肠管。如果患者的胃功能有效、且胃动力足够,一般会采用鼻胃管伸入患者的胃中,食物通过胃进行消化。如果患者的胃动力不足、甚至胃功能损坏,则会采用鼻肠管则是通过幽门进入肠道内,食物直接由肠道吸收。Nasogastric feeding is a method in which a tube is artificially placed into the digestive tract through the nasal cavity when the patient is in a coma and unable to eat independently. The food is then ground into a paste or other liquid food using a grinder. A large syringe is used to connect the large injection port under the gastric tube connector. After the connection is secure, the push rod piston is manually pressurized to pump water and food into the patient's stomach or intestines to help patients who cannot swallow independently provide water and food to maintain metabolism, weight and nutrition in the body. Currently, the commonly used nasogastric tubes are nasogastric tubes and nasointestinal tubes. If the patient's gastric function is effective and the gastric motility is sufficient, a nasogastric tube is generally inserted into the patient's stomach, and the food is digested by the stomach. If the patient's gastric motility is insufficient or even the gastric function is damaged, a nasointestinal tube will be used to enter the intestine through the pylorus, and the food will be directly absorbed by the intestine.

但是医护人员在临床中发现,危重患者手术后一般都会或多或少出现胃部功受损或胃动力不足,但是经过术后护理后都会逐渐恢复。对于这种情况,目前都是前期先置入鼻肠管,待医生评估胃功能恢复后还得取出鼻肠管、并另外置入鼻胃管。这就会增加患者的痛苦、而且两次插管也会增加患者消化道受伤的可能性。However, medical staff have found in clinical practice that critically ill patients generally have more or less impaired gastric function or insufficient gastric motility after surgery, but they will gradually recover after postoperative care. In this case, a nasogastric tube is currently inserted in the early stage, and after the doctor evaluates the recovery of gastric function, the nasogastric tube must be removed and another nasogastric tube inserted. This will increase the patient's pain, and two intubations will also increase the possibility of digestive tract injury.

发明内容Summary of the invention

本实用新型的目的在于:克服现有技术的不足,提供一种鼻肠鼻胃通用管,通过鼻胃管与鼻肠管的组合使用,鼻肠管穿入鼻胃管内相比于直接穿入患者体内会更加方便,患者也减少了穿管时的痛苦,提高了患者的适用性。The purpose of the utility model is to overcome the shortcomings of the prior art and provide a universal nasogastric tube. By using a nasogastric tube in combination with a nasogastric tube, it is more convenient to insert the nasogastric tube into the nasogastric tube than directly inserting the nasogastric tube into the patient's body, and the patient's pain during tube insertion is reduced, thereby improving the patient's applicability.

本实用新型所采取的技术方案是:The technical solution adopted by the utility model is:

鼻肠鼻胃通用管,包括鼻胃管和鼻肠管,所述鼻肠管的外径小于等于鼻胃管的内腔A的内径,所述鼻胃管的一端连通设有三通管、另一端的端部为向外凸起的球弧面,所述三通管包括端口A、端口B和端口C,所述端口A和端口B直通、端口C为旁通,所述端口A与鼻胃管连接,所述球弧面均匀设有以鼻胃管轴心为中心均匀分布的多个切口,所述切口将球弧面分割为以鼻胃管轴心为中心均匀分布的瓣状结构,所述鼻胃管位于球弧面一端的侧壁设有贯穿鼻胃管的管壁A的通液孔A,所述鼻胃管的内腔A的内壁、对应位于通液孔A与球弧面之间位置处设有鼻肠管限位气囊,所述鼻胃管的外侧壁、对应于通液孔A与三通管之间的位置处还设有鼻胃管限位气囊,所述鼻胃管侧壁、位于三通管一端的两相对侧分别设有气管A和气管B,所述气管A与鼻胃管限位气囊连通,所述气管B与鼻肠管限位气囊连通,所述鼻肠管对应于三通管的一端设有与端口B匹配的连接管、另一端的侧壁设有贯穿鼻肠管的管壁B的通液孔B,当鼻肠管从三通管的端口B伸入鼻胃管、且连接管与端口B固定连接时,所述鼻肠管设有通液孔B的一端从瓣状结构位置处伸出鼻胃管。A universal nasogastric and nasointestinal tube comprises a nasogastric tube and a nasointestinal tube, wherein the outer diameter of the nasointestinal tube is less than or equal to the inner diameter of the inner cavity A of the nasogastric tube, one end of the nasogastric tube is connected with a three-way tube, and the end of the other end is a spherical arc surface protruding outward, the three-way tube comprises port A, port B and port C, the ports A and port B are directly connected, and port C is a bypass, the port A is connected to the nasogastric tube, the spherical arc surface is evenly provided with a plurality of incisions evenly distributed with the axis of the nasogastric tube as the center, the incisions divide the spherical arc surface into a flap-like structure evenly distributed with the axis of the nasogastric tube as the center, the side wall of the nasogastric tube located at one end of the spherical arc surface is provided with a liquid through hole A penetrating the tube wall A of the nasogastric tube, the inner wall of the inner cavity A of the nasogastric tube, the corresponding incision located at the liquid through hole A nasogastric tube limiting air bag is provided at a position between hole A and the spherical arc surface, and a nasogastric tube limiting air bag is also provided on the outer wall of the nasogastric tube at a position corresponding to the liquid-passing hole A and the three-way tube. A trachea A and a trachea B are respectively provided on the side wall of the nasogastric tube and on two opposite sides located at one end of the three-way tube. The trachea A is communicated with the nasogastric tube limiting air bag, and the trachea B is communicated with the nasogastric tube limiting air bag. The nasogastric tube is provided with a connecting tube matching with port B at one end corresponding to the three-way tube, and a liquid-passing hole B penetrating through the tube wall B of the nasogastric tube on the side wall of the other end. When the nasogastric tube is extended into the nasogastric tube from port B of the three-way tube and the connecting tube is fixedly connected to port B, the end of the nasogastric tube provided with the liquid-passing hole B extends out of the nasogastric tube from the position of the flap-like structure.

本实用新型更进一步改进方案是,所述通液孔A设有多个,以鼻胃管的轴心为中心均匀分布有多列,每列通液孔A沿着鼻胃管的轴向等间距设有多个;所述通液孔B设有多个,以鼻肠管的轴心为中心均匀分布多列,每列通液孔B沿着鼻肠管的轴向等间距设有多个。A further improvement of the present utility model is that the liquid through holes A are provided in a plurality, and are evenly distributed in a plurality of rows with the axis of the nasogastric tube as the center, and each row of liquid through holes A is provided with a plurality of holes equidistantly along the axial direction of the nasogastric tube; the liquid through holes B are provided in a plurality, and are evenly distributed in a plurality of rows with the axis of the nasointestinal tube as the center, and each row of liquid through holes B is provided with a plurality of holes equidistantly along the axial direction of the nasointestinal tube.

本实用新型更进一步改进方案是,所述气管A和气管B分别通过鼻胃管的管壁内所设的气管腔与鼻胃管限位气囊和鼻肠管限位气囊对应连通。A further improvement of the present invention is that the trachea A and trachea B are respectively connected to the nasogastric tube limiting airbag and the nasointestinal tube limiting airbag through the tracheal cavity provided in the tube wall of the nasogastric tube.

本实用新型更进一步改进方案是,所述鼻胃管限位气囊为同轴心设置于鼻胃管外侧壁所设环形槽内的环形气囊,所述环形槽与连通气管A的气管腔连通。A further improvement of the present invention is that the nasogastric tube limiting airbag is an annular airbag coaxially arranged in an annular groove provided on the outer wall of the nasogastric tube, and the annular groove is connected to the tracheal cavity connected to the trachea A.

本实用新型更进一步改进方案是,所述鼻肠管限位气囊为以鼻胃管轴心均匀分布的多个条形气囊,所述条形气囊分别设置于鼻胃管的内腔A的内壁对应所设的条形槽内,所述条形槽分别通过与鼻胃管同轴心设置的环形孔与连通气管B的气管腔连通。A further improvement of the utility model is that the nasogastric tube limiting airbags are multiple strip airbags evenly distributed with the axis of the nasogastric tube, and the strip airbags are respectively arranged in the corresponding strip grooves on the inner wall of the inner cavity A of the nasogastric tube, and the strip grooves are connected to the tracheal cavity of the trachea B through annular holes coaxially arranged with the nasogastric tube.

本实用新型更进一步改进方案是,所述气管A和气管B远离鼻胃管的端部分别连通设有用于与充气装置连通的气阀嘴。A further improvement of the present invention is that the ends of the trachea A and trachea B away from the nasogastric tube are respectively connected to each other and are provided with air valve nozzles for communicating with the inflation device.

本实用新型更进一步改进方案是,所述连接管与三通管的端口B可拆卸地密封固定连接。A further improvement of the present invention is that the connecting pipe is detachably sealed and fixedly connected to the port B of the three-way pipe.

本实用新型更进一步改进方案是,所述连接管面向三通管的一端同轴心固定设有与三通管匹配的密封插接连接件。A further improvement of the utility model is that a sealing plug connector matching the tee is coaxially fixedly provided on one end of the connecting pipe facing the tee.

本实用新型更进一步改进方案是,所述端口C位于气管A和气管B之间,并且端口C与气管A之间的相位角和端口C与气管B之间的相位角均为90度。A further improvement of the present invention is that the port C is located between the trachea A and the trachea B, and the phase angle between the port C and the trachea A and the phase angle between the port C and the trachea B are both 90 degrees.

本实用新型更进一步改进方案是,当固定于端口B的连接管固定于患者鼻孔位置处处时,所述鼻胃管限位气囊位于患者食道和胃部连接处、所述鼻胃管的球弧面位于患者胃部内,所述鼻肠管设有通液孔B的 一端位于患者的肠道内。A further improvement of the present invention is that when the connecting tube fixed to port B is fixed at the position of the patient's nostril, the nasogastric tube limiting air bag is located at the connection between the patient's esophagus and stomach, the spherical surface of the nasogastric tube is located in the patient's stomach, and one end of the nasointestinal tube provided with the liquid hole B is located in the patient's intestine.

本实用新型的有益效果在于:The beneficial effects of the utility model are:

第一、本实用新型的鼻肠鼻胃通用管,通过鼻胃管与鼻肠管的组合使用,鼻肠管穿入鼻胃管内相比于直接穿入患者体内会更加方便,患者也减少了穿管时的痛苦,而且提高了患者的适用性。First, the utility model of the universal nasogastric and nasointestinal tube can be used in combination with a nasogastric tube. It is more convenient to insert the nasogastric tube into the nasogastric tube than to directly insert the nasointestinal tube into the patient's body. The patient also reduces the pain during tube insertion and the applicability of the patient is improved.

第二、本实用新型的鼻肠鼻胃通用管,通过球弧面所设的瓣状结构,不仅便于鼻肠管的穿出,而且单独使用时也更加便于流质食物或水注入胃部的效率和效果。Second, the universal nasointestinal and nasogastric tube of the present invention, through the flap-like structure provided on the spherical arc surface, not only facilitates the insertion of the nasointestinal tube, but also makes it more efficient and effective to inject liquid food or water into the stomach when used alone.

第三、本实用新型的鼻肠鼻胃通用管,通过鼻胃管限位气囊的作用,能使鼻胃管相对于患者的食道胃部相对固定,从而减轻了鼻胃管因为与患者鼻部固定而对患者鼻部的牵拉。Third, the universal nasogastric and nasointestinal tube of the present invention can fix the nasogastric tube relatively to the esophagus and stomach of the patient through the function of the nasogastric tube limiting balloon, thereby reducing the pulling of the nasogastric tube on the patient's nose due to the fixation of the nasogastric tube to the patient's nose.

第四、本实用新型的鼻肠鼻胃通用管,通过鼻肠管限位气囊的作用,能够使鼻肠管与鼻胃管相对固定,从而避免鼻肠管因为伸入胃部和肠道而收到肠道和胃部蠕动作用下与鼻胃管之间产生相对移动。Fourthly, the universal nasointestinal and nasogastric tube of the utility model can relatively fix the nasointestinal tube and the nasogastric tube through the action of the nasointestinal tube limiting airbag, thereby preventing the nasointestinal tube from being extended into the stomach and intestines and being subjected to the peristaltic action of the intestines and stomach and causing relative movement between the nasogastric tube and the tube.

第五、本实用新型的鼻肠鼻胃通用管,鼻肠管限位气囊的结构能够保证鼻肠管与鼻胃管同轴心固定,保证鼻肠管与鼻胃管固定效果的同时,还能保证鼻胃管内流质食物或水的流通效果。Fifth, the utility model of the universal nasointestinal and nasogastric tube and the structure of the nasointestinal tube limiting air bag can ensure the coaxial fixation of the nasointestinal tube and the nasogastric tube, which can ensure the flow of liquid food or water in the nasogastric tube while ensuring the fixation effect of the nasointestinal tube and the nasogastric tube.

第六、本实用新型的鼻肠鼻胃通用管,通过三通管的作用,从而保证了鼻胃管头尾流质食物和水以及抽取胃内物质的效果。Sixth, the universal nasogastric and nasointestinal tube of the present invention, through the function of the three-way tube, ensures the effect of liquid food and water at the head and tail of the nasogastric tube and extracting gastric substances.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为本实用新型的主视剖视示意图。FIG1 is a schematic front cross-sectional view of the present utility model.

图2为本实用新型的侧视剖视示意图。FIG. 2 is a side cross-sectional schematic diagram of the utility model.

图3为本实用新型鼻胃管固定后穿入鼻肠管时或鼻肠管准备从鼻胃管内取出时的主视剖视示意图。Fig. 3 is a front cross-sectional schematic diagram of the utility model when the nasogastric tube is inserted into the nasointestinal tube after being fixed or when the nasointestinal tube is ready to be taken out from the nasogastric tube.

图4为本实用新型鼻肠管穿入到指定位置时以及进行鼻胃管或鼻肠管使用时的主视剖视图。FIG4 is a front cross-sectional view of the nasogastric tube of the present invention when it is inserted into a designated position and when it is used as a nasogastric tube or a nasointestinal tube.

图5为本实用新型正常不使用时留置状态下或同时取出鼻胃管和鼻肠管时的主视剖视示意图。FIG5 is a front cross-sectional schematic diagram of the utility model in a normally indwelling state when not in use or when the nasogastric tube and the nasointestinal tube are removed at the same time.

具体实施方式DETAILED DESCRIPTION

结合图1~图5可知,鼻肠鼻胃通用管,包括鼻胃管1和鼻肠管18,所述鼻肠管18的外径小于等于鼻胃管1的内腔A3的内径,所述鼻胃管1的一端连通设有三通管2、另一端的端部为向外凸起的球弧面5,所述三通管2包括端口A9、端口B10和端口C11,所述端口A9和端口B10直通、端口C11为旁通,所述端口A9与鼻胃管1连接,所述球弧面5均匀设有以鼻胃管1轴心为中心均匀分布的多个切口4,所述切口4将球弧面5分割为以鼻胃管1轴心为中心均匀分布的瓣状结构,所述鼻胃管1位于球弧面5一端的侧壁设有贯穿鼻胃管1的管壁A的通液孔A6,所述鼻胃管1的内腔A3的内壁、对应位于通液孔A6与球弧面5之间位置处设有鼻肠管限位气囊8,所述鼻胃管1的外侧壁、对应于通液孔A6与三通管2之间的位置处还设有鼻胃管限位气囊7,所述鼻胃管18侧壁、位于三通管2一端的两相对侧分别设有气管A12和气管B13,所述气管A12与鼻胃管限位气囊7连通,所述气管B13与鼻肠管限位气囊8连通,所述鼻肠管18对应于三通管2的一端设有与端口B10匹配的连接管20、另一端的侧壁设有贯穿鼻肠管18的管壁B的通液孔B19,当鼻肠管18从三通管2的端口B10伸入鼻胃管1、且连接管20与端口B10固定连接时,所述鼻肠管18设有通液孔B19的一端从瓣状结构位置处伸出鼻胃管1。In combination with Figures 1 to 5, it can be seen that the nasogastric universal tube includes a nasogastric tube 1 and a nasogastric tube 18, the outer diameter of the nasogastric tube 18 is less than or equal to the inner diameter of the inner cavity A3 of the nasogastric tube 1, one end of the nasogastric tube 1 is connected with a three-way tube 2, and the end of the other end is a spherical arc surface 5 protruding outward, the three-way tube 2 includes a port A9, a port B10 and a port C11, the ports A9 and B10 are straight, and the port C11 is a bypass, the port A9 is connected to the nasogastric tube 1, the spherical arc surface 5 is evenly provided with a plurality of incisions 4 evenly distributed with the axis of the nasogastric tube 1 as the center, the incision 4 divides the spherical arc surface 5 into a flap-like structure evenly distributed with the axis of the nasogastric tube 1 as the center, the side wall of the nasogastric tube 1 located at one end of the spherical arc surface 5 is provided with a liquid through hole A6 that penetrates the tube wall A of the nasogastric tube 1, the inner wall of the inner cavity A3 of the nasogastric tube 1, the corresponding liquid through hole A nasogastric tube limiting air bag 8 is provided at a position between A6 and the spherical arc surface 5, and a nasogastric tube limiting air bag 7 is also provided on the outer wall of the nasogastric tube 1 at a position corresponding to the liquid hole A6 and the three-way tube 2. A trachea A12 and a trachea B13 are respectively provided on the side wall of the nasogastric tube 18 and on two opposite sides located at one end of the three-way tube 2. The trachea A12 is communicated with the nasogastric tube limiting air bag 7, and the trachea B13 is communicated with the nasogastric tube limiting air bag 8. A connecting tube 20 matching the port B10 is provided at one end of the nasogastric tube 18 corresponding to the three-way tube 2, and a liquid hole B19 penetrating the tube wall B of the nasogastric tube 18 is provided on the side wall of the other end. When the nasogastric tube 18 extends into the nasogastric tube 1 from the port B10 of the three-way tube 2, and the connecting tube 20 is fixedly connected to the port B10, the end of the nasogastric tube 18 provided with the liquid hole B19 extends out of the nasogastric tube 1 from the position of the flap-like structure.

所述通液孔A6设有多个,以鼻胃管1的轴心为中心均匀分布有多列,每列通液孔A6沿着鼻胃管1的轴向等间距设有多个;所述通液孔B19设有多个,以鼻肠管18的轴心为中心均匀分布多列,每列通液孔B19沿着鼻肠管18的轴向等间距设有多个。There are multiple liquid holes A6, which are evenly distributed in multiple rows with the axis of the nasogastric tube 1 as the center, and each row of liquid holes A6 is evenly spaced along the axial direction of the nasogastric tube 1; there are multiple liquid holes B19, which are evenly distributed in multiple rows with the axis of the nasogastric tube 18 as the center, and each row of liquid holes B19 is evenly spaced along the axial direction of the nasogastric tube 18.

所述气管A12和气管B13分别通过鼻胃管1的管壁内所设的气管腔14与鼻胃管限位气囊7和鼻肠管限位气囊8对应连通。The trachea A12 and the trachea B13 are respectively connected to the nasogastric tube limiting airbag 7 and the nasointestinal tube limiting airbag 8 through the tracheal cavity 14 provided in the tube wall of the nasogastric tube 1.

所述鼻胃管限位气囊7为同轴心设置于鼻胃管1外侧壁所设环形槽16内的环形气囊,所述环形槽16与连通气管A12的气管腔14连通。The nasogastric tube limiting airbag 7 is an annular airbag coaxially arranged in an annular groove 16 provided on the outer wall of the nasogastric tube 1, and the annular groove 16 is connected to the tracheal cavity 14 connected to the trachea A12.

所述鼻肠管限位气囊8为以鼻胃管1轴心均匀分布的多个条形气囊,所述条形气囊分别设置于鼻胃管1的内腔A3的内壁对应所设的条形槽17内,所述条形槽17分别通过与鼻胃管1同轴心设置的环形孔15与连通气管B13的气管腔14连通。The nasogastric tube limiting airbag 8 is a plurality of strip-shaped airbags evenly distributed with the axis of the nasogastric tube 1. The strip-shaped airbags are respectively arranged in the corresponding strip-shaped grooves 17 on the inner wall of the inner cavity A3 of the nasogastric tube 1. The strip-shaped grooves 17 are respectively connected to the tracheal cavity 14 connected to the trachea B13 through the annular holes 15 coaxially arranged with the nasogastric tube 1.

所述气管A12和气管B13远离鼻胃管1的端部分别连通设有用于与充气装置连通的气阀嘴22。The ends of the trachea A12 and the trachea B13 away from the nasogastric tube 1 are respectively connected to each other and are provided with an air valve nozzle 22 for connecting to the inflation device.

所述连接管20与三通管2的端口B10可拆卸地密封固定连接。The connecting pipe 20 is detachably sealed and fixedly connected to the port B10 of the tee pipe 2 .

所述连接管20面向三通管2的一端同轴心固定设有与三通管2匹配的密封插接连接件21。A sealing plug connector 21 matching the tee pipe 2 is coaxially fixedly disposed on one end of the connecting pipe 20 facing the tee pipe 2 .

所述端口C11位于气管A12和气管B13之间,并且端口C11与气管A12之间的相位角和端口C11与气管B13之间的相位角均为90度。The port C11 is located between the trachea A12 and the trachea B13, and the phase angle between the port C11 and the trachea A12 and the phase angle between the port C11 and the trachea B13 are both 90 degrees.

当固定于端口B10的连接管20固定于患者鼻孔位置处处时,所述鼻胃管限位气囊7位于患者食道和胃部连接处、所述鼻胃管1的球弧面5位于患者胃部内,所述鼻肠管18设有通液孔B19的 一端位于患者的肠道内。When the connecting tube 20 fixed to the port B10 is fixed at the patient's nostril, the nasogastric tube limiting airbag 7 is located at the junction of the patient's esophagus and stomach, the spherical surface 5 of the nasogastric tube 1 is located in the patient's stomach, and one end of the nasointestinal tube 18 with the liquid hole B19 is located in the patient's intestine.

本申请使用时,如图3所示,先按照鼻胃管置入术的要求将鼻胃管1从患者的鼻孔插入、直至鼻胃管1的球弧面5所在端的通液孔A6位于患者的胃腔内,此时鼻胃管限位气囊7然仍位于患者的食道管内,通过连通气管A12向鼻胃管限位气囊7内充气,使鼻胃管限位气囊7撑开后将食道相应位置处胀紧而达到鼻胃管1的位置相对固定;此时再按照胃肠管直入术的要求将鼻肠管18设有通液孔B19的一端从三通管2的端口B10穿入、从而使鼻肠管18通过三通管2的端口A9进入鼻胃管1的内腔A3内,并沿着鼻胃管1的内腔A3继续向下,当鼻肠管18与鼻胃管1的球弧面5接触后,鼻肠管18的端部撑开球弧面5的瓣状结构继续向下伸出鼻胃管1进入患者的胃腔内,然后鼻肠管18再患者胃部的蠕动下后者在内窥镜的辅助作用下通过幽门后继续进入患者的肠道内;当鼻肠管18设有连接管20的一端与三通管2的端口B10接触时,鼻肠管18对应于通液孔B19的一端恰好伸入患者肠道内至指定位置,并取出鼻肠管18内的导丝;接着如图4所示,先将连接管20通过插接连接件21与三通管2固定,再通过连通气管B13向鼻肠管限位气囊8内充气、使鼻肠管限位气囊8撑开后将鼻肠管18相应位置处胀紧而达到鼻肠管18与鼻胃管1的位置相对固定。最后如图5所示,待通过医用胶布等固定装置将三通管2与患者鼻部固定之后,分别通过连通气管A12和连通气管B13各自的气嘴阀22将鼻胃管限位气囊7和鼻肠管限位气囊8内的气体排出即可。When the present application is used, as shown in FIG3 , the nasogastric tube 1 is first inserted from the patient's nostrils according to the requirements of the nasogastric tube insertion technique until the liquid-passing hole A6 at the end where the spherical arc surface 5 of the nasogastric tube 1 is located is located in the patient's gastric cavity. At this time, the nasogastric tube limiting airbag 7 is still located in the patient's esophageal tube, and air is inflated into the nasogastric tube limiting airbag 7 through the connecting trachea A12, so that the nasogastric tube limiting airbag 7 is expanded and tightened at the corresponding position of the esophagus to achieve a relatively fixed position of the nasogastric tube 1 after the nasogastric tube limiting airbag 7 is expanded; at this time, according to the requirements of the gastrointestinal tube direct insertion technique, one end of the nasogastric tube 18 provided with the liquid-passing hole B19 is inserted from the port B10 of the three-way tube 2, so that the nasogastric tube 18 enters the inner cavity A3 of the nasogastric tube 1 through the port A9 of the three-way tube 2, and continues downward along the inner cavity A3 of the nasogastric tube 1. When the nasogastric tube 18 contacts the spherical arc surface 5 of the nasogastric tube 1 Afterwards, the end of the nasointestinal tube 18 opens the flap-like structure of the spherical surface 5 and continues to extend the nasogastric tube 1 downward into the patient's gastric cavity. Then, under the peristalsis of the patient's stomach, the nasointestinal tube 18 passes through the pylorus with the assistance of the endoscope and continues to enter the patient's intestine; when one end of the nasointestinal tube 18 provided with a connecting tube 20 contacts the port B10 of the three-way tube 2, the end of the nasointestinal tube 18 corresponding to the liquid hole B19 just extends into the patient's intestine to the designated position, and the guide wire in the nasointestinal tube 18 is taken out; then, as shown in Figure 4, the connecting tube 20 is first fixed to the three-way tube 2 through the plug-in connector 21, and then the nasointestinal tube limiting airbag 8 is inflated through the connecting trachea B13, so that the nasointestinal tube limiting airbag 8 is expanded and then the corresponding position of the nasointestinal tube 18 is tightened to achieve the relative fixation of the position of the nasointestinal tube 18 and the nasogastric tube 1. Finally, as shown in FIG. 5 , after the three-way tube 2 is fixed to the patient's nose by a fixing device such as medical tape, the gas in the nasogastric tube limiting airbag 7 and the nasointestinal tube limiting airbag 8 can be discharged through the respective air nozzle valves 22 of the connecting trachea A12 and the connecting trachea B13.

如图4所示,鼻胃管限位气囊7和鼻肠管限位气囊8均充满气,将鼻肠管18与鼻胃管1相对固定,将鼻胃管1与患者的食道相对固定。当患者患者病情比较严重、且胃部动力不足甚至胃功能有损的情况下,直接通过连接管20将流质食物或水液注入鼻肠管18内后直接进入肠道进行喂食;当患者的胃部功能正常的情况下,直接通过三通管2的端口C11将流质食物或水注入鼻胃管1内后直接进入胃部进行喂食。根据患者的回复状况,如果患者的胃部功能完全没有问题的情况下,可以先单独将鼻肠管18从鼻胃管1中取出,仅需留置鼻胃管1即可;如果患者的胃部功能虽然恢复、但尚不稳定的情况下,则仍需要将鼻肠管18保留在鼻胃管1内。As shown in FIG4 , the nasogastric tube limiting airbag 7 and the nasointestinal tube limiting airbag 8 are both filled with air, and the nasointestinal tube 18 is relatively fixed to the nasogastric tube 1, and the nasogastric tube 1 is relatively fixed to the patient's esophagus. When the patient's condition is relatively serious, and the gastric motility is insufficient or even the gastric function is impaired, liquid food or water is directly injected into the nasointestinal tube 18 through the connecting tube 20 and then directly enters the intestine for feeding; when the patient's gastric function is normal, liquid food or water is directly injected into the nasogastric tube 1 through the port C11 of the three-way tube 2 and then directly enters the stomach for feeding. According to the patient's recovery, if the patient's gastric function is completely fine, the nasointestinal tube 18 can be removed from the nasogastric tube 1 alone, and only the nasogastric tube 1 needs to be retained; if the patient's gastric function has recovered but is still unstable, the nasointestinal tube 18 still needs to be retained in the nasogastric tube 1.

如图5所示,置入本实用新型之后,在未进食的状态下,鼻胃管限位气囊7和鼻肠管限位气囊8均位于收缩状态,从而避免长期压迫食道而使患者产生不适,而且还能避免鼻肠管在胃和肠的蠕动作用下继续伸入肠道。当需要同时取出鼻肠管和鼻胃管的时候,直接将用于固定连接管20与患者鼻部的装置去除,然后再通过连接管20直接将鼻胃管1连同鼻肠管18一起取出,提高效率。As shown in FIG5 , after the utility model is inserted, in the state of not eating, the nasogastric tube limiting airbag 7 and the nasointestinal tube limiting airbag 8 are both in a contracted state, thereby avoiding long-term compression of the esophagus and causing discomfort to the patient, and also preventing the nasointestinal tube from continuing to extend into the intestine under the peristaltic action of the stomach and intestine. When it is necessary to remove the nasointestinal tube and the nasogastric tube at the same time, the device for fixing the connecting tube 20 to the patient's nose is directly removed, and then the nasogastric tube 1 is directly removed together with the nasointestinal tube 18 through the connecting tube 20, thereby improving efficiency.

Claims (10)

1.鼻肠鼻胃通用管,其特征在于:包括鼻胃管(1)和鼻肠管(18),所述鼻肠管(18)的外径小于等于鼻胃管(1)的内腔A(3)的内径,所述鼻胃管(1)的一端连通设有三通管(2)、另一端的端部为向外凸起的球弧面(5),所述三通管(2)包括端口A(9)、端口B(10)和端口C(11),所述端口A(9)和端口B(10)直通、端口C(11)为旁通,所述端口A(9)与鼻胃管(1)连接,所述球弧面(5)均匀设有以鼻胃管(1)轴心为中心均匀分布的多个切口(4),所述切口(4)将球弧面(5)分割为以鼻胃管(1)轴心为中心均匀分布的瓣状结构,所述鼻胃管(1)位于球弧面(5)一端的侧壁设有贯穿鼻胃管(1)的管壁A的通液孔A(6),所述鼻胃管(1)的内腔A(3)的内壁、对应位于通液孔A(6)与球弧面(5)之间位置处设有鼻肠管限位气囊(8),所述鼻胃管(1)的外侧壁、对应于通液孔A(6)与三通管(2)之间的位置处还设有鼻胃管限位气囊(7),所述鼻胃管(18)侧壁、位于三通管(2)一端的两相对侧分别设有气管A(12)和气管B(13),所述气管A(12)与鼻胃管限位气囊(7)连通,所述气管B(13)与鼻肠管限位气囊(8)连通,所述鼻肠管(18)对应于三通管(2)的一端设有与端口B(10)匹配的连接管(20)、另一端的侧壁设有贯穿鼻肠管(18)的管壁B的通液孔B(19),当鼻肠管(18)从三通管(2)的端口B(10)伸入鼻胃管(1)、且连接管(20)与端口B(10)固定连接时,所述鼻肠管(18)设有通液孔B(19)的一端从瓣状结构位置处伸出鼻胃管(1)。1. A universal nasogastric tube, characterized in that it comprises a nasogastric tube (1) and a nasogastric tube (18), wherein the outer diameter of the nasogastric tube (18) is less than or equal to the inner diameter of the inner cavity A (3) of the nasogastric tube (1), one end of the nasogastric tube (1) is connected to a three-way tube (2), and the other end is an outwardly protruding spherical arc surface (5), the three-way tube (2) comprises a port A (9), a port B (10) and a port C (11), the port A (9) and the port B (10) are straight, and the port C (11) is a bypass port. The port A (9) is connected to the nasogastric tube (1), the spherical surface (5) is evenly provided with a plurality of incisions (4) evenly distributed around the axis of the nasogastric tube (1), the incisions (4) divide the spherical surface (5) into a flap-like structure evenly distributed around the axis of the nasogastric tube (1), the side wall of the nasogastric tube (1) located at one end of the spherical surface (5) is provided with a liquid through hole A (6) penetrating the tube wall A of the nasogastric tube (1), the inner wall of the inner cavity A (3) of the nasogastric tube (1), the liquid through hole A (6) corresponding to ... A nasogastric tube limiting air bag (8) is provided at a position between the spherical surface (6) and the spherical surface (5); a nasogastric tube limiting air bag (7) is also provided on the outer wall of the nasogastric tube (1) at a position corresponding to the position between the liquid hole A (6) and the three-way tube (2); a trachea A (12) and a trachea B (13) are provided on the side wall of the nasogastric tube (18) and on two opposite sides of one end of the three-way tube (2); the trachea A (12) is communicated with the nasogastric tube limiting air bag (7), and the trachea B (13) is communicated with the nasogastric tube limiting air bag (8). The nasogastric tube (18) is provided with a connecting tube (20) matching the port B (10) at one end corresponding to the three-way tube (2), and a liquid-passing hole B (19) penetrating the tube wall B of the nasogastric tube (18) is provided on the side wall of the other end. When the nasogastric tube (18) is extended into the nasogastric tube (1) from the port B (10) of the three-way tube (2), and the connecting tube (20) is fixedly connected to the port B (10), the end of the nasogastric tube (18) provided with the liquid-passing hole B (19) extends out of the nasogastric tube (1) from the position of the flap-like structure. 2.如权利要求1所述的鼻肠鼻胃通用管,其特征在于:所述通液孔A(6)设有多个,以鼻胃管(1)的轴心为中心均匀分布有多列,每列通液孔A(6)沿着鼻胃管(1)的轴向等间距设有多个;所述通液孔B(19)设有多个,以鼻肠管(18)的轴心为中心均匀分布多列,每列通液孔B(19)沿着鼻肠管(18)的轴向等间距设有多个。2. The universal nasogastric and nasointestinal tube according to claim 1 is characterized in that: there are a plurality of liquid holes A (6), which are evenly distributed in multiple rows with the axis of the nasogastric tube (1) as the center, and each row of liquid holes A (6) is evenly spaced along the axial direction of the nasogastric tube (1); there are a plurality of liquid holes B (19), which are evenly distributed in multiple rows with the axis of the nasogastric tube (18) as the center, and each row of liquid holes B (19) is evenly spaced along the axial direction of the nasogastric tube (18). 3.如权利要求1所述的鼻肠鼻胃通用管,其特征在于:所述气管A(12)和气管B(13)分别通过鼻胃管(1)的管壁内所设的气管腔(14)与鼻胃管限位气囊(7)和鼻肠管限位气囊(8)对应连通。3. The universal nasogastric and intestinal tube according to claim 1, characterized in that the trachea A (12) and trachea B (13) are respectively connected to the nasogastric tube limiting airbag (7) and the nasogastric tube limiting airbag (8) through the tracheal cavity (14) provided in the tube wall of the nasogastric tube (1). 4.如权利要求3所述的鼻肠鼻胃通用管,其特征在于:所述鼻胃管限位气囊(7)为同轴心设置于鼻胃管(1)外侧壁所设环形槽(16)内的环形气囊,所述环形槽(16)与连通气管A(12)的气管腔(14)连通。4. The universal nasogastric tube according to claim 3, characterized in that: the nasogastric tube limiting air bag (7) is an annular air bag coaxially arranged in an annular groove (16) provided on the outer wall of the nasogastric tube (1), and the annular groove (16) is connected to the tracheal cavity (14) connected to the trachea A (12). 5.如权利要求3所述的鼻肠鼻胃通用管,其特征在于:所述鼻肠管限位气囊(8)为以鼻胃管(1)轴心均匀分布的多个条形气囊,所述条形气囊分别设置于鼻胃管(1)的内腔A(3)的内壁对应所设的条形槽(17)内,所述条形槽(17)分别通过与鼻胃管(1)同轴心设置的环形孔(15)与连通气管B(13)的气管腔(14)连通。5. The universal nasogastric and nasointestinal tube according to claim 3 is characterized in that: the nasogastric tube limiting airbags (8) are multiple strip airbags evenly distributed around the axis of the nasogastric tube (1), and the strip airbags are respectively arranged in the corresponding strip grooves (17) on the inner wall of the inner cavity A (3) of the nasogastric tube (1), and the strip grooves (17) are respectively connected to the tracheal cavity (14) of the trachea B (13) through an annular hole (15) coaxially arranged with the nasogastric tube (1). 6.如权利要求1所述的鼻肠鼻胃通用管,其特征在于:所述气管A(12)和气管B(13)远离鼻胃管(1)的端部分别连通设有用于与充气装置连通的气阀嘴(22)。6. The universal nasogastric and nasointestinal tube according to claim 1, characterized in that the ends of the trachea A (12) and trachea B (13) away from the nasogastric tube (1) are respectively connected to each other and provided with an air valve nozzle (22) for connecting to an inflation device. 7.如权利要求1所述的鼻肠鼻胃通用管,其特征在于:所述连接管(20)与三通管(2)的端口B(10)可拆卸地密封固定连接。7. The universal nasointestinal and nasogastric tube according to claim 1, characterized in that the connecting tube (20) is detachably sealed and fixedly connected to the port B (10) of the three-way tube (2). 8.如权利要求7所述的鼻肠鼻胃通用管,其特征在于:所述连接管(20)面向三通管(2)的一端同轴心固定设有与三通管(2)匹配的密封插接连接件(21)。8. The universal nasointestinal and nasogastric tube according to claim 7, characterized in that a sealing plug connector (21) matching the tee tube (2) is coaxially fixedly disposed on one end of the connecting tube (20) facing the tee tube (2). 9.如权利要求1所述的鼻肠鼻胃通用管,其特征在于:所述端口C(11)位于气管A(12)和气管B(13)之间,并且端口C(11)与气管A(12)之间的相位角和端口C(11)与气管B(13)之间的相位角均为90度。9. The universal nasointestinal and nasogastric tube according to claim 1, characterized in that: the port C (11) is located between the trachea A (12) and the trachea B (13), and the phase angle between the port C (11) and the trachea A (12) and the phase angle between the port C (11) and the trachea B (13) are both 90 degrees. 10. 如权利要求1所述的鼻肠鼻胃通用管,其特征在于:当固定于端口B(10)的连接管(20)固定于患者鼻孔位置处处时,所述鼻胃管限位气囊(7)位于患者食道和胃部连接处、所述鼻胃管(1)的球弧面(5)位于患者胃部内,所述鼻肠管(18)设有通液孔B(19)的 一端位于患者的肠道内。10. The universal nasogastric and nasointestinal tube according to claim 1 is characterized in that: when the connecting tube (20) fixed to the port B (10) is fixed to the position of the patient's nostrils, the nasogastric tube limiting balloon (7) is located at the connection between the patient's esophagus and stomach, the spherical surface (5) of the nasogastric tube (1) is located in the patient's stomach, and one end of the nasogastric tube (18) provided with the liquid hole B (19) is located in the patient's intestine.
CN202322955381.6U 2023-11-02 2023-11-02 Nasal intestinal nasal gastric universal tube Active CN221731663U (en)

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