CN103239784B - Pneumatic oral-nasal exchanger - Google Patents
Pneumatic oral-nasal exchanger Download PDFInfo
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- CN103239784B CN103239784B CN201310147324.3A CN201310147324A CN103239784B CN 103239784 B CN103239784 B CN 103239784B CN 201310147324 A CN201310147324 A CN 201310147324A CN 103239784 B CN103239784 B CN 103239784B
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- 239000011324 bead Substances 0.000 claims 1
- 239000007894 caplet Substances 0.000 claims 1
- 210000003928 nasal cavity Anatomy 0.000 abstract description 13
- 210000000214 mouth Anatomy 0.000 abstract description 12
- 238000002627 tracheal intubation Methods 0.000 abstract description 12
- 210000003437 trachea Anatomy 0.000 abstract description 8
- 238000000034 method Methods 0.000 description 5
- 238000009423 ventilation Methods 0.000 description 4
- 208000028399 Critical Illness Diseases 0.000 description 3
- 239000002775 capsule Substances 0.000 description 3
- 206010003497 Asphyxia Diseases 0.000 description 2
- 206010036790 Productive cough Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 210000003238 esophagus Anatomy 0.000 description 2
- 238000005399 mechanical ventilation Methods 0.000 description 2
- 210000001331 nose Anatomy 0.000 description 2
- 230000029058 respiratory gaseous exchange Effects 0.000 description 2
- 208000000884 Airway Obstruction Diseases 0.000 description 1
- 206010003504 Aspiration Diseases 0.000 description 1
- 206010008190 Cerebrovascular accident Diseases 0.000 description 1
- 208000000059 Dyspnea Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 206010022998 Irritability Diseases 0.000 description 1
- 208000032376 Lung infection Diseases 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 206010047700 Vomiting Diseases 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 208000026106 cerebrovascular disease Diseases 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000002550 fecal effect Effects 0.000 description 1
- 210000003608 fece Anatomy 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 230000007954 hypoxia Effects 0.000 description 1
- 238000012141 orotracheal intubation Methods 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 238000010992 reflux Methods 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
- 208000024794 sputum Diseases 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 230000008673 vomiting Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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- External Artificial Organs (AREA)
Abstract
Description
技术领域 technical field
本发明涉及一种气动口鼻交换器。 The invention relates to a pneumatic mouth and nose exchanger.
背景技术 Background technique
气管插管术是将合适的导管插入气管内迅速解除气道不通,保证氧的供应的一项急救技术。它是建立人工通气道的可靠径路之一,其特点是:①任何体位下均能保持呼吸道通畅;②便于呼吸管理或进行辅助或控制呼吸;③减少无效腔和降低呼吸道阻力,从而增加有效气体交换量;④便于清除气管、支气管分泌物或脓血;⑤防止呕吐或返流致误吸窒息的危险;⑥便于气管内用药(吸入或滴入),以进行呼吸道内的局部治疗。气管插管是危重症患者抢救过程中的重要一环。ICU中许多危重症患者需要气管插管建立人工气道,实施人工通气。在ICU中也有部分危重症患者并无机械通气的必要,但由于肺部感染排痰困难或由于某些原因导致通气不畅(如脑血管意外引起的舌根后坠),也经常需要气管插管建立人工气道,以保持起到通畅,解决通气和排痰问题。 Endotracheal intubation is an emergency technique that inserts a suitable catheter into the trachea to quickly relieve airway obstruction and ensure oxygen supply. It is one of the reliable ways to establish an artificial airway, and its characteristics are: ① It can keep the airway open in any position; ② It is convenient for breathing management or assisted or controlled breathing; ③ It reduces the dead space and reduces the resistance of the airway, thereby increasing the effective gas. exchange volume; ④ facilitate the removal of tracheal, bronchial secretions or pus and blood; ⑤ prevent the risk of aspiration and suffocation caused by vomiting or reflux; ⑥ facilitate intratracheal medication (inhalation or instillation) for local treatment in the respiratory tract. Endotracheal intubation is an important part of the rescue process for critically ill patients. Many critically ill patients in the ICU require endotracheal intubation to establish an artificial airway and perform artificial ventilation. There are also some critically ill patients in the ICU who do not need mechanical ventilation, but they often need tracheal intubation due to difficulty in expulsion of sputum due to lung infection or poor ventilation due to some reasons (such as tongue base falling back caused by cerebrovascular accident) Establish an artificial airway to keep it open and solve the problems of ventilation and expectoration.
现目前存在病人对口腔气管插管的耐受性差,表现为烦躁,坚决要求拔管,有时甚至自行拔管,从而造成通气障碍、窒息等。故而临床上常采用的方法是:直接拔出口腔气管插管,换经鼻明视插管;或拔管后,换经鼻盲探插管。但是存在以下缺陷:(1)难度系数大:经口气管插管时喉镜对咽喉的不良刺激,使患者对换管产生恐惧心理,从而造成对操作不合作,即使全麻醉诱导下经口腔插管已经很困难,拔管后再次经鼻腔插管难度则更大;(2)换管失败则无法进行机械通气,可能造成患者呼吸困难及缺氧,甚至危机生命;(3)由于换管技术难度大,风险高,易引起医疗纠纷。 At present, there are patients who have poor tolerance to oral tracheal intubation, manifested as irritability, insisting on extubation, and sometimes even extubation by themselves, resulting in ventilation obstruction and suffocation. Therefore, the commonly used method in clinical practice is: directly pull out the oral tracheal intubation, and replace it with nasal vision intubation; However, there are the following defects: (1) Difficulty factor: The adverse stimulation of the laryngoscope to the throat during orotracheal intubation makes patients fearful of changing the tube, resulting in uncooperative operation. It is already very difficult to intubate the tube, and it is even more difficult to intubate through the nasal cavity again after extubation; (2) If the tube replacement fails, mechanical ventilation cannot be performed, which may cause dyspnea and hypoxia, and even life-threatening; (3) Due to the tube replacement technique Difficulty, high risk, easy to cause medical disputes.
发明内容 Contents of the invention
本发明的目的在于提供一种气动口鼻交换器,解决现有技术中换管技术难度大,风险高,易出现换管失败的问题。 The purpose of the present invention is to provide a pneumatic mouth-nose exchanger, which solves the problems in the prior art that tube replacement technology is difficult, high risk, and prone to tube replacement failure.
为了实现上述目的,本发明采用的技术方案如下: In order to achieve the above object, the technical scheme adopted in the present invention is as follows:
气动口鼻交换器,包括软管,所述软管内设有一根连接线,且该连接线两端均位于软管外,其中一端设有一个便于随气动吸入或吐出人体体内的便吸体,所述连接线的直径不大于3mm。 Pneumatic mouth-nose exchanger, including a flexible tube, a connecting line is arranged inside the flexible tube, and both ends of the connecting line are located outside the flexible tube, and one end is provided with a suction body which is convenient for inhaling or spitting out the human body with pneumatic , the diameter of the connecting wire is not greater than 3mm.
进一步地,所述便吸体上还连接有一个牵引线,且该牵引线的直径不大于3mm。 Further, a pulling wire is connected to the stool suction body, and the diameter of the pulling wire is not greater than 3mm.
再进一步地,所述连接线由细线和与其相连的支撑线组成,所述细线与便吸体相连,支撑线位于软管内并延伸至软管外部。 Still further, the connecting wire is composed of a thin wire and a supporting wire connected thereto, the thin wire is connected to the suction body, and the supporting wire is located in the hose and extends to the outside of the hose.
更进一步地,所述便吸体为小胶囊、小球或小气泡。 Furthermore, the stool suction body is a small capsule, a small ball or a small air bubble.
本发明与现有技术相比,具有以下优点及有益效果: Compared with the prior art, the present invention has the following advantages and beneficial effects:
(1)本发明在软管内设有一根连接线,且在连接线一端设有便吸体,当需要对病人进行插管时,且需要从口腔插入时,只需让病人吞入便吸体,然后将软管顺着连接线插入病人体内,不需要使用胃镜,还可降低病人的痛苦,操作方便;当需要从鼻腔插入气管时,病人只需从鼻腔吸入便吸体,然后软管顺着连接线插入病人体内,不会像现有技术一样进行盲探插管的情况,降低了病人的痛苦。 (1) In the present invention, a connecting line is provided in the hose, and a suction body is provided at one end of the connecting line. When the patient needs to be intubated and inserted from the mouth, the patient only needs to swallow it and then suck it. body, and then insert the flexible tube into the patient's body along the connecting line, which does not require the use of a gastroscope, but also reduces the pain of the patient and is easy to operate; It is inserted into the patient's body along the connection line, and the situation of blind intubation will not be performed like the prior art, which reduces the pain of the patient.
(2)本发明在连接线由细线和支撑线组成,在进行插管时,细线作牵引作用,使软管能够顺着便吸体顺利的进入人体内,而支撑线其支撑作用,便于在插管时,软管能够在支撑线的作用下顺着牵引线进入人体内。 (2) In the present invention, the connecting line is composed of a thin line and a support line. When intubating, the thin line acts as a traction, so that the hose can enter the human body smoothly along the suction body, and the support line has a supporting role. It is convenient for the flexible pipe to enter the human body along the traction wire under the action of the support wire during intubation.
(3)本发明在临床使用时,还可以将便吸体从鼻腔吸入之后再从口腔吐出,或将便吸体从口腔吞入从鼻腔喷出,从而实现将鼻腔和口腔连通的导线及导管,不会像现有技术一样盲探插管,对病人再度造成痛苦。 (3) When the present invention is used clinically, the stool suction body can also be sucked from the nasal cavity and then spit out from the mouth, or the stool suction body can be swallowed from the mouth and sprayed out from the nasal cavity, so as to realize the wire and catheter connecting the nasal cavity and the oral cavity , will not cause pain to the patient again by blindly detecting intubation like the prior art.
附图说明 Description of drawings
图1为本发明-实施例1的结构示意图。 Fig. 1 is a schematic structural diagram of the present invention-Example 1.
图2为本发明-实施例2的结构示意图。 Fig. 2 is a schematic structural diagram of the present invention-embodiment 2.
其中,附图中标记对应的零部件名称为: Among them, the names of parts corresponding to the marks in the drawings are:
1-软管,2-连接线,3-便吸体,4-牵引线,5-滴管。 1-hose, 2-connecting line, 3-suction body, 4-drawing line, 5-dropper.
具体实施方式 Detailed ways
下面结合附图和实施例对本发明作进一步说明,本发明的实施方式包括但不限于下列实施例。 The present invention will be further described below with reference to the accompanying drawings and examples, and the embodiments of the present invention include but not limited to the following examples.
实施例1 Example 1
如图1所示,气动口鼻交换器,所述软管1内设有一根连接线2,且该连接线2两端均位于软管1外,其中一端设有一个便于吸入或吐出人体体内的便吸体3,所述连接线2的直径不大于3mm,为了能够顺利的将便吸体通过气流吸入或吞入人体体内,故而所述便吸体3为小胶囊、小球或小气泡,本实施例选用小胶囊作为便吸体,当需要对病人进行插管时,从口腔插入时,只需让病人吞下便吸体,然后将软管顺着连接线插入病人体内,不需要使用胃镜,还可降低病人的痛苦,操作方便;当需要从鼻腔插入气管时,病人只需从鼻腔吸入便吸体,然后软管顺着连接线插入病人体内,不会像现有技术一样进行盲探插管的情况,降低了病人的痛苦;当需要从鼻腔插入食管时,同样只需从鼻腔吸入随后吐下,再将软管顺着连接线插入病人食管即可;另外为了将便吸体拉出人体体内,以便于医生更好的对病人进行抢救,所述便吸体3上还连接有一个牵引线4,且该牵引线的直径不大于3mm,这样设置可以通过拉动牵引线将便吸体拉出体外,使得软管留在人体内,从而医生能够更方便的治疗病人。另外,本发明在临床使用时,还可以将便吸体从鼻腔吸入之后再从口腔吐出,同时也可通过口腔吸入之后再从鼻孔出气将便吸体从鼻腔吹出,可实现将鼻腔和口腔连通,不会像现有技术一样盲探插管,对病人再度造成痛苦。本发明主要是通过气流带动便吸体运动,从而实现各腔的连通,在现有技术中还未发现有同样原理的设计诞生,故而本发明具有推广使用的意义,从而也体现出本发明突出的实质性特点和显著的进步。 As shown in Figure 1, the pneumatic mouth and nose exchanger, the flexible tube 1 is provided with a connecting line 2, and the two ends of the connecting line 2 are located outside the flexible tube 1, and one end is provided with a The stool suction body 3, the diameter of the connecting line 2 is not more than 3mm, in order to smoothly inhale or swallow the stool suction body through the airflow into the human body, so the stool suction body 3 is a small capsule, a small ball or a small air bubble , this embodiment chooses small capsules as the suction body. When the patient needs to be intubated, when inserting from the oral cavity, the patient only needs to swallow the suction body, and then insert the hose into the patient's body along the connecting line. The use of a gastroscope can also reduce the pain of the patient and is easy to operate; when it is necessary to insert the trachea from the nasal cavity, the patient only needs to inhale the suction body from the nasal cavity, and then the hose is inserted into the patient's body along the connecting line, which will not be performed as in the prior art. The situation of blind intubation reduces the pain of the patient; when it is necessary to insert the esophagus from the nasal cavity, it is also only necessary to inhale from the nasal cavity and then spit it out, and then insert the hose along the connecting line into the patient's esophagus; The body is pulled out of the human body so that the doctor can better rescue the patient. A traction line 4 is also connected to the suction body 3, and the diameter of the traction line is not greater than 3mm. The suction body is pulled out of the body, so that the hose stays in the human body, so that the doctor can treat the patient more conveniently. In addition, when the present invention is used clinically, the fecal aspirator can be inhaled from the nasal cavity and then spit out from the oral cavity, and at the same time, the feces aspirator can be blown out from the nasal cavity after being inhaled through the oral cavity and then exhaled from the nostrils, so as to realize the connection between the nasal cavity and the oral cavity. , can not intubate blindly like the prior art, causing misery to the patient again. The present invention mainly uses the airflow to drive the suction body to move, so as to realize the communication of each cavity. In the prior art, no design with the same principle has been found, so the present invention has the significance of popularization and use, which also reflects the outstanding performance of the present invention. Substantial features and notable advances.
为了更好的实现本发明,所述连接线2由细线和与其相连的支撑线组成,所述细线与便吸体3相连,支撑线位于软管1内并延伸至软管1外部;这样在进行插管时,细线作牵引作用,使软管能够顺着便吸体顺利的进入人体内,而支撑线其支撑作用,便于在插管时,软管能够在支撑线的作用下顺着牵引线进入人体内。 In order to better realize the present invention, the connecting line 2 is composed of a thin line and a support line connected thereto, the thin line is connected to the stool suction body 3, and the support line is located in the hose 1 and extends to the outside of the hose 1; In this way, when intubating, the thin wire acts as a traction, so that the hose can enter the human body smoothly along the suction body, and the supporting wire has a supporting function, so that when intubating, the hose can be under the action of the supporting wire. Enter the human body along the traction line.
实施例2 Example 2
如图2所示,本实施例2与实施例1的区别仅在于,所述牵引线远离便吸体的一端还固定连接有一个滴管,该牵引线端头位于滴管管口内,且该牵引线的直径正好与滴管管口内径相等,当需要拉出便吸体或需要插入软管时,可通过滴管慢慢滴加水将牵引线润湿,保证牵引线不会对人体造成损害。 As shown in Figure 2, the only difference between this embodiment 2 and embodiment 1 is that the end of the pulling wire away from the suction body is also fixedly connected with a dropper, the end of the pulling wire is located in the mouth of the dropper, and the The diameter of the pulling wire is exactly equal to the inner diameter of the dropper nozzle. When the suction body needs to be pulled out or the hose needs to be inserted, the pulling wire can be wetted by slowly dripping water through the dropper to ensure that the pulling wire will not cause damage to the human body .
按照上述实施例,便可很好地实现本发明。值得说明的是,基于上述结构设计的前提下,为解决同样的技术问题,即使在本发明上做出的一些无实质性的改动或润色,所采用的技术方案的实质仍然与本发明一样,故其也应当在本发明的保护范围内。 According to the above-mentioned embodiments, the present invention can be well realized. It is worth noting that, based on the premise of the above-mentioned structural design, in order to solve the same technical problem, even if some insubstantial changes or polishes are made on the present invention, the essence of the adopted technical solution is still the same as the present invention. Therefore, it should also be within the protection scope of the present invention.
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US3683890A (en) * | 1970-10-02 | 1972-08-15 | Charles B Beal | Carrier system for delivery of an end of an elongated member to the upper gastrointestinal tract |
CN2208421Y (en) * | 1994-10-19 | 1995-09-27 | 陈秀 | Inhalation blind-insertion tracheal cannula |
US5611787A (en) * | 1994-10-13 | 1997-03-18 | Methodist Hospital Of Indiana, Inc. | Method and device for gastric line insertion |
CN2374201Y (en) * | 1999-05-05 | 2000-04-19 | 欧平华 | Mouth-nose endotracheal intubation exchanger |
CN101888872A (en) * | 2007-10-17 | 2010-11-17 | 泰尔哈绍梅尔医学研究基础设施和服务有限公司 | Systems and methods for guiding gastrointestinal devices through the gastrointestinal tract |
CN202128436U (en) * | 2011-05-30 | 2012-02-01 | 王选杰 | Controllable capsule endoscope |
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2013
- 2013-04-25 CN CN201310147324.3A patent/CN103239784B/en not_active Expired - Fee Related
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
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US3683890A (en) * | 1970-10-02 | 1972-08-15 | Charles B Beal | Carrier system for delivery of an end of an elongated member to the upper gastrointestinal tract |
US5611787A (en) * | 1994-10-13 | 1997-03-18 | Methodist Hospital Of Indiana, Inc. | Method and device for gastric line insertion |
CN2208421Y (en) * | 1994-10-19 | 1995-09-27 | 陈秀 | Inhalation blind-insertion tracheal cannula |
CN2374201Y (en) * | 1999-05-05 | 2000-04-19 | 欧平华 | Mouth-nose endotracheal intubation exchanger |
CN101888872A (en) * | 2007-10-17 | 2010-11-17 | 泰尔哈绍梅尔医学研究基础设施和服务有限公司 | Systems and methods for guiding gastrointestinal devices through the gastrointestinal tract |
CN202128436U (en) * | 2011-05-30 | 2012-02-01 | 王选杰 | Controllable capsule endoscope |
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