CN114333530B - A Human Body Model Applied in ECMO Simulation Training - Google Patents
A Human Body Model Applied in ECMO Simulation Training Download PDFInfo
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Abstract
本发明公开了一种应用于ECMO仿真实训的人体模型,包括模型主体及设置于模型主体上的仿心脏容器,仿心脏容器上设置有主静脉管和主动脉管,模型主体上设置有股静脉管、股动脉管、颈静脉管以及颈动脉管,股静脉管的上端、颈静脉管的下端以及主静脉管通过三通阀连接,股动脉管的上端、颈动脉管的下端以及主动脉管通过三通阀连接,颈静脉管的上端、股静脉管的下端、颈动脉管的上端、股动脉管的下端均可拆卸地连接有插针管。该人体模型能够让学员熟练掌握ECMO的临床操作,同时便于将扎烂的管进行更换。
The invention discloses a human body model applied to ECMO simulation training, comprising a model body and an imitation heart container arranged on the model body. The venous, femoral, jugular, and carotid canals, the upper end of the femoral venous canal, the lower end of the jugular venous canal, and the aortic canal are connected by a three-way valve, the upper end of the femoral canal, the lower end of the carotid canal, and the aorta The tubes are connected through a three-way valve, and the upper end of the jugular vein tube, the lower end of the femoral vein tube, the upper end of the carotid artery tube, and the lower end of the femoral artery tube can be detachably connected with a needle tube. The manikin allows students to master the clinical operation of ECMO, and at the same time, it is convenient to replace the broken tube.
Description
技术领域technical field
本发明涉及ECMO仿真实训技术领域,尤其涉及一种应用于ECMO仿真实训的人体模型。The invention relates to the technical field of ECMO simulation training, in particular to a human body model applied to ECMO simulation training.
背景技术Background technique
体外膜氧合(英语:Extra-corporeal Membrane Oxygenation,缩写:ECMO)是一种医疗急救设备,用以在心肺手术时为患者进行体外的呼吸与循环,可应用于对患有新冠肺炎等严重传染病的病人进行治疗,也可应用于重度心肺衰竭、心脏移植等手术中。除了能暂时替代患者的心肺功能,减轻患者心肺负担之外,也能为医疗人员争取更多救治时间。Extra-corporeal Membrane Oxygenation (English: Extra-corporeal Membrane Oxygenation, Abbreviation: ECMO) is a medical emergency equipment used to perform extracorporeal respiration and circulation for patients during cardiopulmonary surgery. It can also be used in severe heart and lung failure, heart transplantation and other operations. In addition to temporarily replacing the patient's cardiopulmonary function and reducing the patient's cardiopulmonary burden, it can also buy more treatment time for medical staff.
ECMO的原理是将体内的静脉血引出体外,经过特殊材质人工心肺旁路氧合后注入病人动脉或静脉系统,起到部分心肺替代作用,维持人体脏器组织氧合血供。ECMO运转时,血液从静脉引出,通过膜肺吸收氧,排出二氧化碳。当患者的肺功能严重受损,经常规治疗无效时,ECMO可以承担气体交换任务,使肺处于休息状态,为患者的康复争取宝贵时间。同样当患者的心功能严重受损时,血泵可以代替心脏泵血功能,维持血液循环。The principle of ECMO is to draw venous blood from the body out of the body, and then inject it into the patient's arterial or venous system after artificial cardiopulmonary bypass oxygenation with a special material, which plays a role in partial cardiopulmonary replacement and maintains the oxygenated blood supply of human organs and tissues. During ECMO operation, blood is drawn from the veins, through the membrane lung to absorb oxygen and expel carbon dioxide. When the patient's lung function is severely damaged and conventional treatment is ineffective, ECMO can undertake the task of gas exchange, keep the lungs at rest, and buy precious time for the patient's recovery. Similarly, when the patient's heart function is severely damaged, the blood pump can replace the heart's pumping function and maintain blood circulation.
ECMO的使用频率越来越高,而医生在平时的训练中,缺少关于ECMO在临床上的模拟训练,很多实习医生第一次操作就都直接上手对病人进行手术,容易因操作不当而导致治疗效果不佳,甚至对病人造成伤害。The frequency of use of ECMO is getting higher and higher, and doctors lack clinical simulation training on ECMO in their usual training. Many interns directly operate on patients for the first time, which is easy to cause treatment due to improper operation. Ineffective, and even cause harm to the patient.
发明内容SUMMARY OF THE INVENTION
鉴于此,本发明的目的在于提供一种应用于ECMO仿真实训的人体模型,该人体模型能够让学员熟练掌握ECMO的临床操作,同时便于将扎烂的管进行更换。In view of this, the purpose of the present invention is to provide a human body model applied to ECMO simulation training, the human body model can enable students to master the clinical operation of ECMO, and at the same time, it is convenient to replace the broken tube.
本发明为解决其技术问题而采用的技术方案是:The technical scheme that the present invention adopts for solving its technical problem is:
一种应用于ECMO仿真实训的人体模型,包括模型主体及设置于所述模型主体上的仿心脏容器,所述仿心脏容器上设置有主静脉管和主动脉管,所述模型主体上设置有股静脉管、股动脉管、颈静脉管以及颈动脉管,所述股静脉管的上端、颈静脉管的下端以及主静脉管通过三通阀连接,所述股动脉管的上端、颈动脉管的下端以及主动脉管通过三通阀连接,所述颈静脉管的上端可拆卸地连接有第一插针管,所述股静脉管的下端可拆卸地连接有第二插针管,所述颈动脉管的上端可拆卸地连接有第三插针管,所述股动脉管的下端可拆卸地连接有第四插针管。A human body model applied to ECMO simulation training, comprising a model body and an imitation heart container arranged on the model body, the imitation heart container is provided with a main venous tube and an aortic tube, and the model body is provided with There are femoral vein, femoral artery, jugular vein and carotid artery, the upper end of the femoral vein, the lower end of the jugular vein and the main vein are connected by a three-way valve, the upper end of the femoral artery, the carotid artery The lower end of the tube and the aortic tube are connected through a three-way valve, the upper end of the jugular vein tube is detachably connected with a first needle tube, the lower end of the femoral vein tube is detachably connected with a second needle tube, and the jugular vein tube is detachably connected with a second needle tube. The upper end of the arterial tube is detachably connected with a third needle tube, and the lower end of the femoral artery tube is detachably connected with a fourth needle tube.
作为上述技术方案的进一步优化方案,所述的颈静脉管和第一插针管之间设置有将二者可拆卸连接的接头装置,所述的接头装置包括固定于所述颈静脉管上端的管状的套管头、固定于所述第一插针管下端的管状的插管头,所述套管头内设置有安装台,所述安装台上设置有第一密封圈,所述插管头从所述套管头的上端口插入套管头内并可绕着所述套管头的轴线转动,所述套管头和插管头之间设置有能够将二者锁定以使插管头的下端面将所述第一密封圈压紧的快速锁扣组件。As a further optimized solution of the above technical solution, a joint device for detachably connecting the jugular vein tube and the first needle tube is provided between the two, and the joint device includes a tubular tube fixed on the upper end of the jugular vein tube a cannula head, a tubular cannula head fixed on the lower end of the first cannula tube, an installation platform is arranged in the cannula head, a first sealing ring is arranged on the installation platform, and the cannula head is installed from The upper port of the cannula head is inserted into the cannula head and can be rotated around the axis of the cannula head. The lower end face presses the first sealing ring to the quick lock assembly.
作为上述技术方案的进一步优化方案,所述快速锁扣组件的数量为两组或以上,所述快速锁扣组件包括设置于所述套管头外侧壁上的固定座、铰接于所述固定座上的把手、铰接于所述把手上的钩杆、以及设置于所述插管头外侧壁上的环形台,所述环形台的上表面设置有环绕所述插管头一周的环形扣槽,所述钩杆的上端设置有能够扣合于所述环形扣槽中的扣钩。As a further optimized solution of the above technical solution, the number of the quick lock assemblies is two or more. a handle on the handle, a hook rod hinged on the handle, and an annular platform arranged on the outer side wall of the intubation head, the upper surface of the annular platform is provided with an annular buckle groove surrounding the intubation head, The upper end of the hook rod is provided with a hook capable of being fastened in the annular buckle groove.
作为上述技术方案的进一步优化方案,所述的颈静脉管、股静脉管、颈动脉管、以及股动脉管均连接有测试管,所述测试管上设置有能够控制其通断的第一阀门。As a further optimized solution of the above technical solution, the jugular vein, femoral vein, carotid artery, and femoral artery are all connected with test tubes, and the test tubes are provided with a first valve that can control their on-off .
作为上述技术方案的进一步优化方案,所述第三插针管上端连接有与其导通的排气筒,所述排气筒的上端具有排气孔,所述排气筒内设置有可漂浮在水面上的漂浮块,所述排气筒的下端设有与所述第三插针管连通的进气孔,所述排气筒和漂浮块的底面之间设置有能够将所述进气孔和排气孔导通的导气通道,所述漂浮块和排气筒之间设置有能够在漂浮块处于漂浮状态时将所述排气孔封闭的密封结构,所述漂浮块和/或排气筒上设置有能够指示所述漂浮块是否处于漂浮状态的指示装置。As a further optimized solution of the above technical solution, the upper end of the third needle tube is connected with an exhaust cylinder which is in communication therewith, the upper end of the exhaust cylinder has an exhaust hole, and the exhaust cylinder is provided with a device that can float on the water surface. On the floating block, the lower end of the exhaust cylinder is provided with an air intake hole that communicates with the third needle tube, and between the exhaust cylinder and the bottom surface of the floating block, there is an air intake hole that can connect the air intake hole and the exhaust pipe. An air guide channel with air holes conducting, a sealing structure capable of sealing the air vents when the floating block is in a floating state is provided between the floating block and the exhaust cylinder, the floating block and/or the exhaust cylinder An indicating device capable of indicating whether the floating block is in a floating state is provided on the top.
作为上述技术方案的进一步优化方案,所述的排气筒的位置高于所述第一插针管上端的位置。As a further optimized solution of the above technical solution, the position of the exhaust cylinder is higher than the position of the upper end of the first needle tube.
作为上述技术方案的进一步优化方案,所述漂浮块的顶部设置有圆锥台,所述排气孔的内侧壁上具有与所述圆锥台配合的圆锥面,所述的密封结构包括设置于所述圆锥台的外侧壁上的密封槽以及设置于所述密封槽中的第二密封圈。As a further optimized solution of the above technical solution, the top of the floating block is provided with a conical frustum, the inner side wall of the exhaust hole has a conical surface matched with the conical frustum, and the sealing structure includes a A sealing groove on the outer side wall of the frustum and a second sealing ring arranged in the sealing groove.
作为上述技术方案的进一步优化方案,所述的指示装置包括设置于所述圆锥台上的并收容于所述排气筒内的竖杆,所述漂浮块处于漂浮状态时使所述竖杆的上端部从所述排气孔的上端口伸出。As a further optimized solution of the above technical solution, the indicating device includes a vertical rod disposed on the truncated cone and accommodated in the exhaust cylinder, and when the floating block is in a floating state, the vertical rod's The upper end protrudes from the upper port of the vent hole.
作为上述技术方案的进一步优化方案,所述的排气筒上还设置有能将所述竖杆锁定以使所述第二密封圈压紧于所述圆锥面的锁定装置。As a further optimized solution of the above technical solution, the exhaust cylinder is further provided with a locking device capable of locking the vertical rod so that the second sealing ring is pressed against the conical surface.
作为上述技术方案的进一步优化方案,所述的锁定装置包括能够与所述竖杆的上端螺纹连接的连接块、以及能够沿着排气筒的径向移动并卡在连接块和排气筒的上端面之间的推顶卡块,所述推顶卡块上设置有能够驱动所述连接块向上移动的顶推斜面。As a further optimized solution of the above technical solution, the locking device includes a connecting block that can be threadedly connected to the upper end of the vertical rod, and a connecting block that can move along the radial direction of the exhaust cylinder and be stuck between the connecting block and the exhaust cylinder. The ejector block between the upper end faces is provided with a push-up slope capable of driving the connecting block to move upward.
作为上述技术方案的进一步优化方案,所述竖杆上设置有竖向螺孔,所述连接块的底部设置有与所述竖向螺孔配合的螺杆。As a further optimized solution of the above technical solution, the vertical rod is provided with a vertical screw hole, and the bottom of the connecting block is provided with a screw rod matched with the vertical screw hole.
作为上述技术方案的进一步优化方案,所述的推顶卡块的底部设置有与能够与所述推顶卡块的顶推斜面抵接的圆锥底面,所述排气筒的上端面设置有螺钉安装台,所述螺钉安装台上设置有横向螺孔,所述横向螺孔处安装有推顶螺钉,所述推顶螺钉的尖端与所述推顶卡块抵接并可推顶所述推顶卡块朝着所述排气孔的上端口移动。As a further optimized solution of the above technical solution, the bottom of the ejector block is provided with a conical bottom surface that can abut with the ejection inclined surface of the ejector block, and the upper end surface of the exhaust cylinder is provided with a screw An installation table, the screw installation table is provided with a transverse screw hole, and a push screw is installed at the transverse screw hole, and the tip of the push screw is in contact with the push block and can push the push The top catch block moves toward the upper port of the vent hole.
作为上述技术方案的进一步优化方案,所述模型主体上设置有排气管,所述排气管上端的位置高于所述股动脉管上端的位置并外露于模型主体的外部,所述排气管的下端与所述的股动脉管的上部连接并导通,所述排气管上还设置有能够控制其通断的第二阀门。As a further optimized solution of the above technical solution, the model body is provided with an exhaust pipe, and the position of the upper end of the exhaust pipe is higher than the position of the upper end of the femoral artery pipe and is exposed to the outside of the model body. The lower end of the tube is connected and communicated with the upper part of the femoral artery tube, and the exhaust tube is also provided with a second valve that can control its on-off.
本发明的有益效果是:The beneficial effects of the present invention are:
第一、本发明应用于ECMO仿真实训时,学员需要将用于向人体模型中注入液体的针头扎在第一插针管或第二插针管,将用于将人体模型中的液体抽出的针头扎在第三插针管或第四插针管,完成ECMO的动脉、静脉置管操作。置管操作完成后,开启ECMO主机模拟上机过程,外部的液体注入人体模型后再抽出,经由人体模型之外的回路再注入人体模型,循环完成后下机,将静脉管和动脉管上的针头拔出,经过这样的实训,能够让学员熟练掌握ECMO的动脉、静脉置管操作,同时能够熟悉ECMO上机和下机等操作过程。First, when the present invention is applied to ECMO simulation training, the trainee needs to tie the needle used for injecting liquid into the manikin to the first needle tube or the second needle tube, and the needle used to extract the liquid in the manikin Tie in the third or fourth cannula to complete the arterial and venous cannulation of ECMO. After the catheter placement operation is completed, the ECMO host is turned on to simulate the on-board process, the external liquid is injected into the manikin and then drawn out, and then injected into the manikin through a circuit outside the manikin. After the needle is pulled out, after such practical training, the trainees can master the arterial and venous catheterization operations of ECMO, and at the same time be familiar with the operation process of ECMO on and off the machine.
第二、将第一插针管、第二插针管、第三插针管或第四插针管均设置为可拆卸的,则方便拆卸对应的插针管进行更换。Second, the first needle tube, the second needle tube, the third needle tube or the fourth needle tube are all set to be detachable, so that it is convenient to disassemble the corresponding needle tube for replacement.
附图说明Description of drawings
图1是本发明的结构示意图;Fig. 1 is the structural representation of the present invention;
图2是本发明使用状态的结构示意图;Fig. 2 is the structural representation of the use state of the present invention;
图3是快速锁扣组件处于解锁状态时接头装置的结构示意图;3 is a schematic structural diagram of the joint device when the quick lock assembly is in an unlocked state;
图4是快速锁扣组件处于锁紧状态时接头装置的结构示意图;4 is a schematic structural diagram of the joint device when the quick lock assembly is in a locked state;
图5是排气筒第一种工作状态的剖视图;Fig. 5 is the sectional view of the first working state of the exhaust cylinder;
图6是排气筒第二种工作状态的剖视图;Fig. 6 is the sectional view of the second working state of the exhaust cylinder;
图7是排气筒第三种工作状态的剖视图;Fig. 7 is the sectional view of the third working state of the exhaust pipe;
图8是漂浮块的仰视图。Figure 8 is a bottom view of the buoyant block.
具体实施方式Detailed ways
下面将结合附图,对本发明的技术方案进行清楚、完整地描述。The technical solutions of the present invention will be clearly and completely described below with reference to the accompanying drawings.
需要说明,本发明中所有方向性指示(诸如上、下、左、右、前、后…) 仅用于解释在某一特定姿态 (如附图所示) 下各部件之间的相对位置关系、运动情况等,如果该特定姿态发生改变时,则该方向性指示也相应地随之改变。另外,在本发明中涉及“优选”、“次优选”等的描述仅用于描述目的,而不能理解为指示或暗示其相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“优选”、“次优选”的特征可以明示或者隐含地包括至少一个该特征。It should be noted that all directional indications (such as up, down, left, right, front, rear...) in the present invention are only used to explain the relative positional relationship between the various components under a certain posture (as shown in the accompanying drawings). , motion situation, etc., if the specific posture changes, the directional indication also changes accordingly. In addition, the descriptions involving "preferred", "less preferred", etc. in the present invention are only for descriptive purposes, and should not be construed as indicating or implying their relative importance or implicitly indicating the number of indicated technical features. Thus, a feature defined as "preferred" or "less preferred" may expressly or implicitly include at least one of that feature.
参照图1至图8,本发明提出了一种应用于ECMO仿真实训的人体模型,包括模型主体1及设置于模型主体1上的仿心脏容器2,仿心脏容器2上设置有主静脉管21和主动脉管22,主静脉管21和主动脉管22通过仿心脏容器2连通。模型主体1上设置有股静脉管12、股动脉管14、颈静脉管11以及颈动脉管13,股静脉管12的上端、颈静脉管11的下端以及主静脉管21通过三通阀3连接,股动脉管14的上端、颈动脉管13的下端以及主动脉管22通过三通阀3连接。Referring to FIGS. 1 to 8 , the present invention proposes a human body model for ECMO simulation training, including a
颈静脉管11的上端可拆卸地连接有第一插针管41,股静脉管12的下端可拆卸地连接有第二插针管42,颈动脉管13的上端可拆卸地连接有第三插针管43,股动脉管14的下端可拆卸地连接有第四插针管44。The upper end of the
第一插针管41、第二插针管42、第三插针管43或第四插针管44均采用不易扎烂的橡胶材料制成,可承受数十次的扎针置管操作。两个三通阀3可采用电磁阀,也可采用手动阀,若采用手动阀,阀门的开关则应外露。The first
本发明应用于ECMO仿真实训时,学员需要将用于向人体模型中注入液体的针头扎在第一插针管41或第二插针管42,将用于将人体模型中的液体抽出的针头扎在第三插针管43或第四插针管44,完成ECMO的动脉、静脉置管操作。置管操作完成后,开启ECMO主机91模拟上机过程,外部的液体注入人体模型后再抽出,经由人体模型之外的回路再注入人体模型,循环完成后下机,将静脉管和动脉管上的针头拔出,经过这样的实训,能够让学员熟练掌握ECMO的动脉、静脉置管操作,同时能够熟悉ECMO上机和下机等操作过程。When the present invention is applied to the ECMO simulation training, the trainee needs to tie the needle used for injecting liquid into the manikin to the
静脉置管的过程中,若要模拟颈静脉置管,则需通过三通阀3将颈静脉管11和主静脉管21连通,同时将股静脉管12关闭;若要模拟股静脉置管,则需通过三通阀3将股静脉管12和主静脉管21连通,同时将股静脉管12关闭。动脉置管的过程中,若要模拟颈动脉置管,则需通过三通阀3将颈动脉管13和主动脉管22连通,同时将股动脉管14关闭;若要模拟股动脉置管,则需通过三通阀3将股动脉管14和主动脉管22连通,同时将股动脉管14关闭。In the process of venous cannulation, to simulate jugular venous cannulation, the jugular
上述的人体模型进行多次模拟实训后,第一插针管41、第二插针管42、第三插针管43或第四插针管44也都存在被扎烂的风险。而将第一插针管41、第二插针管42、第三插针管43或第四插针管44均设置为可拆卸的,则方便拆卸对应的插针管进行更换。After the aforesaid human body model has undergone several simulation trainings, the first
进一步地,颈静脉管11和第一插针管41之间设置有将二者可拆卸连接的接头装置5,接头装置5包括固定于颈静脉管11上端的管状的套管头51、固定于第一插针管41下端的管状的插管头52,一般采用卡箍或螺钉等紧固件将套管头51固定在模型主体1上。套管头51内设置有安装台521,安装台521上设置有安装槽,安装槽中设置有第一密封圈53,插管头52从套管头51的上端口插入套管头51内并可绕着套管头51的轴线转动,套管头51和插管头52之间设置有能够将二者锁定以使插管头52的下端面将第一密封圈53压紧的快速锁扣组件。一般而言,学员进行静脉置管,都是从一个方便扎针置管的方向将针头扎在第一插针管41上,比如从模型主体1的前侧扎针。而接头装置5采用这样的结构形式,使得快速锁扣组件处于解锁状态时第一插针管41可相对于套管头51转动,第一插针管41使用一段时间后可转动一定角度继续使用,避免置管的时候针头扎在同一位置而将第一插针管41扎破,有利于提升第一插针管41的使用寿命。Further, a
具体地,快速锁扣组件的数量为两组或以上,快速锁扣组件包括设置于套管头51外侧壁上的固定座541、铰接于固定座541上的把手542、铰接于把手542上的钩杆543、以及设置于插管头52外侧壁上的环形台544,环形台544的上表面设置有环绕插管头52一周的环形扣槽5441,钩杆543的上端设置有能够扣合于环形扣槽5441中的扣钩5431。向上转动手柄,然后将钩杆543的扣钩5431扣在环形扣槽5441上,然后在向下转动手柄,即可将插管头52和套管头51锁定,使插管头52压紧第一密封圈53以形成密封,十分方便快捷;解锁时,向上转动手柄,然后转动钩杆543以使扣钩5431和环形扣槽5441脱离即可,同样十分方便快捷。Specifically, the number of quick lock assemblies is two or more, and the quick lock assemblies include a fixing
优选地,股静脉管12和第二插针管42、颈动脉管13和第三插针管43、股动脉管14和第四插针管44均通过与上述接头装置5相同的连接结构连接。Preferably, the
进一步地,在本发明的一种优选方案中,颈静脉管11、股静脉管12、颈动脉管13、以及股动脉管14均连接有测试管15,测试管15上设置有能够控制其通断的第一阀门16。采用这样的结构可定期的测试各个插针管是否被扎破。第一插针管41的上端、第二插针管42的下端、第四插针管44的下端均可设置为为盲端,第三插针管的上端可设置为盲端或者将其上端堵住。以测试第一插针管是否扎破为例,测试的过程中,首先通过三通阀3将颈静脉管11的下端关闭,然后在与颈静脉管11对应的测试管15上连接一水源,采用适宜的水压,最后打开该测试管15上的第一阀门16,若第一插针管上有水溢出,说明第一插针管已经被扎破,需要拆卸更换,若第一插针管上没有水溢出,则说明没有扎破,可继续使用。Further, in a preferred solution of the present invention, the
进一步地,测试管15的自由端设置有外露于模型主体1的管接头17,管接头17的设置,便于将测试管15与水源的管道连接。Further, the free end of the
该人体模型生产出来后,其内部的管道、仿心脏容器2以及各个阀门中均充满空气,首次将该人体模型应用于ECMO仿真实训的过程中,需要将管道、仿心脏容器2以及阀门中的空气排出。After the manikin is produced, the internal pipes, the
为了解决排气的问题,第三插针管43上端连接有与其导通的排气筒6,排气筒6的上端具有排气孔601,排气筒6内设置有可漂浮在水面上的漂浮块61,排气筒6的下端设有与第三插针管43连通的进气孔602,排气筒6和漂浮块61的底面之间设置有能够将进气孔602和排气孔601导通的导气通道,漂浮块61和排气筒6之间设置有能够在漂浮块61处于漂浮状态时将排气孔601封闭的密封结构,漂浮块61和/或排气筒6上设置有能够指示漂浮块61是否处于漂浮状态的指示装置。具体地,排气筒6的内侧底面上设置有能够支撑漂浮块61的支撑件62,导气通道包括漂浮块61的底面和排气筒6的内侧底面之间的空间以及设置于漂浮块61的外侧壁上的导气槽611。In order to solve the problem of exhaust, the upper end of the
首次将该人体模型应用于ECMO仿真实训时,可以第三插针管43作为动脉置管的位置,以第一插针管41或第二插针管42作为静脉置管的位置,此时主动脉管22与颈动脉管13连通,股动脉管14封闭。参照图2,以在第三插针管43进行动脉置管扎针、在第二插针管42上进行静脉扎针置管为例,动脉扎针置管和静脉扎针置管完成后,将出水导管93的一部分置于高于排气筒6的位置,然后开启ECMO主机91,外部容器中的液体在水泵的作用下从进水导管92注入人体模型,依次流经第二插针管42、股静脉管12、主静脉管21、仿心脏容器2、主动脉管22、颈动脉管13、第三插针管43和排气筒6,这一过程中能够将管道和仿心脏容器2中的空气排出,排气筒6中的液体达到一定的量时,漂浮块61会浮起,将排气孔601封闭,实现自动排气。此时学员通过观察指示装置可得知漂浮块61已经处于漂浮状态,排气孔601已经处于封闭状态。When the human body model is applied to the ECMO simulation training for the first time, the
进一步地,排气筒6的位置高于第一插针管上端的位置。参照图1与图6,ECMO仿真实训下机后,人体模型内的管道和仿心脏容器2中均充满液体,若漂浮块61能够保持在漂浮状态,说明没有出现漏水的情况,若漂浮块61随着液面降低到排气筒6的底部,则说明出现漏水的情况,需要进行检修,而漏水情况出现最可能的原因是有插针管已被扎破。Further, the position of the
在本发明的一种优选方案中,漂浮块61的顶部设置有圆锥台612,排气孔601的内侧壁上具有与圆锥台612配合的圆锥面604,密封结构包括设置于圆锥台612的外侧壁上的密封槽613以及设置于密封槽613中的第二密封圈63。漂浮块61浮起时,圆锥台612插入排气孔601,第二密封圈63紧贴在圆锥面604上以将排气孔601封闭。In a preferred solution of the present invention, the top of the floating
在本发明的一种优选方案中,指示装置包括设置于圆锥台612上的并收容于排气筒6内的竖杆64,漂浮块61处于漂浮状态时使竖杆64的上端部从排气孔601的上端口伸出。In a preferred solution of the present invention, the indicating device includes a
作为上述方案的进一步改进,排气筒6上还设置有能将竖杆64锁定以使第二密封圈63压紧于圆锥面604的锁定装置。ECMO仿真实训的过程中,当漂浮块61已经浮起时,竖杆64的上端伸出到排气筒6外部,此时可通过锁定装置将竖杆64锁定,即可将第二密封圈63压紧,使排气筒6的上端保持在密封状态,避免对液体循环造成影响。As a further improvement of the above solution, the
在本发明的一种优选方案中,锁定装置包括能够与竖杆64的上端螺纹连接的连接块71、以及能够沿着排气筒6的径向移动并卡在连接块71和排气筒6的上端面之间的推顶卡块72,推顶卡块72上设置有能够驱动连接块71向上移动的顶推斜面721。具体地,竖杆64上设置有竖向螺孔641,连接块71的底部设置有与竖向螺孔641配合的螺杆711。推顶卡块72的底部设置有与能够与推顶卡块72的顶推斜面721抵接的圆锥底面,排气筒6的上端面设置有螺钉安装台65,螺钉安装台65上设置有横向螺孔651,横向螺孔651处安装有推顶螺钉73,推顶螺钉73的尖端与推顶卡块72抵接并可推顶推顶卡块72朝着排气孔601的上端口移动。参照图6与图7,锁定装置采用这样的结构,简单可靠,且便于拆装连接块71、推顶卡块72等零件。In a preferred solution of the present invention, the locking device includes a connecting
为了避免旋拧螺杆711时漂浮块61随着螺杆711一起转动,可将排气筒6的内腔设置为正四棱柱形,漂浮块61的主体也呈方块状且漂浮块61的侧壁与排气筒6的内侧壁之间只预留微小间隙。In order to prevent the floating
更进一步地,模型主体1上设置有排气管81,排气管81上端的位置高于股动脉管14上端的位置并外露于模型主体1的外部,排气管81的下端与股动脉管14的上部连接并导通,排气管81上还设置有能够控制其通断的第二阀门82。以第四插针管44作为动脉置管的位置时,实训的过程中,可以打开第二阀门82进行排气,排气完成后,将第二阀门82关闭即可。Furthermore, the
以上仅为本发明的优选实施例,并非因此限制本发明的专利范围,凡是在本发明的发明构思下,利用本发明说明书及附图内容所作的等效结构变换,或直接或间接运用在其他相关的技术领域均包括在本发明的专利保护范围内。The above are only preferred embodiments of the present invention, and are not intended to limit the scope of the present invention. Under the inventive concept of the present invention, the equivalent structure transformation made by the contents of the description and drawings of the present invention, or directly or indirectly applied to other All relevant technical fields are included in the scope of patent protection of the present invention.
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