CN118743603A - Detection equipment and use method for positioning the human body cavity based on the principle of heat stroke - Google Patents
Detection equipment and use method for positioning the human body cavity based on the principle of heat stroke Download PDFInfo
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- A—HUMAN NECESSITIES
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- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0059—Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit
- A61F2007/0063—Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit for cooling
- A61F2007/0064—Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit for cooling of gas
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- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0059—Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit
- A61F2007/0069—Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit with return means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
- A61F2007/126—Devices for heating or cooling internal body cavities for invasive application, e.g. for introducing into blood vessels
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Abstract
本发明公开了基于热射病原理进行人体内腔定位的检测设备及使用方法,主要涉及热射病治疗设备领域。包括伸入管、输送系统;深入管:伸入到患者的内腔位置,且与所述输送系统相连接;输送系统:包括控制系统、输送设备,所述控制系统与所述输送设备相连接,对所述输送设备进行控制;所述输送设备为制冷源输送设备,通过输送设备对所述深入管输送制冷源。本发明的有益效果在于:通过对患者内腔的温度情况,判断患者内腔器官的类别情况;同时能够有效对患者的内腔空间进行散热,从而确保在短时间内能够对患者内腔温度进行降低,以增加患者的抢救存活机率。
The present invention discloses a detection device and a method for using the human body cavity positioning based on the principle of heat stroke, which mainly relates to the field of heat stroke treatment equipment. It includes an insertion tube and a delivery system; a deep tube: inserted into the patient's inner cavity position and connected to the delivery system; the delivery system: includes a control system and a delivery device, the control system is connected to the delivery device to control the delivery device; the delivery device is a cooling source delivery device, and the cooling source is delivered to the deep tube through the delivery device. The beneficial effects of the present invention are: by judging the temperature of the patient's inner cavity, the type of the patient's inner cavity organ can be judged; at the same time, the patient's inner cavity space can be effectively cooled, thereby ensuring that the patient's inner cavity temperature can be reduced in a short time to increase the patient's chance of survival after rescue.
Description
技术领域Technical Field
本发明涉及热射病治疗设备领域,具体是基于热射病原理进行人体内腔定位的检测设备及使用方法。The present invention relates to the field of heat stroke treatment equipment, and in particular to a detection device and a use method for locating a human body cavity based on the heat stroke principle.
背景技术Background Art
对于热射病而言,其发病原理是由于暴露在高温高湿环境中身体调节功能失衡,产热大于散热,导致核心温度迅速升高,超过40℃,伴有皮肤灼热、意识障碍(例如谵妄、惊厥、昏迷)及多器官功能障碍的严重致命性疾病。患者在发病之前大多处于较为炎热且不能够正常通风的环境下,从而使得体内问题快速升高且无法有效散热,进而导致患者发病。因为患者在进行发病时,会出现昏厥之一类意识障碍问题,所以很多情况下不能够第一时间对患者进行抢救,并对其机体进行及时散热,从而使得患者失去生命。As for heat stroke, its pathogenesis is due to the imbalance of the body's regulatory function when exposed to high temperature and high humidity, and the heat production is greater than the heat dissipation, which leads to a rapid increase in core temperature to over 40°C, accompanied by burning skin, impaired consciousness (such as delirium, convulsions, coma) and multiple organ dysfunction. It is a serious and fatal disease. Before the onset of the disease, most patients are in a relatively hot environment without normal ventilation, which causes the problems in the body to rise rapidly and cannot effectively dissipate heat, leading to the onset of the disease. Because patients will have impaired consciousness such as fainting when they are ill, in many cases it is not possible to rescue the patient in the first time and dissipate heat from their body in time, which causes the patient to lose his life.
因为热射病患者在发病后,主要原因是人体内部的核心温度过高,从而导致各个器官出现衰竭问题,所以在进行患者的抢救操作中,对患者进行及时散热至关重要。现阶段医院对热射病患者的治疗方式,大多是采用体外散热的方式,这种方式虽然能够对患者机体起到散热效果,但是这种散热方式速度较慢;并且对于热射病患者而言,其主要原因是其内部核心温度过高,从而导致患者各个器官不能够正常工作的问题,因此体外散热效果也是较差的。针对患者的体内散热方式而言,需要判断患者内腔的具体温度以及主要热源位置,但是传统的散热方式针对患者较小的内腔而言,也是较为困难的,在短时间内也是无法有效对患者的内腔进行散热操作,从而影响患者的抢救时机。Because the main reason for heat stroke patients after the onset of the disease is that the core temperature of the human body is too high, which leads to the failure of various organs. Therefore, it is very important to dissipate heat for patients in time during the rescue operation. At present, most hospitals use external heat dissipation to treat heat stroke patients. Although this method can dissipate heat for the patient's body, it is slow. And for heat stroke patients, the main reason is that their internal core temperature is too high, which causes the problem that the patient's various organs cannot work normally. Therefore, the external heat dissipation effect is also poor. For the patient's internal heat dissipation method, it is necessary to judge the specific temperature of the patient's inner cavity and the location of the main heat source. However, the traditional heat dissipation method is also more difficult for the patient's smaller inner cavity. It is also impossible to effectively dissipate heat for the patient's inner cavity in a short time, thus affecting the patient's rescue timing.
基于上述问题,需要进行基于热射病原理进行人体内腔定位的检测设备及使用方法的设计,通过对患者内腔的温度情况,判断患者内腔器官的类别情况;同时能够有效对患者的内腔空间进行散热,从而确保在短时间内能够对患者内腔温度进行降低,以增加患者的抢救存活机率。Based on the above problems, it is necessary to design detection equipment and usage methods for locating the human body cavity based on the principle of heat stroke. The type of the patient's internal organs can be judged by the temperature of the patient's internal cavity. At the same time, the patient's internal cavity space can be effectively dissipated to ensure that the patient's internal cavity temperature can be lowered in a short time to increase the patient's chance of survival.
发明内容Summary of the invention
本发明的目的在于提供基于热射病原理进行人体内腔定位的检测设备及使用方法,它通过对患者内腔的温度情况,判断患者内腔器官的类别情况;同时能够有效对患者的内腔空间进行散热,从而确保在短时间内能够对患者内腔温度进行降低,以增加患者的抢救存活机率。The purpose of the present invention is to provide a detection device and a method for using the human body cavity positioning based on the principle of heat stroke. The device determines the type of the patient's internal cavity organs by measuring the temperature of the patient's internal cavity; at the same time, it can effectively dissipate heat from the patient's internal cavity space, thereby ensuring that the patient's internal cavity temperature can be reduced in a short time, thereby increasing the patient's chance of survival after rescue.
本发明为实现上述目的,通过以下技术方案实现:In order to achieve the above object, the present invention is implemented through the following technical solutions:
基于热射病原理进行人体内腔定位的检测设备,包括伸入管、输送系统;Detection equipment for locating the human body cavity based on the principle of heat stroke, including insertion tube and delivery system;
深入管:伸入到患者的内腔位置,且与所述输送系统相连接;Deep tube: extends into the patient's inner cavity and is connected to the delivery system;
输送系统:包括控制系统、输送设备,所述控制系统与所述输送设备相连接,对所述输送设备进行控制;所述输送设备为制冷源输送设备,通过输送设备对所述深入管输送制冷源。The conveying system includes a control system and a conveying device. The control system is connected to the conveying device to control the conveying device. The conveying device is a cooling source conveying device, and the cooling source is conveyed to the deep pipe through the conveying device.
所述深入管包括对接管、冷却管,所述对接管与输送设备相连接,所述冷却管与对接管相连接后,伸入到患者的内腔位置;所述对接管包括进口管、出口管,所述进口管、出口管分别对接连接所述输出设备的进口端、出口端,且所述冷却管的两端分别与进口管、出口管的内端口相连接形成闭合管路。The in-depth tube includes a docking tube and a cooling tube. The docking tube is connected to the conveying device. After the cooling tube is connected to the docking tube, it extends into the patient's inner cavity position; the docking tube includes an inlet tube and an outlet tube. The inlet tube and the outlet tube are respectively docked and connected to the inlet end and the outlet end of the output device, and the two ends of the cooling tube are respectively connected to the inner ports of the inlet tube and the outlet tube to form a closed pipeline.
所述冷却管包括出气管、交换管,所述出气管、交换管通过三通与所述对接管的进口管相连接;所述出气管为软体直管,当所述伸入管插入到患者的消化道内部后,所述出气管的下端口处于患者食道上方位置;所述交换管的两端分别与进口管、出口管的内端口相连接形成闭合管路。The cooling pipe includes an air outlet pipe and an exchange pipe, and the air outlet pipe and the exchange pipe are connected to the inlet pipe of the docking pipe through a tee; the air outlet pipe is a soft straight pipe, and when the insertion tube is inserted into the patient's digestive tract, the lower port of the air outlet pipe is located above the patient's esophagus; the two ends of the exchange pipe are respectively connected to the inner ports of the inlet pipe and the outlet pipe to form a closed pipeline.
在所述交换管上等间距设置有射流器阀口,通过所述射流器阀口对患者内腔的空气进行抽吸。Ejector valve ports are arranged at equal intervals on the exchange tube, and the air in the patient's inner cavity is sucked through the ejector valve ports.
所述射流器阀口包括挤压端、扩压端、吸入腔,在所述吸入腔位置配合设置有吸入口;所述扩压端与所述吸入腔相连通,所述挤压端设置在所述吸入腔内部,且非接触靠近所述扩压端进行设置。The ejector valve port includes an extrusion end, a diffuser end, and a suction chamber, wherein a suction port is arranged in cooperation with the suction chamber; the diffuser end is communicated with the suction chamber, and the extrusion end is arranged inside the suction chamber and is arranged non-contactly close to the diffuser end.
所述挤压端为锥形喷头,进入所述交换管的冷源经过射流器阀口时,从所述锥形喷头位置流出;所述扩压端为倒锥形对接管,从锥形喷头位置流出的冷源经过吸入腔喷射到所述倒锥形对接管中。The extrusion end is a conical nozzle, and the cold source entering the exchange tube flows out from the conical nozzle position when passing through the ejector valve port; the diffusion end is an inverted conical butt-joint tube, and the cold source flowing out from the conical nozzle position is sprayed into the inverted conical butt-joint tube through the suction chamber.
在所述对接管与冷却管对接位置设置有限位扩张件,通过所述限位扩张件对患者的口腔咽喉部位进行限位扩张。A limit expansion piece is provided at the butt joint position between the butt joint pipe and the cooling pipe, and the oral cavity and throat of the patient are limitedly expanded by the limit expansion piece.
基于热射病原理进行人体内腔定位的检测设备使用方法,包括下述步骤:The method for using the detection device for locating the human body cavity based on the principle of heat stroke includes the following steps:
S1,医护人员对患者的口腔咽喉进行润滑,判断患者是否有自主意识;如果患者有自主意思,采用正常的胃管插入方式进行深入管的插入操作;如果患者没有自主意思,采用无自主意识的胃管插入方式进行深入管的插入操作;S1, the medical staff lubricates the patient's mouth and throat to determine whether the patient has autonomous consciousness; if the patient has autonomous consciousness, the deep tube is inserted using the normal gastric tube insertion method; if the patient has no autonomous consciousness, the deep tube is inserted using the gastric tube insertion method without autonomous consciousness;
S2,通过限位扩张件对患者的口腔咽喉部位进行扩张,并将深入管插入到患者的消化道内部;S2, expanding the oral cavity and throat of the patient through the limiting expansion piece, and inserting the penetration tube into the patient's digestive tract;
S3,在将深入管插入到患者的消化道内部后,将对接管的进口管、出口管分别对接连接所述输出设备的进口端、出口端,与交换管之间形成完成的闭合回路;S3, after inserting the penetration tube into the patient's digestive tract, the inlet tube and the outlet tube of the docking tube are docked and connected to the inlet end and the outlet end of the output device respectively, so as to form a complete closed loop with the exchange tube;
S4,通过控制系统对输出设备进行控制,使输出设备输出合适温度的气体,并通过对接管的进口管进入到出气管和交换管内部;S4, controlling the output device through the control system so that the output device outputs gas of suitable temperature and enters the gas outlet pipe and the exchange pipe through the inlet pipe of the docking pipe;
S5,进入到出气管内的冷源气体从出气管的出口端位置进入到患者的食道上方位置,并逐渐朝向患者的下消化道进行扩散;S5, the cold source gas entering the trachea enters the upper part of the esophagus of the patient from the outlet end of the trachea and gradually diffuses toward the lower digestive tract of the patient;
S6,进入到交换管内的冷源气体经过射流器阀体,当高压冷源气体进入到锥形喷头后,随着锥形喷头的直径不断减小,进而将气体的压力能转化速度能即动能,使锥形喷头出口区域形成真空,将与吸入腔相连接的胃部热源气体吸出吸入腔上设置有吸入口中,并且跟随冷源气体一同射入至扩压端内部;S6, the cold source gas entering the exchange tube passes through the ejector valve body. When the high-pressure cold source gas enters the conical nozzle, as the diameter of the conical nozzle continues to decrease, the pressure energy of the gas is converted into speed energy, i.e., kinetic energy, so that a vacuum is formed in the outlet area of the conical nozzle, and the stomach heat source gas connected to the suction chamber is sucked out of the suction port provided on the suction chamber, and is ejected into the interior of the diffuser end together with the cold source gas;
S7,进入到扩压端内部的混合气体会再次通过扩压端将速度能转化为压力能,从而跟随交换管再次进行输送,并从对接管的出关口向外排出;S7, the mixed gas entering the diffuser end will convert velocity energy into pressure energy through the diffuser end again, so that it will be transported again along the exchange tube and discharged outward from the outlet of the docking tube;
S8,当胃部空间中的气体进入到交换管内部后,胃部气压小于食道上方位置的气压,从出气管进入到食道上方位置的冷源气体快速进入到胃部环境中,以实现胃部气体之间的热量交换,从而实现消化内腔的快速降温操作。S8, when the gas in the stomach space enters the exchange tube, the stomach air pressure is lower than the air pressure above the esophagus, and the cold source gas that enters the position above the esophagus from the outlet pipe quickly enters the stomach environment to achieve heat exchange between the stomach gases, thereby achieving rapid cooling operation of the digestive cavity.
对比现有技术,本发明的有益效果在于:Compared with the prior art, the beneficial effects of the present invention are:
1、本装置在进行设置时,通过进行人体热射病发病原理,进行深入管以及输送系统的设置,通过深入管与输送系统之间进行配合,能够快速的对患者内腔温度进行降温操作。并且相对于降温方式的设置而言,在设置一个输送设备的同时,即可完成胃部热源气体的抽吸以及冷源气体的输送操作,从而不需要进行结构的设置,即可快速完成胃部气体之间的热量交换,以及热源气体的排出,在快速降温的基础上增加热射病患者的存活几率。1. When setting up this device, the pathogenesis of heat stroke in the human body is studied, and the in-depth tube and the delivery system are set up. Through the cooperation between the in-depth tube and the delivery system, the temperature of the patient's inner cavity can be quickly cooled down. And compared with the setting of the cooling method, when a delivery device is set up, the suction of the gastric heat source gas and the delivery of the cold source gas can be completed, so that the heat exchange between the gastric gases and the discharge of the heat source gas can be quickly completed without the need for structural settings, thereby increasing the survival rate of heat stroke patients on the basis of rapid cooling.
2、在方法上通过射流器原理进行设置,从而保障在结构设置时只要进行一个冷源输送设备的设置,即可完成冷源气体输送,热源气体抽吸,以及热量转换三种降温操作,从而快速的对患者的消化道内腔温度进行降温,并且在操作中不会对患者的内腔造成较为严重的损伤,从而避免患者因为热射病抢救而产生较为严重的后遗症问题。2. In terms of method, the setting is carried out through the ejector principle, so as to ensure that when the structure is set up, only one cold source delivery device is needed to complete the three cooling operations of cold source gas delivery, hot source gas suction, and heat conversion, so as to quickly cool down the patient's digestive tract cavity temperature, and will not cause more serious damage to the patient's inner cavity during the operation, thereby avoiding more serious sequelae of patients due to heat stroke rescue.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
附图1是本发明整体结构示意图。Figure 1 is a schematic diagram of the overall structure of the present invention.
附图2是本发明局部结构示意图。FIG2 is a schematic diagram of the local structure of the present invention.
附图3是本发明射流器阀口位置的结构示意图。FIG3 is a schematic structural diagram of the position of the ejector valve port of the present invention.
附图4是本发明射流器阀口的截面图。FIG4 is a cross-sectional view of the ejector valve port of the present invention.
附图5是本发明从口腔位置插入的结构示意图。FIG. 5 is a schematic diagram of the structure of the present invention when inserted from the oral cavity.
附图6是本发明交换管处于患者胃部位置的结构示意图。FIG6 is a schematic diagram of the structure of the exchange tube of the present invention located in the stomach of a patient.
附图中所示标号:Numbers shown in the accompanying drawings:
1、深入管;2、对接管;3、冷却管;4、出气管;5、交换管;6、射流器阀口;7、挤压端;8、扩压端;9、吸入腔;10、锥形喷头;11、倒锥形对接管;12、限位扩张件;13、吸入口。1. In-depth pipe; 2. Butt-joint pipe; 3. Cooling pipe; 4. Exhaust pipe; 5. Exchange pipe; 6. Ejector valve port; 7. Extrusion end; 8. Diffuser end; 9. Suction chamber; 10. Conical nozzle; 11. Inverted cone butt-joint pipe; 12. Limit expansion piece; 13. Suction port.
具体实施方式DETAILED DESCRIPTION
下面结合具体实施例,进一步阐述本发明。应理解,这些实施例仅用于说明本发明而不用于限制本发明的范围。此外应理解,在阅读了本发明讲授的内容之后,本领域技术人员可以对本发明作各种改动或修改,这些等价形式同样落于本申请所限定的范围。The present invention will be further described below in conjunction with specific embodiments. It should be understood that these embodiments are only used to illustrate the present invention and are not intended to limit the scope of the present invention. In addition, it should be understood that after reading the content taught by the present invention, those skilled in the art can make various changes or modifications to the present invention, and these equivalent forms fall within the scope limited by the application equally.
对于热射病患者而言,最为严重的是患者核心温度过高,并且在短时间内患者核心温度不能够有效降低,从而使得患者的产热逐渐升高,从而使得患者内部器官因为温度过高而出现衰竭的问题,从而危及患者的生命安全。因此在对热射病患者进行治疗时,会出现下述问题:For heat stroke patients, the most serious problem is that the core temperature of the patient is too high, and the core temperature of the patient cannot be effectively reduced in a short period of time, which causes the patient's heat production to gradually increase, causing the patient's internal organs to fail due to excessive temperature, thus endangering the patient's life safety. Therefore, when treating heat stroke patients, the following problems may occur:
1.对于传统的热射病散热方式而言,大多会使用酒精或者水对患者的皮肤进行不断的擦拭,从而使得患者的体表温度快速的下降,进而降低患者的核心温度。但是这种方式需要医护人员不断的对患者皮肤进行擦拭,而且这种方式只能够作用到患者的表皮上,患者核心温度与表面温度之间还需要进行热传递,从而使得无论是降温速度以及降温效率上都是比较慢的,从而让使得患者很容易丧失最佳的治疗时机。1. For traditional heat stroke cooling methods, most of them use alcohol or water to wipe the patient's skin continuously, so that the patient's body surface temperature drops rapidly, thereby reducing the patient's core temperature. However, this method requires medical staff to wipe the patient's skin continuously, and this method can only act on the patient's epidermis. Heat transfer is required between the patient's core temperature and surface temperature, which makes the cooling speed and cooling efficiency relatively slow, making it easy for patients to lose the best treatment opportunity.
2.因为热射病患者的核心温度处于较高的状态,所以传统的热射病降温方式还包括注射降温的方式。注射降温是对患者还进行葡萄糖或者电解质溶液的注射,使得患者的血液温度得到降低;但是这种静脉注射的方式也是非常缓慢的,因为注射需要考虑到患者血管的承受能力,否则不仅会出现血管痉挛现象,而且还会导致患者的极度不适,从而使得患者很容易出现一些热射病的病发症,从而加重患者产热加重患者病情。2. Because the core temperature of heat stroke patients is at a high level, traditional heat stroke cooling methods also include injection cooling. Injection cooling is to inject glucose or electrolyte solution into the patient to lower the patient's blood temperature; however, this intravenous injection method is also very slow, because the injection needs to take into account the tolerance of the patient's blood vessels, otherwise not only will vasospasm occur, but it will also cause extreme discomfort to the patient, making the patient prone to some complications of heat stroke, thereby aggravating the patient's heat production and worsening the patient's condition.
3.对热射病患者内腔进行散热的方式,例如呼吸机,能够一定程度上对患者核心温度进行降低,但是所设置的呼吸机需要根据患者的呼吸频率进行降温,不可能出现加快患者呼吸频率而使患者快速降温的操作。而且患者在热射病发病期间,因为呼吸系统受到患者内部核心温度的影响,从而使得患者很容易出现呼吸衰竭的问题,所以在一定程度上会导致患者呼吸频率以及呼吸力度的降低,从而进一步对患者的核心降温操作造成困难。3. Methods of dissipating heat from the internal cavity of heat stroke patients, such as ventilators, can reduce the core temperature of patients to a certain extent, but the ventilator needs to cool down according to the patient's respiratory rate, and it is impossible to increase the patient's respiratory rate to quickly cool down the patient. Moreover, during the onset of heat stroke, the patient's respiratory system is affected by the patient's internal core temperature, making it easy for the patient to suffer from respiratory failure. Therefore, to a certain extent, it will cause the patient's respiratory rate and breathing force to decrease, further making it difficult to cool down the patient's core.
所以针对上述技术问题,进行基于热射病原理进行人体内腔定位的检测设备及使用方法的设置。下述为本发明的基础论述:Therefore, in order to solve the above technical problems, a detection device and a method for using the detection device based on the principle of heat stroke to locate the human body cavity are provided. The following is the basic discussion of the present invention:
因为患者发生热射病时,其内部核心温度会升高,首要任务就是需要降低患者内部的核心温度,从而避免对患者的内部器官造成损伤。出呼吸内腔外,贯穿患者身体的内腔还包括消化内腔,因为消化道从口腔开始,直到直肠位置结束贯穿了整个人体,并且消化内腔相对于人体其他内腔而言,空间大便于进行降温操作。并且胸腹部的消化内腔靠近人体器官的位置较近,在对消化内腔进行降温处理后,能够最直接的与其他人体器官之间进行热量交换,从而能够较快降低人体的核心温度,从而达到对人体核心温度快速降低的效果。所以上述技术问题以及本发明的设置基础,进行下述结构设置:Because the patient's internal core temperature will rise when a heat stroke occurs, the first task is to lower the patient's internal core temperature to avoid damage to the patient's internal organs. In addition to the respiratory cavity, the inner cavity that runs through the patient's body also includes a digestive cavity, because the digestive tract starts from the mouth and ends at the rectum and runs through the entire human body, and the digestive cavity is larger than other cavities in the human body, which makes it easier to perform cooling operations. In addition, the digestive cavity in the chest and abdomen is closer to the human organs. After the digestive cavity is cooled, it can most directly exchange heat with other human organs, thereby quickly lowering the core temperature of the human body, thereby achieving the effect of quickly lowering the core temperature of the human body. Therefore, based on the above-mentioned technical problems and the setting basis of the present invention, the following structural settings are performed:
包括伸入管、输送系统;Including insertion pipe and conveying system;
深入管1:伸入到患者的内腔位置,且与所述输送系统相连接;(对于此处所设置的深入管1而言,主要作用就是需要深入管1伸入到患者的消化道内腔内部,从而通过深入管1作为内腔与外界之间进行热量交换的媒介,以实现热量传递的作用。)Deep tube 1: extends into the patient's inner cavity and is connected to the delivery system; (For the deep tube 1 provided here, the main function is to extend the deep tube 1 into the inner cavity of the patient's digestive tract, so that the deep tube 1 is used as a medium for heat exchange between the inner cavity and the outside world to achieve the function of heat transfer.)
输送系统:包括控制系统、输送设备,所述控制系统与所述输送设备相连接,对所述输送设备进行控制;所述输送设备为制冷源输送设备,通过输送设备对所述深入管1输送制冷源。(对于所设置的输送系统,与深入管1之间进行配合,当深入管1伸入到患者的内腔中后,通过输送系统将冷源输通过深入管1输送到患者的消化内腔内部,与消化内腔之间进行热量交换,从而实现对消化内腔降温的目的)The conveying system includes a control system and a conveying device. The control system is connected to the conveying device to control the conveying device. The conveying device is a cooling source conveying device, and the cooling source is conveyed to the deep tube 1 through the conveying device. (The conveying system is coordinated with the deep tube 1. When the deep tube 1 is inserted into the patient's inner cavity, the cold source is conveyed through the deep tube 1 to the patient's digestive cavity through the conveying system, and heat is exchanged with the digestive cavity, thereby achieving the purpose of cooling the digestive cavity.)
在进行上述深入管1以及输送系统之后,即可实现对人体内腔内部进行降温的效果,但是此处在进行设置时,需要考虑到降温速率以及患者内腔与外界气压平衡的问题。第一点,因为冷源通过深入管1输送到患者内腔内部后,与内腔进行热量交换,但是在热量交换的过程中,需要对冷源的温度进行有效控制,如果说输送的冷源温度过冷的话,就会对患者的消化内腔产生非常严重的刺激行为,从而使得患者出现严重的不是状况。第二点,在不能够将冷源温度设置过冷的情况下,还需要考虑内腔温度的散热速率,如果只是传统的进行热量交换的方式,也是会出现散热速率较慢的问题,从而不能在短时间内将患者内腔较大热量进行消散。第三点,也是最为重要的一点,在对患者的内腔进行散热操作中,不能够对患者造成较大损伤,在患者所能够承受的损伤中应尽快的对其核心温度进行降低,才能够保障患者最大的存活几率。After the above-mentioned deep tube 1 and the delivery system are carried out, the effect of cooling the inside of the human body cavity can be achieved. However, when setting it here, it is necessary to consider the cooling rate and the balance of the patient's inner cavity and the external air pressure. First, because the cold source is delivered to the patient's inner cavity through the deep tube 1, heat is exchanged with the inner cavity, but in the process of heat exchange, the temperature of the cold source needs to be effectively controlled. If the temperature of the delivered cold source is too cold, it will cause very serious stimulation to the patient's digestive cavity, so that the patient will have a serious condition. Second, in the case that the cold source temperature cannot be set too cold, the heat dissipation rate of the inner cavity temperature needs to be considered. If only the traditional way of heat exchange is used, the heat dissipation rate will be slow, so that the patient's large heat in the inner cavity cannot be dissipated in a short time. The third point, which is also the most important point, is that in the heat dissipation operation of the patient's inner cavity, it is not possible to cause greater damage to the patient. The core temperature of the patient should be reduced as soon as possible in the damage that the patient can bear, so as to ensure the patient's maximum survival probability.
所以在上述结构基础上,进行下述结构设置:Therefore, based on the above structure, the following structure is set:
所述深入管1包括对接管2、冷却管3,所述对接管2与输送设备相连接,所述冷却管3与对接管2相连接后,伸入到患者的内腔位置;所述对接管2包括进口管、出口管,所述进口管、出口管分别对接连接所述输出设备的进口端、出口端,且所述冷却管3的两端分别与进口管、出口管的内端口相连接形成闭合管路。此处所设置的对接管2用于与输送设备进行对接,因为此处在进行设置时,输送设备需要对制冷源进行实时更换,以确保热交换的效果达到最大,所以此处将对接管2的进口管与出口管分别与输出设备的进口端和出口端相对接,从而在对接管2位置的进口端进行冷源的输入,在出口管位置进行热量交换后冷源的输出。而此处在对冷却管3进行设置时,将冷却管3的两端分别与对接管2的进口管和出口管相对接,从而使管路之间形成闭合回路,以实现冷源的输入和输出操作。The in-depth tube 1 includes a butt joint tube 2 and a cooling tube 3. The butt joint tube 2 is connected to the conveying device. After the cooling tube 3 is connected to the butt joint tube 2, it extends into the patient's inner cavity position; the butt joint tube 2 includes an inlet tube and an outlet tube. The inlet tube and the outlet tube are respectively butt jointed with the inlet end and the outlet end of the output device, and the two ends of the cooling tube 3 are respectively connected to the inner ports of the inlet tube and the outlet tube to form a closed pipeline. The butt joint tube 2 set here is used to dock with the conveying device. Because when setting here, the conveying device needs to replace the cooling source in real time to ensure that the heat exchange effect is maximized, so the inlet tube and the outlet tube of the butt joint tube 2 are respectively connected to the inlet end and the outlet end of the output device, so that the cold source is input at the inlet end of the butt joint tube 2, and the cold source is output after heat exchange at the outlet tube position. When setting the cooling tube 3 here, the two ends of the cooling tube 3 are respectively connected to the inlet tube and the outlet tube of the butt joint tube 2, so that a closed loop is formed between the pipelines to realize the input and output operations of the cold source.
最为主要的:The most important ones:
所述冷却管3包括出气管4、交换管5,所述出气管4、交换管5通过三通与所述对接管2的进口管相连接;所述出气管4为软体直管,当所述伸入管插入到患者的消化道内部后,所述出气管4的下端口处于患者食道上方位置;所述交换管5的两端分别与进口管、出口管的内端口相连接形成闭合管路。对于此处所设置的出气管4而言,其目的是为了将冷源直接输送到患者的内腔中,所以此处的冷源最佳为被净化的气体,从而输送到患者的内部中,并给对于出气管4在伸入到患者的内腔位置后,出气管4最佳出口位置在处于患者的食道上方位置,在此位置能够以最大面积覆盖到患者的消化道内腔中,如果将其伸入到患者胃部位置,就会导致气管周围的内腔无法有效进行热量交换,从而不能够最大程度对患者的内腔进行降温操作。对于所设置的交换管5而言,其作用是为了与患者消化道内部的气体进行气体交换,主要的就是对患者内腔空气进行抽吸;当交换管5对患者胃部较热气体进行抽吸时,此时从出气管4位置进入到食道内的气体能够快速进入到患者胃部,从而更有益于冷源气体在患者内部进行扩散。此处应注意,虽然对患者消化道内进行气体需要抽吸操作,但是输送设备不能够采用抽吸泵的方式进行设置,因为朝向患者内腔中即需要进行冷源气体的输送,又需要对患者内腔较热气体进行抽吸操作,这需要两个设备同时操作才能实现,并且还不能够保证冷源气体有效覆盖到患者的消化道内腔中。所以在本装置进行下述结构设置:The cooling pipe 3 includes an outlet pipe 4 and an exchange pipe 5, and the outlet pipe 4 and the exchange pipe 5 are connected to the inlet pipe of the docking pipe 2 through a tee; the outlet pipe 4 is a soft straight pipe, and when the insertion pipe is inserted into the patient's digestive tract, the lower end of the outlet pipe 4 is located above the patient's esophagus; the two ends of the exchange pipe 5 are respectively connected to the inner ends of the inlet pipe and the outlet pipe to form a closed pipeline. For the outlet pipe 4 provided here, its purpose is to directly deliver the cold source to the patient's inner cavity, so the cold source here is preferably purified gas, which is delivered to the patient's interior and gives the outlet pipe 4. After the outlet pipe 4 is inserted into the patient's inner cavity, the best outlet position of the outlet pipe 4 is above the patient's esophagus, where it can cover the patient's digestive tract inner cavity with the largest area. If it is inserted into the patient's stomach, the inner cavity around the trachea will not be able to effectively exchange heat, so that the patient's inner cavity cannot be cooled to the greatest extent. As for the exchange tube 5, its function is to exchange gas with the gas inside the patient's digestive tract, and its main function is to suck the air in the patient's inner cavity; when the exchange tube 5 sucks the hotter gas in the patient's stomach, the gas that enters the esophagus from the position of the air outlet tube 4 can quickly enter the patient's stomach, which is more conducive to the diffusion of the cold source gas inside the patient. It should be noted here that although the gas in the patient's digestive tract needs to be sucked, the delivery device cannot be set up in the form of a suction pump, because it is necessary to deliver the cold source gas to the patient's inner cavity, and to suck the hotter gas in the patient's inner cavity. This requires two devices to operate at the same time to achieve, and it cannot guarantee that the cold source gas effectively covers the patient's digestive tract. Therefore, the following structural settings are made in this device:
在所述交换管5上等间距设置有射流器阀口6,通过所述射流器阀口6对患者内腔的空气进行抽吸。对于射流器阀口6而言,能够实现在输送设备朝向内腔进行冷源气体输送的同时,通过射流器阀口6将胃部热源气体抽吸到交换管5中,从而在使用一个输送设备的情况下,既能够实现冷源气体的输送,又能够将内腔中的热源气体及时向外带出,从而达到对患者胃部进行最佳的降温方式。对于射流器阀口6的具体结构如下述:Ejector valve ports 6 are arranged at equal intervals on the exchange tube 5, and the air in the patient's inner cavity is sucked through the ejector valve ports 6. For the ejector valve ports 6, it is possible to realize that while the delivery device delivers the cold source gas toward the inner cavity, the heat source gas in the stomach is sucked into the exchange tube 5 through the ejector valve ports 6. Thus, when using one delivery device, it is possible to realize the delivery of the cold source gas and to bring the heat source gas in the inner cavity out in time, thereby achieving the best cooling method for the patient's stomach. The specific structure of the ejector valve ports 6 is as follows:
如说明书附图图4所示,所述射流器阀口6包括挤压端7、扩压端8、吸入腔9,在所述吸入腔9位置配合设置有吸入口13;所述扩压端8与所述吸入腔9相连通,所述挤压端7设置在所述吸入腔9内部,且非接触靠近所述扩压端8进行设置。对于具体结构而言,所述挤压端7为锥形喷头10,进入所述交换管5的冷源经过射流器阀口6时,从所述锥形喷头10位置流出;所述扩压端8为倒锥形对接管112,从锥形喷头10位置流出的冷源经过吸入腔9喷射到所述倒锥形对接管112中。其原理为,As shown in Figure 4 of the specification, the ejector valve port 6 includes an extrusion end 7, a diffuser end 8, and a suction chamber 9, and a suction port 13 is arranged at the suction chamber 9; the diffuser end 8 is connected to the suction chamber 9, and the extrusion end 7 is arranged inside the suction chamber 9, and is arranged non-contactingly close to the diffuser end 8. As for the specific structure, the extrusion end 7 is a conical nozzle 10, and the cold source entering the exchange tube 5 flows out from the position of the conical nozzle 10 when passing through the ejector valve port 6; the diffuser end 8 is an inverted conical butt joint pipe 112, and the cold source flowing out from the conical nozzle 10 passes through the suction chamber 9 and is sprayed into the inverted conical butt joint pipe 112. The principle is,
冷源气体从挤压端7,也就是锥形喷头10位置高速喷出,使压力能转化速度能,在锥形喷头10出口区域形成真空,从而将被消化内腔中的气体吸引出来,二股介质在扩压端8内进行混合及能量交换,并使速度能还原成压力能,最后以高于大气压力而排出。因此射流器在原理结构上进行设置时,其锥形喷头10的结构如说明书附图图4所示,靠近扩压端8的锥形喷头10口径小于扩压端8的内端口径,进而当高压冷源气体进入到锥形喷头10后,随着锥形喷头10的直径不断减小,进而实现将气体的压力能转化速度能即动能,时锥形喷头10出口区域形成真空,将与吸入腔9相连接的腔室内物质吸出吸入腔9上设置有吸入口13中,射流器通过吸入口13与胃部空间相连接,进而实现将胃部较热气体与冷源气体相混合,并且跟随冷源气体一同射入至扩压端8内部。而扩压端8的设置为扩压端8为倒锥形对接管112,因此进入到扩压端8内部的混合气体会再次通过扩压端8将速度能转化为压力能,从而跟随交换管5再次进行输送,并从对接管2的出关口向外排出,从而达到快速降低胃部温度的效果。当胃部空间中的气体进入到交换管5内部后,胃部气压小于食道上方位置的气压,从出气管4进入到食道上方位置的冷源气体快速进入到胃部环境中,以实现胃部气体之间的热量交换。The cold source gas is ejected at high speed from the extrusion end 7, that is, the position of the conical nozzle 10, so that the pressure energy is converted into velocity energy, and a vacuum is formed in the outlet area of the conical nozzle 10, thereby sucking out the gas in the digestion cavity. The two media are mixed and exchanged with energy in the diffusion end 8, and the velocity energy is restored to pressure energy, and finally discharged at a pressure higher than the atmospheric pressure. Therefore, when the ejector is set in principle structure, the structure of its conical nozzle 10 is as shown in Figure 4 of the specification. The diameter of the conical nozzle 10 close to the diffuser end 8 is smaller than the inner port diameter of the diffuser end 8. Then, when the high-pressure cold source gas enters the conical nozzle 10, as the diameter of the conical nozzle 10 continues to decrease, the pressure energy of the gas is converted into speed energy, that is, kinetic energy. At this time, a vacuum is formed in the outlet area of the conical nozzle 10, and the material in the chamber connected to the suction chamber 9 is sucked out of the suction chamber 9. The suction chamber 9 is provided with a suction port 13. The ejector is connected to the stomach space through the suction port 13, so that the hotter gas in the stomach is mixed with the cold source gas, and is injected into the diffuser end 8 together with the cold source gas. The diffuser end 8 is configured as an inverted conical butt joint pipe 112, so the mixed gas entering the diffuser end 8 will convert velocity energy into pressure energy through the diffuser end 8 again, and then be transported again along the exchange pipe 5, and discharged from the outlet of the butt joint pipe 2, thereby achieving the effect of rapidly reducing the stomach temperature. When the gas in the stomach space enters the exchange pipe 5, the stomach pressure is lower than the pressure above the esophagus, and the cold source gas entering the position above the esophagus from the outlet pipe 4 quickly enters the stomach environment to achieve heat exchange between the stomach gases.
对于所通过冷源气体的温度而言,对输送设备进行具体结构设置,即所述输送设备连接有温度控制器,通过温度控制器对输送到患者内腔中的冷源气体温度进行调控,从而达到对冷源气体温度进行控制的要求。As for the temperature of the cold source gas passing through, a specific structure is set for the delivery device, that is, the delivery device is connected to a temperature controller, and the temperature of the cold source gas delivered to the patient's inner cavity is regulated by the temperature controller, thereby achieving the requirement of controlling the temperature of the cold source gas.
在所述对接管2与冷却管3对接位置设置有限位扩张件12,通过所述限位扩张件12对患者的口腔咽喉部位进行限位扩张。对于所设置的限位扩张件12,使用传统的胃管扩张器即可实现,在此处不再进行过多解释。需要解释的是,因为交换管5需要插入到患者胃部中,但是交换管5还需要进行闭环连接,所以在交换管5闭环连接后,可通过连接件对相邻交换管5进行连接,从而使交换管5进行并排排列,进而更方便医护人员进行插入操作。A limiting expansion piece 12 is provided at the docking position between the docking tube 2 and the cooling tube 3, and the limiting expansion piece 12 is used to limit the expansion of the oral and pharyngeal area of the patient. The limiting expansion piece 12 can be implemented by using a traditional gastric tube dilator, and no further explanation is given here. It needs to be explained that because the exchange tube 5 needs to be inserted into the patient's stomach, but the exchange tube 5 also needs to be connected in a closed loop, after the exchange tube 5 is connected in a closed loop, the adjacent exchange tubes 5 can be connected by a connector, so that the exchange tubes 5 are arranged side by side, which makes it more convenient for medical staff to perform insertion operations.
基于热射病原理进行人体内腔定位的检测设备使用方法,包括下述步骤:The method for using the detection device for locating the human body cavity based on the principle of heat stroke includes the following steps:
S1,医护人员对患者的口腔咽喉进行润滑,判断患者是否有自主意识;如果患者有自主意思,采用正常的胃管插入方式进行深入管1的插入操作;如果患者没有自主意思,采用无自主意识的胃管插入方式进行深入管1的插入操作;S1, the medical staff lubricates the patient's oral cavity and throat to determine whether the patient has autonomous consciousness; if the patient has autonomous consciousness, the deep tube 1 is inserted in a normal gastric tube insertion method; if the patient has no autonomous consciousness, the deep tube 1 is inserted in an unconscious gastric tube insertion method;
S2,通过限位扩张件12对患者的口腔咽喉部位进行扩张,并将深入管1插入到患者的消化道内部;S2, expanding the oral cavity and throat of the patient through the limiting expansion member 12, and inserting the penetration tube 1 into the patient's digestive tract;
S3,在将深入管1插入到患者的消化道内部后,将对接管2的进口管、出口管分别对接连接所述输出设备的进口端、出口端,与交换管5之间形成完成的闭合回路;S3, after inserting the penetration tube 1 into the patient's digestive tract, the inlet tube and the outlet tube of the docking tube 2 are docked and connected to the inlet end and the outlet end of the output device, respectively, to form a complete closed loop with the exchange tube 5;
S4,通过控制系统对输出设备进行控制,使输出设备输出合适温度的气体,并通过对接管2的进口管进入到出气管4和交换管5内部;S4, controlling the output device through the control system so that the output device outputs gas of suitable temperature and enters the outlet pipe 4 and the exchange pipe 5 through the inlet pipe of the docking pipe 2;
S5,进入到出气管4内的冷源气体从出气管4的出口端位置进入到患者的食道上方位置,并逐渐朝向患者的下消化道进行扩散;S5, the cold source gas entering the air outlet pipe 4 enters the position above the esophagus of the patient from the outlet end of the air outlet pipe 4, and gradually diffuses toward the lower digestive tract of the patient;
S6,进入到交换管5内的冷源气体经过射流器阀体,当高压冷源气体进入到锥形喷头10后,随着锥形喷头10的直径不断减小,进而将气体的压力能转化速度能即动能,使锥形喷头10出口区域形成真空,将与吸入腔9相连接的胃部热源气体吸出吸入腔9上设置有吸入口13中,并且跟随冷源气体一同射入至扩压端8内部;S6, the cold source gas entering the exchange tube 5 passes through the ejector valve body. When the high-pressure cold source gas enters the conical nozzle 10, as the diameter of the conical nozzle 10 continues to decrease, the pressure energy of the gas is converted into speed energy, i.e., kinetic energy, so that a vacuum is formed in the outlet area of the conical nozzle 10, and the stomach heat source gas connected to the suction chamber 9 is sucked out of the suction port 13 provided on the suction chamber 9, and is injected into the interior of the diffuser end 8 together with the cold source gas;
S7,进入到扩压端8内部的混合气体会再次通过扩压端8将速度能转化为压力能,从而跟随交换管5再次进行输送,并从对接管2的出关口向外排出;S7, the mixed gas entering the diffuser end 8 will convert velocity energy into pressure energy again through the diffuser end 8, so that it will be transported again along the exchange tube 5 and discharged outward from the outlet of the docking tube 2;
S8,当胃部空间中的气体进入到交换管5内部后,胃部气压小于食道上方位置的气压,从出气管4进入到食道上方位置的冷源气体快速进入到胃部环境中,以实现胃部气体之间的热量交换,从而实现消化内腔的快速降温操作。S8, when the gas in the stomach space enters the exchange tube 5, the stomach air pressure is lower than the air pressure above the esophagus, and the cold source gas that enters the position above the esophagus from the outlet pipe 4 quickly enters the stomach environment to achieve heat exchange between the stomach gases, thereby achieving rapid cooling operation of the digestive cavity.
因此,进行基于热射病原理进行人体内腔定位的检测设备及使用方法的设计,通过对患者内腔的温度情况,判断患者内腔器官的类别情况;同时能够有效对患者的内腔空间进行散热,从而确保在短时间内能够对患者内腔温度进行降低,以增加患者的抢救存活机率。Therefore, a detection device and a method for using the human body cavity positioning based on the principle of heat stroke are designed. The type of the patient's internal organs can be judged by the temperature of the patient's internal cavity. At the same time, the patient's internal cavity space can be effectively dissipated to ensure that the patient's internal cavity temperature can be lowered in a short time, thereby increasing the patient's chance of survival.
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