CN201088603Y - Emergency treatment device for secondary hemorrhea after anus operation - Google Patents

Abstract

The utility model discloses a first aid treatment device and an operating method for the secondary massive hemorrhage following anus operation, which comprises a three-chamber saccule urethral catheter (1), a drainage vessel (10), a traction rope (13) connected with a water injection expanding branch sack tube (14) of the three-chamber saccule urethral catheter and a three-chamber irrigation drainage tube (6) at an outlet of a drainage branch (3) of the three-chamber saccule urethral catheter. Compared with the prior art, the utility model has the advantages that the operation is convenient, the observation is easy, the curative effect is reliable and the operation, observation and curing can be done with a single person; the patient can turn the corner if the curing and measures are taken immediately, and for the early period, the excessive bleeding can be reduced or avoided so as not cause the life risk and the blood-borne diseases due to blood filtering.

Description

The emergency treatment device that is used for secondary massive hemorrhage after anus

Technical field:

This utility model belongs to emergency treatment device and the operational approach that is used for secondary massive hemorrhage after anus, be specially adapted to the emergency treatment of secondary massive hemorrhage after anus, operational approach is easy flexibly, is particularly useful for the emergency treatment of the critically ill patient of the clear and definite inadequately Secondary cases massive hemorrhage in anus (pipe) operation back, last pectus position or petechia.As long as when treatment was anxious, appropriate measures can make patient pull through in the short period of time.

Background technology:

Anal disease postoperative massive hemorrhage emergency treatment device commonly used comprises three chamber saccule urinary catheters, drainage container, the pull rope that links to each other with three chamber saccule urinary catheter water injection holes, its using method is with three chamber saccule urinary catheters, slowly insert internal rectum 7～10cm by anus, subsequently under assistant's assistance, the water filling expansion diverticulum pipe that connects tight three-cavity catheter with the syringe that pumps sterile saline, 30～60ml is injected in pressurization, and (the more loose person of anal canal need pour into 80ml, make the passive expansion of three chamber saccule urinary catheter head end core space sacculus portions, play fixedly hemostasis by compression effect), the patient lies on the back and two lower limbs stretch separately flat crouching and the fixed position then, slowly the pull rope tied up of the afterbody of stretching three chamber saccule urinary catheters draws to the head of a bed to patient foot direction and fixes, and the placement drainage container is convenient to observe enteral ejection color under patient's hip, character, alternately poured into metronidazole injection by three chamber sacculus transfusion arms to internal rectum every 30 minutes～1 hour by the assistant then, ofloxacin injection and 0.9% normal saline etc., and above-mentioned alternately flushing or perfusion (instillation) rectum of medicinal liquid more than 2 kinds or 2 kinds of usefulness frequently, to keep pipeline unobstructed and pumpback internal rectum medicinal liquid and hematocele, to observe amount of bleeding, color, the character of intestinal contents and haemostatic effect etc., and can reach decompression and deflated purpose, make the patient not press and increase the uncomfortable and unnecessary misery of bringing because of the increase of enteral gas and inadequate drainage cause enteral, above-mentioned therapy equipment needs the multidigit medical personnel in turn at bedside monitoring, and operation is frequent inconvenient.

The utility model content:

Technical problem to be solved in the utility model provides a kind of emergency treatment device that is used for secondary massive hemorrhage after anus simple to operate.

The technical scheme of this utility model technical solution problem is: the emergency treatment device that is used for secondary massive hemorrhage after anus, comprise three chamber saccule urinary catheters, drainage container, the pull rope that links to each other with three chamber saccule urinary catheter water fillings expansion diverticulum pipes are provided with three chamber irrigation drainage tubes in the outlet of the drain arm of three chamber saccule urinary catheters.

The drain arm of three chamber saccule urinary catheters links to each other with the entrance point sealing of three chamber irrigation drainage tubes by union joint, and the port of export of three chamber irrigation drainage tubes links to each other with drainage container under the bed.

Flushing thing for fear of intestinal stops up irrigation drainage tube, is provided with the arm that is used for cleaning intestinal on three chamber irrigation drainage tubes.

In order to cushion the influence to drainage container of enteric drainage thing, the port of export of irrigation drainage tube links to each other with drainage container by curved portions; The curved portions density of material is greater than irrigation drainage tube other parts density, thereby the outflow direction of control enteral irrigation thing is difficult for polluting.

Speed for the ease of the control drain is provided with the sealing valve on three chamber irrigation drainage tubes.

The arm outfan is built-in with union joint, can utilize syringe to pass through union joint (valve piston) and pour into normal saline prevent that the enteral irrigation thing from stopping up drainage tube in syringe pipe.

For the ease of coloclysis, the transfusion arm of three chamber saccule urinary catheters links to each other with the sealing of transfusion device outfan by union joint.

For the ease of adjusting and increase and decrease the tension force of pull rope flexibly, described pull rope links to each other with counterweight by assembly pulley, and counterweight is 1.4-1.6kg.

This is suitable for compared with prior art novel, has easy to operately, and determined curative effect is reliable, one people can operate, observes and treat, as in hemorrhage early stage use, can reduce or even stop to cause life danger because of bleeding profusely, and because of need blood transfusion easily causing patient infection's blood borne disease.

Description of drawings:

Fig. 1 is a structural representation of the present utility model.

In Fig. 1,1 is three chamber saccule urinary catheters, and 2 is the transfusion arm of three chamber saccule urinary catheters, 3 is the drain arm of three chamber saccule urinary catheters, and 4 is union joint, and 5 is transfusion device, 6 is three chamber irrigation drainage tubes, water valve till 7, and 8 is arm, 9 is the curved portions of irrigation drainage tube, 10 is drainage container, and 11 is assembly pulley, and 12 is several counterweights, 13 is pull rope, and 14 is the water filling expansion diverticulum pipe of three chamber saccule urinary catheters.

The specific embodiment:

Below in conjunction with accompanying drawing this utility model is described in detail.

Embodiment 1

As shown in Figure 1, the emergency treatment device that is used for secondary massive hemorrhage after anus, comprise three chamber saccule urinary catheters 1, drainage container 10, the pull rope 13 that links to each other with three chamber saccule urinary catheter water filling expansion diverticulum pipes 14, outlet at three chamber saccule urinary catheter drain arms 3 is provided with three chamber irrigation drainage tubes 6, the drain arm 6 of three chamber saccule urinary catheters links to each other with the entrance point sealing of three chamber irrigation drainage tubes 6 by union joint 4, and the port of export of three chamber irrigation drainage tubes 6 links to each other with drainage container 10.Described union joint 4 is silica gel water filling (gas) valve piston.

Speed for the ease of the control drain is provided with sealing valve 7 on three chamber irrigation drainage tubes 6, in order to cushion the influence to drainage container 10 of enteral irrigation thing, the port of export of three chamber irrigation drainage tubes 6 links to each other with drainage container 10 by curved portions 9; The curved portions material is a metal material, and the other parts material is a medical grade rubber, and the design of curved portions 9 can be controlled the outflow direction of enteral irrigation thing, is difficult for polluting.Drain for fear of intestinal stops up three chamber irrigation drainage tubes 6, is provided with the arm 8 that is used for cleaning intestinal on three chamber irrigation drainage tubes 6.Arm 8 outfans are built-in with union joint 4, can utilize syringe to prevent that to irrigation drainage tube 6 perfusion normal saline the enteric drainage thing from stopping up drainage tube 6 by union joint 4.

For the ease of coloclysis, the transfusion arm 2 of three chamber saccule urinary catheters links to each other with the sealing of transfusion device 5 outfans by union joint 4.

For the ease of adjusting and increase and decrease the tension force of pull rope 13 flexibly, described pull rope 13 links to each other with several counterweights 12 by assembly pulley 11, and the weight of counterweight 12 is 1.4-1.6kg.

Prepare before the art of the present utility model:

At first when promptly carrying out every health check-ups such as internal medicine and routine examination (testing), advise the patient to drain hematocele and feces or exhaust hematocele with suction pump, carry out the conventional preserved skin sterile drape of crissum and be equipped with a little senior antiseptic hygiene paper more, take comfortable posture and positions easy to operate such as lateral position or calculi position, fully expose podex.

Operational approach of the present utility model is:

The first step: the sterilization three chamber saccule urinary catheters 1 that constitute by soft elastic silica gel for No. 18 or No. 20 that choose, the head section of three chamber saccule urinary catheters 1 is smeared lubricant, slowly insert internal rectum 7～10cm by podex, subsequently, with getting the water filling expansion diverticulum pipe 2 that the syringe that pumps 30～60ml sterile saline connects tight three chamber saccule urinary catheters ready, 30～60ml is injected in pressurization, and (the more loose person of anal canal need pour into 80ml, make the passive expansion of three chamber saccule urinary catheter head end core space sacculus portions, play fixedly hemostasis by compression effect), press from both sides the drain arm 3 that closes three chamber saccule urinary catheters and transfusion arm 2 respectively approximately apart from the middle section of hole outer rim 2.5cm with two medium size mosquito formula curved hemostatic forceps simultaneously, do like this is to make things convenient for next step operation and promptly to prevent intrarectal hematocele, gas and feces overflow because of increasing of internal rectum pressure and pollute treatment towel, sheet and medicated clothing etc., advise the patient to lie on the back then and two lower limbs stretch separately flat fixed position of crouching, the patient can not be shifted to lead, the afterbody of slow stretching three chamber saccule urinary catheter water filling arms 14 is also tied up pull rope 13, draw and be fixed on the assembly pulley 11 to patient foot direction, several counterweights are about 1.5kg, doing a tight pine in traction pulls 3～4 times back and forth gently, the purpose of doing like this is because of being subjected to the stimulation of tractive compressing, can cause the reflexive enhancing lifting anus of anal sphincter and the anus effect of contracting, thereby reach the enhancing anastalsis, especially to the loose massive hemorrhage patient of anal sphincter, more have anti-slip and reach and draw the hemostasis by compression purpose.

Second step: respectively the drain arm 3 of three chamber saccule urinary catheters is linked to each other with the entrance point of three chamber irrigation drainage tubes 6 by union joint 4 subsequently, the transfusion arm 2 of transfusion device 5 with three chamber saccule urinary catheters linked to each other, and attention prevents seepage and slippage, take advantage of a situation and descend a drainage container 10 to be connected with bed the curved portions 9 of three chamber irrigation drainage tubes 6, unclamp vascular forceps, observe the unobstructed situation behind unobstructed situation of drain and the infusion in order successively, block if any three chamber saccule urinary catheter drain arm tube chambers, with the disposable syringe that pumps medicinal liquid or sterile saline solution 30～50ml, union joint 4 by the arm 8 of three chamber irrigation and drainage conduits carries out irrigation and pumpback, close the stage casing and the arm 2 of infusing of the drainage catheter of three chamber irrigation drainage tubes, 6 belows simultaneously with sealing valve 7 folders, in case the irrigation mediation is invalid or the rectum Dissolve things inside flows in the infusion bottle of irritating (dripping) notes because of increased pressure is anti-;

The 3rd step: utilized transfusion device 5 alternately to drip (filling) every 30 minutes～1 hour by three chamber saccule urinary catheter transfusion arms 2 and annotate 0.5% metronidazole injection, 30～50ml, 0.2% ofloxacin injection, 20～30ml and normal saline or an amount of retention enema of other enema to internal rectum, and usefulness frequently above-mentioned more than two kinds or 3 kinds medicinal liquid alternately flushing to keep pipeline unobstructed and pumpback internal rectum medicinal liquid and hematocele, with the character of observing amount of bleeding, color, intestinal contents and haemostatic effect etc., and carry out simultaneously and take the other therapies treatment to prepare and the treatment of transferring from one hospital to another is prepared.During the indwelling of three chamber saccule urinary catheters, as the patient who urinates in bed and be the devil or can not urinate, to in time give placement catheter retention catheterization under the routine disinfection, and close observation patient's change of illness state at any time, changes of vital signs situations such as blood pressure, blood volume, breathing, heart rate, body temperature, microcirculation and amount of urine discharge particularly, and take corresponding effective treatment measures, as shock, dilatation, oxygen uptake and infection etc., generally in 12～24 hours, just can reach haemostatic effect.

The 4th step: after the clinical observation through 12～24 hours reaches haemostatic effect and purpose, can remove this survival kit, concrete operation method is: 1, remove counterweight; 2, the water filling expansion diverticulum pipe 14 that connects tight three chamber saccule urinary catheters with the disposable empty syringe of 30～50ml sterilization, with negative pressure the liquid in the sacculus is taken out to the greatest extent, make that sacculus is flat to contract, slowly rotation and vertically carrying is gently inserted and it to be separated be convenient to take out then, prevents that again anorectal region internal hemorrhage wound surface and mucosa from drawing for a long time and oppress adhesion because of being subjected to the sacculus part.Must guard against rough direct taking-up, otherwise, will be sustained damage once more with hemorrhage by the anorectal region internal hemorrhage point wound surface of adhesion and mucosa; 3, behind the taking-up three chamber saccule urinary catheters, the orientation of the former petechia of sacculus part of scrutiny traction compressing, and on case history, make labelling and record, help the summary and the raising of clinical experience, lesson like this.

Claims (8)

1. the emergency treatment device that is used for secondary massive hemorrhage after anus, comprise three chamber saccule urinary catheters (1), drainage container (10), with the pull rope (13) that three chamber saccule urinary catheter water fillings expansion diverticulum pipes (14) link to each other, it is characterized in that: the outlet at the drain arm (3) of three chamber saccule urinary catheters is provided with three chamber irrigation and drainage conduits (6).

2. the emergency treatment device that is used for anus postoperative Secondary cases massive hemorrhage according to claim 1, it is characterized in that: the drain arm (3) of three chamber saccule urinary catheters links to each other with the input sealing of three chamber irrigation and drainage conduits (6) by union joint (4), and the outfan of three chamber irrigation drainage tubes (6) links to each other with drainage container (10).

3. according to claim 1, the 2 described emergency treatment devices that are used for secondary massive hemorrhage after anus, it is characterized in that: the outfan of three chamber irrigation drainage tubes (6) links to each other with drainage container (10) by curved portions (9), and curved portions (9) density of material is greater than irrigation drainage tube other parts density.

4. the emergency treatment device that is used for secondary massive hemorrhage after anus according to claim 3 is characterized in that: described three chamber irrigation drainage tubes (6) are provided with the arm (8) that is used for cleaning intestinal.

5. the emergency treatment device that is used for secondary massive hemorrhage after anus according to claim 3 is characterized in that: be provided with sealing valve (7) on three chamber irrigation drainage tubes (6).

6. the emergency treatment device that is used for secondary massive hemorrhage after anus according to claim 3 is characterized in that: being provided with union joint (4) in the outfan of arm (8) is silica gel water filling (gas) valve piston.

7. the emergency treatment device that is used for secondary massive hemorrhage after anus according to claim 1 is characterized in that: the transfusion arm (2) of three chamber saccule urinary catheters links to each other with the sealing of transfusion device (5) outfan.

8. the emergency treatment device that is used for secondary massive hemorrhage after anus according to claim 1 is characterized in that: described pull rope (13) links to each other with several counterweights (12) by assembly pulley (11).