Summary of the invention
The respiratory system that the purpose of this invention is to provide a kind of discharge opeing ventilation, hydrops is a prerequisite in patient's alveolar to discharge in this system, carries out effective ventilation by respiratory system in alveolar again.The technical characterictic of this system is to utilize the Lower Half of lung itself to have the respiratory ventilation function, adopt a positive negative pressure generator that pulmonary is imposed on certain pressure, alveolar and interstitial lung hydrops are expressed to bronchus and throat, adopt the negative pressure aspirator that the hydrops of its pulmonary is excreted then, simultaneously again according to respiratory frequency, adopt a ultrasonic atomizatio auxiliary device to apply pure oxygen and atomization medicine toward pulmonary, with the increase once more that suppresses hydrops in the alveolar with improve pneumonia, the respiratory system of this discharge opeing ventilation can improve the ventilatory function of pulmonary greatly, improve oxygen content, and reduce the ARDS mortality in said patients.
For reaching above-mentioned purpose, the respiratory system of discharge opeing ventilation provided by the invention, it comprises: a positive negative pressure generator, a control device, an air pressure monitor device, a flow supervising device, a liquid-gas separator, a ultrasonic auxiliary device, thoracic cavity connection tube and negative pressure aspirator.
This positive negative pressure generator is connected with flow-monitoring device with control device, air pressure monitor device with liquid trap.
This control device, the one end connects air pressure monitor device and flow-monitoring device, and the other end connects positive negative pressure generator, ultrasonic auxiliary device and negative pressure liquid sucking device.
This air pressure monitor device, it is connected on the guide pipeline, and the position is between positive negative pressure generator and flow-monitoring device.
This flow-monitoring device, this flow-monitoring device is connected on the guide pipeline, and the position is between air pressure monitor device and liquid trap part.
This liquid-gas separator, this liquid-gas separator is arranged on the guide pipeline, between flow-monitoring device and thoracic cavity connection tube; The thoracic cavity connection tube, the one end is connected with liquid-gas separator, and the other end imports the thoracic cavity.
This ultrasonic auxiliary device is connected with control device, and acts on pulmonary.
This negative pressure aspirator is connected with control device, and acts on pulmonary.
This system can discharge hydrops in the alveolar safely, in time increases the gas exchange space, increases the alveolar effective ventilation so that reach, and improves oxygenate, improves ARDS patient and serious symptom ARDS patient's art pO2, is the key device that reduces patient's case fatality rate.
Novelty of the present invention, creativeness and practicality are done to describe in detail by accompanying drawing shown in the following specific embodiment combination.
Description of drawings
Fig. 1 is the respiratory system theory diagram of discharge opeing ventilation of the present invention;
Fig. 2 connects pulmonary's sketch map for using traditional respirator;
Fig. 3 connects pulmonary's sketch map for enforcement discharge opeing ventilation breath of the present invention system;
Fig. 4 is discharge opeing ventilation breath system specific embodiment 1 structural representation;
Fig. 5 is discharge opeing ventilation breath system specific embodiment 2 principle schematic.
Symbol description among the figure
1 positive negative pressure generator 2 control device
3 air pressure monitor devices, 4 flow-monitoring devices
5 liquid-gas separators, 6 ultrasonic auxiliary device
7 thoracic cavity connection tubes, 8 negative pressure liquid sucking devices
9 pulmonarys, 10 thoracic cavities
11 alveolars and interstitial lung hydrops 12 motors
13 decelerations, 14 screw mandrels
15 cylinders, 16 piston unts
17 guide pipelines, 18 tracheas and throat
19 ultrasonic heads, 20 control device
21 CO2 gas cylinders, 22 liquid-gas separators
23 manual fine adjustment valve 24 electromagnetic valves
25 pressure switches, 26 constant voltage gas tanks
27 flow proportion valves, 28 electromagnetic valves
29 pressure switches, 30 liquid-gas separators
31 liquid-gas separators, 32 electromagnetic valves
33 flow proportion valves, 34 manual fine adjustment valves
35 negative pressure gas tanks, 36 pressure switches
37 electromagnetic valves, 38 vacuum pumps
39 virus filters, 40 respiration pickups
41 electromagnetic valves, 42 nebulizers
43 oxygen cylinders, 44 manual fine adjustment valves
45 electromagnetic valves
The specific embodiment
As shown in Figure 1, the respiratory system of discharge opeing ventilation provided by the invention, it comprises: a positive negative pressure generator 1, a control device 2, an air pressure monitor device 3, a flow supervising device 4, a liquid-gas separator 5, one ultrasonic auxiliary device 6, thoracic cavity connection tube 7 and negative pressure aspirator 8.
As Fig. 1, shown in Figure 4, positive negative pressure generator 1 of the present invention can be made of the device that cylinder 15, piston 16, screw mandrel 14 or vane pump or peristaltic pump etc. can produce positive and negative atmospheric pressure structure.Cylinder 15 tops of this positive negative pressure generator communicate with atmosphere, and cylinder bottom is connected with liquid-gas separator 5 and thoracic cavity connection tube 7 by guide pipeline 17, also link to each other with control device 2, air pressure monitor device 3, flow-monitoring device 4 simultaneously.
The effect of inventing described control device 2 is operations of coordinating and controlling single unit system, makes the pressure of positive negative pressure generator 1 gas that produces and the requirement that flow reaches treatment.The effect of air pressure monitor device 3 of the present invention is to monitor and control the atmospheric pressure that positive negative pressure generator 1 is produced, and it is controlled in the maximum positive/negative pressure scope that the human lung can bear.The effect of flow-monitoring device 4 of the present invention is sizes of the gas flow that monitors and control that positive negative pressure generator 1 is produced, makes it can satisfy the requirement of treatment.
Shown in Figure 2, connect pulmonary's sketch map, profile sketch map when dotted line is pulmonary's 9 low pressure among the figure for using traditional respirator, profile sketch map when solid line is pulmonary's 9 high pressure, as can be seen from Figure, use traditional respirator can only improve pulmonary's 9 part ventilatory functions, and can not discharge the hydrops in the pulmonary.
Figure 3 shows that thoracic cavity connection tube 7 is connected with pulmonary, negative pressure liquid sucking device 8 and trachea connection diagram, as can be seen from the figure pulmonary's connection tube 7 is by 10 openings in the thoracic cavity, import 10 inside, thoracic cavity, positive negative pressure generator 1 is oppressed pulmonary 9, make pulmonary 9 be forced to shrink or diastole, alveolar and interstitial lung hydrops 11 are expressed to trachea and throat 18, shown in solid line among Fig. 3, utilize negative pressure liquid sucking device 8 that it is excreted then, drain after the hydrops, can obviously improve the lung ventilation function, improve oxygen content.
Figure 4 shows that a specific embodiment constructional device sketch map, this device is by a positive negative pressure generator 1, one control device 2, an air pressure monitor device 3, one flow supervising devices 4, a liquid-gas separator 5, a ultrasonic atomizatio auxiliary device 6 and thoracic cavity connection tube 7 are formed.Positive negative pressure generator 1 mainly comprises motor 12, reductor 13, screw mandrel 14, cylinder 15, piston unt 16 compositions.Motor 12 is connected with screw mandrel 14 by reductor 13, and screw mandrel 14 and piston unt 16 are by being threaded, and screw mandrel 14 and piston unt 16 can relatively move.Good seal between piston unt 16 and the cylinder wall, cylinder 15 tops communicate with atmosphere, and cylinder 15 bottoms link to each other with liquid-gas separator 5, control device 2, flow-monitoring device 4, air pressure monitor device 3 and thoracic cavity connection tube 7 by guide pipeline.
This control device 2 is arranged on the guide pipeline 17, one end connects positive negative pressure generator 1 and liquid-gas separator 5, other end connection traffic supervising device 4 and air pressure supervising device 3, its effect is the operation of coordinating and control this device, makes the pressure of positive negative pressure generator 1 gas that produces and the requirement that flow reaches treatment.The numerical value that control device 2 collection flow-monitoring devices 4 and air pressure supervising device 3 feed back to by internal calculation and treatment requirement, compares numerical value, thus the rotating speed of control motor 12, and flow and pressure that cylinder 15 is produced meet the treatment requirement.
This air pressure monitor device 3 is connected on the guide pipeline 17, and the position is between cylinder 15 and flow-monitoring device 4.This flow-monitoring device 4 is connected on the guide pipeline 17, and the position is between air pressure monitor device 3 and liquid trap 5.
This liquid-gas separator 5 is arranged on the guide pipeline 17, between flow-monitoring device 4 and thoracic cavity connection tube 7.The effect of liquid-gas separator part 5 of the present invention is to separate in the turnover thoracic cavity contained humidity and impurity in the gas, the ballistic effect of buffer device startup instantaneous pressure of holding concurrently simultaneously.
This ultrasonic auxiliary device 6 comprises a ultrasonic head 19, and this ultrasonic head 19 acts on patient pulmonary, by ultrasonic head 19 effects, stimulates lung tissue, discharges the interstitial lung hydrops.This ultrasonic auxiliary device 6 produces low-frequency ultrasonic waves, and frequency is 20KHz~100KHz.After each decompression finishes, according to respiratory frequency, adopt a ultrasonic atomizatio auxiliary device to apply pure oxygen and atomization medicine, with the increase once more that suppresses hydrops in the alveolar with improve pneumonia toward pulmonary.This ultrasound wave auxiliary device acts on patient pulmonary, by the mechanical vibration of low frequency ultrasound, stimulates lung tissue, makes patient's interstitial lung hydrops be exuded to alveolar, makes it easier to be with negative pressure liquid sucking device part that the hydrops sucking-off is external.
Thoracic cavity of the present invention connection tube 7 can be divided into two kinds of structures of flexibility or rigidity, can adopt and implant or thrust two kinds of different modes connection devices and torso model according to practical situation during treatment.
Negative pressure aspirator 8 of the present invention is to utilize draught head external hydrops sucking-off in throat and the bronchus 18.Also can adopt sputum aspirator etc. can produce the liquid sucking device of negative pressure.
In specific implementation process, motor 12 rotates by reductor 13 and drives screw mandrel 14 rotations, and screw mandrel 14 drives piston unts 16 and moves up and down, when piston unt 16 moves up, produce negative pressure in the cylinder 15 of positive negative pressure generator 1, when piston unt 16 moves down, produce malleation in the cylinder 15.This malleation or negative pressure link to each other with thoracic cavity connection tube 7 by guide pipeline, thoracic cavity connection tube 7 is implanted or is thrust in the patient thoracic cavity 10,10 inner malleation or the negative pressure of producing in the patient thoracic cavity, compressing patient pulmonary 9, make pulmonary 9 be forced to shrink or diastole, alveolar and interstitial lung hydrops are expressed to trachea and throat 18, it is excreted by negative pressure liquid sucking device 8, improve lung ventilation, improve oxygen content.
Fig. 5 is another specific embodiment principle schematic of discharge opeing ventilation breath system, and as different from Example 1, the positive negative pressure generator among the embodiment 1 is to come displaced with gas cylinder and low pressure gas cylinder in embodiment 2.CO among the figure
2Gas cylinder 21 is the general CO of hospital
2Gas cylinder, gas-liquid separator 22 is used for separation of C O
2In liquid, manually fine adjustment valve 23, gas-liquid separator 22 are CO
2The attached parts of gas cylinder 21 during work, are opened manual fine adjustment valve 23, and control device 20 is the numerical value of detected pressures switch 25, when numerical value during less than setting value, start electromagnetic valve 24, CO
2Gas will charge into constant voltage gas tank 26, and when reaching setting value, electromagnetic valve 24 cuts out, and constant voltage gas tank 26 will keep a constant pressure like this.
When charging into gas in the thoracic cavity, control device is opened electromagnetic valve 28, when pressure switch 29 arrives setting value, closes electromagnetic valve 28, and flow proportion valve 27 is used to control the speed of gas flow.
Negative pressure gas tank 35 will keep a constant negative pressure under the control of pressure switch, when pressure greater than when setting value, vacuum pump 38 is started working, electromagnetic valve 37 is opened, when pressure reached setting value, electromagnetic valve 37 cut out.
When extracting in the thoracic cavity gas, open manual fine adjustment valve 34 earlier, control device 20 is opened electromagnetic valve 32 then, when pressure switch 29 reaches setting value, close electromagnetic valve 32, flow proportion valve 33 is used to control the speed of gas flow, and gas-liquid separator 30, gas-liquid separator 31 are used for the liquid of divided gas flow.
Oxygen cylinder 43 is general hospital's oxygen cylinder, manually fine adjustment valve 44 is attached parts of oxygen cylinder 43, nebulizer 42 is atomized into medicinal liquid to be fine fog, respiration pickup 40 can detect people's respiratory frequency, when the people is air-breathing, electromagnetic valve 41 cuts out, and electromagnetic valve 45 is opened, and the droplet that oxygen belt atomizing enters respiratory tract by conduit with patient inhales.When the people exhaled, electromagnetic valve 45 cut out, and electromagnetic valve 41 is opened.Virus filter 39 works to filter exhalation and sucks virus in the gas.
The effect of inventing described control device 20 is operations of coordinating and controlling single unit system, makes the pressure of positive and negative pressure gas that gas cylinder produces and the requirement that flow reaches treatment.The effect of pressure switch 29,25,36 of the present invention is to monitor and the pressure of control positive and negative pressure gas, and it is controlled in the maximum positive/negative pressure scope that the human lung can bear.The effect of flow proportion valve 27,33 of the present invention is the sizes that monitor and control the positive and negative pressure gas flow, makes it can satisfy the requirement of treatment.
Coupling part, thoracic cavity, negative pressure aspirator etc. are identical with embodiment 1 among the embodiment 2, omit among the figure.
By the foregoing description 1, embodiment 2 and comparison diagram 2 and Fig. 3, the present invention and traditional respirator have completely different thinking as can be seen.The mode of tradition respirator only is to execute a malleation toward pulmonary, to reach the ventilation purpose.The present invention adopts a positive negative pressure generator, and from pulmonary's intubate, imposes on certain pressure, the extruding pulmonary fluid, and sucking-off pulmonary hydrops again according to the frequency of breathing, applies oxygen toward pulmonary simultaneously, improves oxygen content, thereby reaches the ventilation purpose.This system has more effectively solved adult respiratory distress syndrome patient's ventilation problem, has obvious improvement, special proposition patent application.
The above is specific embodiments of the invention only, is not in order to limiting patent claim of the present invention, and all other do not break away from the equivalence of being finished under the disclosed spirit and change or modify, and all should be included in the described patent claim.