A large amount of hydrops puncture drainage from indwelling, drawing liquid puncture needle
Technical field
This utility model belongs to a kind of medical apparatus and instruments, a kind of a large amount of hydrops puncture drainage from indwelling, drawing liquid puncture needle repeatedly of being suitable for.
Background technology
Clinically, the pernicious hydrops in a large amount of breasts, abdominal cavity that causes for cancer; Hypoproteinemia and cardiac insufficiency cause that a large amount of breasts, abdominal cavity spill liquid; Empyema; Hydropneumothorax needs drainage from indwelling Tube Drain or drawing liquid repeatedly, and the traditional drainage art be that patient's left index finger, middle finger are tightened local skin, and the right hand is held scalpel transection skin, the about 1cm of otch, separation subcutaneous tissue and flesh layer.Then the trocar is directly thrust fluid collection chamber along otch, when penetrating thoracic wall or stomach wall when entering fluid collection chamber, the patient has resistance to pause to disappear sense.Withdraw from nook closing member, the rubber or the plastic catheter of clamping the rear end are sent into fluid collection chamber in sleeve pipe, connect the water-sealed drainage bottle drain then.Seam and skin incision are also fixing then.The complication of this method has: because the drainage tube slippage, the conduit internal orifice enter subcutaneous due to subcutaneous emphysema; Drainage tube stops up; The incision pain that the sutured tension causes etc.
Summary of the invention
The purpose of this utility model is to overcome above-mentioned prior art defective, and a kind of a large amount of hydrops puncture drainage from indwelling, drawing liquid puncture needle repeatedly of being applicable to is provided.So that make the doctor according to clinical needs drain or extraction hydrops, shorten treatment time, the generation of stopping complication as far as possible.
The technical solution of the utility model: be suitable for a large amount of hydrops puncture drainage from indwelling, drawing liquid puncture needle.It is characterized in that: be made up of the puncture rigidity trocar and flexible drainage catheter, the rigidity trocar is made up of two semicircular needle tubings, external diameter unanimity in both, and both have needle handle by an end, and the other end is a needle point.The rigidity trocar has soft tube outward.Needle point slightly is longer than soft tube, causes its needle tip to expose, and exceeds soft tube mouth 3mm.Needle point is the plagiohedral needle point, length of needlepoint 4mm.And have the stirrup that can freely dismantle to be fastened on the needle handle end, prevent that the slip of two halves needle tubing from influencing the sharpness of needle point; Flexible drainage catheter is two chambeies, one capsule pipes, by drainage catheter and can topping up the bulging water pocket prevent that the capsule pipe that drainage catheter is deviate from from forming, two pipes do not communicate, the drainage tube head end has three side openings, the near head end side opening is apart from head end 1cm, side opening spacing 1cm, the bulging of capsule pipe topping up partly is positioned at the needle stand side of side opening, apart from drainage tube head end side opening 1cm farthest.Terminal needle stand and capsule pipe joint for the band two-way valve, hub interface is medical Lu Shi interface.The outer silk of mouth end band also has the cap nut of being with internal thread closely to connect with it.Whole piece drainage tube total length 30cm.
Further technical scheme: the described rigidity trocar is made up of two semicircular needle tubings, and one is fluted, and one has tongue, both can to become a complete puncture needle.
On the described rigidity trocar scale is arranged.
Described needle handle has many, and " " " type convex line is to increase skidproof effect.
" ‖ " type convex line is arranged to increase skidproof effect on the described two-way valve gauge tap.
Be carved with scale on the described flexible drainage tube.
Described flexible drainage tube drainage catheter hub interface is medical Lu Shi interface, and a mouthful end has outer silk, can tighten with the cap nut of band internal thread and closely be connected.
The beneficial effects of the utility model are: these a large amount of hydrops puncture drainage from indwelling, repeatedly the drawing liquid puncture needle is applicable to the pernicious hydrops in a large amount of breasts, abdominal cavity that cancer causes; Hypoproteinemia and cardiac insufficiency cause that a large amount of breasts, abdominal cavity spill liquid; Empyema; Hydropneumothorax drainage from indwelling, drawing liquid repeatedly.Can make the doctor according to clinical needs drain hydrops, and a people simple to operate just can finish.Show that by large sample (100 example) test use this drain puncture needle under identical treatment condition, treatment time obviously shortens, none routine complication takes place.Our unit uses the longest reservation of this drain puncture needle 3 months, has reduced patient's misery, has improved patient's quality of life.Demonstrated fully the practicality of this drain puncture needle, science, characteristics such as it has scientific and reasonable for structure, and is simple to operate, practical are a kind of new pin types that replaces old-fashioned drainage way, are worth extensively promoting in clinical a large amount of hydrops puncture drainage drawing liquids, use.
Description of drawings
Accompanying drawing is a kind of configuration diagram of the present utility model.
Below in conjunction with accompanying drawing this utility model is further described:
Fig. 1 is the front view of the rigidity trocar of the present utility model.
Fig. 2 is the left view of Fig. 1.
Fig. 3 is the front view of this utility model rigidity trocar stirrup.
Fig. 4 is the front view of the flexible drainage tube of this utility model.
Among the figure: 1 pin is done, 2 soft tubes, 3 needle stands, 4 needle handles, 5 clamp nuts, 6 stirrups, 7 stirrup turning cylinders, 8 screw turning cylinders, 9 side openings, 10 drainage catheters 11, two-way valve switch 12, two-way valve 13, Connection Block 14, capsule pipe bulging part 15, capsule pipe 16, capsule interface tube 17, cap nut
The specific embodiment
As shown in Figure 1, 2, 3, this puncture needle is made of Fig. 1 rigidity trocar and the flexible drainage tube of Fig. 4.The rigidity trocar is made up of two semicircular needle tubings, external diameter unanimities in both, one is fluted, one has tongue, both to become a complete trocar, both have 4 needle handles by an end, the other end is a needle point.Have on 4 needle handles that " " " type convex line is to increase skidproof effect, the rigidity trocar by 1 pin do, 3 needle stands, 4 needle handles form, make by rustless steel, for preventing that the rigidity trocar from separating from the centre, keep the sharpness of needle point, there are 2 soft tubes and 6 stirrups in rigidity trocar outside, 2 soft tubes are made by polyethylene, length and nook closing member differ 3mm, and tip is made taper, make it be close to rigidity trocar outer wall.6 stirrup internal diameters are consistent with 1 rigidity trocar external diameter.Unclamp 5 clamp nuts, divide after foreign side, stirrup is enclosed within trocar needle handle end, screw 5 clamp nuts.Flexible drainage tube conduit is two chambeies, one capsule pipes, form by 10 drainage catheters, 12 two-way valves, 13 Connection Blocks and 15 capsule pipes, 16 capsule interface tubes, 17 cap nuts, 10 drainage catheters are made by polyethylene or polytetrafluoroethylplastic plastic, its leading portion has three side openings, prevent to stop up conduit in the drain process, 12 two-way valves, 13 Connection Blocks, 17 cap nuts are made by the PVC material.15 capsule pipes, 16 capsule interface tubes are made by silica gel.The water pocket of 14 capsule pipe bulgings part energy bulging diameter 1.5cm stops drainage tube to be deviate from from the site of puncture.1 pin is done, and 10 drainage catheter outer walls all have scale, to grasp depth of needle, guarantees that 14 capsule pipe bulge branches are in the hydrops.
Use this device hydrothorax drawing liquid, indwelling process:
1 site of puncture routine disinfection, hole, shop towel local anaesthesia are held scalpel at site of puncture transection skin, and the about 0.5cm of otch separates subcutaneous tissue and flesh layer.Flexible drainage tube Connection Block screws on cap nut.
The 2 rigidity trocars wrap up flexible drainage tube leading portion, the overcoat soft tube, and after stirrup is anchored on the needle handle end, the trocar is directly thrust fluid collection chamber along otch, when penetrating thoracic wall or stomach wall when entering fluid collection chamber, the patient has resistance to pause to disappear sense, see the dried high scale palm of pin breast, thickness of abdominal wall, then flexible drainage tube is sent into fluid collection chamber, see that top scale guarantees that but drainage tube capsule pipe bulge branch is in the hydrops, extract the rigidity trocar, inject the 3ml sterilized water, make the water pocket of capsule pipe front end bulging diameter 1.5cm from the capsule pipe joint.Unclamp clamp nut, divide after foreign side, stirrup is taken off from the rigidity trocar, the rigidity trocar is isolated from soft tube, take off.With applying ointment or plaster drainage tube is fixed in skin, because of water pocket is arranged in the hydrops, drainage tube can not deviate from, need not stitch and skin incision, both can avoid taking place the incision pain that the sutured tension causes, can prevent the drainage tube slippage again, the conduit internal orifice enter subcutaneous due to subcutaneous emphysema.
3 close two-way valve, then connect water-sealed drainage bottle as the need drain, utilize switch amplitude size control drainage flow size; Then connect the syringe drawing liquid as the need drawing liquid, the two-way valve switch can open or close as required; Keep somewhere as need, then close two-way valve earlier, for preventing to pollute, the hub interface cap nut of screwing in order to next drawing liquid usefulness, has reduced patient's misery.
4 as extracting drainage catheter, then extracts out with the sterilized water in the syringe holder capsule pipe earlier, extracts drainage catheter then.