CN102688553B - Flushable continuous drainage double-cavity drainage tube and application - Google Patents
Flushable continuous drainage double-cavity drainage tube and application Download PDFInfo
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- CN102688553B CN102688553B CN201210191445.3A CN201210191445A CN102688553B CN 102688553 B CN102688553 B CN 102688553B CN 201210191445 A CN201210191445 A CN 201210191445A CN 102688553 B CN102688553 B CN 102688553B
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Abstract
The invention provides a flushable continuous drainage double-cavity drainage tube, which comprises an inflow tract and an outflow tract and is characterized in that the tail end of the inflow tract is provided with a tail-end structure; the inflow tract is communicated with an extravascular space through the tail-end structure; and the extravascular space is communicated with the outflow tract through a side port located on the outflow tract. The invention also provides the application of the flushable continuous drainage double-cavity drainage tube. The invention also provides the clinical application of the flushable continuous drainage double-cavity drainage tube. Compared with the prior art, the flushable continuous drainage double-cavity drainage tube has the obvious advantages that 1-, the risk that infection diffusion is promoted because in vivo residual cavity hydrops disperses out of a drainage area under the flushing pressure due to the flushing of a single cavity tract is avoided; 2-, a flushing effect is enhanced; 3-, reoperation or intervention drainage can be avoided; and 4-, the flushing state and the drainage state are changed according to the components of drainage liquid.
Description
Technical field
The present invention relates to a kind of application of Double-channel drainage tube and this drainage tube of flushable constant drainage, belong to technical field of medical instruments.
Background technology
Known in this field, surgical drainage occupies very important status in the processing of department of general surgery's disease.Effectively drain, hydrops that not only can the sucking-off operative region, prevention infection, also the hemorrhage situation of observable, improve operation safety greatly.If the hydrops secondary infection, drain itself becomes topmost treatment means immediately.Once the drain failure, just can only get involved or perform the operation to rebuild adequate drainage by nationality, saves patient's life.As Severe Acute Pancreatitis SAP needs Repeated Operation usually, its purpose of mainly performing the operation also is drain.
Adequate drainage is not only relevant with the placement technique of drainage tube, and main is with the selection of drainage tube and safeguard closely related.The drainage tube had now for abdominal operation mainly contains latex tubing, negative pressure ball, two sleeve pipe.The former belongs to passive drain, and the latter two belong to initiatively drain.Latex tubing and negative pressure ball are mainly prophylactic use, and two sleeve pipes are mainly used in the treatment as Severe Acute Pancreatitis SAP, peritoneal abscess etc.No matter take which type of drain, all be faced with common problem: tube drawing when? can tube drawing noly infect later again? what if is the hydrops secondary infection after tube drawing?
The drain liquid measure of drainage tube is few, and color is clear, Extubation indications normally, but its prerequisite is to want drain unobstructed.Clinically, omental organization's parcel drainage tube and slough stop up the drainage tube tube chamber, and after tube drawing, residual cavity is interior residual in vivo often to have hydrops, even can gush out from the sinus tract mouth.Now need to place suitable drainage tube through former sinus tract mouth, to rebuild adequate drainage, the prevention hydrops continues to infect.During the interior residual cavity hydrops secondary infection of body, if place through former sinus tract mouth without suitable drainage tube, or sinus tract is closed, can only puncture or perform the operation by intervention, can rebuild adequate drainage.
Existing latex tubing and negative pressure ball, because material is partially soft, can't be placed through former sinus tract mouth.And these two kinds of drainage tubes are single chamber, under flushing pressure, the danger of diffusion is infected in disperse outside the oriented drain of infectious hydrops zone, promotion.And though two sleeve pipe has certain rigidity, through former sinus tract mouth, place, but the pliability deficiency is difficult to accurately put in place.Although two sleeve pipes also have the road of inflow and efferent tract, the flushing liquor that flows into road directly enters into efferent tract, and role is mainly moistening, and can't be rinsed residual cavity in body.
Therefore, if suitable drainage tube is arranged, can place through former sinus tract, re-establish effective drainage, can be used as transition after the capital operation drainage tube is pulled out to prevent remaining hydrops to infect, or the primary treatment means that infect as the remaining hydrops in abdominal cavity.In addition, desirable drainage tube must be also to flow into road to separate with efferent tract, but not only drain, also possesses pre-washing function, can avoid the suction of single tract to make hydrops repeatedly enter residual cavity in body, under flushing pressure, the danger of diffusion is infected in outwards disperse, promotion simultaneously.Up to now, this drainage tube is not yet arranged, and this drainage tube is placed through former sinus tract, re-establish adequate drainage, for the report that in clinical prevention or treatment body, the residual cavity hydrops infects.
Summary of the invention
To the objective of the invention is in order solving through former sinus tract placing drainage, to rebuild adequate drainage with the problem that in prevention or treatment body, the residual cavity hydrops infects, and a kind of Double-channel drainage tube proposed and the application of this Double-channel drainage tube.
In order to achieve the above object, a technical scheme of the present invention has been to provide a kind of Double-channel drainage tube of flushable constant drainage, comprise and flow into road and efferent tract, it is characterized in that: at the end that flows into road, be provided with end structure, flow into road and communicate with the pipe external series gap through end structure, the side opening of pipe external series gap through being positioned on efferent tract communicates with efferent tract.
Preferably, described end structure comprises air bag, is provided with pneumatopyle on air bag, and described inflow road communicates with described pipe external series gap after air bag and pneumatopyle.
Preferably, described end structure is the open side opening that is positioned at described inflow road end, and described inflow road communicates with described pipe external series gap through open side opening.
Preferably, described efferent tract increases side opening according to the degree of depth of residual cavity in body.
Another object of the present invention has been to provide a kind of application of Double-channel drainage tube of above-mentioned flushable constant drainage, it is characterized in that: by the external flusher in inflow road of above-mentioned Double-channel drainage tube, by the external external drainage container of its efferent tract, thereby form the device of flushable constant drainage.
Preferably, described flusher is syringe cylinder or infusion bottle, by it, controls the flushing state: be interrupted and rinse or continual rinsing.
Preferably, described external drainage container is any one in drainage bag, driven pressure reducer for gastrointestinal tract, negative pressure ball or negative pressure bottle, controls the drain state by it: constant drainage or continuous negative pressure drainage.
Another technical scheme of the present invention has been to provide a kind of application of Double-channel drainage tube of above-mentioned flushable constant drainage, it is characterized in that: directly place above-mentioned Double-channel drainage tube and carry out drain in operation, perhaps after operation, after the former drainage tube of placing in operation is pulled out, place above-mentioned Double-channel drainage tube through former sinus tract, infect for residual cavity hydrops in prevention or treatment body.
Preferably, flushing liquor enters the inflow road of above-mentioned Double-channel drainage tube via flusher, enter residual cavity in the pipe ectosome via the end structure that flows into road again, the hydrops of residual cavity in body and visible component are poured to efferent tract through the side opening of efferent tract, then enter the external drainage container through efferent tract.
The present invention contrasts prior art and has following innovative point:
1, flow into road and communicate with the pipe external series gap through end structure, make to flow into efferent tract and separate fully, flushing liquor must enter into the pipe external series gap, strengthens the irrigation and drainage effect;
2, Double-channel drainage tube is connected with external drainage container, flusher, forms the device of flushable constant drainage, and determined as required to change and rinse and the drain state flexibly by the latter two;
3, Double-channel drainage tube can be placed through former sinus tract, rebuilds effective adequate drainage.
The present invention contrasts prior art and has remarkable advantage:
1, Double-channel drainage tube inflow road separates fully with efferent tract, avoids the suction of single tract to cause residual cavity hydrops disperse outside the drain zone under flushing pressure in body, promotes to infect the danger of spreading;
2, flushing liquor must enter residual cavity in the pipe ectosome, is conducive to the hydrops of residual cavity in body and visible component are gone out, and strengthens developing result;
3, place through former sinus tract, rebuild effective adequate drainage, can avoid again performing the operation or getting involved drain;
4, the number of efferent tract side opening be can increase according to the position of residual cavity in body, according to the composition of drainage-fluid, flushing, drain state changed.
The accompanying drawing explanation
The schematic diagram that Fig. 1 is a kind of Double-channel drainage tube structure provided by the invention;
The schematic diagram that Fig. 2 is the another kind of structure of a kind of Double-channel drainage tube provided by the invention;
The connection diagram that Fig. 3 is the Double-channel drainage tube in Fig. 1;
The connection diagram that Fig. 4 is the Double-channel drainage tube in Fig. 2;
Fig. 5 is the irrigation tests result of Double-channel drainage tube provided by the invention at different residual cavities;
The irrigation tests result that Fig. 6 is the different side opening numbers of Double-channel drainage tube provided by the invention;
The irrigation tests result that Fig. 7 is the different flushing speed of Double-channel drainage tube provided by the invention;
The flushing that Fig. 8 is Double-channel drainage tube provided by the invention attracts schematic diagram.
The specific embodiment
For the present invention is become apparent, hereby with preferred embodiment, and coordinate accompanying drawing to be described in detail below.
Following examples have all been used the Double-channel drainage tube of a kind of flushable constant drainage as shown in Figure 1 or 2, comprise and flow into road b and efferent tract a, be provided with end structure c at the end that flows into road b, flowing into road b communicates with the pipe external series gap through end structure, the side opening of pipe external series gap through being positioned on efferent tract a communicates with efferent tract a, this side opening can be the intrinsic side opening of efferent tract a itself, can be also the side opening that the degree of depth according to residual cavity in body newly increases.
As shown in Figure 1, a kind of structure of end structure c is to comprise air bag d, is provided with pneumatopyle 1 on air bag d, flows into road b and communicates with the pipe external series gap after air bag d and pneumatopyle 1.
As shown in Figure 2, the another kind of structure of end structure c is: for being positioned at the open side opening 3 of described inflow road b end, described inflow road b communicates with the pipe external series gap through open side opening 3.
Embodiment 1: the external irrigation tests of the Double-channel drainage tube of the catheter transformation of the way
1, catheter is changed system into Double-channel drainage tube
Design drawing by Fig. 1 or Fig. 2 is changed a social system former double lumen catheter.
2, external irrigation tests
As shown in Figure 3 or Figure 4, by the external flusher of inflow road b of above-mentioned Double-channel drainage tube, by the external external drainage container of its efferent tract a, thereby form the device of flushable constant drainage.Flusher is syringe cylinder or infusion bottle, by it, controls the flushing state: be interrupted and rinse or continual rinsing.The external drainage container is any one in drainage bag, driven pressure reducer for gastrointestinal tract, negative pressure ball or negative pressure bottle, controls the drain state by it: constant drainage or continuous negative pressure drainage.
2.1, the developing result of different residual cavity models
Get three shape differences, the different residual cavity model (M1, M2, M3) of volume, double lumen catheter is positioned at far-end and the near-end of end structure c and cuts respectively 3 side openings (P3) again.The flushing Speed Setting is 1ml/s (S1).At first measure residual cavity original volume V, collect different flush points (flushing reaches 1/4V, 1/2V, 3/4V, V, 5/4V, 3/2V, 7/4V, 2V) flushing liquor, adopt spectrophotometer to detect flushing liquor absorbance (OD value) at the 570nm wavelength.
As shown in Figure 5, result shows at different residual cavity models its result of the test, and the OD value of flushing liquor is all with carrying out of rinsing and successively decrease.When flushing liquor reaches 7/4 times of residual cavity volume, the OD value of three group model flushing liquors all is about initial concentration 10%, and enters a plateau.Between model, the OD of flushing liquor does not have significant difference (P>0.05), how points out not in body residual cavity, and flushing liquor reaches the residual cavity volume and approximately substantially rinses well 7/4～2 times the time.
2.2, the developing result of different side opening numbers
Choose at random a residual cavity model (M1), the developing result of the improvement double lumen catheter of the different side opening numbers of comparative study.Double lumen catheter sacculus far-end and near-end be newly-increased 0～3 side opening (P0, P1, P2, P3) respectively.The flushing Speed Setting is 1ml/s (S1).At first measure residual cavity original volume V, collect different flush points (flushing reaches 1/4V, 1/2V, 3/4V, V, 5/4V, 3/2V, 7/4V, 2V) flushing liquor, adopt spectrophotometer to detect flushing liquor absorbance (OD value) at the 570nm wavelength.
As shown in Figure 6, result shows that the newly-increased side opening number of developing result and double lumen catheter is obviously relevant to result of the test, and to any one flush points, the side opening number is more, the OD value of flushing liquor minimum (P<0.05).
2.3, the developing result of different flushing speed
Choose at random a residual cavity model (M2), the effect of the different flushing speed of comparative study improvement double lumen catheter.Double lumen catheter sacculus far-end and near-end be newly-increased 2 side openings (P2) respectively.The flushing Speed Setting is 2ml/s (S2) and 0.5ml/s (S0.5).At first measure residual cavity original volume V, collect different flush points (flushing reaches 1/4V, 1/2V, 3/4V, V, 5/4V, 3/2V, 7/4V, 2V) flushing liquor, adopt spectrophotometer to detect flushing liquor absorbance (OD value) at the 570nm wavelength.
As shown in Figure 7, result shows that developing result and flushing speed do not have remarkable relation to result of the test, and to any one flush points, the developing result of different flushing speed is suitable, and the OD value of different flush points flushing liquors is without marked difference (P>0.05).
Embodiment 2: the clinical practice of the Double-channel drainage tube of the catheter transformation of the way
The patient, because of " carcinoma of head of pancreas " row " pancreaticoduodenectomy ", after within postoperative 7 days, pulling out 2 peritoneal cavity drainage tubes, the infection signs such as heating, total white blood cells and neutrophilic granulocyte ratio increase occur.Opaque dark area of fluid is arranged, the secondary infection of diagnosis pancreas fistula around the unenhanced discovery pancreas of abdominal CT intestinal anastomotic stoma.The hydrops district still has 1 negative pressure ball, but may stop up due to tube chamber, fails to play effective drainage, determines to pull out the Double-channel drainage tube of placing the catheter transformation of the way by former sinus tract, to rebuild unobstructed effective drainage.
According to placement length and the CT finding of pulled out negative pressure ball drainage tube, by Fig. 1, catheter is changed system into to Double-channel drainage tube: the catheter sacculus is broken, flow into the road offside and cut 2 gaging holes.Double-channel drainage tube after former sinus tract is inserted the transformation of the way again, then press Fig. 3 and be connected with flusher with the external drainage device respectively, and fixed.This exception drainage system adopts driven pressure reducer for gastrointestinal tract to continue to attract, flusher adopts syringe, the each interruption for 2 times rinses, be interrupted the effect of rinsing, continuing attraction thereby play: in conjunction with Fig. 8, aseptic flushing liquor injects from the air bag interface through flusher (syringe), and arrive its end structure c through flowing into road b: air bag d and pneumatopyle 1 flow out to residual cavity e in body, through efferent tract, the intrinsic newly-increased side opening 2 that reaches enters efferent tract a again, thereby is sucked into the external drainage device.
According to the external flushing physical parameter result of study of Double-channel drainage tube, in flushing liquor reaches body, during the residual cavity volume, drainage-fluid concentration drops to initial concentration 20% left and right substantially, and now naked eyes see that the drainage-fluid color turns light by dense.Therefore when the flushing beginning is limpid, can estimate that the interior residual cavity volume of body is about the volume of flushing liquor.Continue to rinse equal amount again, reach 2 times of residual cavity volume, drainage-fluid concentration is initial concentration 10% gets final product.Rinse and continue to attract treatment 1 week through Double-channel drainage tube (every day 2-3 time) interruption, after patient temperature recovers normally gradually, the check routine blood test, it is normal that leukocyte recovers, and the check abdominal CT, around pancreas, opaque dark area of fluid obviously dwindles as seen.
Claims (5)
1. the Double-channel drainage tube of a flushable constant drainage, comprise and flow into road (b) and efferent tract (a), it is characterized in that: at the end that flows into road (b), be provided with end structure (c), flowing into road (b) communicates with the pipe external series gap through end structure, the side opening of pipe external series gap through being positioned on efferent tract (a) communicates with efferent tract (a), described end structure (c) comprises air bag (d), be provided with pneumatopyle (1) on air bag (d), described inflow road (b) communicates with described pipe external series gap after air bag (d) and pneumatopyle (1).
2. the Double-channel drainage tube of a kind of flushable constant drainage as claimed in claim 1 is characterized in that: described efferent tract (a) increases side opening according to the degree of depth of residual cavity in body.
3. the application of the Double-channel drainage tube of a flushable constant drainage as claimed in claim 1, it is characterized in that: by the external flusher in inflow road (b) of Double-channel drainage tube as claimed in claim 1, by the external external drainage container of its efferent tract (a), thereby form the device of flushable constant drainage.
4. the application of the Double-channel drainage tube of a kind of flushable constant drainage as claimed in claim 3 is characterized in that: described flusher is syringe cylinder or infusion bottle, by it, controls the flushing state: be interrupted and rinse or continual rinsing.
5. the application of the Double-channel drainage tube of a kind of flushable constant drainage as claimed in claim 3, it is characterized in that: described external drainage container is any one in drainage bag, driven pressure reducer for gastrointestinal tract, negative pressure ball or negative pressure bottle, controls the drain state by it: constant drainage or continuous negative pressure drainage.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210191445.3A CN102688553B (en) | 2012-06-11 | 2012-06-11 | Flushable continuous drainage double-cavity drainage tube and application |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210191445.3A CN102688553B (en) | 2012-06-11 | 2012-06-11 | Flushable continuous drainage double-cavity drainage tube and application |
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| Publication Number | Publication Date |
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| CN102688553A CN102688553A (en) | 2012-09-26 |
| CN102688553B true CN102688553B (en) | 2014-01-01 |
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| CN201210191445.3A Expired - Fee Related CN102688553B (en) | 2012-06-11 | 2012-06-11 | Flushable continuous drainage double-cavity drainage tube and application |
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| CN109621164A (en) * | 2017-10-07 | 2019-04-16 | 罗顺莲 | Two-chamber has hole drainage tube |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2061842U (en) * | 1990-01-19 | 1990-09-12 | 吕钦国 | Thoracic / abdominal dual-cavity drainage-tube |
| US5084012A (en) * | 1991-03-22 | 1992-01-28 | Kelman Charles D | Apparatus and method for irrigation and aspiration of interior regions of the human eye |
| CN101391125A (en) * | 2008-10-17 | 2009-03-25 | 曲乐丰 | Negative-pressure drainage tube |
| CN201603160U (en) * | 2010-01-24 | 2010-10-13 | 邓仲存 | Improved ventricular drainage tube |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20050043673A1 (en) * | 2003-08-22 | 2005-02-24 | Lieberman Daniel M. | Method and apparatus for irrigation and drainage of the brain's subdural space using a percutaneous approach |
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2012
- 2012-06-11 CN CN201210191445.3A patent/CN102688553B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2061842U (en) * | 1990-01-19 | 1990-09-12 | 吕钦国 | Thoracic / abdominal dual-cavity drainage-tube |
| US5084012A (en) * | 1991-03-22 | 1992-01-28 | Kelman Charles D | Apparatus and method for irrigation and aspiration of interior regions of the human eye |
| CN101391125A (en) * | 2008-10-17 | 2009-03-25 | 曲乐丰 | Negative-pressure drainage tube |
| CN201603160U (en) * | 2010-01-24 | 2010-10-13 | 邓仲存 | Improved ventricular drainage tube |
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| CN102688553A (en) | 2012-09-26 |
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