Disposable monitoring intra-abdominal pressure pipe(1) technical field
The present invention relates to a kind of medical supplies, particularly relate to a kind of disposable monitoring intra-abdominal pressure pipe.
(2) background technology
As everyone knows, IAP(intra-abdominal pressure) raise to acquire a certain degree and rear the human organ function is produced harmful effect, continue for some time and to cause a plurality of organ dysfunctions incomplete, or even the exhaustion phenomenon occurs.
The abdominal cavity is comprised of stomach wall, psoas major, spinal column, diaphram and pelvic cavity, and its capacity is limited, can be considered a compartment[4]Normal human's intra-abdominal pressure is in the 0Kpa left and right[5](1Kpa=7.5mmHg), any situation that causes that the tolerant volume of intraperitoneal increases can increase Intraabdominal pressure.Usually with intra-abdominal pressure〉1.96Kpa (20mmHg) is defined as increased abdominal pressure, intra-abdominal pressure〉2.45Kpa (25mmHg), patient occurs that oliguria, airway pressure rising, hypoxemia, cardiac output reduce, the acidosis one or more abdominal compartment syndrome that is diagnosed as of the clinical manifestation such as hypotensive shock even[5]Intra-abdominal pressure can be divided into 4 grades: I level 10-14mmHg; II level 15-24mmHg; III level 25-35mmHg; The IV level〉35mmHg.Wherein I, II level endanger less to body[5]By monitoring intra-abdominal pressure, can provide foundation for diagnosing patient, treatment.
The monitoring and measuring application of intra-abdominal pressure has reduced the generation of complication in aspects such as critical patient's diagnosis, treatment, nursing, has improved the Rescuing Critical Patients success rate.There are a lot of nursing problems in monitoring intra-abdominal pressure.There is no at present the disposable simple and easy monitor of measuring intra-abdominal pressure.
(3) summary of the invention
The present invention is in order to make up the deficiencies in the prior art, provide a kind of applied widely, can improve nursing quality, reduce the disposable monitoring intra-abdominal pressure pipe of patient's abdominal cavity infection danger.
The present invention realizes by following technical method.
Disposable monitoring intra-abdominal pressure pipe of the present invention, it comprises pressure-measuring pipe, three-way valve, infusion pipeline three parts, it is characterized in that: pressure-measuring pipe comprises successively four sections of pressure-measuring pipe A, the pressure-measuring pipe B, pressure-measuring pipe C, the pressure-measuring pipe D that connect, rule with the pressure unit scale value is arranged at pressure-measuring pipe A top, bottom and pressure-measuring pipe B and angle scale are hinged, by angle scale, the angle of rule and pressure-measuring pipe B are adjusted to 90 ° of standards; Pressure-measuring pipe B is connected by attachment cap A, attachment cap B with pressure-measuring pipe C, and pressure-measuring pipe C, liquid line are connected by three-way valve A with pressure-measuring pipe D, and pressure-measuring pipe D end is connected with urinal with the urinary catheter of catheter by three-way valve B, and liquid line connects normal saline bag.
Disposable monitoring intra-abdominal pressure pipe of the present invention, indirectly to reflect intra-abdominal pressure by measuring bladder pressure, pressure-measuring pipe D is connected with double lumen catheter, wooden pail for urine, can regulate by three-way valve A and tee T B the pipeline that communicates, pressure-measuring pipe C is connected with liquid line by three-way valve with pressure-measuring pipe D, and major part is the pressure-measuring pipe A of front end, and there is the pressure unit scale value its top, can directly read force value, convenient and easy.
The invention has the beneficial effects as follows, transform on common monitoring intra-abdominal pressure device basis, draw its advantage, its deficiency is carried out anti symptom treatment solve, the disposable monitor of this kind is simple to operate, and cost is low, simplified operation sequence, the used time can not take off, and has reduced opportunities for contamination, reduce the chance of abdominal cavity infection, promote Rehabilitation, promote that the patient is comfortable, reduced the nurse job amount, can improve nursing quality, reduce patient's abdominal cavity infection dangerous, applied widely.And this moderate product price, grasp than being easier to, be fit to different level hospital, wide exploitation and application prospect are arranged.Pressure-measuring pipe A is collapsible and be in the same place with pressure-measuring pipe B, is convenient to deposit.The monitoring and measuring application of intra-abdominal pressure has reduced the generation of complication in Rescuing Critical Patients, has improved critical patient's salvage success rate.
Reduce infection rate,
(4) description of drawings
Accompanying drawing is structural representation of the present invention.
In figure: 1, pressure-measuring pipe A; 2, pressure unit scale value; 3, angle scale; 4, pressure-measuring pipe B; 5, attachment cap A; 6, attachment cap B; 7, pressure-measuring pipe C; 8, three-way valve A; 9, liquid line; 10, normal saline bag; 11, pressure-measuring pipe D; 12, three-way valve B.
(5) specific embodiment
Accompanying drawing is a kind of instantiation of the present invention.
Disposable property monitoring intra-abdominal pressure pipe of the present invention, it comprises pressure-measuring pipe, three-way valve, infusion pipeline three parts, pressure-measuring pipe comprises successively 11 4 sections of pressure-measuring pipe A 1, the pressure-measuring pipe B 4, pressure-measuring pipe C 7, the pressure-measuring pipe D that connect, rule with pressure unit scale value 2 is arranged at pressure-measuring pipe A 1 top, bottom and pressure-measuring pipe B 2 and angle scale 3 are hinged, by angle scale 3, the angle of rule and pressure-measuring pipe B 4 are adjusted to 90 ° of standards; Pressure-measuring pipe B 2 is connected by attachment cap A 5, attachment cap B 6 with pressure-measuring pipe C 7, pressure-measuring pipe C 7, liquid line 9 are connected by three-way valve A 8 with pressure-measuring pipe D 11, pressure-measuring pipe D 11 ends are connected with urinal with the urinary catheter of catheter by three-way valve B 12, and liquid line connects 100ml normal saline bag 10.
Pressure-measuring pipe A 1 is connected with pressure-measuring pipe B 4, and collapsible the making both in junction between both is close together, and availablely is adjusted to 90 ° of standards by angle scale 3 use rules, with guarantee numerical value accurately.Wherein the pressure unit scale value is take mmHg as unit, and with existing consistent with SI units, the nurse can directly read pressure measurement numerical value.Pressure-measuring pipe C 7 is connected by attachment cap B 6 with pressure-measuring pipe B 4, and two attachment caps have supporting screw, can closely connect, without any gap.Liquid line 9 is connected by three-way valve A 8 with pressure-measuring pipe C, pressure-measuring pipe D.Can select by three-way valve A the pipeline that communicates.Pressure-measuring pipe D 11 can be connected by three-way valve B 12 with urinary catheter, urinal, and selects to communicate pipeline by three-way valve B.
Disposable monitoring intra-abdominal pressure pipe of the present invention, pressure-measuring pipe A 1 is that toughness high-tension PE material is made with pressure-measuring pipe B 4 selections, can guarantee 90 ° accurately by angle scale 3, to guarantee that parameter is accurate.Can also prevent that the pipeline that causes really up to the mark from fractureing, simultaneously the discomfort of reduction of patient.Pressure-measuring pipe C, pressure-measuring pipe D are flexible pipe.Each section pressure-measuring pipe is connected by three-way valve, and simple convenient operation is directly read corresponding scale by graduated disc.
During use, patient's clinostatism of making even.Keep somewhere double lumen catheter, prepare the 100ml normal saline, pressure-measuring pipe C 7 is connected with liquid line 9 by three-way valve A 8 with pressure-measuring pipe D 11, and three-way valve B 12 is connected with pressure-measuring pipe D with urinary catheter.Before pressure measurement, pressure-measuring pipe A and pressure-measuring pipe B fold.Pressure-measuring pipe A and pressure-measuring pipe B are opened, pressure-measuring pipe B is lain in desktop, vertically erect pressure-measuring pipe A and make itself and pressure-measuring pipe B form 90 ° of angles, graduated disc numerical value is 0.Keep urinary tract unobstructed before measuring, after empty bladder, folder closes urinary catheter that three-way valve B connects and leads to of urinal, lead to of bladder by infusion pipeline, three-way valve A, pressure-measuring pipe D, three-way valve B and urinary catheter, splash into normal saline 50～100ml to intravesical, the normal saline input speed is wanted slowly, and input can cause the bladder muscle contraction fast, causes increasing of bladder pressure.Pressure-measuring pipe A " 0 " scale and pubic symphysis same level during pressure measurement, A closes infusion pipeline by three-way valve, reads pressure unit scale value on graduated disc in end-tidal, is intra-abdominal pressure.
Measurement has certain impact on intra-abdominal pressure because of patient body position, positive airway pressure and breathing.All should horizontal position during pressure measurement.Can be with the PEEP(end expiratory positive pressure during mechanical ventilation) reduce to 0cmH2O or temporary transient off line are for a moment.