A kind of artificial intelligence cardiac diagnosis lead Doppler color ultrasound all-in-one machineTechnical field
The invention belongs to medical instruments and engineering in medicine technical field, and in particular to how general a kind of artificial intelligence cardiac diagnosis lead isStrangle colorful ultrasonic all-in-one machine.
Background technique
Washington, DC medical centre Smith in 2010 is set using electrocardio localization method guidance central venous catheter for the first timePipe, when catheter tip location superior vena cava and atrium dextrum intersection, P wave-amplitude can all reach peak for discovery, therefore consider to utilizeThe variation of P wave realizes that the accurate positionin of catheter tip needs to guarantee that testing result is correct by conduit and routine in electrocardiogramElectrocardiogram monitor system electrical connection.Ultrasonic device and electrocardiogram monitor system is needed to be used in combination in surgical procedure, it is complicated for operation, it needsWant more medical staff to participate in, and poor consistency when two kinds of equipment are used in combination, this efficiency that can all influence to set pipe and atPower.In order to improve the above problem, a kind of cardiac diagnosis lead Doppler color ultrasound all-in-one machine with artificial intelligence of the present invention.
Patent CN 105188825A discloses a kind of side that the positioning of central venous catheter end is used for using ECG signalMethod and system, the medical system are able to detect the position of catheter tip and assess its connecing relative to superior vena cava and atrium dextrumClose the position at position.The testing and evaluation is executed by the multiscale analysis of the complexity of intravascular signal data point.
Patent CN 205814848U has invented a kind of positioning system of Theodolite measuring systems, by conduitSeal wire and ECG monitor are linked together by conductive component, facilitate electrocardiogram monitor system in electrocardioelectrode and PICC seal wireBetween stablize conversion.
The Chinese invention patent of Patent No. CN104083340B discloses the ultrasonic diagnostic equipment with ECG detecting, the heartNot only simultaneous display and the triggering ultrasonic imaging of electric module, while the ecg information with diagnostic significance being provided, it is super at present to solveThe incomplete technical problem of ecg information that audio clinic equipment obtains.
" electrocardiogram is analyzed applied to PICC conduit head end locating effect Meta in atrium " of Song Jian et al. is published in " shieldNeo-Confucianism report ", 2017,24(13)；The paper of Ling Yuan et al. " Superior success rate ofintracavitary electrocardiogram guidance for peripherally inserted centralcatheter placement in patients with cancer: A randomized openlabel controlledMulticenter study " is published in Plos One, 2017,12 (3)；To based on intracavitary electrocardiogram in this two documentsIt instructs PICC to set pipe and has carried out research and analysis, it was demonstrated that electrocardiogram is applied to the advantages of PICC conduit head end positions.
The present invention and foregoing invention and document report the difference is that, it is this that there is artificial intelligence cardiac diagnosis lead DopplerColorful ultrasonic all-in-one machine carries out vein built-in pipe under its guiding, while can choose blood vessel, measures blood flow velocity, passes through peopleDistance of the catheter tip away from designated position in work intelligent prompt operating process, and conduit enters sending warning after heart.This hairThe bright success rate and accuracy rate for improving intubation shortens operating time, reduces complication.
Summary of the invention
In view of the above-mentioned problems of the prior art, the object of the present invention is to provide how general a kind of artificial intelligence cardiac diagnosis lead isColorful ultrasonic all-in-one machine is strangled, ECG module not only shows and trigger ultrasonic imaging, and also providing has accurate positioning catheter positionEcg information.The present invention can solve ultrasonic device and electrocardiogram monitor system is used in combination, complicated for operation, need several medical staffIt participates in, and the problem of poor consistency when two kinds of equipment are used in combination, improves the efficiency and success rate for setting pipe.
Above-mentioned purpose of the invention is realized by following solution: a kind of artificial intelligence cardiac diagnosis lead Doppler is colorColor ultrasound all-in-one machine comprising: ultrasound imaging module；Connect the lead connector of several electrodes；It is connect with lead connectorECG module, each lead obtains electrocardiosignal all the way respectively, signal processing carried out in ECG module；Connect ECG moduleWith the display module of ultrasonic module, the heart is shown for selecting ECG module output and ultrasound imaging module starting ultrasonic scanning to switchElectric signal and ultrasonic signal；Artificial intelligence module, can artificial intelligence prompt set the information such as pipe position, blood vessel diameter, blood flow velocity；The alarm module being connect with ECG module, for select ECG module export wherein electrocardiosignal is detected all the way, examiningAfter the variation for measuring P wave, alarm warning can be issued；It enables a physician to be analyzed and determined using ultrasound, electrocardiosignal simultaneously,Improve the accuracy of diagnosis.
The artificial intelligence cardiac diagnosis lead Doppler color ultrasound all-in-one machine, can artificial intelligence prompt implantable intravascular it is straightDiameter, and it is indicative to issue " blood vessel diameter xx mm " " blood vessel diameter is too big ", " blood vessel diameter is too small ", " blood vessel diameter is suitable " etc.Language；Can artificial intelligence prompt implantable intravascular blood flow velocity, and issue that " Hemodynamic environment is spent such as " blood flow velocity xx ml/min "Fastly ", the prompts such as " Hemodynamic environment is spent slowly ", " blood flow velocity is suitable "；Can artificial intelligence prompt conduit implantation length, andThe prompts such as " conduit has been implanted into xx cm " are issued, but not limited to this sentence language；It can be according to the P wave height of intracavitary electrocardiogramDistance of the budget catheter tip apart from superior vena cava and atrium dextrum interface point is spent, artificial intelligence prompts conduit apart from optimum positionDistance, and the prompts of " distance away from optimum position is xx cm " are issued, but not limited to this sentence language；When conduit is implanted intoIt is too deep, when into atrium dextrum, it can trigger voice or flashing light alarm warning, and issue the prompts of " implantation is too deep ", but notIt is limited to this language.
The display module can directly display ultrasonic map and ECG data in equipment, and can be by built-in wirelessBluetooth accesses external connection display equipment.
The alarm module, can voice or with other signal prompt catheter positions, set pipe it is too deep when can trigger alarm and openIt closes, medical staff is prompted to withdraw conduit.
The cardiac diagnosis lead Doppler color ultrasound machine has change-over switch, can be adjusted by the change-over switchControl intracardiac and two kinds of detecting states of body surface.
The cardiac diagnosis lead Doppler color ultrasound all-in-one machine can have ultrasonic guidance, Doppler to survey blood flow and electrocardioLead positioning function.
The cardiac diagnosis lead Doppler color ultrasound all-in-one machine, leads when converter switch is connected to body surface connector in electrocardioJoin on Doppler color ultrasound all-in-one machine whether observation electrocardiogram and heart rate are normal, if having P waveform shape, height and width, protectDeposit current normal surface electrocardiogram.Converter switch is connected to intracardiac connector when setting pipe, how general observation cardiac diagnosis lead is when setting pipeColorful ultrasonic all-in-one machine is strangled, when conduit is sent to predetermined position, cardiac diagnosis lead Doppler color ultrasound all-in-one machine, which can issue, sets pipePosition accurately warns, and conduit is slowly exited to p wave-amplitude after 1-2cm becomes the 50-80% of QRS wave amplitude, shows catheter tipPositioned at superior vena cava lower end close to atrium dextrum inlet, it is now in optimum position.If set pipe it is too deep when, there is bimodal P wave,Show that conduit implantation is too deep, into atrium dextrum, warning note occurs in equipment at this time, and medical staff should withdraw conduit according to prompt.
The present invention has the advantages that due to taking the above design
The invention proposes a kind of artificial intelligence cardiac diagnosis lead Doppler color ultrasound all-in-one machines, detect atrium heart by synchronousElectrograph, with the variation of P wave on ECG monitor, accurately adjustment positioning end of picc, does not have to x-ray rabat and positions, reduceDoctor and patient additionally carries out some time-consuming, time-consuming inspections, avoids x-ray radiation, improves once holding tube arrival rate.It can real-time displayThe distance of blood vessel diameter, blood flow size, conduit implantation depth, conduit head end apart from superior vena cava and atrium dextrum interface point, is convenient forDoctor's operation.With catheter tip orientation triggering alarm system, enable a physician to accurately determine point in conduit implantation processEnd position shortens the time of operation, highly-safe.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the artificial intelligent cardiac lead Doppler color ultrasound all-in-one machine of the present invention；
Fig. 2 is that the artificial intelligent cardiac lead doppler ultrasound all-in-one machine of the present invention sets guard system schematic diagram
Fig. 3 is electrocardiogram converter structure schematic diagram of the present invention
Fig. 4 is the normal electrocardiogram of human body
Fig. 5 is electrocardiogram when conduit reaches correct position
Fig. 6 is that conduit is implanted into too deep, electrocardiogram when into atrium.
Specific embodiment
Embodiment 1
As shown in Figure 1, present embodiments providing a kind of artificial intelligence cardiac diagnosis lead Doppler color ultrasound all-in-one machine includes: to pass throughLead connector 4 connects the ECG module 2 of several electrodes 3, for passing through lead connector 4 and being placed in the multiple of measuring pointElectrode connects (such as 3 leads, 9 leads), and each lead obtains 1 tunnel electrocardial analog signal respectively, has ECG module X to each road heartThe processing such as electric analoging signal amplifies, digital-to-analogue conversion, filtering obtain digitized electrocardiosignal, and digitized electrocardio is believedAlarm module 1 can be triggered after number reaching pre-set value, carries out warning processing；The PC for carrying out display processing to electrocardiosignal handles mouldBlock 5；For passing through the echo to probe acquisition by emitting the ultrasound imaging module 7 that ultrasound examination position is imagedInformation carries out analog filtering, amplification, AD sampling, Beam synthesis, Digital Signal Processing, image procossing etc. and obtains ultrasound image letterBreath；PC processing module 5 is used to carry out electrocardiosignal, ultrasound image the ultrasonic Display processing module of display processing, and electrocardio is believedNumber and the fusion of ultrasound image two-way information after export the display module 6 of display, the design of artificial intelligence module, can voice prompting setThe information such as pipe position, blood vessel diameter, blood flow velocity.
Wherein ECG module 2 acquires augmented-lead through conversion, triggers alarm module to the multichannel electrocardiogram (ECG) data obtained1, specific calculation method is well-known technique.
Therefore, the present invention is different from traditional ECG monitor, ultrasonic diagnostic equipment, in addition to showing with traditional electrocardioOutside triggering imaging function, also functions such as ecg signal acquiring, display, storage, alarm of support lead, thus combine ultrasound atThe characteristics of organizational structure of picture and cardiac electrical Electrophysiological characteristics can more accurately position ductus venosus implantation position.
Embodiment 2
Implementation column 2 is a kind of method for set using the cardiac diagnosis lead Doppler color ultrasound all-in-one machine in embodiment 1 pipe.As shown in connection with fig. 2, patient vessel is assessed by using ultrasonic probe 13, confirmation patient needs the blood vessel and arm puncturedPosition sets pipe ultrasonic puncture positioning device using PICC and carries out puncture procedure,
It will wherein a cardiac diagnosis lead-line be connected by electrocardio converter 12 before setting pipe, converter bodies meter connector is picked out with electrocardioThe body surface that the test surface of electrocardioelectrode is placed on to patient of electrode 8, the intracardiac connector of converter pick out the electrocardio with clip and leadOn line connects seal wire.
Electrocardiogram is observed on cardiac diagnosis lead Doppler color ultrasound all-in-one machine when converter switch is connected to body surface connectorIt is whether normal with heart rate, if to have P waveform shape, height and width, save current normal surface electrocardiogram, as shown in Figure 4.It setsConverter switch is connected to intracardiac connector when pipe, observes cardiac diagnosis lead Doppler color ultrasound all-in-one machine.When being placed in conduit, this is setIt is standby to prompt language such as " blood vessel diameter xx mm, blood flow velocity xx ml/min, blood vessel are suitable ", and go deep into pipe is set, it prompts" being implanted into xx cm ".When conduit will be sent to predetermined position, the prompt of " distance away from optimum position is xx cm " can be issued.It arrivesWhen up to predetermined position, cardiac diagnosis lead Doppler color ultrasound all-in-one machine can issue alarm warning, after conduit is slowly exited 1-2cmP wave-amplitude becomes the 50-80% of QRS wave amplitude, shows that catheter tip is located at superior vena cava lower end close to atrium dextrum inlet, thisWhen be in optimum position, as shown in Figure 5.If no P wave-amplitude increases, with ultrasound observation Jugular vessel, ductus venosus tip is confirmedEither with or without being strayed into Jugular vessel.If set pipe it is too deep when, there is bimodal P wave, as shown in fig. 6, show conduit implantation it is too deep, enterAtrium dextrum, there is warning note " conduit implantation is too deep " in equipment at this time, and medical staff should withdraw conduit according to prompt.
Embodiment described above is only that the preferred embodiment of the present invention is described, not to the scope of the present invention intoRow limits, and without departing from the spirit of the design of the present invention, those skilled in the art make technical solution of the present inventionVarious changes and improvements should fall within the scope of protection determined by the claims of the present invention.