Traction-free three-cavity two-sac tube with internal pressure capable of being observedTechnical Field
The utility model relates to a three-cavity two-sac tube, in particular to a three-cavity two-sac tube which is free from traction and can observe the internal pressure.
Background
When a patient suffering from liver cirrhosis portal hypertension complicated with esophageal and gastric variceal rupture and major hemorrhage is rescued, the emergency hemostasis treatment method generally adopts three-cavity two-sac tube compression hemostasis, and the temporary hemostasis rate can reach 70% -94%.
The traditional three-cavity two-bag tube structurally comprises a stomach tube, a stomach air bag, an esophagus air bag, a stomach air bag gas injection and exhaust pipe, an esophagus air bag gas injection and exhaust pipe and the like. When the traditional three-cavity two-sac tube is used for treatment operation, traction is needed to ensure the compression hemostasis effect of the air sac on varicose veins, patients are extremely painful, and serious complications such as ulcer and even perforation are easily caused.
Traditional three-cavity two-bag tube is in getting into the internal back that carries out the gas injection, and the doctor can't confirm the actual pressure in the gasbag, if there is the phenomenon of damaged gas leakage in the gasbag and leads to stomach gasbag to diminish, then very easily draws the stomach gasbag into the esophagus and causes the esophagus to tear in traction process, draws the pharyngeal portion even and causes the suffocation, causes life risk. Moreover, the traditional three-cavity two-balloon tube has poor fixation and is easy to deform due to the problem of material, and the esophageal balloon at the upper part is easy to move down into the stomach, thereby affecting the operation effect.
Disclosure of Invention
The utility model aims at providing an exempt from to pull and can observe three chamber two bag pipes of internal pressure solves current three chamber two bag pipes and can not observe gasbag internal pressure and lead to easily drawing the problem of esophagus or pharyngeal with the stomach gasbag when using.
In order to solve the above problem, the utility model provides a exempt from to pull and can observe two bag pipes in three chambeies of internal pressure, include: stomach tube, stomach gasbag, esophagus gasbag, stomach gasbag pipe, esophagus gasbag pipe. The stomach air bag is positioned on the periphery of one end of the stomach tube. The esophagus air sac is positioned on the periphery of one end of the stomach tube and is distributed at intervals with the stomach air sac. The gastric balloon catheter is in communication with the gastric balloon, the inlet end of the gastric balloon catheter having a first inflatable balloon. The esophagus air bag conduit is communicated with the esophagus air bag, and the inlet end of the esophagus air bag conduit is provided with a second inflatable air bag. When the pressure in the stomach air sac reaches a preset value after the stomach air sac and the esophagus air sac are insufflated during use, the first inflatable air sac at the inlet end of the stomach air sac conduit begins to be inflated so as to observe the pressure in the stomach air sac. When the pressure in the esophageal balloon reaches a predetermined value, the second inflatable balloon at the entrance end of the esophageal balloon catheter begins to inflate so as to observe the pressure inside the esophageal balloon.
According to an embodiment of the present invention, the esophageal balloon is made of one of PU, PE and PEBAX.
According to an embodiment of the present invention, the esophageal balloon is made of PU and has a hardness range of 50A-70D.
According to an embodiment of the present invention, the esophageal balloon is made of PEBAX and has a hardness ranging from 50A to 80D.
According to an embodiment of the present invention, the hardness of the esophageal balloon is 72D.
According to an embodiment of the present invention, the shape of the gastric balloon is the shape of the fundus of the stomach, so that the gastric balloon conforms to the shape of the stomach after entering the stomach.
According to an embodiment of the present invention, the esophageal balloon is cylindrical.
According to one embodiment of the present invention, the gastric balloon is spherical.
Compared with the prior art, the technical scheme has the following advantages:
the utility model discloses an entrance point at stomach gasbag pipe sets up inflatable balloon, to stomach gasbag gas injection back, when pressure in the stomach gasbag reaches the predetermined value, the first inflatable balloon of stomach gasbag pipe entrance point begins to expand, and the doctor just can judge the pressure size in the stomach gasbag through the degree of observing whether inflatable balloon expands and expand like this to and whether damaged gas leakage of stomach gasbag. Similarly, the second inflatable balloon is arranged at the inlet end of the esophagus airbag conduit, after the esophagus airbag is inflated, when the pressure in the esophagus airbag reaches a preset value, the second inflatable balloon at the inlet end of the esophagus airbag conduit starts to expand, so that a doctor can judge the pressure in the esophagus airbag by observing whether the second inflatable balloon expands and the expansion degree, and judge whether the esophagus airbag is damaged or leaks air. In the medical operation, doctors can well know the pressure in the stomach air bag and the esophagus air bag and reasonably operate correspondingly, and the danger that the stomach air bag is pulled into the esophageal duct to cause esophageal duct tearing in the traction process and even pulled into the pharyngeal portion to cause asphyxia can be avoided.
The utility model discloses the material of esophagus gasbag adopts one of PU, PE, PEBX, compares in two bag pipe materials of traditional three chambeies, and PU, PE or PEBX material are harder, and the esophagus gasbag can not warp along with the internal pressure change like this, improves the fixity of esophagus gasbag, and the esophagus gasbag is difficult to move down in the stomach. In addition, the traditional esophagus air bag is soft in material, and if the air bag breaks, the air bag slowly and gradually breaks, and air still remains in the air bag after the air bag breaks, so that medical staff cannot detect that the air bag breaks, and the danger that the air bag is easily excessively pulled to the throat part and suffocation is caused in the traction process is caused. And the utility model discloses optimize the esophagus gasbag to the material, even if the esophagus gasbag also can directly break completely even if take place to break like this, and can not break slowly like traditional gasbag, medical staff discovers the esophagus gasbag more easily and whether breaks, can observe the esophagus gasbag of the inside through being located human outside first expandable sacculus and the expandable sacculus of second directly perceivedly in addition, the condition whether the stomach gasbag breaks, avoids taking place the danger that the tractive was stifled, optimizes the operation effect.
Drawings
Fig. 1 is a schematic structural diagram of a three-cavity two-balloon tube which is free of traction and can observe internal pressure provided by an embodiment of the present invention.
Detailed Description
The following description is only intended to disclose the invention so as to enable any person skilled in the art to practice the invention. The embodiments in the following description are given by way of example only, and other obvious variations will occur to those skilled in the art. The principles of the invention, as defined in the following description, may be applied to other embodiments, variations, modifications, equivalents, and other arrangements without departing from the spirit and scope of the invention.
As shown in fig. 1, the utility model provides a three-cavity two-balloon tube which can observe the internal pressure without traction, which comprises astomach tube 10, astomach balloon 20, an esophagus balloon 30, astomach balloon catheter 40 and anesophagus balloon catheter 50.
Thegastric balloon 20 is located at the periphery of one end of thegastric tube 10, and the esophageal balloon 30 is located at the periphery of one end of thegastric tube 10 and is spaced apart from thegastric balloon 20. Optionally,gastric balloon 20 is spherical; the esophageal balloon 30 is columnar.Gastric balloon conduit 40 communicates withgastric balloon 20, andgastric balloon 20 is insufflated and deflated throughgastric balloon conduit 40. The inlet end of thegastric balloon catheter 40 is at the other end of thegastric tube 10 and has a firstinflatable balloon 401, that is, a firstinflatable balloon 401 in communication with thegastric balloon 20 is added at the front end of the anti-reflux insufflation hole.
Theesophageal balloon catheter 50 is in communication with the esophageal balloon 30, and the esophageal balloon 30 is inflated and deflated through theesophageal balloon catheter 50. The inlet end of theesophageal balloon catheter 50 has a secondinflatable balloon 501, that is, a secondinflatable balloon 501 communicated with the esophageal balloon 30 is additionally arranged at the front end of the anti-reflux air injection hole. The entrance end of theesophageal balloon catheter 50 and the entrance end of thegastric balloon catheter 40 are both located at the same end of thegastric tube 10 and are located on both sides of thegastric tube 10.
In use during a medical procedure, after insufflation ofgastric balloon 20 and esophageal balloon 30, firstinflatable balloon 401 at the inlet end ofgastric balloon catheter 40 begins to inflate when the pressure ingastric balloon 20 reaches a predetermined value to facilitate observation of the pressure withingastric balloon 20. That is, the physician can determine the pressure level ofgastric balloon 20 and whethergastric balloon 20 is broken or deflated based on whether and to what extent firstinflatable balloon 401 is inflated. Similarly, when the pressure in esophageal balloon 30 reaches a predetermined value, the secondinflatable balloon 501 at the inlet end ofesophageal balloon catheter 50 begins to inflate in order to observe the pressure inside esophageal balloon 30. That is, the physician can determine the pressure inside esophageal balloon 30 and whether there is a rupture or air leakage in esophageal balloon 30 according to whether and how much secondinflatable balloon 501 is inflated. By observing the pressure inside thegastric balloon 20 and the esophageal balloon 30 in such a way, the hemostatic effect can be promoted, and the risk of asphyxia caused by tearing of the esophageal tube or even pulling of thegastric balloon 20 into the pharyngeal portion due to continuous misoperation caused by balloon air leakage can be reduced.
Further, the shape of thegastric balloon 20 is made into the shape of the fundus of the stomach so that thegastric balloon 20 fits the shape of the stomach after entering the stomach, and thegastric balloon 20 is sufficiently in contact with the stomach to compress the blood vessels of the stomach wall, thereby improving the compression hemostasis effect.
The esophageal balloon 30 is made of one of PU (polyurethane), PE (polyethylene), and PEBAX (polyether block polyamide). Compare in two bag of traditional three chambeies pipe material, PU, PE or PEBX material are harder, esophagus gasbag 30 can not warp along with the internal pressure change and the molding is laminated more like this, under the condition thatstomach gasbag 20 and esophagus gasbag 30 have pressure, the cardia mouth just banks between these two sacculus ofstomach gasbag 20 and esophagus gasbag 30, can improve the fixity of esophagus gasbag 30, esophagus gasbag 30 is difficult to move down in the stomach, can be better and keep the hemostasis by compression effect to vascular wall varicose vein continuously. On the other hand, the esophageal balloon 30 made of PU, PE or PEBX has better fixation, so that traction operation is not needed in actual medical operation, pain of a patient is relieved, the patient feels better, and the problem of ulcer caused by traction is solved.
Optionally, the esophageal balloon 30 is made of PU and has a hardness in the range of 50A-70D, for example, the esophageal balloon 30 has a hardness of 50A or 70D.
Optionally, the esophageal balloon 30 is PEBAX and has a hardness in the range of 50A-80D, for example, the esophageal balloon 30 has a hardness of 50A, 72D or 80D.
To sum up, the utility model provides an exempt from to pull and can observe two bag pipes in three chambeies of internal pressure, through the atmospheric pressure situation inobservation stomach gasbag 20 and the esophagus gasbag 30 that newly-increased firstinflatable balloon 401 and secondinflatable balloon 501 can be better, operating safety factor improves, simple structure, convenient operation. In addition, the hard esophagus air bag 30 is adopted, so that the hardness and the fixity of the esophagus air bag 30 are improved, traction treatment is not needed, and the displacement phenomenon of the esophagus air bag 30 is reduced. The shape of thegastric balloon 20 is changed into the shape of the gastric fundus, so that the attaching degree and the compression hemostasis effect are improved.
It is to be understood by persons skilled in the art that the embodiments of the present invention described above and shown in the drawings are given by way of example only and are not limiting of the present invention. The objects of the present invention have been fully and effectively accomplished. The functional and structural principles of the invention have been shown and described in the embodiments without departing from the principles of the invention, embodiments of the invention may be subject to any deformation and modification.