CN118383844B - Puncture tube and thrombus inspection method - Google Patents
Puncture tube and thrombus inspection method Download PDFInfo
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- CN118383844B CN118383844B CN202410535421.8A CN202410535421A CN118383844B CN 118383844 B CN118383844 B CN 118383844B CN 202410535421 A CN202410535421 A CN 202410535421A CN 118383844 B CN118383844 B CN 118383844B
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
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Abstract
本申请提供了一种穿刺管及血栓检查方法,穿刺管包括引血外管、引血内管、回血外管和回血内管。引血外管包括引流外孔。引血内管和引血外管可插拔地连接,引血内管设置于引血外管内,引血内管包括引流内孔,引流外孔和引流内孔连通,引流外孔和引流内孔用于引入中心静脉中的血液。回血外管包括回流外孔,回血外管和引血外管连接。回血内管和回血外管可插拔地连接,回血内管设置于回血外管内,回血外管包括回流内孔,回流外孔和回流内孔连通,流外孔和回流内孔用于回输血液至中心静脉中。本申请解决了现有的穿刺管检查有无血栓后需要重复穿刺的问题,从而降低了频繁穿刺风险和穿刺操作难度,也无需变更或终止治疗方案。
The present application provides a puncture tube and a method for checking thrombus. The puncture tube includes an outer blood drainage tube, an inner blood drainage tube, an outer blood return tube and an inner blood return tube. The outer blood drainage tube includes an outer drainage hole. The inner blood drainage tube and the outer blood drainage tube are pluggably connected. The inner blood drainage tube is arranged in the outer blood drainage tube. The inner blood drainage tube includes an inner drainage hole. The outer drainage hole and the inner drainage hole are connected. The outer drainage hole and the inner drainage hole are used to introduce blood into the central vein. The outer blood return tube includes a reflux outer hole. The outer blood return tube and the outer blood drainage tube are connected. The inner blood return tube and the outer blood return tube are pluggably connected. The inner blood return tube is arranged in the outer blood return tube. The outer blood return tube includes a reflux inner hole. The reflux outer hole and the reflux inner hole are connected. The reflux outer hole and the reflux inner hole are used to return blood to the central vein. The present application solves the problem that the existing puncture tube needs to be repeatedly punctured after checking whether there is thrombus, thereby reducing the risk of frequent punctures and the difficulty of puncture operations, and there is no need to change or terminate the treatment plan.
Description
技术领域Technical Field
本申请涉及医疗设备的技术领域,特别是涉及一种穿刺管及血栓检查方法。The present application relates to the technical field of medical equipment, and in particular to a puncture tube and a thrombus inspection method.
背景技术Background Art
目前接受临时的肾脏替代或者人工肝等治疗的患者需要使用穿刺管和中心静脉建立通路。由于完成穿刺管的操作者的穿刺技术水平、患者的容量和患者的血管走形等解剖因素以及肾脏替代治疗过程中抗凝方案都存在较大的个体差异性,因此实际在肾脏替代治疗过程中,血透机器可能会出现不同类型的报警提示。Currently, patients who receive temporary renal replacement or artificial liver treatment need to use a puncture tube and central vein to establish access. Due to the large individual differences in the puncture technique of the operator who completes the puncture tube, the patient's volume and vascular shape and other anatomical factors, as well as the anticoagulation regimen during renal replacement therapy, different types of alarm prompts may appear on the hemodialysis machine during renal replacement therapy.
报警提示的原因可能是穿刺管的位置不当(如穿刺管的侧孔紧贴于血管壁)、抗凝剂量不合适或者穿刺管的头端形成了局部血栓或者血透机器配套管路中某些部件内形成了局部血栓。The reasons for the alarm may be improper positioning of the puncture tube (such as the side hole of the puncture tube is close to the blood vessel wall), inappropriate anticoagulant dosage, or local thrombosis formed at the head end of the puncture tube or in certain parts of the hemodialysis machine's supporting pipeline.
为了确定报警提示是否由穿刺管的头端形成局部血栓所造成,可以拔出中心静脉穿刺管检查管路的头端是否有血栓,虽然这种方法可以检查确认管路有无血栓,但为了继续治疗必须重新留置中心静脉的穿刺管以继续肾脏替代或者人工肝等治疗。频繁地给患者进行穿刺操作可能会增加穿刺相关的一系列风险以及增加后续穿刺操作的难度。由于现在的穿刺管无法通过简便地直视的方法来检查是否有血栓,因此在临床工作中检查穿刺管是否有血栓后需要重复穿刺,从而带来增加穿刺风险、穿刺操作难度或者需要变更或终止治疗方案等一系列问题。In order to determine whether the alarm is caused by local thrombosis at the tip of the puncture tube, the central venous puncture tube can be pulled out to check whether there is thrombosis at the tip of the tube. Although this method can check and confirm whether there is thrombosis in the tube, the central venous puncture tube must be reinserted to continue treatment such as renal replacement or artificial liver. Frequent puncture operations on patients may increase a series of puncture-related risks and increase the difficulty of subsequent puncture operations. Since the current puncture tube cannot be checked for thrombosis by a simple direct visual method, repeated punctures are required after checking whether there is thrombosis in the puncture tube in clinical work, which brings a series of problems such as increased puncture risks, difficulty in puncture operations, or the need to change or terminate treatment plans.
发明内容Summary of the invention
本申请的目的在于提供一种在检查有无血栓后避免重复穿刺的穿刺管,其包括引血外管、引血内管、回血外管和回血内管。所述引血外管包括引流外孔。所述引血内管和所述引血外管可插拔地连接,所述引血内管设置于所述引血外管内,所述引血内管包括引流内孔,所述引流外孔和所述引流内孔连通,所述引流外孔和所述引流内孔用于引入中心静脉中的血液。所述回血外管包括回流外孔,所述回血外管和所述引血外管连接。所述回血内管和所述回血外管可插拔地连接,所述回血内管设置于所述回血外管内,所述回血外管包括回流内孔,所述回流外孔和所述回流内孔连通,所述回流外孔和所述回流内孔用于回输血液至中心静脉中。The purpose of the present application is to provide a puncture tube that avoids repeated punctures after checking for thrombus, which includes a blood drainage outer tube, a blood drainage inner tube, a blood return outer tube and a blood return inner tube. The blood drainage outer tube includes a drainage outer hole. The blood drainage inner tube and the blood drainage outer tube are pluggable and connected, and the blood drainage inner tube is arranged in the blood drainage outer tube. The blood drainage inner tube includes a drainage inner hole, and the drainage outer hole and the drainage inner hole are connected. The drainage outer hole and the drainage inner hole are used to introduce blood into the central vein. The blood return outer tube includes a return outer hole, and the blood return outer tube is connected. The blood return inner tube and the blood return outer tube are pluggable and connected, and the blood return inner tube is arranged in the blood return outer tube. The blood return outer tube includes a return inner hole, and the return outer hole and the return inner hole are connected. The return outer hole and the return inner hole are used to return blood to the central vein.
可选的,所述引血内管包括第一露出段,所述第一露出段外露于所述引血外管。Optionally, the inner blood-drawing tube includes a first exposed section, and the first exposed section is exposed outside the outer blood-drawing tube.
可选的,所述穿刺管还包括第一卡扣和第一凸起,所述第一卡扣设置于所述第一露出段,所述第一凸起设置于所述引血外管,所述第一卡扣卡接于所述第一凸起。Optionally, the puncture tube further includes a first buckle and a first protrusion, wherein the first buckle is disposed on the first exposed section, the first protrusion is disposed on the blood drawing outer tube, and the first buckle is snap-connected to the first protrusion.
可选的,所述第一卡扣和所述第一露出段的端面间开设置,所述第一凸起和所述引血外管的端面间开设置。Optionally, the first buckle and the end surface of the first exposed section are spaced apart, and the first protrusion and the end surface of the blood guide outer tube are spaced apart.
可选的,所述回血内管包括第二露出段,所述第二露出段外露于所述回血外管。Optionally, the blood return inner tube includes a second exposed section, and the second exposed section is exposed outside the blood return outer tube.
可选的,所述穿刺管还包括第二卡扣和第二凸起,所述第二卡扣设置于所述第二露出段,所述第二凸起设置于所述回血外管,所述第二卡扣卡接于所述第二凸起。Optionally, the puncture tube further includes a second buckle and a second protrusion, the second buckle is arranged on the second exposed section, the second protrusion is arranged on the blood return outer tube, and the second buckle is snap-connected to the second protrusion.
可选的,所述第二卡扣和所述第二露出段的端面间开设置,所述第二凸起和所述回血外管的端面间开设置。Optionally, the second buckle and the end surface of the second exposed section are spaced apart, and the second protrusion and the end surface of the blood return outer tube are spaced apart.
可选的,所述引血内管的外壁和所述引血外管的内壁相切。Optionally, the outer wall of the inner blood-drawing tube is tangent to the inner wall of the outer blood-drawing tube.
可选的,所述回血内管的外壁和所述回血外管的内壁相切。Optionally, the outer wall of the inner blood return tube is tangent to the inner wall of the outer blood return tube.
本申请还提供了一种血栓检查方法,其使用血透机器和所述穿刺管,所述血透机器和所述引血内管连接,所述血透机器和所述回血内管连接,其包括以下步骤:The present application also provides a thrombus inspection method, which uses a hemodialysis machine and the puncture tube, wherein the hemodialysis machine is connected to the blood introduction inner tube, and the hemodialysis machine is connected to the blood return inner tube, and the method comprises the following steps:
当血透机器产生引血内管压力超值报警信号时,拔出引血内管并判断引血内管中是否存在血栓;以及When the hemodialysis machine generates an alarm signal indicating that the pressure in the blood draw tube exceeds the value, the blood draw tube is pulled out and it is determined whether there is a thrombus in the blood draw tube; and
当血透机器产生回血内管压力超值报警信号时,拔出回血内管并判断回血内管中是否存在血栓。When the hemodialysis machine generates an alarm signal indicating that the pressure in the blood return inner tube exceeds a certain value, the blood return inner tube is pulled out and it is determined whether there is a thrombus in the blood return inner tube.
本申请的有益效果在于:通过设置引血外管、引血内管、回血外管和回血内管。引血外管包括引流外孔。引血内管和引血外管可插拔地连接,引血内管设置于引血外管内,引血内管包括引流内孔,引流外孔和引流内孔连通。回血外管包括回流外孔,回血外管和引血外管连接。回血内管和回血外管可插拔地连接,回血内管设置于回血外管内,回血外管包括回流内孔,回流外孔和回流内孔连通。The beneficial effects of the present application are as follows: by setting a blood drawing outer tube, a blood drawing inner tube, a blood return outer tube and a blood return inner tube. The blood drawing outer tube includes a drainage outer hole. The blood drawing inner tube and the blood drawing outer tube are pluggably connected, the blood drawing inner tube is arranged in the blood drawing outer tube, the blood drawing inner tube includes a drainage inner hole, and the drainage outer hole and the drainage inner hole are connected. The blood return outer tube includes a reflux outer hole, and the blood return outer tube is connected. The blood return inner tube and the blood return outer tube are pluggably connected, the blood return inner tube is arranged in the blood return outer tube, the blood return outer tube includes a reflux inner hole, and the reflux outer hole and the reflux inner hole are connected.
由于引血内管和引血外管可插拔地连接,且回血内管和回血外管可插拔地连接。故在检查穿刺管内是否存在血栓时,只需要取出引血内管及回血内管检查是否存在血栓,无需取出引血外管及回血外管,也即检查有无血栓后无需重新进行穿刺管的穿刺,避免了重复穿刺操作。Since the inner blood introduction tube and the outer blood introduction tube are pluggable and connected, and the inner blood return tube and the outer blood return tube are pluggable and connected, when checking whether there is a thrombus in the puncture tube, it is only necessary to remove the inner blood introduction tube and the inner blood return tube to check whether there is a thrombus, and there is no need to remove the outer blood introduction tube and the outer blood return tube, that is, after checking whether there is a thrombus, there is no need to re-puncture the puncture tube, thus avoiding repeated puncture operations.
上述说明仅是本申请技术方案的概述,为了能够更清楚了解本申请的技术手段,并可依照说明书的内容予以实施,以下以本申请较佳的实施例并配合附图对本申请进行详细说明。The above description is only an overview of the technical solution of the present application. In order to more clearly understand the technical means of the present application and implement it according to the contents of the specification, the present application is described in detail below with reference to the preferred embodiments of the present application and the accompanying drawings.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1是本申请第一实施例中,穿刺管的剖视图及其局部放大图(第一卡扣、第一凸起、第二卡扣及第二凸起的数量仅各示出一个);FIG1 is a cross-sectional view of a puncture tube and a partial enlarged view thereof in the first embodiment of the present application (only one of each of the first buckle, the first protrusion, the second buckle and the second protrusion is shown);
图2是本申请第一实施例中,穿刺管和血透机器的连接示意图(引血管道和回血管道为打断后绘出,第一卡扣、第一凸起、第二卡扣及第二凸起的数量仅各示出一个);FIG2 is a schematic diagram of the connection between the puncture tube and the hemodialysis machine in the first embodiment of the present application (the blood inlet channel and the return blood channel are drawn after being interrupted, and the number of the first buckle, the first protrusion, the second buckle and the second protrusion is only one each);
图3是本申请第一实施例中,引血外管和引血内管的局部剖视图及第一卡扣和第一凸起的剖视图;3 is a partial cross-sectional view of the blood drawing outer tube and the blood drawing inner tube and a cross-sectional view of the first buckle and the first protrusion in the first embodiment of the present application;
图4是本申请第一实施例中,引血外管和引血内管的局部立体图及第一卡扣和第一凸起的立体图;FIG4 is a partial stereoscopic view of the blood drawing outer tube and the blood drawing inner tube and a stereoscopic view of the first buckle and the first protrusion in the first embodiment of the present application;
图5是本申请第一实施例中,回血外管和回血内管的局部剖视图及第二卡扣和第二凸起的剖视图;5 is a partial cross-sectional view of the blood return outer tube and the blood return inner tube and a cross-sectional view of the second buckle and the second protrusion in the first embodiment of the present application;
图6是本申请第一实施例中,回血外管和回血内管的局部立体图及第二卡扣和第二凸起的立体图;6 is a partial stereoscopic view of the blood return outer tube and the blood return inner tube, and a stereoscopic view of the second buckle and the second protrusion in the first embodiment of the present application;
图7是本申请第二实施例中,血栓检查方法的流程图。FIG. 7 is a flow chart of a thrombus detection method in the second embodiment of the present application.
其中,附图标记:Wherein, the reference numerals are:
1 穿刺管1. Puncture tube
10 引血外管10 Blood drainage tube
100 引流外孔100 Drainage hole
11引血内管11 Blood draw tube
110 引流内孔110 Drainage hole
111 第一露出段111 First exposure
12 回血外管12 Blood return tube
120 回流外孔120 Reflux Outer Hole
13 回血内管13 Blood return inner tube
130 回流内孔130 Reflux inner hole
131 第二露出段131 Second exposure section
14 第一卡扣14 First Buckle
140 第一横部140 First horizontal section
141 第一竖部141 First vertical part
142 第一手柄部142 First handle
15 第一凸起15 First Bump
16 第二卡扣16 Second buckle
160 第二横部160 Second horizontal section
161 第二竖部161 Second vertical part
162 第二手柄部162 Second handle
17 第二凸起17 Second bulge
2 血透机器2 Hemodialysis Machine
21 引血管道21 Blood flow channel
22 回血管道22 blood vessels
A1 第一平面A1 First plane
A2 第二平面A2 Second plane
S1-S2:血栓检查方法的步骤S1-S2: Steps of the thrombus detection method
具体实施方式DETAILED DESCRIPTION
以下由特定的具体实施例说明本申请的实施方式,熟悉此技术的人士可由本说明书所公开的内容轻易地了解本申请的其他优点及功效。The following is an explanation of the implementation of the present application by means of specific embodiments. People familiar with the technology can easily understand other advantages and effects of the present application from the contents disclosed in this specification.
需要说明的是,在不冲突的情况下,本申请中的实施例及实施例中的特征可以互相组合。下面将参考附图并结合实施例来详细说明本申请。为了使本技术领域的人员更好地理解本申请方案,下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分的实施例,而不是全部的实施例。基于本申请的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都应当属于本申请保护的范围。It should be noted that, in the absence of conflict, the embodiments in the present application and the features in the embodiments can be combined with each other. The present application will be described in detail below with reference to the drawings and in combination with the embodiments. In order to enable those skilled in the art to better understand the present application scheme, the technical scheme in the embodiments of the present application will be clearly and completely described below in combination with the drawings in the embodiments of the present application. Obviously, the described embodiments are only embodiments of a part of the present application, not all embodiments. Based on the embodiments of the present application, all other embodiments obtained by ordinary technicians in the field without making creative work should fall within the scope of protection of the present application.
需要说明的是,本申请的说明书和权利要求书及上述附图中的术语“第一”、“第二”等是用于区别类似的对象,而不必用于描述特定的顺序或先后次序。此外,术语“包括”和“具有”以及他们的任何变形,意图在于包覆不排他的包含,例如,包含了一系列步骤或单元的过程、方法、系统、产品或设备不必限于清楚地列出的那些步骤或单元,而是可包括没有清楚地列出的或对于这些过程、方法、产品或设备固有的其他步骤或单元。It should be noted that the terms "first", "second", etc. in the specification and claims of the present application and the above-mentioned drawings are used to distinguish similar objects, and are not necessarily used to describe a specific order or sequence. In addition, the terms "including" and "having" and any variations thereof are intended to cover non-exclusive inclusions. For example, a process, method, system, product or device that includes a series of steps or units is not necessarily limited to those steps or units clearly listed, but may include other steps or units that are not clearly listed or inherent to these processes, methods, products or devices.
需要说明的是,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电性连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本申请中的具体含义。It should be noted that, unless otherwise clearly specified and limited, the terms "installed", "connected", and "connected" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, or it can be the internal connection of two components. For ordinary technicians in this field, the specific meanings of the above terms in this application can be understood according to specific circumstances.
第一实施例First embodiment
如图1所示,在本实施例中提供了一种穿刺管1,包括引血外管10、引血内管11、回血外管12和回血内管13。引血外管10包括引流外孔100。引血内管11和引血外管10可插拔地连接,引血内管11设置于引血外管10内,引血内管11包括引流内孔110,引流外孔100和引流内孔110连通,引流外孔100和引流内孔110用于引入中心静脉中的血液。回血外管12包括回流外孔120,回血外管12和引血外管10连接。回血内管13和回血外管12可插拔地连接,回血内管13设置于回血外管12内,回血外管12包括回流内孔130,回流外孔120和回流内孔130连通,回流外孔120和回流内孔130用于回输血液至中心静脉中。As shown in FIG1 , in the present embodiment, a puncture tube 1 is provided, comprising a blood drainage outer tube 10, a blood drainage inner tube 11, a blood return outer tube 12 and a blood return inner tube 13. The blood drainage outer tube 10 comprises a drainage outer hole 100. The blood drainage inner tube 11 and the blood drainage outer tube 10 are pluggably connected, the blood drainage inner tube 11 is arranged in the blood drainage outer tube 10, the blood drainage inner tube 11 comprises a drainage inner hole 110, the drainage outer hole 100 and the drainage inner hole 110 are connected, and the drainage outer hole 100 and the drainage inner hole 110 are used to introduce blood in the central vein. The blood return outer tube 12 comprises a return outer hole 120, and the blood return outer tube 12 is connected to the blood drainage outer tube 10. The inner blood return tube 13 and the outer blood return tube 12 are pluggably connected. The inner blood return tube 13 is arranged in the outer blood return tube 12. The outer blood return tube 12 includes an inner return hole 130. The outer return hole 120 and the inner return hole 130 are connected. The outer return hole 120 and the inner return hole 130 are used to return blood to the central vein.
请参考图1,穿刺管1可以和血透机器2(血透机器2请参考图2,下同)连接。穿刺管1的上端可以穿刺到患者的中心静脉内。穿刺管1的下端可以和血透机器2连接。引血内管11可以沿引血外管10的长度方向插入引血外管10或从引血外管10中拔出。引血外管10的内壁和引血内管11的内外壁可以设置肝素涂层以减少形成局部微小血栓的可能性。引血内管11的外径可以小于或等于引血外管10的内径。Please refer to Figure 1. The puncture tube 1 can be connected to the hemodialysis machine 2 (please refer to Figure 2 for the hemodialysis machine 2, the same below). The upper end of the puncture tube 1 can be punctured into the central vein of the patient. The lower end of the puncture tube 1 can be connected to the hemodialysis machine 2. The blood drawing inner tube 11 can be inserted into the blood drawing outer tube 10 or pulled out from the blood drawing outer tube 10 along the length direction of the blood drawing outer tube 10. The inner wall of the blood drawing outer tube 10 and the inner and outer walls of the blood drawing inner tube 11 can be provided with a heparin coating to reduce the possibility of forming local micro-thrombi. The outer diameter of the blood drawing inner tube 11 can be less than or equal to the inner diameter of the blood drawing outer tube 10.
如图1所示,引血内管11和引血外管10可以通过孔轴配合(即引血内管11为轴,引血外管10的内壁围合成孔,引血内管11插设于引血外管10内壁围合成的孔中)的方式可插拔地连接。引血内管11在拔出时,引血外管10的位置保持不变。As shown in FIG1 , the inner blood tube 11 and the outer blood tube 10 can be pluggably connected by hole-axis matching (i.e., the inner blood tube 11 is the axis, the inner wall of the outer blood tube 10 forms a hole, and the inner blood tube 11 is inserted into the hole formed by the inner wall of the outer blood tube 10). When the inner blood tube 11 is pulled out, the position of the outer blood tube 10 remains unchanged.
如图1所示,引流外孔100可以位于引血外管10的上侧端和顶端。引流内孔110可以位于引血内管11的上侧端和顶端。即引流外孔100和引流内孔110可以位于患者的中心静脉内。引血内管11被拔出后,医护人员可以在引流内孔110处观察是否存在血栓。患者中心静脉中的血液可以经过引流外孔100及引流内孔110进入引血内管11中。引血内管11可以将患者的血液输送至血透机器2(血透机器2请参考图2)。As shown in Figure 1, the drainage outer hole 100 can be located at the upper side and top of the blood drainage outer tube 10. The drainage inner hole 110 can be located at the upper side and top of the blood drainage inner tube 11. That is, the drainage outer hole 100 and the drainage inner hole 110 can be located in the patient's central vein. After the blood drainage inner tube 11 is pulled out, medical staff can observe whether there is a thrombus at the drainage inner hole 110. The blood in the patient's central vein can enter the blood drainage inner tube 11 through the drainage outer hole 100 and the drainage inner hole 110. The blood drainage inner tube 11 can transport the patient's blood to the hemodialysis machine 2 (please refer to Figure 2 for the hemodialysis machine 2).
如图1所示,回血内管13可以沿回血外管12的长度方向插入回血外管12或从回血外管12中拔出。回血外管12的内壁和回血内管13的内外壁可以设置肝素涂层以减少形成局部微小血栓的可能性。回血内管13的外径可以小于或等于回血外管12的内径。回血内管13和回血外管12可以通过孔轴配合(即回血内管13为轴,回血外管12的内壁围合成孔,回血内管13插设于回血外管12的内壁围合成的孔中)的方式可插拔地连接。从血透机器2(血透机器2请参考图2)透析回流的血液可以经过回血内管13及回血外管12输送至患者的中心静脉。回血内管13在拔出时,回血外管12的位置保持不变。As shown in FIG1 , the blood return inner tube 13 can be inserted into the blood return outer tube 12 or pulled out from the blood return outer tube 12 along the length direction of the blood return outer tube 12. The inner wall of the blood return outer tube 12 and the inner and outer walls of the blood return inner tube 13 can be provided with a heparin coating to reduce the possibility of forming local microthrombi. The outer diameter of the blood return inner tube 13 can be less than or equal to the inner diameter of the blood return outer tube 12. The blood return inner tube 13 and the blood return outer tube 12 can be pluggably connected by hole-axis matching (i.e., the blood return inner tube 13 is the axis, the inner wall of the blood return outer tube 12 encloses the hole, and the blood return inner tube 13 is inserted in the hole enclosed by the inner wall of the blood return outer tube 12). The blood refluxed by dialysis from the hemodialysis machine 2 (please refer to FIG2 for the hemodialysis machine 2) can be transported to the patient's central vein through the blood return inner tube 13 and the blood return outer tube 12. When the blood return inner tube 13 is pulled out, the position of the blood return outer tube 12 remains unchanged.
如图1所示,引血外管10和回血外管12可以通过共用侧壁的方式连接。例如,引血外管10和回血外管12可以一体成型连接。As shown in Fig. 1, the blood-introducing outer tube 10 and the blood-returning outer tube 12 can be connected by sharing a side wall. For example, the blood-introducing outer tube 10 and the blood-returning outer tube 12 can be connected in one piece.
如图1所示,回流外孔120可以位于回血外管12的上侧端和顶端。回流内孔130可以位于回血内管13的上侧端和顶端。即回流外孔120和回流内孔130可以位于患者的中心静脉内。回血内管13被拔出后,医护人员可以在回流内孔130处观察是否存在血栓。回血内管13中的血液可以经过回流内孔130及回流外孔120流回至患者的中心静脉中。As shown in FIG1 , the reflux outer hole 120 can be located at the upper side end and top end of the blood return outer tube 12. The reflux inner hole 130 can be located at the upper side end and top end of the blood return inner tube 13. That is, the reflux outer hole 120 and the reflux inner hole 130 can be located in the central vein of the patient. After the blood return inner tube 13 is pulled out, the medical staff can observe whether there is a thrombus at the reflux inner hole 130. The blood in the blood return inner tube 13 can flow back to the patient's central vein through the reflux inner hole 130 and the reflux outer hole 120.
如图1所示,引流外孔100和引流内孔110的数量可以为多个,各引流外孔100和各引流内孔110可以一一对应设置。例如,引流外孔100可以和对应的引流内孔110同轴设置。回流外孔120和回流内孔130的数量可以为多个,各回流外孔120和各回流内孔130可以一一对应设置。例如,回流外孔120和对应的回流内孔130可以同轴设置。As shown in FIG1 , the number of drainage outer holes 100 and drainage inner holes 110 can be multiple, and each drainage outer hole 100 and each drainage inner hole 110 can be arranged in one-to-one correspondence. For example, the drainage outer hole 100 can be coaxially arranged with the corresponding drainage inner hole 110. The number of reflux outer holes 120 and reflux inner holes 130 can be multiple, and each reflux outer hole 120 and each reflux inner hole 130 can be arranged in one-to-one correspondence. For example, the reflux outer hole 120 and the corresponding reflux inner hole 130 can be coaxially arranged.
如图1所示,由于引血内管11和引血外管10可插拔地连接,且回血内管13和回血外管12可插拔地连接。故在检查穿刺管1内是否存在血栓时,只需要取出引血内管11及回血内管13检查是否存在血栓,无需取出引血外管10及回血外管12,也即检查有无血栓后无需重新进行穿刺管1的穿刺,避免了重复穿刺操作。As shown in FIG1 , since the inner blood introduction tube 11 and the outer blood introduction tube 10 are pluggable and connected, and the inner blood return tube 13 and the outer blood return tube 12 are pluggable and connected, when checking whether there is a thrombus in the puncture tube 1, it is only necessary to remove the inner blood introduction tube 11 and the inner blood return tube 13 to check whether there is a thrombus, and it is not necessary to remove the outer blood introduction tube 10 and the outer blood return tube 12, that is, after checking whether there is a thrombus, it is not necessary to re-puncture the puncture tube 1, thereby avoiding repeated puncture operations.
请同时参考图2和图3,可选的,引血内管11包括第一露出段111,第一露出段111外露于引血外管10。第一露出段111可以和血透机器2连接。设第一平面A1和引血外管10的端面重合,则引血内管11上位于第一平面A1外侧的区段为第一露出段111。例如,第一平面A1和引血外管10的左端面重合,则引血内管11上位于第一平面A1左侧的区段为第一露出段111。第一露出段111的外侧壁可以和血透机器2的引血管道21的固定段内壁配合,因此设置第一露出段111可以方便引血内管11和血透机器2的引血管道21连接。Please refer to Figures 2 and 3 at the same time. Optionally, the blood guide inner tube 11 includes a first exposed section 111, and the first exposed section 111 is exposed from the blood guide outer tube 10. The first exposed section 111 can be connected to the hemodialysis machine 2. Assuming that the first plane A1 coincides with the end face of the blood guide outer tube 10, the section of the blood guide inner tube 11 located outside the first plane A1 is the first exposed section 111. For example, if the first plane A1 coincides with the left end face of the blood guide outer tube 10, the section of the blood guide inner tube 11 located on the left side of the first plane A1 is the first exposed section 111. The outer wall of the first exposed section 111 can cooperate with the inner wall of the fixed section of the blood guide blood channel 21 of the hemodialysis machine 2, so the provision of the first exposed section 111 can facilitate the connection between the blood guide inner tube 11 and the blood guide blood channel 21 of the hemodialysis machine 2.
请同时参考图3和图4,可选的,穿刺管1(穿刺管1请参考图1,下同)还包括第一卡扣14和第一凸起15,第一卡扣14设置于第一露出段111,第一凸起15设置于引血外管10,第一卡扣14卡接于第一凸起15。第一卡扣14可以和第一露出段111一体成型设置。第一卡扣14可以设置于第一露出段111的外侧壁。第一凸起15可以和引血外管10一体成型设置。第一凸起15可以呈长方体形。第一凸起15可以设置于引血外管10的外侧壁。Please refer to Figures 3 and 4 at the same time. Optionally, the puncture tube 1 (please refer to Figure 1 for the puncture tube 1, the same below) also includes a first buckle 14 and a first protrusion 15. The first buckle 14 is arranged on the first exposed section 111, the first protrusion 15 is arranged on the blood drawing outer tube 10, and the first buckle 14 is snapped to the first protrusion 15. The first buckle 14 can be integrally formed with the first exposed section 111. The first buckle 14 can be arranged on the outer side wall of the first exposed section 111. The first protrusion 15 can be integrally formed with the blood drawing outer tube 10. The first protrusion 15 can be in the shape of a cuboid. The first protrusion 15 can be arranged on the outer side wall of the blood drawing outer tube 10.
如图4所示,第一卡扣14和第一凸起15的数量可以各为多个并成对设置。多个第一卡扣14可以以引血内管11的中心轴线为参考均匀分布。多个第一凸起15可以以引血外管10的中心轴线为参考均匀分布。As shown in Fig. 4, the number of the first buckles 14 and the first protrusions 15 can be multiple and arranged in pairs. The multiple first buckles 14 can be evenly distributed with reference to the central axis of the inner blood drawing tube 11. The multiple first protrusions 15 can be evenly distributed with reference to the central axis of the outer blood drawing tube 10.
请同时参考图3和图4,第一卡扣14卡接于第一凸起15后,可以防止引血内管11从引血外管10中脱出。第一卡扣14和第一凸起15的对数越多,对引血内管11的固定越可靠。第一卡扣14可以包括第一横部140和第一竖部141。第一横部140平行于引血内管11的轴向。第一竖部141平行于引血内管11的径向。第一横部140和第一竖部141可以垂直并一体成型连接。Please refer to Figures 3 and 4 at the same time. After the first buckle 14 is engaged with the first protrusion 15, it can prevent the blood drawing inner tube 11 from falling out of the blood drawing outer tube 10. The more pairs of first buckles 14 and first protrusions 15 there are, the more reliable the fixation of the blood drawing inner tube 11 is. The first buckle 14 may include a first transverse portion 140 and a first vertical portion 141. The first transverse portion 140 is parallel to the axial direction of the blood drawing inner tube 11. The first vertical portion 141 is parallel to the radial direction of the blood drawing inner tube 11. The first transverse portion 140 and the first vertical portion 141 may be vertically and integrally connected.
请同时参考图2和图3,第一横部140的右端可以勾接于第一凸起15。引血外管10、引血内管11、第一卡扣14和第一凸起15可以用质地较软的材质构成。例如,引血外管10、引血内管11、第一卡扣14及第一凸起15的材质可以为聚氨酯、硅胶和聚氯乙烯PVC。第一凸起15可以被掰断或被刮除,以避免第一凸起15阻碍引血外管10和血透机器2的引血管道21的连接。类似的,第一卡扣14也可以被掰断或被刮除。Please refer to Figures 2 and 3 at the same time. The right end of the first transverse portion 140 can be hooked on the first protrusion 15. The blood drawing outer tube 10, the blood drawing inner tube 11, the first buckle 14 and the first protrusion 15 can be made of a softer material. For example, the material of the blood drawing outer tube 10, the blood drawing inner tube 11, the first buckle 14 and the first protrusion 15 can be polyurethane, silicone and polyvinyl chloride PVC. The first protrusion 15 can be broken off or scraped off to prevent the first protrusion 15 from obstructing the connection between the blood drawing outer tube 10 and the blood drawing blood channel 21 of the hemodialysis machine 2. Similarly, the first buckle 14 can also be broken off or scraped off.
请同时参考图2和图3,可选的,第一卡扣14和第一露出段111的端面间开设置,第一凸起15和引血外管10的端面间开设置。第一卡扣14可以和第一露出段111的左端端面间开设置。第一竖部141可以设置于第一露出段111的右端并和引血外管10的左端抵顶。第一卡扣14和第一露出段111的端面间开设置,可以避免第一卡扣14阻碍第一露出段111和血透机器2的引血管道21连接。因为若第一卡扣14和第一露出段111的端面齐平设置,则第一卡扣14会阻挡第一露出段111和血透机器2的引血管道21连接。Please refer to Figures 2 and 3 at the same time. Optionally, the first buckle 14 is spaced apart from the end face of the first exposed section 111, and the first protrusion 15 is spaced apart from the end face of the blood guide outer tube 10. The first buckle 14 can be spaced apart from the left end face of the first exposed section 111. The first vertical portion 141 can be arranged at the right end of the first exposed section 111 and abut against the left end of the blood guide outer tube 10. The first buckle 14 is spaced apart from the end face of the first exposed section 111 to prevent the first buckle 14 from obstructing the connection between the first exposed section 111 and the blood guide blood channel 21 of the hemodialysis machine 2. Because if the first buckle 14 and the end face of the first exposed section 111 are arranged flush, the first buckle 14 will block the connection between the first exposed section 111 and the blood guide blood channel 21 of the hemodialysis machine 2.
请同时参考图2和图3,第一凸起15可以和引血外管10的左端面间开设置。第一凸起15和引血外管10的端面间开设置,可以在需要使用引血外管10引血时,避免第一凸起15阻碍引血外管10和血透机器2的引血管道21连接。Please refer to Figures 2 and 3 at the same time. The first protrusion 15 can be spaced apart from the left end face of the blood drawing outer tube 10. The first protrusion 15 is spaced apart from the end face of the blood drawing outer tube 10 so that when the blood drawing outer tube 10 is used for drawing blood, the first protrusion 15 can be prevented from obstructing the connection between the blood drawing outer tube 10 and the blood drawing blood channel 21 of the hemodialysis machine 2.
请同时参考图2、图5和图6,可选的,回血内管13包括第二露出段131,第二露出段131外露于回血外管12。第二露出段131可以和血透机器2的回血管道22连通。第二露出段131和第一露出段111可以呈V形布置以让两者在和血透机器2连接时互不干扰。设第二平面A2和回血外管12的端面重合,则回血内管13上位于第二平面A2外侧的区段为第二露出段131。Please refer to Figures 2, 5 and 6 at the same time. Optionally, the blood return inner tube 13 includes a second exposed section 131, and the second exposed section 131 is exposed outside the blood return outer tube 12. The second exposed section 131 can be connected to the blood return channel 22 of the hemodialysis machine 2. The second exposed section 131 and the first exposed section 111 can be arranged in a V shape so that the two do not interfere with each other when connected to the hemodialysis machine 2. Assuming that the second plane A2 and the end face of the blood return outer tube 12 coincide with each other, the section of the blood return inner tube 13 located outside the second plane A2 is the second exposed section 131.
例如,第二平面A2可以和回血外管12的左端面重合,则回血内管13上位于第二平面A2左侧的区段为第二露出段131。第二露出段131的外侧壁可以和血透机器2的回血管道22的固定段内壁配合,因此设置第二露出段131可以方便回血内管13和血透机器2的回血管道22连接。For example, the second plane A2 can coincide with the left end face of the blood return outer tube 12, and the section of the blood return inner tube 13 located on the left side of the second plane A2 is the second exposed section 131. The outer wall of the second exposed section 131 can cooperate with the inner wall of the fixed section of the blood return blood channel 22 of the hemodialysis machine 2, so the second exposed section 131 can facilitate the connection between the blood return inner tube 13 and the blood return blood channel 22 of the hemodialysis machine 2.
请同时参考图1和图5,可选的,穿刺管1还包括第二卡扣16和第二凸起17,第二卡扣16设置于第二露出段131,第二凸起17设置于回血外管12,第二卡扣16卡接于第二凸起17。第二卡扣16可以和第二露出段131一体成型设置。第二卡扣16可以设置于第二露出段131的外侧壁。第二凸起17可以和回血外管12一体成型设置。第二凸起17可以设置于回血外管12的外侧壁。第二凸起17可以呈长方体形。Please refer to Figures 1 and 5 at the same time. Optionally, the puncture tube 1 also includes a second buckle 16 and a second protrusion 17. The second buckle 16 is arranged on the second exposed section 131, and the second protrusion 17 is arranged on the blood return outer tube 12. The second buckle 16 is clamped to the second protrusion 17. The second buckle 16 can be integrally formed with the second exposed section 131. The second buckle 16 can be arranged on the outer side wall of the second exposed section 131. The second protrusion 17 can be integrally formed with the blood return outer tube 12. The second protrusion 17 can be arranged on the outer side wall of the blood return outer tube 12. The second protrusion 17 can be in the shape of a cuboid.
请同时参考图5和图6,第二卡扣16和第二凸起17的数量可以各为多个且成对设置。多个第二卡扣16可以以回血内管13的中心轴线为参考均匀分布。多个第二凸起17可以以回血外管12的中心轴线为参考均匀分布。第二卡扣16卡接于第二凸起17,可以防止回血内管13从回血外管12中脱出。第二卡扣16和第二凸起17的对数越多,对回血内管13的固定越可靠。Please refer to Figures 5 and 6 at the same time. The number of second buckles 16 and second protrusions 17 can be multiple and arranged in pairs. Multiple second buckles 16 can be evenly distributed with reference to the central axis of the blood return inner tube 13. Multiple second protrusions 17 can be evenly distributed with reference to the central axis of the blood return outer tube 12. The second buckle 16 is connected to the second protrusion 17 to prevent the blood return inner tube 13 from escaping from the blood return outer tube 12. The more pairs of second buckles 16 and second protrusions 17, the more reliable the fixation of the blood return inner tube 13.
请同时参考图2和图5,第二卡扣16可以包括第二横部160和第二竖部161。第二横部160平行于回血内管13的轴向,第二竖部161平行于回血内管13的径向。第二横部160和第二竖部161可以垂直并一体成型连接。第二横部160的右端可以勾接于第二凸起17。回血外管12、回血内管13、第二卡扣16和第二凸起17可以用质地较软的材质构成。例如,回血外管12、回血内管13、第二卡扣16及第二凸起17的材质可以为聚氨酯、硅胶和聚氯乙烯PVC。第二凸起17可以被掰断或被刮除,以避免第二凸起17阻碍回血外管12和血透机器2的回血管道22连接。类似的,第二卡扣16也可以被掰断或者被刮除。Please refer to Figures 2 and 5 at the same time. The second buckle 16 may include a second transverse portion 160 and a second vertical portion 161. The second transverse portion 160 is parallel to the axial direction of the blood return inner tube 13, and the second vertical portion 161 is parallel to the radial direction of the blood return inner tube 13. The second transverse portion 160 and the second vertical portion 161 can be vertically and integrally connected. The right end of the second transverse portion 160 can be hooked to the second protrusion 17. The blood return outer tube 12, the blood return inner tube 13, the second buckle 16 and the second protrusion 17 can be made of a material with a softer texture. For example, the materials of the blood return outer tube 12, the blood return inner tube 13, the second buckle 16 and the second protrusion 17 can be polyurethane, silicone and polyvinyl chloride PVC. The second protrusion 17 can be broken off or scraped off to prevent the second protrusion 17 from obstructing the connection between the blood return outer tube 12 and the blood return blood channel 22 of the hemodialysis machine 2. Similarly, the second buckle 16 can also be broken off or scraped off.
请同时参考图2和图5,可选的,第二卡扣16和第二露出段131的端面间开设置,第二凸起17和回血外管12的端面间开设置。第二卡扣16可以和第二露出段131的左端端面间开设置。第二竖部161可以设置于第二露出段131的右端并和回血外管12的左端抵顶。第二卡扣16和第二露出段131的端面间开设置,可以避免第二卡扣16阻碍第二露出段131和血透机器2的回血管道22连接。因为若第二卡扣16和第二露出段131的端面齐平设置,则第二卡扣16会阻挡第二露出段131和血透机器2的回血管道22连接。Please refer to Figures 2 and 5 at the same time. Optionally, the second buckle 16 and the end face of the second exposed section 131 are spaced apart, and the second protrusion 17 and the end face of the blood return outer tube 12 are spaced apart. The second buckle 16 can be spaced apart from the left end face of the second exposed section 131. The second vertical portion 161 can be arranged at the right end of the second exposed section 131 and abut against the left end of the blood return outer tube 12. The second buckle 16 and the end face of the second exposed section 131 are spaced apart, so that the second buckle 16 can be prevented from obstructing the connection between the second exposed section 131 and the blood return channel 22 of the hemodialysis machine 2. Because if the second buckle 16 and the end face of the second exposed section 131 are arranged flush, the second buckle 16 will block the connection between the second exposed section 131 and the blood return channel 22 of the hemodialysis machine 2.
请同时参考图2和图5,第二凸起17可以和回血外管12的左端面间开设置。第二凸起17和回血外管12的端面间开设置,可以在需要使用回血外管12输送回血时,避免第二凸起17阻碍回血外管12和血透机器2的回血管道22连接。Please refer to Figures 2 and 5 at the same time. The second protrusion 17 can be spaced apart from the left end face of the blood return outer tube 12. The second protrusion 17 is spaced apart from the end face of the blood return outer tube 12, so that when the blood return outer tube 12 is used to transport the returned blood, the second protrusion 17 can be prevented from obstructing the connection between the blood return outer tube 12 and the blood return channel 22 of the hemodialysis machine 2.
请同时参考图3到图6,可选的,第一卡扣14包括第一手柄部142,第二卡扣16包括第二手柄部162。第一手柄部142和第二手柄部162可以呈十字形。第一手柄部142可以位于第一横部140的上方。第二手柄部162可以位于第二横部160的上方。医护人员可以捏住第一手柄部142解开第一卡扣14及捏住第二手柄部162解开第二卡扣16,从而无需借助工具即可方便地解开第一卡扣14及第二卡扣16。Please refer to FIG. 3 to FIG. 6 at the same time. Optionally, the first buckle 14 includes a first handle portion 142, and the second buckle 16 includes a second handle portion 162. The first handle portion 142 and the second handle portion 162 may be in a cross shape. The first handle portion 142 may be located above the first transverse portion 140. The second handle portion 162 may be located above the second transverse portion 160. The medical staff may pinch the first handle portion 142 to unlock the first buckle 14 and pinch the second handle portion 162 to unlock the second buckle 16, thereby conveniently unlocking the first buckle 14 and the second buckle 16 without the aid of tools.
如图1所示,可选的,引血内管11的外壁和引血外管10的内壁相切。引血内管11的外顶壁可以和引血外管10的内顶壁相切。引血内管11的外侧壁可以和引血外管10的内侧壁相切。引血内管11的外壁和引血外管10的内壁相切,可以让引血内管11和引血外管10紧密贴合,避免引血内管11和引血外管10之间产生间隙,进而防止血液在引血内管11和引血外管10之间的间隙内产生涡流或者滞留。As shown in FIG1 , optionally, the outer wall of the inner blood tube 11 is tangent to the inner wall of the outer blood tube 10. The outer top wall of the inner blood tube 11 can be tangent to the inner top wall of the outer blood tube 10. The outer side wall of the inner blood tube 11 can be tangent to the inner side wall of the outer blood tube 10. The outer wall of the inner blood tube 11 is tangent to the inner wall of the outer blood tube 10, so that the inner blood tube 11 and the outer blood tube 10 can be closely fitted, avoiding the formation of a gap between the inner blood tube 11 and the outer blood tube 10, thereby preventing the blood from generating eddy currents or stagnation in the gap between the inner blood tube 11 and the outer blood tube 10.
如图1所示,可选的,回血内管13的外壁和回血外管12的内壁相切。回血内管13的外顶壁可以和回血外管12的内顶壁相切,回血内管13的外侧壁可以和回血外管12的内侧壁相切。回血内管13的外壁和回血外管12的内壁相切,可以让回血内管13和回血外管12紧密贴合,避免回血内管13和回血外管12之间产生间隙,进而防止血液在回血内管13和回血外管12之间的间隙内产生涡流或者滞留而增加局部血栓增加的风险。As shown in FIG1 , optionally, the outer wall of the blood return inner tube 13 is tangent to the inner wall of the blood return outer tube 12. The outer top wall of the blood return inner tube 13 can be tangent to the inner top wall of the blood return outer tube 12, and the outer side wall of the blood return inner tube 13 can be tangent to the inner side wall of the blood return outer tube 12. The outer wall of the blood return inner tube 13 is tangent to the inner wall of the blood return outer tube 12, so that the blood return inner tube 13 and the blood return outer tube 12 can be closely fitted, avoiding the formation of a gap between the blood return inner tube 13 and the blood return outer tube 12, thereby preventing the blood from generating eddy currents or being retained in the gap between the blood return inner tube 13 and the blood return outer tube 12, thereby increasing the risk of increased local thrombosis.
如图1所示,在检查引血内管11中是否存在血栓时,可以先解开第一卡扣14,按住引血外管10让其在中心静脉中的位置保持不变,然后捏住第一露出段111将引血内管11从引血外管10中拔出来。引血内管11被拔出来之后,引血外管10仍可以继续使用,既完成了引血内管11中是否存在血栓的检查,同时不必重新穿刺引血外管10。引血外管10套设于引血内管11,即引血外管10可以作为引血内管11的备份,在引血内管11废置不用被拔出后,引血外管10可以继续使用。As shown in FIG1 , when checking whether there is a thrombus in the blood drawing inner tube 11, the first buckle 14 can be unfastened first, the blood drawing outer tube 10 can be pressed to keep its position in the central vein unchanged, and then the first exposed section 111 can be pinched to pull the blood drawing inner tube 11 out of the blood drawing outer tube 10. After the blood drawing inner tube 11 is pulled out, the blood drawing outer tube 10 can still be used, which completes the inspection of whether there is a thrombus in the blood drawing inner tube 11, and there is no need to re-puncture the blood drawing outer tube 10. The blood drawing outer tube 10 is sleeved on the blood drawing inner tube 11, that is, the blood drawing outer tube 10 can be used as a backup of the blood drawing inner tube 11, and the blood drawing outer tube 10 can be used after the blood drawing inner tube 11 is discarded and not pulled out.
如图1所示,类似的,在检查回血内管13中是否存在血栓时,可以先解开第二卡扣16,按住回血外管12让其在中心静脉中的位置保持不变,然后捏住第二露出段131将回血内管13从回血外管12中拔出来。回血内管13被拔出来之后,回血外管12仍可以继续使用,既完成了回血内管13中是否存在血栓的检查,同时不必重新穿刺回血外管12。回血外管12套设于回血内管13,即回血外管12可以作为回血内管13的备份,在回血内管13废置不用被拔出后,回血外管12可以继续使用。对于单针双腔形式的穿刺管1,引血内管11和回血内管13通常都需要拔出进行检查。As shown in Figure 1, similarly, when checking whether there is a thrombus in the blood return inner tube 13, you can first unfasten the second buckle 16, press the blood return outer tube 12 to keep its position in the central vein unchanged, and then pinch the second exposed section 131 to pull the blood return inner tube 13 out of the blood return outer tube 12. After the blood return inner tube 13 is pulled out, the blood return outer tube 12 can still be used, which completes the inspection of whether there is a thrombus in the blood return inner tube 13, and there is no need to re-puncture the blood return outer tube 12. The blood return outer tube 12 is sleeved on the blood return inner tube 13, that is, the blood return outer tube 12 can be used as a backup of the blood return inner tube 13, and after the blood return inner tube 13 is discarded and no longer needs to be pulled out, the blood return outer tube 12 can continue to be used. For the single-needle double-lumen puncture tube 1, both the blood introduction inner tube 11 and the blood return inner tube 13 usually need to be pulled out for inspection.
第二实施例Second embodiment
请同时参考图1、图2和图7,在本实施例中提供了一种血栓检查方法,其使用血透机器2和第一实施例中的穿刺管1,血透机器2和引血内管11连接,血透机器2和回血内管13连接,包括以下步骤:Please refer to FIG. 1 , FIG. 2 and FIG. 7 simultaneously. In this embodiment, a thrombus inspection method is provided, which uses a hemodialysis machine 2 and the puncture tube 1 in the first embodiment, the hemodialysis machine 2 is connected to the blood introduction inner tube 11, and the hemodialysis machine 2 is connected to the blood return inner tube 13, and includes the following steps:
S1:当血透机器2产生引血内管压力超值报警信号时,拔出引血内管11并判断引血内管11中是否存在血栓;引血内管压力超值报警信号可以是不同频率声音信号和/或血透机器2显示屏上不同颜色的图像提示信号。例如,红色级别的图像为最紧急的报警信号,必须即刻处理,否则血透机器2的血泵可能会随时停止运转。黄色级别的图像为一般等级的报警信号,此时可先观察。当医护人员感知到引血内管压力超值报警信号时,可以解开第一卡扣14并拔出引血内管11以观察引血内管11中是否存在血栓。S1: When the hemodialysis machine 2 generates an alarm signal that the pressure in the blood tube exceeds the value, pull out the inner blood tube 11 and determine whether there is a thrombus in the inner blood tube 11; the alarm signal that the pressure in the blood tube exceeds the value can be a sound signal of different frequencies and/or an image prompt signal of different colors on the display screen of the hemodialysis machine 2. For example, the red-level image is the most urgent alarm signal and must be processed immediately, otherwise the blood pump of the hemodialysis machine 2 may stop operating at any time. The yellow-level image is a general-level alarm signal and can be observed first. When medical staff sense the alarm signal that the pressure in the blood tube exceeds the value, they can unfasten the first buckle 14 and pull out the inner blood tube 11 to observe whether there is a thrombus in the inner blood tube 11.
S2:当血透机器2产生回血内管压力超值报警信号时,拔出回血内管13并判断回血内管13中是否存在血栓。回血内管压力超值报警信号可以是不同频率声音信号和/或血透机器2显示屏上不同颜色的图像提示信号。例如,红色级别的图像为最紧急的报警信号,必须即刻处理,否则血透机器2的血泵可能会随时停止运转。黄色级别的图像为一般等级的报警信号,此时可先观察。当医护人员感知到回血内管压力超值报警信号时,可以解开第二卡扣16并拔出回血内管13以观察回血内管13中是否存在血栓。S2: When the hemodialysis machine 2 generates an alarm signal that the pressure in the blood return tube exceeds a certain value, pull out the blood return tube 13 and determine whether there is a thrombus in the blood return tube 13. The alarm signal that the pressure in the blood return tube exceeds a certain value can be a sound signal of different frequencies and/or an image prompt signal of different colors on the display screen of the hemodialysis machine 2. For example, the red-level image is the most urgent alarm signal and must be processed immediately, otherwise the blood pump of the hemodialysis machine 2 may stop running at any time. The yellow-level image is a general-level alarm signal and can be observed first. When medical staff sense the alarm signal that the pressure in the blood return tube exceeds a certain value, they can unfasten the second buckle 16 and pull out the blood return tube 13 to observe whether there is a thrombus in the blood return tube 13.
血透机器2即血液透析机。血透机器2包括监护警报系统和透析液供给系统两部分。监护警报系统包括血泵、动静脉压监测和空气监测等。血透机器2的监护警报系统和引血内管11及回血内管13连通,并可以对引血内管11中的血压及回血内管13中的血压进行监测。The hemodialysis machine 2 is a hemodialysis machine. The hemodialysis machine 2 includes a monitoring alarm system and a dialysate supply system. The monitoring alarm system includes a blood pump, arteriovenous pressure monitoring, and air monitoring. The monitoring alarm system of the hemodialysis machine 2 is connected to the blood introduction inner tube 11 and the blood return inner tube 13, and can monitor the blood pressure in the blood introduction inner tube 11 and the blood return inner tube 13.
当引血内管11压力低于正常值(例如,当引血内管11压力值为极端负值-250mmHg)或回抽不通畅时,监护警报系统会产生引血内管压力超值报警信号。当回血内管13压力超过正常值(例如,当回血内管13压力值为300mmHg)或回抽不通畅时,血透机器2的监护警报系统会产生回血内管压力超值报警信号。When the pressure of the inner blood tube 11 is lower than the normal value (for example, when the pressure value of the inner blood tube 11 is an extremely negative value of -250 mmHg) or the backflow is not smooth, the monitoring alarm system will generate an alarm signal of excessive pressure in the inner blood tube. When the pressure of the inner blood tube 13 exceeds the normal value (for example, when the pressure value of the inner blood tube 13 is 300 mmHg) or the backflow is not smooth, the monitoring alarm system of the hemodialysis machine 2 will generate an alarm signal of excessive pressure in the inner blood tube.
以上对本申请实施例所提供的穿刺管及血栓检查方法进行了详细介绍,对于本领域的一般技术人员,依据本申请实施例的思想,在具体实施方式及应用范围上均会有所改变之处。综上所述,本说明书内容不应理解为对本申请的限制,凡依据本申请的精神与技术思想所做的一切等效修饰或改变,仍应由本申请的权利要求所涵盖。The above is a detailed introduction to the puncture tube and thrombus inspection method provided in the embodiments of the present application. For those skilled in the art, according to the ideas of the embodiments of the present application, there will be some changes in the specific implementation methods and application scope. In summary, the content of this specification should not be understood as a limitation to the present application. All equivalent modifications or changes made according to the spirit and technical ideas of the present application should still be covered by the claims of the present application.
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| CN211863451U (en) * | 2020-03-02 | 2020-11-06 | 郑亚国 | Coronary sinus of venosus selectivity dialysis device |
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| CN216963255U (en) * | 2021-11-02 | 2022-07-15 | 广东省人民医院 | Prevent sticking to wall hemodialysis pipe |
| CN114053502A (en) * | 2021-11-11 | 2022-02-18 | 上海长征医院 | Y type hemodialysis harbor |
| CN114681700A (en) * | 2022-04-28 | 2022-07-01 | 周红卫 | Structure for preventing blood coagulation of hemodialysis catheter and application method thereof |
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