Waist Da Chi constant drainage device
Technical field
This utility model relates to a kind of medical apparatus and instruments, specifically a kind of waist Da Chi constant drainage device.
Background technology
We know that the surface of brain and spinal cord is surrounded by three layers of tunicle, and ecto-entad is followed successively by dura mater, arachnoidea and mantle.Be full of cerebrospinal fluid in the subarachnoid space between arachnoidea and the mantle.The cerebrospinal fluid of subarachnoid space produces at third and fourth ventricles of the brain, flows into subarachnoid space through pipeline then.Cerebrospinal fluid flows down along spinal cord, returns brain at spinal cord pipeline internal return.Cerebrospinal fluid comes from blood plasma, and the vascular mantle that is extended to third and fourth ventricles of the brain top by the blood capillary in the choroid plexus is secreted, and is full of subarachnoid space, myelocoele and whole ventricular system.According to the introduction of department of cerebral surgery postoperative intracranial pressure clinical monitoring standard, the intracranial pressure of human body (ICP) need remain in the certain numerical value, normal ICP is 0.667-2Kpa or 5-15mmHg, too high or too low then people can feel that headache, vomiting, papilloedema, disturbance of consciousness, vital sign change, even produces the pathological changes of cerebral hernia.And when human body generation cerebral trauma or intracerebral lesion, intracranial can hematocele or hydrops, often departs from normally with intracranial pressure, must carry out the outer or focus external drainage of cranium brain by surgical operation this moment, with relief of symptoms, reduce intracranial pressure, treat.The lumbar puncture art is usually used in checking the character of cerebrospinal fluid, to diagnosis cerebrovascular, central nervous system infection sexually transmitted disease (STD) become, after the craniocerebral operations, diseases such as craniocerebral trauma, myeleterosis are significant.Sometimes also can be used for the intrathecal injection medicine, and measure intracranial pressure and whether block with the understanding subarachnoid space.Adopt waist Da Chi drain to alleviate intracranial hypertension effectively, alleviate Heavy craniocerebral injury acute stage malignant diseases haircut exhibition.During waist Da Chi drain, the canalis spinalis built-in pipe is very thin, and a speed is very slow (to be controlled at 5~10ml/h), the transforminal herniation chance is reduced.According to Pascal's law, when ventricles of the brain brain cell system still communicated with cavitas subarachnoidealis spinalis, waist Da Chi pressure and intracranial pressure equilibrium were increased, and were difficult for forming cerebral hernia under the situation of this isostasy.
The apparatus that present domestic neurosurgical treatment hydrocrania, cerebral hemorrhage disease adopt lacks system specifications, and the external drainage device is many to be made up of suspension arrangement, dropping funnel, liquid storing bag, pressure regulator, drainage tube etc.Above-mentioned drainage system complex structure, make loaded down with trivial details, the altitude mixture control inconvenience.Epidural catheter is adopted in traditional lumbar puncture, and this conduit far is narrower than the holing of Tuohy puncture needle on spinal dura mater, and cerebrospinal fluid easily exosmoses, and tube chamber easily stops up, and has both influenced the judgement to drainage flow, easily causes infection again.
Summary of the invention
Technical problem to be solved in the utility model is to overcome above-mentioned the deficiencies in the prior art, provides a kind of structure reasonable, and processing and manufacturing is easy, and is easy for operation, and the waist Da Chi constant drainage device of liquid return can not appear in the drain accurate measurement.
The technical scheme in the invention for solving the above technical problem is: a kind of waist Da Chi constant drainage device, comprise the puncture drainage assembly, conduit, liquid-collection bag, it is characterized in that: the puncture drainage assembly is by puncture needle, guide wire, drainage catheter, the liner conduit, Rule adapter is formed, drainage catheter is inserted under the guiding of guide wire, the liner conduit is arranged in the drainage catheter tube chamber, adapter one end in Rule is connected with drainage catheter is terminal, the other end is connected with supravasal cone joint, liquid-collection bag is communicated with drainage catheter by conduit, and the liquid-collection bag bottom is provided with leakage fluid dram cone joint and liquid stopping clamp.
Be connected with three-way valve on the said conduit of this utility model.
Be provided with spring steel wire in the said liner duct wall of this utility model.
The said liquid-collection bag of this utility model is provided with metering scale, and top is provided with anti-backflow device.
Be provided with the liner conduit in this utility model drainage catheter tube chamber, liquid-collection bag directly is communicated with drainage catheter by conduit, on the support that can be suspended on adjustment height.Against existing technologies, this utility model drainage catheter caliber and puncture needle holing match, and have avoided cerebrospinal fluid (CSF) seepage, the liner conduit of band spring steel wire in being provided with in the drainage catheter tube chamber, and anti-bending has guaranteed that tube chamber is unobstructed.By the adjustable patient's intracranial pressure of the suspension height of liquid-collection bag.This utility model is simple in structure, and is easy for operation, reduces the clinical infection probability, can reflect the amount of liquid of drain at any time accurately, safe and convenient to use, is fit to situations such as the patient lies in bed, stands up.Be suitable for doing nontoxic aseptic disposable waist Da Chi constant drainage device.
Description of drawings
Below in conjunction with accompanying drawing this utility model is done to describe further:
Fig. 1 is a structural representation of the present utility model.
Fig. 2 is this utility model puncture drainage assembly decomposing schematic representation.
1. puncture needles among the figure, 2. drainage catheter scale, 3. drainage catheter, 4. guide wire, 5. liner conduit, 6. Rule adapter, 7. cone joint, 8. conduit, 9. three-way valve, 10. cone joint, 11. links, 12. anti-backflow devices, 13. air filter, 14. liquid-collection bags, 15. graduated scales, 16. liquid stopping clamp, 17. leakage fluid dram cone joints.
The specific embodiment
As can be seen from Figure 1, a kind of waist Da Chi constant drainage device comprises puncture drainage assembly, conduit 8, liquid-collection bag 14 etc.
This utility model puncture drainage assembly comprises puncture needle 1, guide wire 4, drainage catheter 3, liner conduit 5, Rule adapter 6 etc., is the necessary assembly of product, as shown in Figure 2.The fore-end tube wall of drainage catheter 3 is provided with conduction hole, and tube wall is provided with drainage catheter scale 2, when needs carry out waist Da Chi surgical drainage, adopts anesthesia spinal needle 1, as the Tuohy pin, carries out the waist cisternal puncture.After inserting pin, extract nook closing member, insert J-shaped guide wire 4 from backshank.When guide wire 4 arrived clinical position, drainage catheter 3 was inserted under the guiding of guide wire 4, and liner conduit 5 is arranged in drainage catheter 3 tube chambers, and adapter 6 one ends in Rule are connected with drainage catheter 3 ends, and the other end is connected with cone joint on the conduit 8.Rule adapter 6 is a standard component, can connect the tail medicated cap on it, also can dispose the tail medicated cap in addition.Be fixed on patient's drain position by ring for fixing.
The said liquid-collection bag of this utility model 14 is communicated with drainage catheter 3 by conduit 8, and wherein Rule adapter 6 is connected with cone joint 7 on the conduit 8, and liquid-collection bag 14 inlets pass through cone joint 10 and are connected with conduit 8.Liquid-collection bag 14 bottoms are provided with leakage fluid dram cone joint 17 and liquid stopping clamp 16.The said liquid-collection bag 14 of this utility model is provided with link 11, can hang on the height-adjustable support.Liquid-collection bag 14 tops are provided with anti-backflow device 12 and air filter 13, and air filter 13 is heat seal air filtration films on bag.Liquid-collection bag 14 is provided with metering scale scale 15, is used for collecting, metering drain liquid.Liquid-collection bag 14 is adjusted its suspension height by link 11, and then patient's intracranial pressure is regulated.Regulate drainage speed by link 11 height, thereby the control drainage speed is regulated the cranium pressure, carries out cranium hydrocrania external drainage safely, in time.
Be connected with three-way valve 9 on the said conduit 8 of this utility model.Be provided with spring steel wire in said liner conduit 5 tube walls.
When this utility model uses, adopt anesthesia spinal needle 1,, carry out the waist cisternal puncture as the Tuohy pin.After inserting pin, extract nook closing member, insert J-shaped guide wire 4 from backshank.When guide wire 4 arrives clinical position, withdraw from puncture needle 1 along guide wire 4.Afterwards, insert lumbar drainage catheter 3 along guide wire 4.Unobstructed in lumbar drainage catheter 3 pipes, and when having CSF to flow out, insert liner conduit 5 along tube chamber, it is the epidural catheter of band spring steel wire, clip redundance and fix it at distance lumbar drainage catheter 3 terminal 1cm places after reaching respective depth, adapter 6 one ends in Rule are connected with lumbar drainage catheter 3.Conduit 8 one ends that then will have three-way valve 9 are connected with Rule adapter 6 by cone joint 7, and the other end is connected with aseptic liquid-collection bag 14 by cone joint 10.Regulate drainage speed with three-way valve 9.This combination is simple, convenient, relies on liquid-collection bag 14 to place height and controls drainage speed, regulates cranium and presses, and avoids inadequate drainage or drain excessive.
The lumbar drainage catheter 3 that this utility model adopts can be inserted smoothly by guide wire 4, and caliber and anesthesia spinal needle 1 holing match, and has avoided the CSF seepage.And be lined with in the lumbar drainage catheter 3 band spring steel wire liner conduit 5, this epidural catheter folding, beat 2-3 surgical knot after, tube chamber is still unobstructed.Be fit to situations such as the patient lies in bed, stands up.This utility model is simple in structure, and processing and manufacturing is easy, and is easy for operation, the backflow of drain liquid can not occur and cause patient's cross infection, can reflect the amount of liquid of drain at any time accurately.Be particularly suitable for making nontoxic aseptic disposable waist Da Chi constant drainage device, safe and convenient to use.