CN105310749A - Parietal extrapleural catheterizing method - Google Patents
Parietal extrapleural catheterizing method Download PDFInfo
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- CN105310749A CN105310749A CN201410392500.4A CN201410392500A CN105310749A CN 105310749 A CN105310749 A CN 105310749A CN 201410392500 A CN201410392500 A CN 201410392500A CN 105310749 A CN105310749 A CN 105310749A
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- puncture needle
- needle
- puncture
- needle body
- cavity
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Abstract
The invention relates to the field of medical instruments for thoracic operations, in particular to a parietal extrapleural catheterizing method. According to the parietal extrapleural catheterizing method, a puncture needle component and a catheter are included, the puncture needle component comprises a puncture needle body, the puncture needle body comprises a cylinder rod, a cavity is arranged in the cylinder rod, one end of the cylinder rod is pointed, a cone-frustum cylinder connector communicated with the cylinder rod is arranged at the other end of the cylinder rod, a puncture needle core is inserted into the cavity of the puncture needle body, one pointed end of the puncture needle core extends out of the puncture needle body, an injector is connected at the other end of the puncture needle core, and the catheter is disposed in the cavity of the puncture needle body and extends to the outside of the parietal pleura of a human body along the cavity in the puncture needle body. The parietal extrapleural catheterizing method has the advantage that the catheter is placed outside the parietal pleura surrounding intercostal nerves of segments requiring blocking and used for injecting analgesics into the area continuously via the catheter to block corresponding intercostal nerves, so that antalgic effect is achieved.
Description
[technical field]
The present invention relates to medical instruments field used for thoracic operation, be specifically related to a kind of parietal pleura Puncture Tube method.
[background technology]
Open chest surgery operative incision is long, and tissue injury is large, and post-operative incisional pain is violent, and pain management difficulty is large.Postoperative patient because have an intense pain, dare not be deeply breathed and cough, thus increases the incidence rate of pulmonary atelectasis, pulmonary infection, arrhythmia, even respiratory failure and the cardiovascular and cerebrovascular vessel complication such as surprisingly.For another without perfect Postoperative Analgesia After, after open chest surgery, acute pain changes chronic pain into and can reach 30%, has a strong impact on the quality of life of patient.The analgesia method of current employing is generally the methods such as Epidural analgesia, Paravertebral Nerve Block, intercostal nerve block and intravenous injection analgesic, in said method, effectiveness of patient controlled epidural analgesia is good, but operator needs the training of long period, may bring the complication such as nerve injury, unexpected extensively retardance, and person avoids using coagulation disorders; Continuous intravenous infusion analgesia is also conventional analgesia method, but needs heavy dose of opioid drug, usually cause nausea, vomit, dizziness, drowsiness even respiration inhibition etc.; Single Paravertebral Nerve Block and intercostal nerve block analgesia time limited.Need if analgesic can be continued to inject to block in the region outside the parietal pleura around sections intercostal nerves, then can provide effective analgesia, it also avoid and blocked wide or deficiency of time, or the problem that excessive use whole body analgesic brings.
[summary of the invention]
The object of the invention is to the defect for prior art and deficiency, there is provided a kind of structure simple, a kind of parietal pleura Puncture Tube method reasonable in design, easy to use, conduit is placed to by its employing to be needed to block outside the parietal pleura around sections intercostal nerves, analgesic is injected to this regional sustained through conduit, block corresponding intercostal nerves, thus reach analgesic effect.
A kind of parietal pleura Puncture Tube method of the present invention, it comprises a puncture needle component and conduit, described puncture needle component comprises a puncture needle needle body, this puncture needle needle body comprises a bar, cavity is provided with in this bar, this bar one end is most advanced and sophisticated head, and the other end of this bar is provided with a frustum drum interface communicated with it; Cavity in described puncture needle needle body interts a puncture needle nook closing member, and one end tip of this puncture needle nook closing member stretches out outside puncture needle needle body, and the other end of this puncture needle nook closing member connects a syringe; Described conduit is placed in the cavity in puncture needle needle body, extends outside the parietal pleura of human body along the cavity in its puncture needle needle body;
It is put pipe and adopts following method step:
A. insert in puncture needle needle body by puncture needle nook closing member, puncture needle nook closing member tail end connects syringe, preliminary filling part normal saline in syringe;
B. before puncture, art side lung is carried out one-lung ventilation, puncture needle needle body to be punctured through intercostal space the skin of human body and subcutaneous tissue, thoracic wall muscular tissue successively by the other 3cm of corresponding sections vertebra, after puncture needle nook closing member punctures parietal pleura, have sense of obviously coming to nothing, the normal saline in syringe is sucked pleural space by the negative pressure in pleural space;
C. now, the tip of puncture needle needle body is just positioned at outside parietal pleura, extracts puncture needle nook closing member, and the cavity in puncture needle needle body inserts conduit, extracts puncture needle needle body, A/C;
D. the external end head place of conduit connects a catheter adapter, and the external port of this catheter adapter connects medicine-filling device.
Preferably, the front end tube wall of described conduit is provided with some side openings.
After adopting said structure, beneficial effect of the present invention is: a kind of parietal pleura Puncture Tube method of the present invention, conduit is placed to by its employing to be needed to block outside the parietal pleura around sections intercostal nerves, analgesic is injected to this regional sustained through conduit, block the intercostal nerves of corresponding sections, thus effective analgesia can be provided continuously, the complication that the method such as Epidural analgesia, anesthesia analgesia can be avoided again to bring and deficiency.
[accompanying drawing explanation]
Accompanying drawing described herein is used to provide a further understanding of the present invention, forms a application's part, but does not form inappropriate limitation of the present invention, in the accompanying drawings:
Fig. 1 inserts guide-tube structure schematic diagram after the present invention extracts tube core;
Fig. 2 is that the present invention punctures to the structural representation of pleural space;
Fig. 3 is the structural representation of pleura cavity puncture needle of the present invention.
Description of reference numerals:
1; 2, conduit; 3, puncture needle needle body; 4, skin and subcutaneous tissue; 5, thoracic wall muscular tissue; 6, pulmonary; 7, rib; 8, pleural space; 9, parietal pleura; 10, puncture needle nook closing member; 11, syringe.
[detailed description of the invention]
Describe the present invention in detail below in conjunction with accompanying drawing and specific embodiment, illustrative examples wherein and explanation are only used for explaining the present invention, but not as a limitation of the invention.
As shown in Figure 1-Figure 3, a kind of parietal pleura Puncture Tube method described in this detailed description of the invention, it comprises a puncture needle component and conduit 2, described puncture needle component comprises a puncture needle needle body 3, this puncture needle needle body 3 comprises a bar, be provided with cavity in this bar, this bar one end is most advanced and sophisticated head, and the other end of this bar is provided with a frustum drum interface communicated with it; Cavity in described puncture needle needle body 3 interts a puncture needle nook closing member 10, and one end tip of this puncture needle nook closing member 10 stretches out outside puncture needle needle body 3, and the other end of this puncture needle nook closing member 10 connects a syringe 11; Described conduit 2 is placed in the cavity in puncture needle needle body 3, extends outside the parietal pleura 9 of human body along the cavity in its puncture needle needle body 3;
It is put pipe and adopts following method step:
A. insert in puncture needle needle body 3 by puncture needle nook closing member 10, puncture needle nook closing member 10 tail end connects syringe 11, preliminary filling part normal saline in syringe 11;
B. before puncture, art side lung is carried out one-lung ventilation, puncture needle needle body 3 to be punctured through intercostal space the skin of human body and subcutaneous tissue 4, thoracic wall muscular tissue 5 successively by the other 3cm of corresponding sections vertebra, after puncture needle nook closing member 10 punctures parietal pleura 9, have sense of obviously coming to nothing, the normal saline in syringe 11 is sucked pleural space 8 by the negative pressure in pleural space 8;
C. now, the tip of puncture needle needle body 3 is just positioned at outside parietal pleura 9, extracts puncture needle nook closing member 10, and the cavity in puncture needle needle body 3 inserts conduit 2, extracts puncture needle needle body 3, A/C 2;
D. the external end head place of conduit 2 connects a catheter adapter 1, and the external port of this catheter adapter 1 connects medicine-filling device.
Preferably, the front end tube wall of described conduit 2 is provided with some side openings.
Beneficial effect of the present invention is as follows:
(1) wound is little, puts pipe without underwent operative otch.
(2) puncture and intubation can be carried out in the preoperative, carry out Preventive analgesia.
(3) because operating the one-lung ventilation that moves ahead, and the pleura cut that fine needle core causes is little, and pneumothorax or analgesic can not be caused to enter pleural space through cut.
A kind of parietal pleura Puncture Tube method of the present invention, conduit is placed to by its employing to be needed to block outside the parietal pleura around sections intercostal nerves, inject analgesic through conduit to this regional sustained, block the intercostal nerves of corresponding sections, thus reach analgesic effect.
The above is only better embodiment of the present invention, therefore all equivalences done according to structure, feature and the principle described in patent claim of the present invention change or modify, and are included in patent claim of the present invention.
Claims (2)
1. a parietal pleura Puncture Tube method, it is characterized in that: it comprises a puncture needle component and conduit (2), described puncture needle component comprises a puncture needle needle body (3), this puncture needle needle body (3) comprises a bar, cavity is provided with in this bar, this bar one end is most advanced and sophisticated head, and the other end of this bar is provided with a frustum drum interface communicated with it; Cavity in described puncture needle needle body (3) interts a puncture needle nook closing member (10), one end tip of this puncture needle nook closing member (10) stretches out puncture needle needle body (3) outward, and the other end of this puncture needle nook closing member (10) connects a syringe (11); Described conduit (2) is placed in the cavity in puncture needle needle body (3), extends the parietal pleura (9) of human body outward along the cavity in its puncture needle needle body (3);
It is put pipe and adopts following method step:
A. insert in puncture needle needle body (3) by puncture needle nook closing member (10), puncture needle nook closing member (10) tail end connects syringe (11), syringe (11) interior preliminary filling part normal saline;
B. before puncture, art side lung is carried out one-lung ventilation, puncture needle needle body (3) to be punctured through intercostal space the skin of human body and subcutaneous tissue (4), thoracic wall muscular tissue (5) successively by the other 3cm of corresponding sections vertebra, after puncture needle nook closing member (10) punctures parietal pleura (9), have sense of obviously coming to nothing, the normal saline in syringe (11) is sucked pleural space (8) by the negative pressure in pleural space (8);
C. now, the tip of puncture needle needle body (3) is just positioned at parietal pleura (9) outward, extract puncture needle nook closing member (10), cavity in puncture needle needle body (3) inserts conduit (2), extract puncture needle needle body (3), A/C (2);
D. the external end head place of conduit (2) connects a catheter adapter (1), and the external port of this catheter adapter (1) connects medicine-filling device.
2. a kind of parietal pleura Puncture Tube method according to claim 1, is characterized in that: the front end tube wall of described conduit (2) is provided with some side openings.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410392500.4A CN105310749A (en) | 2014-08-04 | 2014-08-04 | Parietal extrapleural catheterizing method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410392500.4A CN105310749A (en) | 2014-08-04 | 2014-08-04 | Parietal extrapleural catheterizing method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105310749A true CN105310749A (en) | 2016-02-10 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410392500.4A Pending CN105310749A (en) | 2014-08-04 | 2014-08-04 | Parietal extrapleural catheterizing method |
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| Country | Link |
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| CN (1) | CN105310749A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107174316A (en) * | 2017-05-17 | 2017-09-19 | 洪玉才 | A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method |
| CN109091202A (en) * | 2018-09-26 | 2018-12-28 | 浙江大学医学院附属第二医院 | A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench |
-
2014
- 2014-08-04 CN CN201410392500.4A patent/CN105310749A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107174316A (en) * | 2017-05-17 | 2017-09-19 | 洪玉才 | A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method |
| CN109091202A (en) * | 2018-09-26 | 2018-12-28 | 浙江大学医学院附属第二医院 | A kind of Paravertebral Nerve Block for thoracoscopic operation sets pipe wrench |
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| C06 | Publication | ||
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| WD01 | Invention patent application deemed withdrawn after publication | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20160210 |