CN105433928A - Pulmonary embolism diagnostic instrument based on pulmonary artery pressure waveform analysis technology - Google Patents
Pulmonary embolism diagnostic instrument based on pulmonary artery pressure waveform analysis technology Download PDFInfo
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- 210000001147 pulmonary artery Anatomy 0.000 title claims abstract description 32
- 208000010378 Pulmonary Embolism Diseases 0.000 title claims abstract description 26
- 230000004872 arterial blood pressure Effects 0.000 title claims abstract description 10
- 238000005516 engineering process Methods 0.000 title abstract description 7
- 238000000034 method Methods 0.000 claims description 6
- 238000003745 diagnosis Methods 0.000 claims description 5
- 239000003154 D dimer Substances 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000005794 circulatory dysfunction Effects 0.000 description 1
- 230000000052 comparative effect Effects 0.000 description 1
- 229940039231 contrast media Drugs 0.000 description 1
- 239000002872 contrast media Substances 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 108010052295 fibrin fragment D Proteins 0.000 description 1
- 239000000383 hazardous chemical Substances 0.000 description 1
- 210000004731 jugular vein Anatomy 0.000 description 1
- 238000002588 pulmonary angiography Methods 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 230000004202 respiratory function Effects 0.000 description 1
- 238000012216 screening Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
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Abstract
Description
技术领域technical field
本发明属于医疗设备领域,涉及一种基于肺动脉压力波形分析技术的肺栓塞诊断仪。The invention belongs to the field of medical equipment, and relates to a pulmonary embolism diagnostic instrument based on a pulmonary artery pressure waveform analysis technology.
背景技术Background technique
常肺动脉栓塞(简称肺栓塞)是指肺动脉由于血栓、脂肪、空气等栓塞物堵塞肺动脉各级分支,肺动脉内血流受阻而导致的呼吸循环功能障碍性疾病。具有发病突然,死亡率高,诊断困难,且发病率越来越高的特点。目前临床上对于肺栓塞的筛查主要依赖于D-二聚体的升高,但其具有特异性差得缺点;对肺栓塞的确诊主要依赖核素通气-灌注现象或CT肺动脉造影,但其具有需要搬动患者至放射科并接受核素或造影剂等有害物质的诸多缺点。所以研究一种肺栓塞的简便、快速而准确地诊断手段具有重要的临床意义。Pulmonary embolism (referred to as pulmonary embolism) refers to a respiratory and circulatory dysfunction disease caused by obstruction of pulmonary artery branches at all levels due to embolism such as thrombus, fat, air, etc., and obstruction of blood flow in the pulmonary artery. It has the characteristics of sudden onset, high mortality rate, difficult diagnosis and increasing incidence. At present, the clinical screening for pulmonary embolism mainly relies on the increase of D-dimer, but it has the disadvantage of poor specificity; the diagnosis of pulmonary embolism mainly relies on nuclide ventilation-perfusion phenomenon or CT pulmonary angiography, but it has the disadvantage of poor specificity. The many disadvantages of needing to move the patient to the radiology department and receive hazardous materials such as nuclides or contrast media. Therefore, it is of great clinical significance to study a simple, rapid and accurate diagnostic method for pulmonary embolism.
发明内容Contents of the invention
本发明的目的在于克服上述现有技术的缺点,提供了一种基于肺动脉压力波形分析技术的肺栓塞诊断仪,该诊断仪能够诊断出用户是否肺栓塞。The purpose of the present invention is to overcome the above-mentioned shortcomings of the prior art, and provide a pulmonary embolism diagnostic instrument based on pulmonary artery pressure waveform analysis technology, which can diagnose whether a user has pulmonary embolism.
为达到上述目的,本发明所述的基于肺动脉压力波形分析技术的肺栓塞诊断仪包括漂浮导管、压力传感器、处理器、存储器及显示器,漂浮导管的一端伸入到用户肺动脉主干内,漂浮导管的另一端与压力传感器相连通,处理器与压力传感器的输出端、存储器及显示器相连接。In order to achieve the above object, the pulmonary embolism diagnostic instrument based on pulmonary artery pressure waveform analysis technology described in the present invention includes a floating catheter, a pressure sensor, a processor, a memory and a display. One end of the floating catheter extends into the main pulmonary artery of the user, and the The other end is connected with the pressure sensor, and the processor is connected with the output end of the pressure sensor, memory and display.
压力传感器通过导线与处理器相连接。The pressure sensor is connected with the processor through wires.
所述压力传感器为医用压力传感器。The pressure sensor is a medical pressure sensor.
本发明具有以下有益效果:The present invention has the following beneficial effects:
本发明所述的基于肺动脉压力波形分析技术的肺栓塞诊断仪在使用时,压力传感器通过漂浮导管采集肺动脉主干内的压力信息,并将所述压力信息转发至处理器中,处理器根据所述压力信息通过显示器显示所述压力信息随时间的变化曲线,同时处理器显示存储器内存储的正常人肺动脉主干内的压力信息随时间的变化曲线,由于肺栓塞发生后会引起肺血管床面积的急剧减少,从而改变肺动脉系统的阻力及顺应性,在心脏搏出不变或基本不变的情况下,肺动脉内压力必然发生相应地变化,因此可以通过对比用户与正常人的肺动脉主干内的压力信息随时间的变化曲线即可获知用户是否肺栓塞,结构简单,操作方便,具有较强的临床应用价值。When the pulmonary embolism diagnostic instrument based on the pulmonary artery pressure waveform analysis technology described in the present invention is in use, the pressure sensor collects the pressure information in the main pulmonary artery through the floating catheter, and forwards the pressure information to the processor. The pressure information displays the time-varying curve of the pressure information through the display, and at the same time, the processor displays the time-varying curve of the pressure information in the main pulmonary artery of a normal person stored in the memory, because pulmonary embolism will cause a sharp increase in the area of the pulmonary vascular bed. decrease, thereby changing the resistance and compliance of the pulmonary artery system. When the heart beat remains unchanged or basically unchanged, the pressure in the pulmonary artery will inevitably change accordingly. Therefore, the pressure information in the main pulmonary artery of the user and the normal person can be compared Whether the user has pulmonary embolism can be known from the time-varying curve. The structure is simple, the operation is convenient, and it has strong clinical application value.
附图说明Description of drawings
图1为本发明的结构示意图;Fig. 1 is a structural representation of the present invention;
图2为正常人、患者少量肺栓塞的患者及患有大量肺栓塞的患者的肺动脉主干1内压力信息随时间的变化曲线对比图。FIG. 2 is a comparative graph of pressure information in the main pulmonary artery 1 over time for normal people, patients with a small amount of pulmonary embolism, and patients with a large number of pulmonary embolisms.
其中,1为肺动脉主干、2为漂浮导管、3为压力传感器、4为导线、5为处理器、6为存储器、7为显示器。Among them, 1 is the main pulmonary artery, 2 is the floating catheter, 3 is the pressure sensor, 4 is the wire, 5 is the processor, 6 is the memory, and 7 is the display.
具体实施方式detailed description
下面结合附图对本发明做进一步详细描述:The present invention is described in further detail below in conjunction with accompanying drawing:
参考图1,本发明所述的基于肺动脉压力波形分析技术的肺栓塞诊断仪包括漂浮导管2、压力传感器3、处理器5、存储器6及显示器7,漂浮导管2的一端伸入到用户肺动脉主干1内,漂浮导管2的另一端与压力传感器3相连通,处理器5与压力传感器3的输出端、存储器6及显示器7相连接。With reference to Fig. 1, the pulmonary embolism diagnostic instrument based on pulmonary artery pressure waveform analysis technology described in the present invention comprises floating catheter 2, pressure sensor 3, processor 5, memory 6 and display 7, and one end of floating catheter 2 is stretched into user's main pulmonary artery 1, the other end of the floating conduit 2 is connected with the pressure sensor 3, and the processor 5 is connected with the output end of the pressure sensor 3, the memory 6 and the display 7.
需要说明的是,压力传感器3通过导线4与处理器5相连接;压力传感器3为医用压力传感器。It should be noted that the pressure sensor 3 is connected to the processor 5 through the wire 4; the pressure sensor 3 is a medical pressure sensor.
本发明的使用过程为:The use process of the present invention is:
将漂浮导管2经锁骨下或颈内静脉采用皮微创快速穿刺技术导入到用户的肺动脉主干1内,压力传感器3检测肺动脉主干1内的压力信息,并将所述压力信息转发至处理器5中,处理器5通过显示器7显示患者肺动脉主干1内的压力信息随时间的变化曲线,同时显示存储器6内存储的正常人肺动脉主干1内压力信息随时间的变化曲线,用户即可通过对比患者及正常用户肺动脉主干1内压力信息随时间的变化曲线得知患者是否肺栓塞。The floating catheter 2 is introduced into the main pulmonary artery 1 of the user through the subclavian or internal jugular vein using the minimally invasive rapid puncture technique, and the pressure sensor 3 detects the pressure information in the main pulmonary artery 1 and forwards the pressure information to the processor 5 Among them, the processor 5 displays the time-varying curve of the pressure information in the patient's pulmonary artery trunk 1 through the display 7, and simultaneously displays the time-varying curve of the pressure information in the normal person's pulmonary artery trunk 1 stored in the memory 6, and the user can compare the patient's and the time-varying curve of the pressure information in the main pulmonary artery 1 of a normal user to know whether the patient has pulmonary embolism.
参考图2,曲线A代表正常用户肺动脉主干1内压力信息随时间的变化曲线,曲线B代表患有少量肺栓塞的患者肺动脉主干1内压力信息随时间的变化曲线,曲线C代表患有大量肺栓塞的患者肺动脉主干1内压力信息随时间的变化曲线。Referring to Figure 2, curve A represents the change curve of the pressure information in the main pulmonary artery 1 of a normal user with time, curve B represents the change curve of the pressure information in the main pulmonary artery 1 of a patient with a small amount of pulmonary embolism with time, and curve C represents the change curve of the pressure information in the main pulmonary artery 1 of a patient with a large number of pulmonary embolisms. The change curve of the pressure information in the main pulmonary artery 1 of the embolized patient with time.
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CN108742573A (en) * | 2018-06-29 | 2018-11-06 | 西藏互帮农牧科技有限公司 | Measure the device and method of milk cow pulmonary artery and right ventricular pressure |
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US20020111662A1 (en) * | 2001-02-09 | 2002-08-15 | Iaizzo Paul A. | System and method for placing an implantable medical device within a body |
RU2405584C2 (en) * | 2009-08-21 | 2010-12-10 | Федеральное Государственное Учреждение "Российский кардиологический научно-производственный комплекс Федерального агентства по высокотехнологичной медицинской помощи" | Pulmonary artery catheterisation technique |
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CN108742573A (en) * | 2018-06-29 | 2018-11-06 | 西藏互帮农牧科技有限公司 | Measure the device and method of milk cow pulmonary artery and right ventricular pressure |
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Inventor after: Han Feng Inventor after: Su Dan Inventor after: Wang Gang Inventor before: Han Feng |
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Effective date of registration: 20200918 Address after: 710004 No. 157, five West Road, Xincheng District, Shaanxi, Xi'an Applicant after: The Second Affiliated Hospital of Xi'an Jiaotong University Address before: 710004 No. 157, five West Road, Xincheng District, Shaanxi, Xi'an Applicant before: Han Feng |
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