Medical and multifunctional intervention protection room
Technical field
The present invention relates to a kind of medical protection equipment, be specifically related to be subjected to when a kind of medical worker of preventing carries out the intervention diagnosis and therapy operation under the X machine medical and multifunctional intervention protection room of x-ray radiation damage.
Background technology
Interventional technique is a new subject that rises on the Image Diagnosis basis in recent years, it carry out diagnosis and the result of treatment that has greatly improved disease.Though it has advantages such as wound is little, curative effect is fast, yet intervention diagnosis and treatment are to carry out under radioscopy and radiography guidance, and the x-ray bombardment time, long radiant quantity was big, bring heavy dose of the burden for interventional procedure person and patient.It is reported that intervention radiation worker's year effective dose may surpass 50mSv; According to another the Marx report, it is 49.1mSv that 30 operating personnel are monitored the discovery annual dose.Compare with common surgical procedures, the cost interests of radioactivity interventional procedure are more much higher than really.The protection present situation of present many hospitals is the situations that continue patient's life with doctor's life.Along with developing rapidly of interventional technique, operating personnel's radioactive protection has become the important topic that needs to be resolved hurrily.
In current clinical intervention diagnosis and therapy, to the protection of X line, mainly still be protecting screen, protective clothing, head protector, plumbous glasses, protector for collar etc., these safeguard majorities only play the effect of local protection, and the health of exposure still will be subjected to the damage of ray.(lead equivalent is generally at 0.3~0.5mmPb for protective clothing, national standard is generally more than 2mmPb) though have certain whole body protection effect, but it is heavy and gas penetration potential is poor, and clinical intervention diagnosis and therapy operation is often comparatively consuming time, it is heavy that the medical worker not only will bear plumbous clothing, but also to stand sultry hardship, the work of bearing a heavy burden for a long time badly influences medical worker's work efficiency and physical and mental health.The correlative study of intervention protection room in recent years is subjected to people's attention gradually, Chinese patent literature CN201111968Y discloses a kind of " movable window formula intervention protection room ", CN 2441213Y discloses a kind of " enclosed type activity intervention radiation guard chamber ", these two kinds of safeguards all possess certain anti-radiation, sterilizability, but it has been ignored and the matching of existing intervening equipment and the ubiquity of coupling, reduced versatility, its design does not embody hommization, and abundant inadequately for the protection of scattered ray, be difficult to accomplish tight protection.Therefore, their application in practical work have been limited.And for example CN 2662417Y discloses a kind of " single intervention protective device ", and this device part that comes with some shortcomings: 1. adversary's protection is not in place; 2. safeguard is difficult for carrying out disinfection, and especially the sterilization of the outward extending siphunculus of cover body is very difficult; 3. the cover body inner air flow is not smooth, and operating personnel often feel muggy and oppressive; 4. the indoor and outdoor temperature difference is big, and the water vapor that the staff breathes out can form water curtain on view window, influence staff's the visual field; 5. cover body heaviness and spatial volume are narrow and small, are not suitable for many people and operate same operation.
Summary of the invention
The technical problem to be solved in the present invention provides a kind of applied widely, easy to operate, medical and multifunctional intervention protection room that barrier propterty is good.
For solving the problems of the technologies described above, the technical solution used in the present invention is:
A kind of medical and multifunctional intervention protection room, comprise the main body guard chamber of making by protective materials, described main body guard chamber comprises antetheca, rear wall, two side and top cover, described rear wall is provided with protective door, described antetheca is followed successively by protective lead-glass from top to bottom, action pane, lift protective shield and fixation wall skirt, described lift protective shield can be embedded in the fixation wall skirt, be linked with the protection of blocking action pane at described action pane place and hang curtain, the protection of strip is hung the curtain adjacent side and is laminated successively, be provided with the lift side shield at described antetheca two upper lateral parts, its lower end is the arc limit of laterally agreeing with human body.
Described top cover front side is provided with telescopic protection eaves, can link with lead glass.
The lifting within the specific limits of described protective lead-glass can also be after 0~30 ° of outdoor or indoor inclination and fixing, is beneficial to operating personnel's operational observations.
At least be provided with lead glass window at described medical and multifunctional intervention protection room one sidewall; Described lift protective shield is provided with a wicket.
In described rear wall, top is provided with the transmission window, and coupling ground is equipped with and protects wicket or cover plate.
Described lift side shield all can fold laterally, when not using, its folding laterally being posted by on the sidewall can be made things convenient for moving of guard chamber.
Offer detachable inclined tube or curved pipe-type garbage shaft in described medical and multifunctional intervention protection room one lower sidewall.
Can in described medical and multifunctional intervention protection room, equip moving bolster and/or hand protection channel that is complementary and the lifting support that supports patient's shank as required.
Described medical and multifunctional intervention protection room also is equipped with ventilation equipment.
A kind of in operating lamp, quartz burner, the communicator is installed at least in described top cover inboard.
Described medical and multifunctional intervention protection room bottom is equipped with universal wheel.
Need lifting among the present invention, or flexible, or folding parts, all can adopt existing conventional elevating mechanism, telescoping mechanism, fold mechanism to finish its function or action.
The big I in the in-house operation space of above-mentioned medical and multifunctional intervention protection room is provided with as required, generally with can hold 2~3 people undergo surgery be operating as suitable.
The present invention has actively useful effect:
1. applied widely, highly versatile goes for the protection of various intervention diagnosis and therapies operation, can with the use that matches of various types of C type arm X line machines;
2. easy to operate, medical worker's operating process and flexibility of operation are unrestricted;
3. medical worker's working environment has been subjected to great improvement, has removed the constraint of protective clothing;
4. owing to have protection side screen, barrier propterty is better, makes the medical worker be subjected to x-ray radiation dosage, is reduced to the scope that is perfectly safe;
5. the design of a plurality of parts of this invention, all adopted have more rational movable or adjustable, make the barrier propterty of guard chamber, further raising has been arranged, make the scope of application of guard chamber, further expansion has been arranged, and had the hommization of design, as: the lead glass of antetheca adopts lift, and the residing height of action pane can be regulated; Moving up and down of protective shield, the size that can regulate action pane; By the activity of pull bar, can make the inside or outward-dipping certain angle of antetheca cover plate, more help medical worker's operation and observation; Stretching of movable eaves makes radiation proof function more perfect;
6. the design of the inside and outside relevant parts of guard chamber can be isolated or sterilize, and does not influence sterile working;
7. medical waste can be put in the container of outside by driving the formula garbage shaft, and garbage shaft can be driven down irrigation and disinfection;
8. rear wall is provided with the supply window, can have the effect of protection when closing to indoor transmission medical supplies.
Description of drawings
Fig. 1 is a kind of forward sight perspective view of medical and multifunctional intervention protection room;
Fig. 2 is a kind of rear perspective structural representation of medical and multifunctional intervention protection room.
Among the figure, 1-top cover, 2-protective lead-glass, 3-side shield, the 4-action pane, the 5-protection is hung curtain, 6-wicket, 7-fixation wall skirt, 8-lift protective shield, 9-side shield, 10-left side wall, 11-left side view window, the 12-universal wheel, eaves before 13-is telescopic, the right view window of 14-, 15-right side wall, the 16-garbage shaft, 17-dustbin, 18-dustbin seat, 19-protective door, 20-protects wicket, and 21-transmits window, 22-rear wall.
Embodiment
Below in conjunction with specific embodiment the present invention is further described, but is not limited to the following example.
1 one kinds of medical and multifunctional intervention protection rooms of embodiment, referring to Fig. 1, Fig. 2, comprise the main body guard chamber of making by protective materials, described main body guard chamber comprises antetheca, rear wall 22, two side 10,15 and top cover 1, described rear wall 22 is provided with protective door 19, described antetheca is followed successively by protective lead-glass 2, action pane 4, lift protective shield 8 and fixation wall skirt 7 from top to bottom, the lifting within the specific limits of described protective lead-glass 2, can also be after 0~30 ° of outdoor or indoor inclination and fixing, be beneficial to operating personnel's operation and observation; Described lift protective shield 8 can be embedded in the fixation wall skirt 7, be linked with the protection of blocking action pane at described action pane 4 places and hang curtain 5, the protection of a plurality of strips is hung curtain 5 adjacent side and is laminated successively, be provided with lift side shield 3,9 at described antetheca two upper lateral parts, its lower end is the arc limit of laterally agreeing with human body.Top in the two side 10,15 of medical and multifunctional intervention protection room also is provided with lead glass window 11,14; Lift protective shield 8 is provided with a wicket 6; Be provided with transmission window 21 on rear wall 22 tops, and protection wicket 20 is installed with mating.Lift side shield 3,9 all can fold laterally, when not using, its folding laterally being posted by on the sidewall can be made things convenient for moving and placing of guard chamber.In medical and multifunctional intervention protection room right side wall 15 bottoms detachable inclined tube type garbage shaft 16 is set, sidewall 15 bottoms are provided with corresponding dustbin seat 18 and dustbin 17.The lifting support (, not drawing among the figure) that can in described medical and multifunctional intervention protection room, equip moving bolster and the hand protection channel that is complementary as required and support patient's shank for common equipment.Described medical and multifunctional intervention protection room also is equipped with ventilation equipment (not drawing among the figure).In described top cover inboard operating lamp, quartz burner, communicator etc. are installed at least.Described medical and multifunctional intervention protection room bottom is equipped with four universal wheels 12, to make things convenient for moving of guard chamber.
The method of manipulating of above-mentioned medical and multifunctional intervention protection room:
At first with UV-lamp to perform the operation indoor and guard chamber inside and outside carry out disinfection, move guard chamber to operating position according to operative site again.Now the DSA that produces with U.S. GE company is an example, be described as follows according to operative site,
1. through right groin puncture row liver, lungs, incidence diagnosis and treatment art (through right upper extremity puncturing head operation on neck): the patient lies on the back on the operating table, sterile drape.Height according to the doctor, adjust the protective lead-glass 2 of guard chamber action pane 4 tops, make it be in suitable height and certain fixed angle that turns forward, be convenient to doctor's operation and observation, also spread the aseptic towel list on the following protective shield 8, guard chamber is moved to right side in the face of the patient, make the machine operation handle by the wicket on the protective shield 6, stretch in the guard chamber, the protecting screen 9 in guard chamber left side is positioned at the sufficient side of radiation source, and adjust side and prevent that screen 9 is to suitable height, the protection that will disinfect is hung on the metal cross bar that curtain 5 is connected in inboard, action pane upper edge then, and adjust the size of action pane 4 by moving up and down protective shield 8, can pass protection on the action pane after suitable and hang curtain 5 and carry out the intervention diagnosis and therapy operation;
2. through the operation of right groin puncture row right lower extremity (with upper gastrointestinal diagnosis and treatment art with): guard chamber is moved to right side in the face of the patient, and the protecting screen 3 on guard chamber right side is positioned at a side of radiation source, and other method of operating is with operative site 1;
3. right lower extremity phlebography and thrombolysis art method of operating are with operative site 1;
4. left lower extremity phlebography and thrombolysis art move to left side in the face of the patient with guard chamber, and the protecting screen 3 on guard chamber right side is positioned at the sufficient side of radiation source, and other method of operating is with operative site 1;
5. PTCD (with through right groin sound Mo puncture row left lower extremity diagnosis and treatment art and through right upper extremity puncture row chest [heart] belly diagnosis and treatment art): the angle of adjusting guard chamber antetheca cover plate 2, in vertical state, and it is fixing, move to right side in the face of the patient, make radiation source be positioned at the center of guard chamber, and in operation window the protection channel that disinfected on the card, the bilateral protecting screen can not play radiation-resistant effect and by folded-out attaching and the sidewall;
6. through left and right neck moving/venipuncture row chest [heart] belly and lower limb diagnosis and treatment art: guard chamber is moved to left side in the face of the patient, and the protecting screen 3 in left side is positioned at a side of radiation source, and other method of operating is with operative site 1;
7. rectum and system genitale intervention diagnosis and therapy art: the patient lies on the back on operating table, heighten the position of operation table, adjust the angle and the height of guard chamber antetheca cover plate 2, be vertically or slightly and slope inwardly, and it is fixing, turn down the position of 4 times protective shields 8 of action pane, mobile guard chamber is to patient's sufficient side, and makes operation table one end stretch into certain distance in the guard chamber, mobile patient, lower limb stretch in the guard chamber, make buttocks near the operation table end,, be placed on the support both legs flexing fork, and adjust support to suitable height, expose surgical field of view, sterile drape is regulated cover plate 2 once more to suitable height, and on the action pane of patient both sides, hang the protection that disinfects and hang curtain, can carry out interventional procedure.
According to operative site, adjust guard chamber, all can reach satisfied protection effect, just enumerate no longer one by one here and give unnecessary details.
In the operating process, can observe patient and monitor display screen by view window 11,14 and antetheca protective lead-glass 2 on the two side 10,15; Can transmit medical supplies through supplying with window 21; By garbage shaft 16, refuse is put into outdoor refuse container; Exchange with the external world by communicator.
Postoperative can be removed guard chamber to suitable position, carries out follow-up work of treatment.