Nutrient canal of intestine for reducing pressure of stomach
Technical field
The present invention relates to the nutrient canal of intestine for reducing pressure of stomach that gastrostomy carries out the decompression of intestinal nutrition stomach function regulating that passes through in the technical field of medical instruments.
Background technology
When doing esophagus or stomach resecting operation, need go into nutritive canal in the prior art, and keep somewhere a few days to the small intestinal interpolation.Chinese patent publication number CN1076125 discloses a kind of " three chamber feeding tubes ", it can carry out stomach decompression and intestinal feed simultaneously, but because it inserts from nasal cavity, patient's toleration is poor, wing of nose fixed effect poor (slippage or suction easily), have the patient of serious pneumonopathy or esophagus disease can not use etc.
American documentation literature US5458583 discloses a kind of gastrostomy catheter, and the weak point of this device is: this device only is applied to stomach nutrition, can not carry out intestinal nutrition.
American documentation literature US4685901 discloses a kind of gastrointestinal tube feeding, and this device inserts by an aperture in patient's the stomach, to carry out stomach feed or intestinal feed.The weak point of this gastrointestinal tube feeding is: the function singleness of disclosed gastrointestinal tube feeding, and intestinal tube wherein and stomach tube can not be taken apart arbitrarily or be used in combination, and very flexible is unfavorable for that strain is used in clinical.
Summary of the invention
Technical problem to be solved by this invention provides a kind of flexible and convenient to use and nutrient canal of intestine for reducing pressure of stomach that can be used in combination according to practical situation in the gastrostomy that is applicable to.
For solving the problems of the technologies described above, nutrient canal of intestine for reducing pressure of stomach of the present invention comprises: stomach tube is provided with multiple-pass joint in the upper end of stomach tube; The upper port of multiple-pass joint is a stomach tube inlet, is the stomach pressure-reduction outlet in first side ports of multiple-pass joint, from top to bottom is respectively equipped with scalable retainer ring and stomach tube sacculus on stomach tube; Be provided with gas/water one-way valve on second side ports of multiple-pass joint, be provided with sacculus air inlet/mouth of a river on the stomach tube in the stomach tube sacculus, gas/water one-way valve links to each other with sacculus air inlet/mouth of a river through stomach tube sacculus gas/water pipe; Be assembled with in the stomach tube from stomach tube inlet and insert stomach tube and length nutrient canal of intestine greater than stomach tube.
In the technique scheme, also comprise from the arrival end of nutrient canal of intestine and insert wire guide in the nutrient canal of intestine.
In the technique scheme, the outer wall of the port of export of nutrient canal of intestine is the calabash shape.
In the technique scheme, on the stomach tube and close on the end outlet place and be provided with 3-10 side opening.
In the technique scheme, the outer wall of the arrival end of described nutrient canal of intestine is provided with the overcoat that matches with described stomach tube inlet; Also be provided with 1-3 bulge loop on the outer wall of overcoat.
In the technique scheme, be connected with the block that cooperates with the stomach pressure-reduction outlet on the outer wall of described multiple-pass joint; Be connected with the block that matches with the nutrient canal of intestine inlet on the outer wall of described nutrient canal of intestine arrival end.
The present invention has positive effect: in (1) nutrient canal of intestine for reducing pressure of stomach of the present invention, nutrient canal of intestine and stomach tube are detachable and use capable of being combined, can the cutting stomach tube when concrete clinical use and/or the length of nutrient canal of intestine, and to satisfy different case requirements.Adopt the design of multiple-pass joint to make nutrient canal of intestine for reducing pressure of stomach of the present invention can carry out intestinal feed stomach function regulating decompression operation simultaneously; If patient has the situation of stomach adverse current and vomiting, can carry out the intestinal feed and carry out the stomach decompression simultaneously.If but patient's stomach function is just a little a bit weak and when not having vomiting and stomach adverse current, can carry out the intestines and stomach feed simultaneously, promptly carries out the feed of intestinal feed stomach function regulating respectively by nutrient canal of intestine stomach function regulating pressure-reduction outlet.In addition, in use, by gas/water one-way valve, through stomach tube sacculus trachea and sacculus air inlet/mouth of a river to stomach tube inflated or water, it is expanded, prevent that in the position of gastric portion stomach tube from inadvertently being pulled out with fixing stomach tube; The scalable retainer ring is used to adjust corresponding position, makes the stomach tube sacculus and regulates the effect of cooperatively interacting between the retainer ring, thereby gastrostomize is fully sealed, and fix the position of this device, to alleviate patient's misery.Therefore, nutrient canal of intestine for reducing pressure of stomach of the present invention is manipulated more convenient, reliable and can be alleviated patient's misery.(2) nutrient canal of intestine for reducing pressure of stomach of the present invention in use, seal wire is built in the nutrient canal of intestine, so that enough mechanical strengths to be provided, makes nutrient canal of intestine reach the duodenum position at an easy rate under the help of endoscope and biopsy forceps.After confirming that nutrient canal of intestine arrives assigned address, can withdraw from seal wire and carry out intestinal nutrition operation.(3) among the present invention, the outer wall of the port of export of nutrient canal of intestine is the calabash shape, in use, is easy to be clamped by biopsy forceps, has made things convenient for operation.(4) among the present invention, the end outlet place of closing on stomach tube is provided with 3-10 side opening, is used for gastric emptying or stomach nutrition.(5) among the present invention, the outer wall of the arrival end of nutrient canal of intestine is provided with overcoat, also is provided with a plurality of bulge loops on the outer wall of overcoat, both can make nutrient canal of intestine and stomach tube fixed to one another firmly, to alleviate patient's misery, can play sealing function again, to prevent the outflow of gastric content.
Description of drawings
Fig. 1 is the assembly structure sketch map of nutrient canal of intestine for reducing pressure of stomach;
Fig. 2 is the structural representation of the nutrient canal of intestine among Fig. 1;
Fig. 3 is the structural representation of the stomach tube among Fig. 1.
The specific embodiment
(embodiment 1)
See Fig. 1-3, the nutrient canal of intestine for reducing pressure of stomach of present embodiment comprises: stomach tube 1, insert in the stomach tube 1 and length is inserted wire guide 7 in the nutrient canal of intestine 2 greater than the nutrient canal of intestine 2 of stomach tube 1 with from the inlet 2-1 of nutrient canal of intestine 2 from the stomach tube of stomach tube 1 inlet 1-1.
On stomach tube 1, from top to bottom be respectively equipped with scalable retainer ring 6 and stomach tube sacculus 9; Be provided with gas/water one-way valve 3 on second side ports of multiple-pass joint 5, be provided with sacculus air inlet/mouth of a river 14 on the stomach tube 1 in stomach tube sacculus 9, gas/water one-way valve 3 links to each other with sacculus air inlet/mouth of a river 14 through stomach tube sacculus gas/water pipe 12.
On the upper port of stomach tube 1, be provided with multiple-pass joint 5; The upper port of multiple-pass joint 5 is stomach tube inlet 1-1, is stomach pressure-reduction outlets 4 at first side of multiple-pass joint 5.Be connected with stomach decompression block 10 on the outer wall of stomach pressure-reduction outlet 4, be connected with stomach tube block 11 on the outer wall of stomach tube inlet 1-1, it is used to prevent that gastric content from flowing out when using.
Nutrient canal of intestine and stomach tube are detachable and use capable of being combined, can the cutting stomach tube when concrete clinical use and/or the length of nutrient canal of intestine, and to satisfy different case requirements.Adopt the design of multiple-pass joint to make the nutrient canal of intestine for reducing pressure of stomach of present embodiment can carry out intestinal feed stomach function regulating decompression operation simultaneously; If patient has the situation of stomach adverse current and vomiting, can carry out the intestinal feed and carry out the stomach decompression simultaneously.If but patient's stomach function is just a little a bit weak and when not having vomiting and stomach adverse current, can carry out the intestines and stomach feed (promptly carrying out the feed of intestinal feed stomach function regulating respectively by nutrient canal of intestine stomach function regulating pressure-reduction outlet) simultaneously.
The outer wall 13 of the port of export 2-2 of nutrient canal of intestine 2 is the calabash shape, in use, is easy to be clamped by biopsy forceps, has made things convenient for operation.
The 1-2 of end outlet place that closes on stomach tube 1 is provided with 6 side openings 8, is convenient to gastric emptying or stomach nutrition.
See Fig. 2, the outer wall of the inlet 2-1 of described nutrient canal of intestine 2 is provided with and is used for overcoat 2-3 that matches with described stomach tube inlet 1-1 and the sealing cap 2-5 that matches with inlet 2-1; Also be provided with 2 bulge loop 2-4 on the outer wall of described overcoat 2-3, both can have made nutrient canal of intestine and stomach tube fixed to one another firmly,, can prevent the outflow of gastric content again to alleviate patient's misery.
This device is applicable to more complete gastrointestinal function, but can not use warp (stomach) the intestinal nutrition that comprises the long-term stomach decompression of needs, can not use per nasal stomach/nose intestinal to put the patient of pipe method (serious pulmonary disease or esophagitis etc. are arranged) and refuse the patient that nasogastric tube raises on the physiology by chewing and swallow the patient who carries out nutrition, spoon meat and ingestion of medicines normally.
During use, need to insert intravital stomach tube 1 length of patient by the measuring and calculating of gastrostomize position earlier, its length of cutting is to adapt to the case needs, tighten stomach tube sacculus 9, the gastrostomize of stomach tube 1 by patient inserted in the stomach, inflation stomach tube sacculus 9, the stomach tube sacculus 9 of pulling back is to being close to patient's stomach inboard, adjust the position of external scalable retainer ring 6, stomach tube 1 is fixed on patient's abdominal part by stomach tube sacculus 9 and scalable retainer ring 6.To have auxiliary down enter patient's the duodenum of the nutrient canal of intestine 2 of seal wire 7 then in endoscope.Extract seal wire 7 at last out, can prepare the step of stomach decompression or intestinal nutrition, that is: give intestinal nutrition by nutrient canal of intestine 2, carry out the stomach decompression by stomach pressure-reduction outlet 4.When needing to change this device, directly pumpback of nutrient canal of intestine 2, stomach tube 1 need find time could take out behind the stomach tube sacculus 9.This device is in the process of using, and returning scalable retainer ring 6 just can be to cleaning around scalable retainer ring 6 and the gastrostomize.