一种体外膜肺氧合专用管路固定装置的设计和应用  

Design and application of an extracorporeal membrane oxygenation-specific line fixation device

作　　者：张学超 钱淑媛[1] 王乐[1] 赵加贵 王静[1] 徐保群 王伟[1] Zhang Xuechao;Qian Shuyuan;Wang Le;Zhao Jiagui;Wang Jing;Xu Baoqun;Wang Wei(Department of Critical Care Medicine,Zhongda Hospital,Southeast University,Nanjing 210009,Jiangsu,China)

机构地区：[1]东南大学附属中大医院重症医学科,江苏南京210009

出　　处：《中华危重病急救医学》2024年第9期989-991,共3页Chinese Critical Care Medicine

基　　金：国家实用新型专利(ZL 201922282849.3);南京市卫生科技发展专项资金项目(YKK22273);东南大学附属中大医院护理科研立项重点项目(KJZC-HL-202105)。

摘　　要：体外膜肺氧合(ECMO)是临床重症患者体外心肺生命支持的重要治疗手段。目前,临床上普遍采用扎带或止血钳对ECMO管路进行固定,这些方法存在容易松动、损坏管路等不足,如果导管固定不当会导致一系列不良事件的发生,如意外脱管、管路破裂、管路打折、管路进空气等。为了克服上述问题,东南大学附属中大医院重症医学科研究团队发明了一种用于ECMO管路固定的装置,并且获得了国家实用新型专利(专利号:ZL 201922282849.3)。该工具主要由管路固定夹、夹子固定装置及底板等多个装置组成,设计独特,操作简便。在ECMO仪器运行期间,可以使ECMO管路得到有效的固定,避免因导管松动导致意外事件的发生,同时便于观察ECMO导管的置入刻度,由于固定装置材料的新颖性和独特性,固定装置使用期间可以有效预防压力性损伤的发生。Extracorporeal membrane oxygenation(ECMO)is an important treatment for extracorporeal cardiopulmonary life support for clinically critical patients.Currently,ECMO tubing is commonly fixed by tie-wraps or tourniquets,which have shortcomings such as easy loosening and potential damage to the tubing.Improper fixation of the catheter can lead to a series of adverse events,such as accidental disconnection of the tubing,rupture of the tubing,tubing folding,and air ingress into the tubing.In order to overcome the above problems,the research team of Zhongda Hospital,Southeast University invented a device for ECMO line fixation and obtained a national utility model patent of China(patent number:ZL 201922282849.3).The tool is mainly composed of several devices,including a line fixation clamp,a clip fixation device,and a base plate,which is uniquely designed and easy to operate.During ECMO therapy,this device ensures effective stabilization of the ECMO tubing,preventing unexpected incidents due to catheter loosening and facilitating the observation of ECMO catheter insertion markings.Pipeline can be effectively fixed to avoid the occurrence of accidents due to the loosening of the catheter,and at the same time,it is convenient to observe the placement scale of the ECMO catheter.The novelty and uniqueness of the fixation device materials also effectively prevent the occurrence of pressure injuries during its use.

关 键 词：体外膜肺氧合 专用管路 固定装置 设计 应用 

分 类 号：R472[医药卫生—护理学]