Radiopaque nasoenteric tube

By designing a conical and rounded head at the front end of the nasoenteric tube for easy insertion, and using an air bladder to fix the internal liquid feeding chamber and air chamber, the connector and auxiliary connecting tube ensure stability. This solves the problems of the nasoenteric tube falling off under gastrointestinal peristalsis and the inconvenience of connecting the nutrient solution, thus achieving stable nutrient input.

CN116869830BActive Publication Date: 2025-11-28NANJING GENERAL HOSPITAL NANJING MILLITARY COMMAND P L A
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Patent Information

Application Number
CN202310642573.3
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2023-06-01
Publication Date
2025-11-28
Estimated Expiration
2043-06-01

AI Technical Summary

Technical Problem

Existing nasoenteric tubes are prone to detachment or movement due to gastrointestinal peristalsis, and there are also inconvenient connections to nutrient solution tubing.

Method used

A nasoenteric tube visible under X-ray was designed. The front end of the nasoenteric tube is equipped with a conical head and a round head for easy insertion. The inside is equipped with a liquid feeding chamber and an air chamber. The air bladder is used to fix it to the upper part of the jejunum. The connector and auxiliary connecting tube are used for stable connection. The stability of insertion is ensured by a guide wire and an anti-dislodgement ring.

Benefits of technology

It effectively prevents the nasoenteric tube from dislodging, ensures the stability and sealing of nutrient input, and improves the stability and connection reliability of the nasoenteric tube in the gastrointestinal tract.

✦ Generated by Eureka AI based on patent content.

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Abstract

The application discloses an X-ray visible nasojejunal tube; comprising a nasojejunal tube body, a plurality of liquid food holes are formed in the front part of the nasojejunal tube body; a liquid food cavity and an inflation cavity are formed in the inside of the nasojejunal tube body, a connecting head is fixedly arranged at one end of the nasojejunal tube body, a fitting plate is inserted and mounted at the end of the connecting head, a guide steel wire is fixedly mounted on one side of the fitting plate, a plurality of air bags are fixedly arranged between the liquid food holes at the front end of the nasojejunal tube body; an auxiliary connecting pipe is fixedly mounted in the inside of the connecting head; further comprising an adapter, the adapter comprises a sealing plate, an insertion pipe is fixedly connected to one side of the sealing plate; the application inputs nutrient substances or medicines through the liquid food holes, air bags are arranged at the end of the nasojejunal tube body to prevent falling off or loosening, and the connecting head and the auxiliary connecting pipe are arranged, so that the insertion pipe is inserted and connected, then external pipelines are connected, and the sealing property of pipeline connection is improved.
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Description

TECHNICAL FIELD

[0001] The present application belongs to the technical field of nasojejunal tube, and particularly relates to a nasojejunal tube visible under X-ray. BACKGROUND

[0002] The nasojejunal tube is visible under X-ray, and in the process of blind insertion, the nasojejunal tube is straightened by a guide wire and placed into the stomach, and then the guide wire is removed. Within 8 to 12 hours, the nasojejunal tube passes through the pylorus by itself under the condition that the gastrointestinal motility is normal, or passes through the pylorus under the help of an endoscope. The enteral nutrition is directly provided by the nasojejunal tube, the intestinal integrity is maintained, the bacterial translocation is reduced, the energy consumption and the high metabolic level are reduced, the importance of enteral nutrition in gastrointestinal surgery is known to people, the requirement for nutritional support is not limited to maintaining the nitrogen balance of the group and maintaining the lean body mass of the patient, but to maintaining the metabolism of cells, maintaining the structure and function of tissues and organs, and further regulating the functions of immunity and endocrine and repairing tissues to promote the recovery of patients. Clinical nutritional support has participated or become a major treatment method, and some have pharmacological effects, which are called pharmacological nutrition by some scholars. The clinical application has shown its effect, and it is not only an important treatment measure for intestinal fistula, short bowel syndrome, intestinal inflammatory diseases and the like, but also an indispensable treatment measure for severe pancreatitis, organ transplantation, tumors and critically ill patients. However, various nasojejunal tubes on the market still have various problems.

[0003] A nasojejunal tube disclosed in authorization announcement No. CN105920721A, although the catheter is inserted into the stomach and intestines, the metal body with a certain rigidity is arranged at the top of the front end of the catheter, the metal body is in a streamline shape, a flexible film with a certain elasticity is arranged outside the metal body, and the metal body is made of a material capable of generating induction to a magnetic field. The metal body is in a streamline shape and has rigidity and is not easy to bend, the streamline shape reduces the pushing resistance, and the flexible film is arranged outside the metal body and has a soft surface, so that the front end of the catheter has a certain hardness and a certain elasticity when the catheter is pushed forward, and the gastric and intestinal mucosa is not easy to be damaged. The catheter is moved by using a magnetic field and a guide wire, so that the moving process is more smooth and fast, but the problems that the existing products cannot be effectively fixed, the nasojejunal tube is easy to fall off or move under the peristalsis of the stomach and intestines, the nasojejunal tube is not convenient to insert, and the pipeline for the nutrient solution is not convenient to connect cannot be solved. Therefore, we propose the nasojejunal tube visible under X-ray. SUMMARY

[0004] The present application aims to provide a nasojejunal tube visible under X-ray to solve the problems in the background art.

[0005] In order to achieve the above object, the present application provides the following technical scheme: The X-ray visible nasojejunal tube comprises a nasojejunal tube body, a plurality of liquid food holes are formed in the front part of the nasojejunal tube body, a conical head is fixedly connected to the front end of the nasojejunal tube body, a round head is fixedly arranged at the top end of the conical head, the nasojejunal tube body is conveniently slowly inserted into the nasal cavity through the conical head and the round head, the patient is instructed to perform swallowing action when the tube is inserted into the throat, and the tube is conveniently smoothly inserted into the esophagus.

[0006] The inside of the nasojejunal tube body is provided with a liquid food cavity and an inflation cavity, one end of the nasojejunal tube body is fixedly provided with a connecting head, an abutting plate is inserted and arranged at the end of the connecting head, a guide steel wire is fixedly arranged on one side of the abutting plate, the guide steel wire is movably connected to the inside of the liquid food cavity and is abutted on one side of the conical head at the end, the guide steel wire is used to straighten the head of the nasojejunal tube body, so that the nasojejunal tube body is conveniently slowly inserted into the nasal cavity, the patient is instructed to perform swallowing action when the tube is inserted into the throat, and the tube is conveniently smoothly inserted into the esophagus, a trachea is fixedly connected to the lower part of the connecting head, the trachea is fixedly communicated with the inflation cavity, a plurality of air bags are fixedly arranged between the plurality of liquid food holes at the front end of the nasojejunal tube body, the plurality of air bags are fixedly communicated with the inflation cavity, the air bags are used to fix the nasojejunal tube body on the upper segment of the jejunum, so as to maintain stability, and the plurality of air bags are segmented in a fan shape, so as to facilitate the flow of stomach food.

[0007] An auxiliary connecting pipe is fixedly arranged in the inside of the connecting head, a plurality of clamping grooves are formed in the inner wall of the auxiliary connecting pipe, and an anti-falling ring is fixedly arranged in the inside of the plurality of clamping grooves.

[0008] Further, an adapter is arranged, the adapter comprises a sealing plate, an insertion pipe is fixedly connected to one side of the sealing plate, the insertion pipe is inserted and connected to the inside of the auxiliary connecting pipe, a plurality of anti-falling grooves are formed in the insertion pipe, in use, the insertion pipe is inserted and connected to the inside of the auxiliary connecting pipe, the anti-falling ring is clamped and connected to the inside of the anti-falling grooves, so as to effectively maintain the connection stability of the insertion pipe and prevent the insertion pipe from falling off, a communication cavity is formed in the middle of the insertion pipe, the communication cavity is communicated with the liquid food cavity, and external pipes are used to input nutrient substances.

[0009] Preferably, a threaded groove is formed in one end of the connecting head, a first threaded ring is fixedly arranged on one side of the abutting plate, a second threaded ring is fixedly arranged on one side of the sealing plate, and the first threaded ring and the second threaded ring are respectively threadedly connected to the inside of the threaded groove.

[0010] Preferably, the other side of the fitting plate is fixedly provided with a first handle plate, the other side of the sealing plate is provided with a clamping cavity, the clamping cavity is used for clamping connection of the end of the external pipeline, keeps the sealing connection, and the end of the external pipeline is fixedly communicated with the communication cavity.

[0011] Preferably, one side of the connecting head is fixedly connected with a first connecting rope, the other end of the first connecting rope is fixedly connected with a first sealing plate, one side of the first sealing plate is fixedly connected with a rubber plug, and the rubber plug is inserted and connected at the end of the communication cavity.

[0012] Preferably, the other side of the first sealing plate is fixedly provided with a second handle plate, a second connecting rope is fixedly connected to the trachea, and the other end of the second connecting rope is fixedly connected with a sealing head which is clamped and connected in the end of the trachea.

[0013] Preferably, the clamping groove is a T-shaped groove, one end of the anti-falling ring is provided in a T-shaped block, the T-shaped block and the T-shaped groove are used in cooperation, the connection stability of the anti-falling ring is effectively kept, and falling is prevented, and the other end of the anti-falling ring is provided in an oval ring which is clamped and connected with the anti-falling groove.

[0014] Preferably, a plurality of the liquid food holes are circumferentially arranged on the nasogastric tube body, the liquid food holes are equidistantly spaced, a plurality of the liquid food holes are communicated with the liquid food cavity, and the inflation cavity is arranged at the lower part of the liquid food cavity.

[0015] Preferably, the use method of the nasogastric tube body is as follows:

[0016] S1, the guide steel wire is inserted into the inside of the liquid food cavity: the guide steel wire is inserted into the inside of the liquid food cavity in the inside of the nasogastric tube body, the end of the guide steel wire is abutted against the end face of the conical head, and the conical head and the round head at the front end of the nasogastric tube body facilitate slow insertion from the nasal cavity, when the nasogastric tube body is inserted into the throat, the patient is asked to perform swallowing action, and the pipeline is smoothly inserted into the esophagus;

[0017] S2, the guide steel wire is extracted: after the nasogastric tube body is stably inserted into the esophagus and enters the stomach, the guide steel wire is extracted, and then the pipeline 30 cm outside the nasal cavity is fixed below the ear lobe with adhesive tape, so that the pipeline keeps a natural bending and relaxing state;

[0018] S3, the nasogastric tube body automatically restores the spiral shape in the stomach: after the nasogastric tube body is fixedly inserted, the nasogastric tube body automatically restores the spiral shape in the stomach under the spiral memory performance, after 8-12 hours in the stomach, the nasogastric tube body automatically passes through the pylorus into the duodenum and the jejunum under the stomach peristalsis, X-ray photography is performed after 24 hours of intubation, so as to confirm that the front end of the nasogastric tube body reaches the upper segment of the jejunum, and the nasogastric tube body is fixed below the nostril with adhesive tape to prevent slipping.

[0019] S4, fixing the nasojejunal tube body: when the end of the nasojejunal tube body is at the end of the jejunum, inflation is realized by an external air pump, an air tube and an inflation cavity, so that the air bag at the front end of the nasojejunal tube body can be inflated to expand, facilitating effective fixation of the end of the nasojejunal tube body and preventing loosening and falling off;

[0020] S5, then connecting the connecting head with a pipeline: inserting an auxiliary connecting pipe into the connecting head, then inserting an adapter into the auxiliary connecting pipe, and then inserting the end of an external nutrition pipeline into the communicating cavity for nutrition liquid delivery.

[0021] Preferably, in S1, when the guide wire is inserted into the liquid diet cavity of the nasojejunal tube body, about 20ml of physiological saline is first injected into the liquid diet cavity of the nasojejunal tube body to activate the lubricant on the surface of the guide wire, then the guide wire is inserted into the liquid diet cavity of the nasojejunal tube body to straighten the head of the spiral nasojejunal tube body, the head of the nasojejunal tube body is dipped in a little physiological saline to activate the lubricant thereon, when the guide wire is withdrawn from the liquid diet cavity, 10ml of physiological saline is injected into the pipeline, and then the guide wire is slowly withdrawn.

[0022] Preferably, before insertion, the patient is taken to a semi-sitting or semi-lying position, the insertion length of the nasojejunal tube body is determined, and the length is marked on the nasojejunal tube body, and the determined insertion length is calculated as follows:

[0023] The distance from the sternal xiphoid to the nose tip to the ear lobe is added by 10cm to 15cm;

[0024] And when the nasojejunal tube is inserted to the marked length, gastric juice is aspirated with a hollow needle, then 10ml of physiological saline is injected into the liquid diet cavity of the nasojejunal tube body, and then the guide wire is slowly withdrawn.

[0025] Compared with the prior art, the beneficial effects of the present application are:

[0026] The present application has a liquid food hole in the inside of the nasojejunal tube body, which is convenient for inputting nutrients or drugs and discharging in the stomach and intestines, and is convenient for inputting into the stomach and intestines, and the inside of the nasojejunal tube body is provided with a liquid food cavity and an inflation cavity, which is convenient for inputting liquid food and inputting gas, and the end of the nasojejunal tube body is provided with an air bag, which can be inflated by inputting gas, so that the nasojejunal tube body can be clamped at the end of the jejunum, preventing falling off or loosening, effectively realizing stable installation, and the connecting head and auxiliary connecting pipe are provided, which is convenient for inserting the connecting pipe and then connecting the external pipeline, improving the sealing performance of the pipeline connection, realizing the input of nutrients or drugs, and the tapered head and round head at the front end of the nasojejunal tube body are convenient for inserting into the human body. BRIEF DESCRIPTION OF DRAWINGS

[0027] Figure 1 It is a top view structure schematic diagram of the present application;

[0028] Figure 2 It is a side view structure schematic diagram of the present application;

[0029] Figure 3 It is a sectional view structure schematic diagram of the present application;

[0030] Figure 4 It is a sectional view structure schematic diagram of the present application; Figure 3 It is an enlarged schematic diagram of A in the present application.

[0031] In the figure: 1, nasojejunal tube body; 2, liquid food hole; 3, tapered head; 4, round head; 5, connecting head; 6, air bag; 7, fitting plate; 8, guide steel wire; 9, auxiliary connecting pipe; 10, anti-falling ring; 11, first threaded ring; 12, first handle plate; 13, sealing plate; 14, communication cavity; 15, clamping cavity; 16, second threaded ring; 17, insertion pipe; 18, anti-falling groove; 19, threaded groove; 20, clamping groove; 21, first connecting rope; 22, first sealing plate; 23, rubber plug; 24, second handle plate; 25, air pipe; 26, second connecting rope; 27, sealing head. DETAILED DESCRIPTION

[0032] The technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, not all. Based on the embodiments in the present application, all other embodiments obtained by those skilled in the art without creative labor are within the scope of protection of the present application.

[0033] Please refer to Figures 1-4The application provides a technical scheme: the X-ray visible nose and intestine tube, including nose and intestine tube body 1, the front part of the nose and intestine tube body 1 is equipped with a plurality of liquid food holes 2, the front end of the nose and intestine tube body 1 is fixedly connected with the conical head 3, the top of the conical head 3 is fixedly provided with the round head 4, the nose and intestine tube body 1 is inserted slowly from the nasal cavity through the conical head 3 and the round head 4, when inserted to the throat, the patient is asked to swallow, and the pipeline is smoothly inserted into the esophagus.

[0034] The inside of the nose and intestine tube body 1 is provided with a liquid food cavity and an inflation cavity, one end of the nose and intestine tube body 1 is fixedly provided with a connecting head 5, the end of the connecting head 5 is insertedly provided with a fitting plate 7, one side of the fitting plate 7 is fixedly provided with a guide steel wire 8, the guide steel wire 8 is movably connected in the inside of the liquid food cavity, and the end is fitted on one side of the conical head 3, the guide steel wire 8 is used to straighten the head of the nose and intestine tube body 1, so as to be slowly inserted from the nasal cavity, when inserted to the throat, the patient is asked to swallow, and the pipeline is smoothly inserted into the esophagus, the lower part of the connecting head 5 is fixedly connected with a trachea 25, the trachea 25 is fixedly communicated with the inflation cavity, the front end of the nose and intestine tube body 1 is fixedly provided with a plurality of air bags 6 between a plurality of liquid food holes 2, a plurality of air bags 6 are fixedly communicated with the inflation cavity, the air bag 6 is used to fix the nose and intestine tube body 1 on the upper segment of jejunum, and stability is maintained, and a plurality of air bags 6 are segmented in a fan shape, so as to facilitate food flowing down in the stomach.

[0035] The inside of the connecting head 5 is fixedly provided with an auxiliary connecting pipe 9, a plurality of clamping grooves 20 are formed in the inner wall of the auxiliary connecting pipe 9, a plurality of anti-falling rings 10 are fixedly installed in the inside of the clamping grooves 20, and the guide steel wire 8 penetrates the auxiliary connecting pipe 9 in the liquid food cavity inside the nose and intestine tube body 1.

[0036] Further comprising an adapter, the adapter comprises a sealing plate 13, one side of the sealing plate 13 is fixedly connected with an insertion pipe 17, the insertion pipe 17 is insertedly connected in the inside of the auxiliary connecting pipe 9, a plurality of anti-falling grooves 18 are formed in the insertion pipe 17, in use, the insertion pipe 17 is insertedly connected in the inside of the auxiliary connecting pipe 9, the anti-falling ring 10 is clampedly connected in the inside of the anti-falling groove 18, the connection stability of the insertion pipe 17 is effectively maintained, and falling is prevented, a communication cavity 14 is formed in the middle of the insertion pipe 17, the communication cavity 14 is communicated with the liquid food cavity, and external pipelines can input nutrient substances.

[0037] In order to effectively realize the stability of the connection, in the embodiment, preferably, one end of the connecting head 5 is provided with a threaded groove 19, one side of the fitting plate 7 is fixedly provided with a first threaded ring 11, one side of the sealing plate 13 is fixedly provided with a second threaded ring 16, and the first threaded ring 11 and the second threaded ring 16 are respectively threadedly connected in the interior of the threaded groove 19.

[0038] In order to facilitate the disassembly and installation of the fitting plate 7, and effectively seal and connect the external pipeline, in the embodiment, preferably, the other side of the fitting plate 7 is fixedly provided with a first handle plate 12, the other side of the sealing plate 13 is provided with a clamping cavity 15, the clamping cavity 15 is used for clamping and connecting the end of the external pipeline, maintaining the sealing connection, and the end of the external pipeline is fixedly communicated with the communication cavity 14.

[0039] In order to facilitate the connection of the first sealing plate 22 and the rubber plug 23, effectively realize the connection, and prevent loss, in the embodiment, preferably, one side of the connecting head 5 is fixedly connected with a first connecting rope 21, the other end of the first connecting rope 21 is fixedly connected with the first sealing plate 22, one side of the first sealing plate 22 is fixedly connected with the rubber plug 23, and the rubber plug 23 is inserted and connected at the end of the communication cavity 14.

[0040] In order to facilitate the installation and disassembly of the first sealing plate 22, prevent loss, and facilitate the sealing arrangement of the tracheal tube 25, in the embodiment, preferably, the other side of the first sealing plate 22 is fixedly provided with a second handle plate 24, the tracheal tube 25 is fixedly connected with a second connecting rope 26, the other end of the second connecting rope 26 is fixedly connected with a sealing head 27, and the sealing head 27 is clamped and connected in the end of the tracheal tube 25.

[0041] In order to prevent the anti-falling ring 10 from falling off, and effectively realize the stability of the connection, prevent the insertion tube 17 from falling off, in the embodiment, preferably, the clamping groove 20 is a T-shaped groove, one end of the anti-falling ring 10 is provided as a T-shaped block, the T-shaped block and the T-shaped groove are used in cooperation, effectively maintaining the connection stability of the anti-falling ring 10, preventing falling off, the other end of the anti-falling ring 10 is provided as an oval ring, and the oval ring is clamped and connected with the anti-falling groove 18.

[0042] The setting of the liquid food hole 2 facilitates the input of nutrients or drugs, in the embodiment, preferably, a plurality of the liquid food holes 2 are circumferentially arranged on the nasogastric tube body 1, and the liquid food holes 2 are arranged at equal distances, a plurality of the liquid food holes 2 are communicated with the liquid food cavity, and the inflation cavity is arranged at the lower part of the liquid food cavity.

[0043] In order to achieve the use of the nasojejunal tube body 1, in the embodiment, preferably, the use method of the nasojejunal tube body 1 is as follows:

[0044] S1, first insert the guide wire 8 into the inside of the liquid diet cavity: insert the guide wire 8 into the inside of the liquid diet cavity in the inside of the nasojejunal tube body 1, and make the end of the guide wire 8 adhere to the end face of the conical head 3, and facilitate slow insertion from the nasal cavity through the conical head 3 and the round head 4 at the front end of the nasojejunal tube body 1, and when inserted into the throat, ask the patient to swallow, and facilitate the smooth entry of the tube into the esophagus;

[0045] S2, pull out the guide wire 8: after the nasojejunal tube body 1 is stably inserted into the esophagus and enters the stomach, then pull out the guide wire 8, and then fix the tube 30 cm outside the nasal cavity below the earlobe with adhesive tape, so that the tube remains in a natural curved and relaxed state;

[0046] S3, the nasojejunal tube body 1 restores spiral shape in the stomach and intestines: that is, after the nasojejunal tube body 1 is fixed and inserted, the nasojejunal tube body 1 restores spiral shape in the stomach and intestines under the spiral memory performance, after 8-12 hours in the stomach, the nasojejunal tube body 1 passes through the pylorus into the duodenum and jejunum under the action of gastric peristalsis, and X-ray photography is performed after intubation for 24 hours, to confirm that the front end of the nasojejunal tube body 1 reaches the upper segment of the jejunum, and it is fixed below the nostril with adhesive tape to prevent slipping;

[0047] S4, fix the nasojejunal tube body 1: when the end of the nasojejunal tube body 1 is at the end of the jejunum, inflate through the external air pump, air tube 25 and inflation cavity, so that the air bag 6 at the front end of the nasojejunal tube body 1 can inflate and expand, to effectively fix the end of the nasojejunal tube body 1, prevent loosening and falling off;

[0048] S5, then connect the connecting head 5 to the tube: insert the auxiliary connecting tube 9 into the inside of the connecting head 5, then insert the adapter into the inside of the auxiliary connecting tube 9, and then insert the end of the external nutrient tube into the inside of the communication cavity 14, to transport the nutrient solution.

[0049] In order to facilitate the insertion and removal of the guide wire 8, in the embodiment, preferably, in S1, when the guide wire 8 is inserted into the inside of the liquid diet cavity of the nasojejunal tube body 1, first inject about 20 ml of normal saline into the liquid diet cavity of the nasojejunal tube body 1 to activate the lubricant on the surface of the guide wire 8, then insert the guide wire 8 into the liquid diet cavity of the nasojejunal tube body 1, so that the head of the spiral nasojejunal tube body 1 is straightened, the head of the nasojejunal tube body 1 is dipped in a little normal saline to activate the lubricant thereon, when the guide wire 8 is pulled out of the liquid diet cavity, inject 10 ml of normal saline into the tube, and then slowly withdraw the guide wire 8.

[0050] In order to achieve effective positioning and installation of the nasojejunal tube body 1, preferably, the patient is taken to a semi-sitting or semi-lying position before the nasojejunal tube body 1 is inserted, and the insertion length of the nasojejunal tube body 1 is determined, and the position of the length on the nasojejunal tube body 1 is marked, and the insertion length is calculated as follows:

[0051] The distance from the sternal xiphoid to the nose tip to the ear lobe is taken, and 10-15 cm is added;

[0052] And when the nasojejunal tube body 1 is inserted to the marked length, the gastric juice is aspirated with a hollow needle, 10 ml of normal saline is injected into the liquid diet cavity of the nasojejunal tube body 1, and then the guide steel wire 8 is slowly withdrawn.

[0053] The working principle and use process of the present application are as follows:

[0054] Firstly, the guide steel wire 8 is inserted into the inside of the liquid diet cavity: the guide steel wire 8 is inserted into the inside of the liquid diet cavity inside the nasojejunal tube body 1, and the end of the guide steel wire 8 is attached to the end face of the conical head 3, and is conveniently inserted slowly from the nasal cavity through the conical head 3 and the round head 4 at the front end of the nasojejunal tube body 1 to the throat, and the patient is instructed to perform swallowing action, so that the tube is smoothly inserted into the esophagus. When the guide steel wire 8 in S1 is inserted into the inside of the liquid diet cavity of the nasojejunal tube body 1, about 20 ml of normal saline is first injected into the liquid diet cavity of the nasojejunal tube body 1 to activate the lubricant on the surface of the guide steel wire 8, and then the guide steel wire 8 is inserted into the liquid diet cavity of the nasojejunal tube body 1, so that the head of the spiral nasojejunal tube body 1 is straightened, and the head of the nasojejunal tube body 1 is dipped in a little normal saline to activate the lubricant thereon;

[0055] Secondly, the guide steel wire 8 is withdrawn: after the nasojejunal tube body 1 is stably inserted into the esophagus and enters the stomach, the guide steel wire 8 is then withdrawn, and then the tube 30 cm outside the nasal cavity is fixed below the ear lobe with adhesive tape, so that the tube remains in a natural curved and relaxed state. When the guide steel wire 8 is withdrawn from the liquid diet cavity, 10 ml of normal saline is injected into the tube, and then the guide steel wire 8 is slowly withdrawn;

[0056] Thirdly, the nasojejunal tube body 1 restores the spiral shape in the stomach and intestines by itself: after the nasojejunal tube body 1 is fixed and inserted, the nasojejunal tube body 1 restores the spiral shape in the stomach and intestines by itself under the spiral memory performance. After 8-12 h in the stomach, the nasojejunal tube body 1 passes through the pylorus into the duodenum and jejunum by itself under the action of gastric peristalsis. After 24 h of intubation, X-ray photography is performed to confirm that the front end of the nasojejunal tube body 1 reaches the upper segment of the jejunum, and the nasojejunal tube body 1 is fixed below the nostril with adhesive tape to prevent slipping.

[0057] Fourth step, fixing the nasojejunal tube body 1: when the end of the nasojejunal tube body 1 is at the end of the jejunum, inflation is realized through the external air pump, the air pipe 25 and the inflation cavity, so that the air bag 6 at the front end of the nasojejunal tube body 1 can realize inflation and expansion, thereby facilitating effective fixation of the end of the nasojejunal tube body 1 and preventing loosening and falling off;

[0058] Fifth step, then connecting the connecting head 5 with the pipeline: the auxiliary connecting pipe 9 is inserted into the connecting head 5, then the adapter is inserted into the auxiliary connecting pipe 9, and then the end of the external nutrient pipeline is inserted into the communication cavity 14 for nutrient liquid delivery.

[0059] Although the embodiments of the present application have been shown and described, it is to be understood that various changes, modifications, substitutions and alterations can be made to these embodiments without departing from the principles and spirit of the present application, the scope of which is defined by the appended claims and their equivalents.

Claims

1. A nasoenteral tube visible under X-ray, comprising a nasoenteral tube body (1), characterized in that: The front part of the nasojejunal tube body (1) is provided with a plurality of liquid food holes (2), the front end of the nasojejunal tube body (1) is fixedly connected with a tapered head (3), the top end of the tapered head (3) is fixedly provided with a round head (4), the nasojejunal tube body (1) is convenient to be slowly inserted from the nasal cavity through the tapered head (3) and the round head (4), when being inserted to the throat, the patient is asked to make swallowing action, and the pipeline is conveniently smoothly inserted into the esophagus; The inside of the nasojejunal tube body (1) is provided with a liquid food cavity and an inflation cavity, one end of the nasojejunal tube body (1) is fixedly provided with a connecting head (5), the end of the connecting head (5) is insertedly provided with a fitting plate (7), one side of the fitting plate (7) is fixedly provided with a guide steel wire (8), the guide steel wire (8) is movably connected in the inside of the liquid food cavity, and the end is fitted on one side of the tapered head (3), the guide steel wire (8) is used for straightening the head of the nasojejunal tube body (1), so that the nasojejunal tube body (1) is conveniently slowly inserted from the nasal cavity, when being inserted to the throat, the patient is asked to make swallowing action, and the pipeline is conveniently smoothly inserted into the esophagus, the lower part of the connecting head (5) is fixedly connected with a trachea (25), the trachea (25) is fixedly communicated with the inflation cavity, the front end of the nasojejunal tube body (1) is fixedly provided with a plurality of air bags (6) between the plurality of liquid food holes (2), the plurality of air bags (6) are fixedly communicated with the inflation cavity, the air bags (6) are used for fixing the nasojejunal tube body (1) on the upper segment of the jejunum, maintaining stability, and the plurality of air bags (6) are segmented in a fan shape, so as to facilitate the food in the stomach to flow down; The inside of the connecting head (5) is fixedly provided with an auxiliary connecting pipe (9), a plurality of clamping grooves (20) are formed in the inner wall of the auxiliary connecting pipe (9), a plurality of anti-falling rings (10) are fixedly installed in the inside of the clamping grooves (20), and the guide steel wire (8) penetrates through the auxiliary connecting pipe (9) and is located in the liquid food cavity in the inside of the nasojejunal tube body (1); Further comprising an adapter, the adapter comprises a sealing plate (13), one side of the sealing plate (13) is fixedly connected with an insertion pipe (17), the insertion pipe (17) is insertedly connected in the inside of the auxiliary connecting pipe (9), a plurality of anti-falling grooves (18) are formed in the insertion pipe (17), in use, the insertion pipe (17) is insertedly connected in the inside of the auxiliary connecting pipe (9), the anti-falling ring (10) is clampedly connected in the inside of the anti-falling groove (18), so that the connection stability of the insertion pipe (17) is effectively maintained, and falling is prevented, a communication cavity (14) is formed in the middle of the insertion pipe (17), the communication cavity (14) is communicated with the liquid food cavity, so as to facilitate external pipelines to input nutrient substances; One end of the connecting head (5) is provided with a threaded groove (19), one side of the fitting plate (7) is fixedly provided with a first threaded ring (11), one side of the sealing plate (13) is fixedly provided with a second threaded ring (16), and the first threaded ring (11) is screwedly connected in the inside of the threaded groove (19); The engaging groove (20) is a T-shaped groove, one end of the anti-falling ring (10) is provided as a T-shaped block, the T-shaped block and the T-shaped groove are used in cooperation, the connection stability of the anti-falling ring (10) is effectively maintained, and falling is prevented, and the other end of the anti-falling ring (10) is provided as an oval ring, the oval ring is engaged and connected with the anti-falling groove (18).

2. The radiopaque nasojejunal tube of claim 1, wherein: The other side of the fitting plate (7) is fixedly provided with a first handle plate (12), the other side of the sealing plate (13) is provided with an engaging cavity (15), the engaging cavity (15) is used for engaging and connecting the end of the external pipeline, the sealing connection is maintained, and the end of the external pipeline is fixedly communicated with the communicating cavity (14).

3. The x-ray visible nasoenteric tube of claim 1, wherein: One side of the connecting head (5) is fixedly connected with a first connecting rope (21), the other end of the first connecting rope (21) is fixedly connected with a first sealing plate (22), one side of the first sealing plate (22) is fixedly connected with a rubber plug (23), and the rubber plug (23) is inserted and connected at the end of the communicating cavity (14).

4. The x-ray visible nasoenteric tube of claim 3, wherein: The other side of the first sealing plate (22) is fixedly provided with a second handle plate (24), the trachea (25) is fixedly connected with a second connecting rope (26), the other end of the second connecting rope (26) is fixedly connected with a sealing head (27), and the sealing head (27) is engaged and connected in the end of the trachea (25).

5. The x-ray visible nasojejunal tube of claim 1, wherein: The several liquid food holes (2) are circumferentially arranged on the nasojejunal tube body (1), and the liquid food holes (2) are arranged at equal distances and intervals, the several liquid food holes (2) are communicated with the liquid food cavity, and the inflation cavity is arranged at the lower part of the liquid food cavity.

6. The x-ray visible nasojejunal tube of claim 1, wherein: The use method of the nasojejunal tube body (1) is as follows: S1, first, the guide steel wire (8) is inserted into the inside of the liquid food cavity: the guide steel wire (8) is inserted into the inside of the liquid food cavity in the inside of the nasojejunal tube body (1), and the end of the guide steel wire (8) is attached to the end face of the conical head (3), and the conical head (3) and the round head (4) at the front end of the nasojejunal tube body (1) facilitate slow insertion from the nasal cavity, when the tube is inserted to the throat, the patient is asked to perform swallowing action, so that the tube smoothly enters the esophagus; S2, the guide steel wire (8) is pulled out: after the nasojejunal tube body (1) is stably inserted into the esophagus and enters the stomach, the guide steel wire (8) is pulled out, and then the tube is fixed below the earlobe 30cm outside the nasal cavity with adhesive tape, so that the tube remains in a natural curved and relaxed state; S3, the nasojejunal tube body (1) restores the spiral shape in the stomach and intestines: after the nasojejunal tube body (1) is fixedly inserted, the nasojejunal tube body (1) restores the spiral shape in the stomach and intestines under the spiral memory performance, after 8-12h in the stomach, the nasojejunal tube body (1) enters the duodenum and the jejunum under the action of stomach peristalsis, X-ray photography is performed after 24h of intubation, so as to confirm that the front end of the nasojejunal tube body (1) reaches the upper segment of the jejunum, and the tube is fixed below the nostril with adhesive tape to prevent slipping. S4, the nose and intestines tube body (1) is fixed: in the end of the nose and intestines tube body (1) in the jejunum end, by external air pump, air pipe (25) and inflatable cavity realizes inflation, makes the air bag (6) of the front end of the nose and intestines tube body (1) can realize inflation expansion, is convenient for the end of the nose and intestines tube body (1) is effectively fixed, prevent loosening and falling off; S5, then the connecting head (5) is connected by pipeline: the auxiliary connecting pipe (9) is inserted into the connecting head (5) inside, then the adapter is inserted into the auxiliary connecting pipe (9) inside, then the end of the external nutrition pipeline is inserted into the communication cavity (14) inside, carries out the delivery of nutrient solution.

7. The x-ray visible nasoenteric tube according to claim 6, wherein: The guiding steel wire (8) in S1 is inserted into the liquid food cavity of the nose and intestines tube body (1), first inject about 20ml physiological saline into the liquid food cavity of the nose and intestines tube body (1) to activate the lubricant on the surface of the guiding steel wire (8), then the guiding steel wire (8) is inserted into the liquid food cavity of the nose and intestines tube body (1), the head of the spiral type nose and intestines tube body (1) is straightened, the head of the nose and intestines tube body (1) is dipped in a little physiological saline, activates the lubricant thereon, when the guiding steel wire (8) is pulled out from the liquid food cavity, 10ml physiological saline is injected into the pipeline, and then the guiding steel wire (8) is slowly withdrawn.

8. The x-ray visible nasoenteric tube of claim 6, wherein: Before the nose and intestines tube body (1) is inserted, the patient is taken to half sitting or half lying position, and the insertion length of the nose and intestines tube body (1) is determined, and the length is marked on the position of the nose and intestines tube body (1), and the determined insertion length is calculated as follows: The distance from the sternal process to the nose tip to the ear lobe is added by 10cm to 15cm; And when the nose and intestines tube body (1) is inserted to the marked length, the gastric juice is aspirated by empty needle, then 10ml physiological saline is injected into the liquid food cavity of the nose and intestines tube body (1), and then the guiding steel wire (8) is slowly withdrawn.

Citation Information

Patent Citations

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    CN105920721A

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    CN205163680U

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    CN212997509U