Hokezu Youichi, Yamamoto Makoto, Tokunaga Syuichi, Niikura Makoto, Nagamatsu Keiji, Kira Jun-ichi, Fukunaga Toshihide, Shima Kouji, Kikuchi Seiji, Kimura Itaru, Kondo Kiyohiko, Mori Teruhiko, Goto Katumasa, Takigami Shigeru, Shioya Keiichi, Uehara Minako
"Departmen of Neurology, Oita Prefectural Hospital.
Rinsho Shinkeigaku. 2009 Nov;49(11):877-80. doi: 10.5692/clinicalneurol.49.877.
In Japan, many patients equipped with TMV are under medical treatment at home after 1990. These patients can't put out sputa in trachea, so that these patient's family members must suck these patient's intratracheal sputa all days. Mr Yamamoto and Mr Tokunaga, main researchers of this study, began the study on the automatic SS of itratracheal sputa from 1999. In first stage, They developed the intermittent SS in detaining the suction tube within tracheal cannula, monitering the intratracheal pressure, but this system takes the ventilation away from the patient. Hypoventilation caused by this SS may cause the serious accident in patient. Therefore, we remodel the SS from intermittent SS to rollerpomp-type SS continuing to suck the itratracheal sputa with low volume from 2004, and thereafter we made up the SS of piston pomp type-SS finally at 2007. We developed the tracheal cannula with double suction holes of inner and lower hole in the lower part of its cannula together with the suction machine. We think that the practical use of this automatic SS will bring these patients with TMV and their family members great benefits. We desire that the practical use of this SS will be realized as soon as possible.
在日本，自1990年以来，许多配备了经鼻间歇正压通气（TMV）的患者在家中接受治疗。这些患者无法咳出气管内的痰液，因此这些患者的家属必须全天为其吸出气管内的痰液。本研究的主要研究者山本先生和德永先生自1999年开始对气管内痰液的自动吸痰（SS）进行研究。在第一阶段，他们开发了一种间歇式吸痰方法，即将吸痰管留置在气管套管内，监测气管内压力，但这种系统会使患者通气不足。这种吸痰方法导致的通气不足可能会给患者带来严重事故。因此，我们在2004年将吸痰方法从间歇式吸痰改为滚筒泵式吸痰，持续以低容量吸出气管内痰液，此后我们最终在2007年制成了活塞泵式吸痰器。我们开发了一种在其套管下部带有内孔和下孔双吸痰孔的气管套管，并配备了吸痰机。我们认为这种自动吸痰器的实际应用将给这些TMV患者及其家属带来极大的益处。我们期望这种吸痰器能尽快实现实际应用。
