演示文稿--腰椎穿刺英文

1、Lumbar punctureLumbar punctureOutline1. Concept 2. Indications/Contraindications 3.Preoperative plication4.operational approachoperational approachoperational approach1、body position The patient take lateral position on the platform bed, the back is perpendicular to the bed, to cause a trunk to bow.

2、 2 2、puncture sitepuncture siteBilateral posterior superior iliac spine and posterior midline intersection for puncture point。Generally take 3 4 lumbar spines gap3 3、disinfectiondisinfection、 wearing sterile gloves wearing sterile gloves、 draping draping4、Local anesthesia With 2% lidocaine From the

3、skin to the intervertebral ligament5、punctureuse your left thumb and index finger fix the skin,right hand use needle in the vertical direction of the back or slightly incline to the head,tip slightly oblique to the head, the needle body toward the hipsthe depth of the needle about adult is 4 6cm,the

4、 child is 2 4cm. when the needle through the ligament and dura mater the resistance suddenly disappear. Then slowly pull out needle core and use piezometric tube measuring cerebrospinal fluid pressure.Normally the cerebrospinal fluid pressure is 70 180mmH20, or 40 to 50 drops / minute.請?jiān)诖颂幪砑痈睒?biāo)題collect the cerebrospinal fluid 2 5ml for laboratory test，after the operation, the needle core is inserted into the neddle and then pulling out the needle, covered with sterile gauze, fixed with adhesive tape.the last step Postoperative comp