演示文稿--腰椎穿刺英文

1、Lumbar puncture,Outline,1. Concept,2. Indications/Contraindications,3.Preoperative preparation,plication,4.operational approach,operational approach,1、body position The patient takelateral position on the platform bed, the back is perpendicular to the bed, to cause a trunk to bow.,2、puncture site,Bi

2、lateral posterior superior iliac spine and posterior midline intersection for puncture point。Generally take 3 4 lumbar spines gap,3、disinfection、 wearing sterile gloves、 draping,4、Local anesthesia With 2% lidocaine,From the skin to the intervertebral ligament,5、puncture use your left thumb and index

3、 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 hips the depth of the needle about adult is 4 6cm,the child is 2 4cm.,when the needle through the ligament and dura mater the

4、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.,请在此处添加副标题,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 complication