Nursing intervention on compliance with intracranial hypertension lumbar puncture and safety of.doc

 PAGE \* MERGEFORMAT 6 Nursing intervention on compliance with intracranial hypertension lumbar puncture and safety of [Keywords:] nursing intervention in intracranial hypertension safety of lumbar puncture in compliance Lumbar Puncture (Lumbar Puncture, LP) is a neurology clinic, do one of the most commonly used, by piercing the subarachnoid space to obtain cerebrospinal fluid to assist in clinical diagnosis, while removing excess fluid, or to alleviate intracranial hypertension [1]. With intracranial hypertension due to headache, vomiting, high blood pressure, and other psycho-social factors, lead to corresponding measures or even refused lumbar puncture, resulting in puncture success rate of decline, the danger increased, directly affecting the diagnosis, treatment and prognosis. Bachelor of June 2005 to June 2008 102 patients with intracranial hypertension lumbar puncture nursing intervention received better results. Reported as follows. A clinical data 1.1 Object According to ‘Practical neurology’ in the diagnostic criteria for intracranial hypertension [2], to have the following two or more clinical manifestations of intracranial hypertension, needs to be done in 102 patients with lumbar puncture in the implementation of nursing intervention: (1) headache: persistent head pain or frontal, two temporal pulsatile headache, body position changes, coughing, or when the increased force; (2) dehydrating agent significantly reduced headache after use; (3) vomiting, typical of those who was spray; (4) pulse bradycardia, elevated blood pressure; (5), meningeal irritation-positive; (6) fundus examination, see papilledema. 102 cases in 58 cases of male and female 44 cases; 72 cases of intracranial infection, cerebral vascular disease in 16 cases, the other 14 cases; aged 16 ~ 73 (42.4 ± 9.4) years of age; educational level: Primary and below 48 cases, 39 cases of secondary schools , college and above 15 cases. Are the first call for lumbar puncture. Have been