腰穿（Lumbar puncture）.docVIP

腰穿（Lumbar puncture） Puncture directory Summary Indications Operation method Matters needing attention Contraindication Edit this paragraph overview The abbreviation of lumbar puncture is a common method of examination in medicine. It extracts fluid from the spinal column (Long Xingu) of the patient -- cerebrospinal fluid, for clinical diagnostic analysis. Edit this paragraph of the adaptation card 1. the diagnosis and differential diagnosis of inflammatory diseases of the central nervous system include purulent meningitis, tuberculous meningitis, viral meningitis, fungal meningitis, Japanese encephalitis, and so on. The diagnosis and differential diagnosis of the 2. cerebrovascular accident including cerebral hemorrhage, cerebral infarction, subarachnoid hemorrhage. 3. the diagnosis and treatment of neoplastic diseases are used for the diagnosis of meningeal leukemia and the treatment of meningeal leukemia by intrathecal injection of chemotherapeutic agents. Lumbar puncture mainly has the following objectives: 1, to understand the intracranial pressure and cerebrospinal fluid circulation channel patency; 2, take the cerebrospinal fluid for testing: routine, biochemical and bacteriological examination of tumor cells, check and so on; 3, the release of bloody cerebrospinal fluid or high protein in cerebrospinal fluid; 4, intrathecal (drug). Edit the operation method of this paragraph 1. patients with lateral to vertical back and hard board bed, bed, chest head forward flexion, hands on your knees close to the abdomen, the arched trunk. Or by the assistant in the opposite side of the art, with one hand hug the patients head, and the other hand hug the lower limbs, the nest, and forcibly hold tight, so that the spine as far back as possible, in order to increase the gap width of the vertebral, easy to enter the needle. 2., the highest point of the iliac spine line and the posterior midline intersection point for the puncture point, usually take third ~ 4 lumbar spinous