腰椎穿刺英文课件.pptVIP

Outline1.Concept2.Indications/Contraindications3.Preoperativeplication4.operationalapproach

operationalapproach1、bodypositionThepatienttake?lateralpositionontheplatformbed,thebackisperpendiculartothebed,tocauseatrunktobow.?

2、puncturesite

Bilateralposteriorsuperioriliacspineandposteriormidlineintersectionforpuncturepoint。Generallytake3~4lumbarspinesgap

3、disinfection、

wearingsterilegloves、

draping

4、Localanesthesia

With2%lidocaine

Fromtheskintotheintervertebralligament

5、punctureuseyourleftthumbandindexfingerfixtheskin,righthanduseneedleintheverticaldirectionofthebackorslightlyinclinetothehead,tipslightlyobliquetothehead,theneedlebodytowardthehipsthedepthoftheneedleaboutadultis4~6cm,thechildis2~4cm.

whentheneedlethroughtheligamentandduramatertheresistancesuddenlydisappear.Thenslowlypulloutneedlecoreandusepiezometrictubemeasuringcerebrospinalfluidpressure.Normallythecerebrospinalfluidpressureis70~180mmH20,or40to50drops/minute.请在此处添加副标题

collectthecerebrospinalfluid2~5mlforlaboratorytest，aftertheoperation,theneedlecoreisinsertedintotheneddleandthenpullingouttheneedle,coveredwithsterilegauze,fixedwithadhesivetape.thelaststep

PostoperativecomplicationHeadacheInfectionLumbagoandradiculalgiaHerniacerebriHaemorrhage