腰椎穿刺英文.ppt

Lumbar punctureLumbar puncture1Outline1.Concept 2.Indications/Contraindications 3.Preoperative plication4.operational approach2operational approachoperational approach1、bodypositionThepatienttakelateralpositionontheplatformbed,thebackisperpendiculartothebed,tocauseatrunktobow.32 2、puncture sitepuncture siteBilateralposteriorsuperioriliacspineandposteriormidlineintersectionforpuncturepoint。Generallytake34lumbarspinesgap43 3、disinfectiondisinfection、wearing sterile gloves wearing sterile gloves、draping draping54、Local anesthesia With 2%lidocaine From the skin to the intervertebral ligament65、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 child is 2 4cm.7when 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.请在此处添加副标题8collect 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 9Postoperative complication HeadacheInfectionLumbago and radiculalgiaHernia cerebriHaemorrhage10此课件下载可自行编辑修改，供参考！感谢您的支持，我们努力做得更好！11