Epidural needle puncture points for abdominal surgery

The puncture site should be selected according to the surgical site, and the corresponding spinous process space in the middle of the surgical range is generally taken. Usually, the upper limb puncture point is in the space between the 3~4 spinous processes in the chest, the upper abdomen operation is in the space between the 8~10 spinous processes in the chest, the middle abdomen operation is in the space between the 9~11 spinous processes in the chest, the lower abdomen operation is in the space between the 12 ~ 2 spinous processes in the chest, the lower limb operation is in the space between the 3~4 spinous processes in the lumbar spine, and the perineum operation is in the space between the 4~5 spinous processes in the lumbar spine. Sacral anesthesia can also be used. To determine the spinous process space, generally refer to body surface anatomical marks. If the spinous process of the neck is obviously prominent, it is the cervical spinous process; The joint line of both scapulas intersects the 3 spinous process of the chest. The subscapular Angle of both sides is interlaced with the 7th spinous process of the chest. The joint line of the highest point of the iliac crest on both sides intersects the fourth lumbar spinous process or the space between the third and fourth lumbar spinous process.

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