How should children be taken care of after lumbar puncture?

Jan 05, 2022

1. After lumbar puncture, press the puncture point for at least 15 minutes, press until there is no bleeding, go to the supine position for 4-6 hours, keep the head and body at the same level, do not raise the head, and the limbs do not need to restrict movement. All physiological needs must be performed in this position to avoid headaches and low back pain caused by changing the position. You can take a side-lying position when eating and watering, and pay attention to the slow speed, so as not to cause coughing.

2. Pay attention to whether the child has headache, nausea, vomiting, dizziness and other symptoms. Headache is the most common. It is mostly caused by intracranial low pressure. The headache is relieved when lying down, and the symptoms are aggravated when sitting or standing. Bed rest is generally relieved for 5 to 7 days. If you have dizziness, you should extend your supine time to 24 hours, drink more warm water and inform your doctor in time.

3. Keep the gauze dressing at the puncture mouth dry, observe whether there is any bleeding or exudation, do not dip or tear off the dressing, do not bathe within 24 hours, avoid dampness or looseness, and inform the medical staff if there is any.

4. Pay attention to observe the wound pain time of the child, usually 1-2 days. Postoperative low back pain is the most common complication. The reason is mainly related to nerve root stimulation, which can be relieved in 1-2 days. In order to alleviate or alleviate the occurrence of low back pain symptoms, the magic lamp irradiation treatment is given 2-3 times a day after the lumbar puncture for 6 hours and 2 days after the operation. The irradiation can directly act on the blood vessels, nerve endings, lymphatic vessels and subcutaneous tissues. effect.

5. The nervousness and fear of the child is also an important factor for the low back pain. Parents should use a positive attitude and language to influence the child to cooperate with the treatment, avoid giving the child bad hints and increase his fear, and they can listen to music or Or tell stories, etc.

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