How to prevent and cure the headache of low cranial pressure after lumbar wear?

After lumbar puncture, if cerebrospinal fluid continuously exudates out of the meningeal cavity from the puncture site, the pain-sensitive tissues of the skull base can be pulled to produce headache due to the reduction of pressure in the spinal canal, and the prevention and treatment measures are as follows.

(1) Lumbar puncture needles of fine caliber should be selected, and no.7 puncture needles should be preferred. Fluid should be seen with one needle to minimize puncture times and multiple punctures in the same part in a short period should be avoided.

(2) After the end of the lumbar puncture, the patient can be prone for 20 minutes, so that the puncture site is initially healed, and then go to the pillow flat for more than 6 hours.

(3) After puncture, drink more water to increase the amount of fluid and supplement the part of cerebrospinal fluid leakage. Usually, drink no less than 1000ml within the first 6 hours.

(4) Once the occurrence of low cranial pressure headache, the patient is told to rest in bed for 3-5 days, or the patient can take saline 2000-3000ml every day. If the headache is still not alleviated, 1000 ~ 1500ml 5% glucose water plus 5 ~ 10 units of pituitrin can be given intravenously, once a day, for 2 ~ 3 consecutive times. For severe headache, fine puncture needle can be used to Pierce the subarachnoid space and inject physiological saline into the subarachnoid space, 5ml each time, injection 15-20ml can immediately relieve headache.

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