How to relieve headache after waist puncture? ?

After lumbar puncture, if the cerebrospinal fluid (CSF) constantly leaks out of the spinal cavity from the puncture site, the pain and sensitive tissues at the base of the skull may be stretched due to the decrease in the pressure in the spinal canal and cause headaches. The prevention and treatment measures are as follows: (1) Should be selected For the fine-caliber lumbar puncture needle, the 7-gauge puncture needle is appropriate. It is important to try to see liquid in one needle, minimize the number of punctures, and avoid multiple punctures at the same site in a short period of time. (2) After the lumbar puncture, the patient can be placed on the prone for 20 minutes, so that the puncture site is initially healed before going to the pillow to lie down for more than 6 hours. (3) Drink more water after puncture to increase the amount of fluid and supplement the leakage of cerebrospinal fluid. Usually, drink no less than 1000 ml of water in the first 6 hours. (4) Once a headache with low intracranial pressure occurs, instruct the patient to rest in bed for 3 to 5 days, or to take 2000 to 3000 ml of saline per day. If the headache is still not relieved, 1000 to 1500 ml of 5% glucose water plus 5 to 10 units of pituitrin can be given intravenously, once a day for 2 to 3 times. For severe headaches, a fine puncture needle can be used to pierce the subarachnoid space and inject normal saline into the subarachnoid space, 5 ml each time, and 15-20 ml injection can immediately relieve the headache.

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