Lumbar puncture needle formation or exacerbation of brain herniation

When the intracranial pressure is increased, the fluid is discharged more and faster at a time during the lumbar puncture, or the bed rest system is not strictly followed after the lumbar puncture, and this kind of complication is more likely to occur. In severe cases, breathing may stop suddenly, unconsciousness or convulsions, and even the heartbeat may stop immediately. This is due to the sudden change in the dynamics of the cerebrospinal fluid pressure between the cranial cavity and the spinal cavity after lumbar puncture and drainage. This complication can occur at the time of the puncture or within a few hours after the puncture. If the intracranial pressure is found to be high during the operation, the fluid should be stopped and only the cerebrospinal fluid stored in the cerebrospinal fluid pressure tube can be used. After the operation, the patient is instructed to strictly abide by the bed rest system, and pay attention to changes in consciousness, respiration, pulse, blood pressure, pupils and limb movements within 12 to 24 hours. If necessary, preventive hypertonic dehydration diuretics can be given as appropriate to prevent the formation or aggravation of brain herniation. If it happens, you should take emergency measures immediately and report to your doctor to take a head-down and high-foot position, perform artificial respiration, and inject breath and heartbeat stimulants. Quickly assist the doctor in the rescue and reset the brain herniation.

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