So for the puncturedepidural puncture needles, what treatments can be remedied?

First of all, we need to clearly focus on reducing the leakage of cerebrospinal fluid and restoring normal cerebrospinal fluid pressure.

01

Patients with mild to moderate headaches should stay in bed, pay attention to rehydration and oral analgesics. Some patients do not need special treatment, and the headaches can be relieved on their own

02

Cases of moderate to severe headache waiting to resolve spontaneously, need to be treated with medication

03

Epidural cavity filling method: It is the most effective method for the treatment of headache after puncture of the dura mater. It is suitable for cases with severe symptoms and difficult to relieve.

① Method: The patient takes a lateral position and punctures the segment or the next segment of the dural puncture. After the puncture needle reaches the epidural space, the fluid to be filled is slowly injected into the epidural space at a speed of 1 ml/3 seconds.

When the filling fluid was injected, the patient reported that the lower back was swollen, the ears were suddenly sensitive to hearing, and the eyes were suddenly bright, all of which were normal responses to the restoration of intracranial pressure. After the needle is removed, the patient can be helped to sit up and shake his head to confirm that the headache symptoms have disappeared, so that the patient can build confidence in further treatment.

②The choice of filling liquid:

1) 10-20 ml of sterile autologous blood. It can immediately restore intracranial pressure and relieve headaches, which is the same as injecting medium molecular weight artificial colloids, but it may cause adhesions in the epidural space at the injection site. Autologous blood filling is not recommended for preventive use; it is contraindicated in patients with coagulopathy and fever who are at risk of bacteremia.

2) 15-20 ml of 6% medium molecular weight dextran solution. It has the same effect as injecting sterile autologous blood. The artificial colloid absorbs slowly in the epidural space and maintains its effect for a long time.

③ Headache symptoms after spinal puncture caused by thick needles (such as epidural puncture needles) are more serious and lasting for a long time, and often require multiple epidural fillings before the symptoms can be gradually relieved.

04

It can be combined with acupuncture treatment of Yintang, Taiyang, Touwei, Sizukong and Hegu points

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