Some of the complications that can occur after a single-use lumbar puncture needle are:
Apr 12, 2022
(1) Bloody cerebrospinal fluid problem: The bloody cerebrospinal fluid problem caused by the accidental injury of the internal spinal venous plexus by the lumbar puncture needle is one of the most common complications of lumbar puncture. Its occurrence is often due to lack of experience, the needle is too deep, and the venous plexus in the spinal canal is accidentally injured. If not identified immediately, it is easy to be confused with pathological bloody cerebrospinal fluid. Bleeding due to accidental puncture injury can often stop quickly on its own, but individual patients with more bleeding may experience transient low back and leg pain due to blood stimulation, and only need to give general symptomatic treatment.
(2) Low intracranial pressure syndrome: Low intracranial pressure syndrome is usually caused by excessive lumbar puncture needles used or too early getting out of bed after surgery, resulting in excessive outflow of cerebrospinal fluid from the lumbar puncture needle on the meninges. Caused by low intracranial pressure. The diagnosis can be made based on the fact that the patient's headache is significantly aggravated when sitting, and may be accompanied by nausea, vomiting or dizziness in severe cases, and the headache can be relieved or relieved when the patient is lying down or with the head lowered. Strictly requiring the patient to lie on his back for 6 hours after puncture can often prevent the occurrence of such complications.
(3) Sudden aggravation of the symptoms of the original spinal nerve root and spinal cord: After the lumbar puncture and discharge, the buoyancy and cushioning effect of the cerebrospinal fluid are reduced, which makes the compression of the nearby spinal cord or spinal nerve root aggravated, resulting in the original Some symptoms such as radicular pain, paraplegia, and bowel and bladder disorders are suddenly aggravated, especially in patients with spinal cord compression. For high cervical spinal cord compression lesions, we should be more alert to the occurrence of serious complications such as dyspnea and even sudden respiratory arrest. Therefore, when cooperating with the doctor for lumbar punc
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