What is the cause of waist piercing?

Lumbar puncture is short for lumbar puncture. A basic examination performed by doctors to check for lesions of the nervous system, including the brain, meninges, and spinal cord. The method is to make the sick child lie on the side, hold the legs with both hands in a flexed shape, and bend the head to the chest. The purpose is to maximize the curvature of the spine and expose the intervertebral space. After disinfecting the skin of the waist, the doctor holds a slender lumbar puncture needle and pierces the spinal cavity through the skin. If the operation is smooth, when the needle tip reaches the predetermined position, pull out the needle core, and normal children will have white and transparent The fluid (ie cerebrospinal fluid) slowly flows out. Doctors need to measure the pressure of cerebrospinal fluid or calculate the number of drops of cerebrospinal fluid flowing out per minute. Generally, 3 vials (2~3 ml of each bottle) are indwelled and sent to the cerebrospinal fluid for routine examination, biochemical index examination and bacterial culture respectively, and the disease is judged by the examination results of cerebrospinal fluid. . Generally, when the meninges and spinal cord are inflamed, the cerebrospinal fluid is often cloudy, and white blood cells can be found under the microscope, and the protein qualitative test can increase; in the case of viral infection, the cerebrospinal fluid is often ground glass, and the number of proteins and cells is increased; if bacteria Infection, the cerebrospinal fluid is often like rice soup, the number of cells can reach hundreds or thousands, and even there is pus, and the amount of protein is also greatly increased. Bacterial culture can confirm the diagnosis.

Doing lumbar puncture is a basic operation for a doctor. For anesthesiologists and neurologists, since almost every patient has to do this examination, the operation is relatively familiar and the success rate is high. However, in pediatrics, especially infants and young children, because they do not understand the meaning of the examination, they are also very uncooperative, especially because the examination should be carried out in a relatively clean or sterile treatment room, often parents cannot accompany them, and sometimes the operation is difficult. Can't even get into the spinal canal correctly, can't get the cerebrospinal fluid successfully. At this time, the doctor will inform the parents of the reasons for the failure. If the condition is lack of this examination, it is necessary to do this examination after taking sedatives and letting the child sleep peacefully.

Many parents have doubts about doing lumbar puncture, mainly misunderstanding some folklore, such as doing lumbar puncture can make children stupid, and some people also mistakenly believe that doing lumbar puncture is bone marrow extraction. In fact, these legends are not true. Lumbar puncture is to take cerebrospinal fluid examination; while bone marrow puncture is to take bone marrow examination, when suffering from leukemia and other malignant tumors, or because of high fever and other reasons, the doctor has to do this kind of examination when the malignant tumor has to be excluded for a long time. Will a lumbar piercing cause the child to become stupid?

In fact, lumbar puncture itself is like tying a blood vessel to get blood. It is a monitoring method to remove the fluid from a certain part of the body and check whether the organs and tissues it flows through have abnormal changes. , then there will be no sequelae, and it will not make the child stupid. If the cerebrospinal fluid examination proves that the nervous system is diseased, there are often different sequelae, such as hydrocephalus, mental retardation caused by brain cell necrosis, limb paralysis, etc. These are not caused by a lumbar puncture, but by a diseased nervous system. In our clinical work, we often encounter some parents who have a low level of education, do not understand the necessity of some examination methods, and stubbornly refuse to do lumbar puncture examinations. It has great blindness, which affects the treatment. When it develops into convulsion and coma, lumbar puncture is performed again.

Of course, lumbar puncture is a traumatic examination, which will bring some pain to the child, and it is only a part of various examinations. Before performing a lumbar puncture, the doctor should understand the medical history as much as possible, check the various symptoms of the sick child, and repeatedly explain the purpose and significance of the examination to the parents, and obtain the close cooperation of the parents. Through lumbar puncture examination, the disease can be diagnosed correctly and treated early, and the sick child can be rescued from the torment of the disease as soon as possible.

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