What Does The Complication Of Lumbar Puncture Needle Art Have

Prevention and treatment of complications of lumbar puncture 1. Hypocranial pressure syndrome: refers to the lateral decubitus position cerebrospinal fluid pressure below 0.58 to 0.78kPa(60 to 80mm water column), is more common. Because the needle is too thick, the puncture technology is not skilled or get up too early after the operation, so that the cerebrospinal fluid from the spinal membrane puncture hole continuous outflow caused by patients in sitting up after the headache is significantly aggravated, severe patients with nausea and vomiting or dizziness, fainting, supine or head low headache can be alleviated or relieved. A few can appear consciousness disorder, mental symptoms, meningeal stimulation, etc., lasting about one to several days. Therefore, fine needle puncture should be used, after the operation, go to the pillow supine (best prone) 4-6 hours, and drink more water (avoid drinking strong tea, sugar water) can often be prevented, if it has happened, in addition to asking the patient to continue to recumbent and drink more water, but also as appropriate intravenous injection of distilled water 10-15ml or intravenous drip 5% grape brine 500-1000ml, 1-2 times /d, several days, often can be cured. 20-30ml of normal saline can also be injected into the spinal canal or the epidural again to eliminate the negative pressure in the epidural space to prevent cerebrospinal fluid from continuing to leak out. 2. Formation of cerebral hernia: when intracranial pressure increases (especially in posterior cranial fossa and temporal gyri space-occupying lesions), cerebral hernia may occur at the time of puncture or within a few hours after surgery when the drainage is too fast and too much, so strict attention and prevention should be paid. If necessary, the dehydrating agent such as 20% mannitol solution 250ml can be injected intravenously before ordering, then needle puncture and slowly drop several drops of cerebrospinal fluid gas for laboratory examination. If unfortunate once appear, should immediately take the corresponding rescue measures, such as intravenous injection of 20% mannitol 200-400ml and hypertonic diuretic dehydrating agent, if necessary, can also be from the ventricle puncture discharge fluid and from the spinal canal rapid injection of physiological saline 40-80ml, but generally more difficult to work. 3. The sudden aggravation of symptoms of original spinal cord and spinal nerve root: more common in spinal cord compression disease, the cost of living due to the change of pressure after lumbar puncture discharge, resulting in changes in the pressure balance between spinal cord, nerve root, cerebrospinal fluid and pathological changes. It can aggravate the symptoms of root pain, paraplegia, obstruction of opening urine and urine, and dyspnea and sudden arrest can occur in high cervical spinal cord compression. If the above symptoms are not serious, 30-50ml normal saline can be injected into the spinal canal first: when the efficacy is not good, please consider surgical treatment in emergency. In addition, complications such as intracranial infection and nerve root injury in the cauda equina due to improper puncture are rare.

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