lumbar puncture koob puncture
Dec 21, 2021
Tom qab tus kws kho mob ib zaug pom pom cov cim, nws tau ntxig ib rab koob nrog ib rab koob ntawm lub midline txoj hauj lwm thiab sab sauv ntawm cov txheej txheem spinous tom ntej. Lub koob tau tig mus rau lub taub hau ntawm lub kaum sab xis ntawm 15 degrees, uas zoo li mus rau tus neeg mob' s umbilicus. CSF to tuaj yeem ua rau mob taub hau tom qab xuas nrig ntaus. Cov ntaub ntawv tshiab tshaj plaws qhia tias kev siv" cwj mem zoo li" koob tuaj yeem txo qhov kev pheej hmoo ntawm mob taub hau, vim tias cov koob no tuaj yeem kis tau cov fibers ntawm lub hnab dural yam tsis tau txiav. Yog tias koj siv rab koob beveled ntau dua, lub bevel ntawm rab koob yuav tsum nyob rau hauv lub dav hlau sagittal, thiaj li hais tias cov fibers thaum uas tig mus rau tus txha caj qaum yuav kis tau tawm yam tsis tau txiav lawv.
Yog tias txoj haujlwm ntawm rab koob yog lawm, rab koob yuav tsum hla ntawm daim tawv nqaij, cov ntaub so ntswg subcutaneous, supraspinous ligament, interspinous interspinous ligament, ligamentum flavum, thiab epidural qhov chaw (xws li lub puab tsaig sab hauv venous plexus, dura mater, thiab arachnoid). , mus rau hauv qhov chaw subarachnoid, thiab nyob nruab nrab ntawm lub paj hlwb cauda equina. Thaum rab koob hla dhau ligamentum flavum, tus kws kho mob tuaj yeem hnov qhov kev nkag siab ntawm kev tawg. Lub sijhawm no, rab koob tseem ceeb yuav tsum tau rub tawm 2 hli los saib seb puas muaj cov kua dej cerebrospinal tawm. Yog tias qhov puncture tsis ua tiav thiab cov pob txha raug kov, thim rov qab rab koob rau cov ntaub so ntswg subcutaneous, tab sis tsis txhob thim tawm ntawm daim tawv nqaij, kho cov kev taw qhia thiab ntxig rau rab koob dua. Thaum rab koob nkag mus rau qhov chaw subarachnoid, CSF ntws tawm. Yog tias muaj kev raug mob thaum lub sij hawm puncture, CSF tej zaum yuav muaj ntshav me ntsis. Thaum sau CSF, CSF yuav tsum pom tseeb thiab tsis muaj ntshav, tshwj tsis yog tias muaj cov ntshav subarachnoid hemorrhage. Yog tias cov kua dej cerebrospinal tsis ntws tawm zoo, lub koob tuaj yeem tig tau 90 degrees vim tias qhov qhib ntawm rab koob yuav raug thaiv los ntawm cov paj hlwb.
Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob tshuaj tua tsiaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho. koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!
Thov hu rau peb yog tias koj xav tau: zhang@sz-manners.com
