Dab tsi yog qhov txheej txheem ntawm kev ua tus lumbar puncture koob?

Feem ntau siv rau sab-bending txoj hauj lwm, puncture qhov chaw intervertebral los ntawm lumbar 2 mus rau sacrum 1 (tsuas yog lumbar 3-4). Tom qab siv tshuaj tua kab mob hauv zos thiab tshuaj loog, hnav hnab looj tes roj hmab thiab maj mam tho rau hauv cov txheej txheem spinous nrog rab koob No. 20 (No. 21-22 rau cov menyuam yaus). Thaum lub koob lub taub hau ntsib cov pob txha thaum lub sij hawm lub koob txhaj tshuaj, lub koob yuav tsum tau retracted nyob rau hauv daim tawv nqaij. Ua qhov puncture tom qab kho lub kaum sab xis. Thaum lub koob tau ntxig txog 4-6cm hauv cov neeg laus (kwv yees li 3-4cm hauv cov menyuam yaus), dura mater tuaj yeem nkag mus rau qhov chaw subarachnoid, thiab rab koob tseem ceeb yuav ntws tawm ntawm cov kua cerebrospinal. Tom qab ntsuas kev ntsuas siab thiab tso tawm qeeb (tsis pub ntau tshaj 2-3ml) ), tom qab ntawd ntxig lub koob core thiab rub tawm lub koob txhaj tshuaj. Ua kom lub zog me ntsis kom tsis txhob los ntshav, siv cov ntaub qhwv tsis muaj menyuam thiab kho nws nrog daim kab xev. Pw supine rau 4-6 teev tom qab kev phais. Yog tias thawj zaug siab tshaj 2.94kPa (300mm dej kem), nws tsis haum rau tso cov kua, tsuas yog siv cov kua cerebrospinal hauv lub raj piezometer rau cov xov tooj ntawm tes thiab cov protein ntau.

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