Dab tsi yog Qhov Teeb Meem Ntawm Lumbar Puncture Needle Art Muaj

Kev tiv thaiv thiab kev kho mob ntawm lumbar puncture 1. Hypocranial siab syndrome: hais txog lub lateral decubitus txoj hauj lwm cerebrospinal kua siab hauv qab no 0.58 mus rau 0.78kPa (60 mus rau 80mm dej kem), ntau dua . Vim tias rab koob yog tuab heev, lub tshuab puncture tsis txawj los yog sawv ntxov dhau tom qab kev ua haujlwm, yog li cov kua cerebrospinal los ntawm tus txha caj qaum qhov puncture qhov nruam tawm los ntawm cov neeg mob zaum tom qab mob taub hau yog qhov hnyav heev, cov neeg mob hnyav. nrog xeev siab thiab ntuav lossis kiv taub hau, ua tsis taus pa, pw tsaug zog lossis mob taub hau qis tuaj yeem txo qis lossis txo qis. Ob peb tuaj yeem tshwm sim tsis nco qab, cov tsos mob ntawm lub hlwb, kev ua rau meningeal stimulation, thiab lwm yam, ntev li ntawm ib mus rau ob peb hnub. Yog li ntawd, cov koob txhaj tshuaj zoo yuav tsum tau siv, tom qab ua haujlwm, mus rau hauv ncoo supine (zoo tshaj plaws) 4-6 teev, thiab haus dej ntau dua (tsis txhob haus cov tshuaj yej muaj zog, dej qab zib) feem ntau tuaj yeem tiv thaiv, yog tias nws muaj. tshwm sim, ntxiv rau hais kom tus neeg mob kom rov qab ua dua thiab haus dej ntxiv, tab sis kuj yog raws li qhov tsim nyog txhaj tshuaj ntawm cov dej distilled 10-15ml lossis intravenous drip 5 feem pua ​​​​ntawm cov txiv hmab txiv ntoo brine 500-1000ml, {{11} } zaug /d, ob peb hnub, feem ntau tuaj yeem kho tau. 20-30ml ntawm ib txwm saline tuaj yeem raug txhaj rau hauv tus txha caj qaum lossis lub epidural dua kom tshem tawm qhov tsis zoo siab hauv qhov chaw epidural kom tiv thaiv cov kua cerebrospinal los txuas ntxiv mus. 2. Kev tsim ntawm cerebral hernia: thaum intracranial siab nce (tshwj xeeb tshaj yog nyob rau hauv posterior cranial fossa thiab temporal gyri space-occupying lesions), cerebral hernia tej zaum yuav tshwm sim thaum lub sij hawm puncture los yog nyob rau hauv ob peb teev tom qab kev phais thaum lub kua yog ceev heev thiab heev. ntau, yog li kev saib xyuas nruj thiab kev tiv thaiv yuav tsum tau them. Yog tias tsim nyog, tus neeg saib xyuas lub cev qhuav dej xws li 20 feem pua ​​​​mannitol tov 250ml tuaj yeem txhaj tshuaj intravenously ua ntej xaj, tom qab ntawd koob txhaj tshuaj thiab maj mam tso ob peb tee ntawm cerebrospinal kua roj rau kev kuaj mob. Yog tias tsis muaj hmoo tshwm sim, yuav tsum tam sim ntawd ua raws li cov kev ntsuas cawm, xws li kev txhaj tshuaj ntawm 20 feem pua ​​mannitol 200-400ml thiab hypertonic diuretic dehydrating tus neeg saib xyuas, yog tias tsim nyog, kuj tuaj yeem yog los ntawm ventricle puncture tso kua dej thiab los ntawm tus txha caj qaum. Kev txhaj tshuaj sai ntawm physiological saline 40-80ml, tab sis feem ntau nyuaj rau kev ua haujlwm. 3. Qhov tshwm sim tam sim ntawd ntawm cov tsos mob ntawm tus txha caj qaum thiab tus txha caj qaum: ntau dua nyob rau hauv tus txha caj qaum compression kab mob, tus nqi ntawm kev ua neej nyob vim qhov kev hloov ntawm lub siab tom qab lumbar puncture tawm, ua rau muaj kev hloov pauv ntawm lub siab tshuav ntawm tus txha caj qaum, cov hlab ntsha hauv paus, cerebrospinal kua thiab hloov pathological. Nws tuaj yeem ua rau cov tsos mob ntawm cov hauv paus mob, paraplegia, cuam tshuam ntawm kev qhib cov zis thiab zis, thiab dyspnea thiab tam sim ntawd raug ntes tuaj yeem tshwm sim nyob rau hauv lub ncauj tsev menyuam qaum qaum compression. Yog tias cov tsos mob saum toj no tsis loj, 30-50ml ib txwm saline tuaj yeem txhaj rau hauv tus txha caj qaum ua ntej: thaum qhov ua tau zoo tsis zoo, thov xav txog kev kho phais thaum muaj xwm txheej ceev. Tsis tas li ntawd, cov teeb meem xws li kab mob intracranial thiab paj hlwb raug mob hauv cauda equina vim yog qhov tsis raug cai yog qhov tsawg.

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!

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