Kev Ntsuam Xyuas Ntawm Ntshav Cerebrospinal Fluid Complications Hauv Lumbar Puncture Thiab Kev Tiv Thaiv Kev Ua Haujlwm Specifications

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Lumbar puncture yog ib qho kev kho mob uas muaj kev cuam tshuam rau kev kuaj ntshav cerebrospinal, txha nraub qaum thiab kev tshawb nrhiav intracranial siab. Ntshav cerebrospinal kua yog ib qho ntawm feem ntau cov teeb meem intraoperative, uas feem ntau yog tshwm sim los ntawm kev raug mob ntawm tus txha caj qaum venous plexus.Disposable Sterile Medical Spinal Needlethaum puncture. Qhov teeb meem no cuam tshuam rau qhov tseeb ntawm cov txiaj ntsig ntawm cerebrospinal fluid detection thiab tej zaum yuav ua rau cov tsos mob tsis zoo nyob rau hauv cov neeg mob, yog li nws yog ib qho kev tshawb fawb tseem ceeb thiab kev tiv thaiv tsom rau hauv kev siv tshuaj kho mob txha caj qaum.

Cov laj thawj tseem ceeb ntawm cov ntshav cerebrospinal muaj teeb meem yog muab faib ua cov khoom lag luam thiab cov khoom sib txuam. Nyob rau hauv cov nqe lus ntawm kev khiav hauj lwm, kev kho mob tsis txaus ntawm cov neeg ua hauj lwm kho mob, tsis raug puncture positioning, ntau heev koob insertion qhov tob thiab tsis zoo koob lub cev lub kaum sab xis hloov yog lub ntsiab inducing yam. Thaum lub koob taub hau deviates los ntawm kev nyab xeeb puncture channel, nws yog ib qho yooj yim rau tho qhov ntom venous plexus faib nyob rau hauv tus txha caj qaum, uas ua rau los ntshav thiab sib tov ntawm cov ntshav nyob rau hauv lub cerebrospinal kua. Nyob rau hauv cov nqe lus ntawm cov khoom txuam, tsis tsim nyog xaiv ntawm tus txha caj qaum specification thiab koob tip hom kuj yuav ua rau kom ntshav txaus. Piv txwv li, qhov ntse txiav ntawm Quincke Point koob yuav ua rau cov hlab ntsha raug mob thaum lub lag luam lub kaum sab xis yog deviated; Kev siv cov koob ntau dhau rau cov neeg mob uas muaj cov ntaub so ntswg tsis yooj yim yuav ua rau cov ntaub so ntswg puas thiab los ntshav.

Clinically, iatrogenic ntshav cerebrospinal kua uas tshwm sim los ntawm puncture raug mob muaj cov yam ntxwv txawv ntawm pathological ntshav cerebrospinal kua. Puncture-txoj kev los ntshav yog feem ntau cov ntshav venous, uas tuaj yeem nres nws tus kheej hauv ib lub sijhawm luv luv tom qab kho qhov koob lossis tshem rab koob me ntsis. Cov kua cerebrospinal uas tau sau tseg yuav maj mam ua kom pom tseeb nrog qhov txuas ntxiv ntawm lub sijhawm kuaj, thiab tsis muaj qhov tshwm sim los ntshav tas li. Pathological los ntshav yog tshwm sim los ntawm intracranial hemorrhage, qog thiab lwm yam kab mob, nrog tas mus li ntshav exudation, thiab cerebrospinal kua yog pheej turbid thiab ntshav, uas yog nyuaj rau nws tus kheej - zoo. Kev txheeb xyuas qhov tseeb ntawm ob yog tus yuam sij kom tsis txhob muaj misdiagnosis thiab tsis tau kuaj pom.

Rau cov ntshav me me cerebrospinal cov teeb meem nrog cov ntshav me me, cov neeg mob feem ntau tsis xav tau kev kho tshwj xeeb. Tom qab kev ua haujlwm, lawv raug qhia kom pw tiaj tus yam tsis muaj hauv ncoo rau 4-6 teev, ua ke nrog cov tsos mob niaj hnub, thiab cov tsos mob ntawm cov ntshav khaus xws li mob nraub qaum qis yuav ploj mus ib ntus. Rau cov neeg mob uas muaj ntshav los ntshav ntau thiab pom tseeb cov ntaub so ntswg hauv zos stimulation, lub zos compression hemostasis thiab anti-inflammatory thiab analgesic symptomatic kev kho mob yuav muab rau kom tsis txhob muaj kev phiv tom qab phais.

Hauv kev lag luam, cov qauv kev ua haujlwm tshwj xeeb thiab cov khoom tsim tau zoo yog cov ntsiab lus tseem ceeb los tiv thaiv cov ntshav cerebrospinal teeb meem. Cov tsev kho mob yuav tsum tau ntxiv dag zog rau kev ua haujlwm ntawm cov neeg ua haujlwm kho mob, ua kom muaj kev sib tsoo ntawm qhov chaw, koob txhaj tshuaj nrawm thiab kho lub kaum sab xis; cov tuam txhab ua haujlwm tsis tu ncua ua kom zoo dua cov txheej txheem ntawm rab koob thiab rab koob lub cev hloov tau yooj yim, txhim kho qhov kev ua tau zoo ntawm tus txha caj qaum, thiab txo qhov tshwm sim ntawm kev raug mob venous plexus. Kev txhim kho kev sib koom ua ke ntawm cov khoom ua tau zoo thiab kev ua haujlwm kho mob cov qauv kev ua haujlwm tau zoo txo ​​qhov xwm txheej ntawm kev sib tsoo thiab txhim kho kev nyab xeeb ntawm kev ua haujlwm ntawm tus txha caj qaum.