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腰椎穿刺与硬膜穿刺后头痛：对急诊医生的启示

Lumbar puncture and post-dural puncture headaches: implications for the emergency physician.

作者信息

Frank Robert L

机构信息

Department of Emergency Medicine, Mercy Hospital of Pittsburgh, University of Pittsburgh Affiliated Residency in Emergency Medicine, Pittsburgh, Pennsylvania 15219, USA.

出版信息

J Emerg Med. 2008 Aug;35(2):149-57. doi: 10.1016/j.jemermed.2007.03.024. Epub 2007 Sep 17.

DOI:10.1016/j.jemermed.2007.03.024
PMID:17976786
Abstract

Lumbar puncture is a diagnostic procedure commonly performed by emergency physicians. Post-dural puncture headaches occur frequently after this procedure and can be associated with significant morbidity and, occasionally, even death. There is also a lot of variation in how post-dural puncture headaches are treated once they occur. This article seeks to examine the science behind post-dural puncture headaches, their prevention and treatment.

摘要

腰椎穿刺是急诊科医生常用的一种诊断性操作。硬膜穿刺后头痛在该操作后经常发生，可能伴有严重的发病率，偶尔甚至会导致死亡。硬膜穿刺后头痛一旦发生，其治疗方法也存在很大差异。本文旨在探讨硬膜穿刺后头痛背后的科学原理、预防措施及治疗方法。

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