Department of Emergency Medicine, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, USA.
Crit Care Clin. 2010 Oct;26(4):661-4. doi: 10.1016/j.ccc.2010.07.002.
The use of ultrasound to mark landmarks for diagnostic lumbar puncture has been described in emergency medicine as well as in the anesthesia literature. One of the most difficult scenarios arises when obese patients with a body mass index (BMI) of greater than 30 present to an acute care setting, such as the emergency department or intensive care unit and require diagnostic LP. This article discusses lumbar puncture in patients with a high BMI.
在急诊医学和麻醉学文献中都有描述过使用超声标记腰椎穿刺的诊断性标志物。当肥胖患者（BMI 大于 30）出现于急性护理环境中，例如急诊部门或重症监护病房并需要进行诊断性腰椎穿刺时，情况会变得极具挑战性。本文讨论了 BMI 较高的患者的腰椎穿刺问题。
