Doherty Carolynne M, Forbes Raeburn B
Department of Neurology, SHSCT, Craigavon Area Hospital, Portadown, County Armagh. BT63 5QQ.
Ulster Med J. 2014 May;83(2):93-102.
Diagnostic Lumbar Puncture is one of the most commonly performed invasive tests in clinical medicine. Evaluation of an acute headache and investigation of inflammatory or infectious disease of the nervous system are the most common indications. Serious complications are rare, and correct technique will minimise diagnostic error and maximise patient comfort. We review the technique of diagnostic Lumbar Puncture including anatomy, needle selection, needle insertion, measurement of opening pressure, Cerebrospinal Fluid (CSF) specimen handling and after care. We also make some quality improvement suggestions for those designing services incorporating diagnostic Lumbar Puncture.
诊断性腰椎穿刺是临床医学中最常用的侵入性检查之一。评估急性头痛以及调查神经系统的炎症或感染性疾病是最常见的适应症。严重并发症很少见，正确的技术将使诊断错误最小化，并使患者舒适度最大化。我们回顾了诊断性腰椎穿刺的技术，包括解剖结构、针具选择、进针、初压测量、脑脊液（CSF）标本处理及术后护理。我们还为那些设计包含诊断性腰椎穿刺服务的人员提出了一些质量改进建议。
