Patel M K, Clarke M A
Postgrad Med J. 1986 Nov;62(733):1021-4. doi: 10.1136/pgmj.62.733.1021.
Medical notes of 123 patients with subarachnoid haemorrhage were examined. No patient deteriorated at the time of lumbar puncture. All but 2 patients with associated intracerebral haematomas had markedly impaired consciousness or focal signs. Two of 30 patients with meningitis were initially diagnosed as subarachnoid haemorrhage, and one died without lumbar puncture. If consciousness is not markedly impaired and focal signs are absent, lumbar puncture is safe in patients with subarachnoid haemorrhage.
对123例蛛网膜下腔出血患者的病历进行了检查。在腰椎穿刺时，没有患者病情恶化。除2例伴有脑内血肿的患者外，所有患者均有明显意识障碍或局灶性体征。30例脑膜炎患者中有2例最初被诊断为蛛网膜下腔出血，其中1例未进行腰椎穿刺就死亡了。如果意识没有明显障碍且没有局灶性体征，那么蛛网膜下腔出血患者进行腰椎穿刺是安全的。
