McCarron B, Chaudhuri A K, Todd A
Department of Infectious Diseases, Monklands Hospital NHS Trust, Airdrie.
Scott Med J. 1996 Feb;41(1):12-4. doi: 10.1177/003693309604100105.
The role of lumbar puncture in bacterial meningitis has been debated in recent years, especially in the presence of worsening headache, alteration of conscious level, focal neurological signs, papilloedema or a haemorrhagic rash. However valuable bacteriological and epidemiological information will be lost if lumbar puncture is avoided, despite blood cultures being taken. This loss of information will be highlighted if pre-admission antibiotics are administered (this should now be standard practice).
近年来，腰椎穿刺在细菌性脑膜炎中的作用一直存在争议，尤其是在出现头痛加重、意识水平改变、局灶性神经体征、视乳头水肿或出血性皮疹的情况下。然而，如果避免进行腰椎穿刺，尽管已进行血培养，仍会丢失有价值的细菌学和流行病学信息。如果在入院前使用了抗生素（现在这应该是标准做法），这种信息丢失将更加突出。
