Diagnostic Lumbar Puncture | 合法醫療器材資訊網

由CMDoherty著作·2014·被引用107次—TheLumbarPunctureneedlepiercesinorder:skin,subcutaneoustissue,supraspinousligament,interspinousligament,ligamentumflavum,epiduralspace ...

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.

The first reported Lumbar Punctures were performed in the late 19th Century by Heinrich Iraneus Quincke1-whose patient with meningitis survived 3 procedures, and around the same time Walter Essex Wynter reported four patients undergoing Lum...