Apa sebenarnya pungsi lumbal itu? Apa ini berbahaya?

Feb 25, 2022

A lumbar puncture does sound scary, and often reminds parents of "pain" and "sequelae". Once the doctor said that the baby needs a lumbar puncture to test the cerebrospinal fluid, many parents will be very nervous, feeling that the sky is falling. Lumbar puncture is a puncture needle that passes through the lumbar intervertebral space and enters the subarachnoid space. The purpose is to extract cerebrospinal fluid for testing. Some diseases also need to be treated by lumbar puncture. When the baby has a fever, shows extreme irritability, head-tapping (baby can't express in words, head-heading is often caused by headache) or poor mental state, or even lethargy, coma, accompanied by projectile vomiting, repeated convulsions, or after convulsions Consciousness remains unclear, both signs of a central nervous system infection. The doctor needs to carry out a relevant physical examination. When the baby's neck is found to be stiff, the pathological reflex is positive or suspicious, it will be recommended to do a lumbar puncture to test the cerebrospinal fluid. One is to determine whether the baby has a central nervous system infection, and the other is to further identify whether it is a bacterial infection or a viral infection. If the baby has intracranial hemorrhage or intracranial tumor, although symptoms similar to central nervous system infection will also appear, there is no need to do lumbar puncture, and intracranial hemorrhage is a contraindication to lumbar puncture. The identification is actually very simple. Can see clearly. Therefore, before doing lumbar puncture, head CT should be done first to rule out the above two diseases.

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