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脑脊液检查是脑血管病辅助检查之一,合理的运用,对脑血管病的诊断及鉴别诊断有一定的意义,否则,也可能给病人带来麻烦,为此需注意以下事项,并客观地判断其诊断价值。一、在腰穿之前,首先应确定病人有无颅内压力增高,达可根据有无头痛、呕吐、嗜睡或昏迷等临床表现以及眼底有无郁血乳头等当可确定。如有明显的颅内高压,根据临床表现已能诊断者,则不宜腰穿,以免诱发脑疝或加重病情,已出现腑疝者腰穿是绝对禁忌的。
Cerebrospinal fluid examination is one of the auxiliary examination of cerebrovascular disease, rational use of cerebrovascular disease diagnosis and differential diagnosis of some significance, otherwise, it may cause problems for the patient, for which attention should be paid to the following matters, and objectively judge Its diagnostic value. First, before the lumbar puncture, should first determine whether the patient increased intracranial pressure, according to whether there is no headache, vomiting, drowsiness or coma and other clinical manifestations and the presence or absence of the eye papilla can be determined. If significant intracranial hypertension, according to clinical manifestations have been diagnosed, it is not appropriate to wear lumbar, so as not to induce hernia or aggravate the condition, there have been hernia lumbar puncture is absolutely taboo.