CHANGHAI HOSPITAL,SHANGHAIDepartment of Anesthesiology麻醉科 侯炯麻醉与手术相关穿刺操作CHANGHAI HOSPITAL,SHANGHAI 2005 ORIENTAL ANESTHESIA麻醉与手术相关穿刺操作长海麻醉科侯炯DepartmentofAnesthesiology一、脊椎穿刺及脑脊液的采取一、脊椎穿刺及脑脊液的采取 CHANGHAI HOSPITAL,SHANGHAI 2005 ORIENTAL ANESTHESIA麻醉与手术相关穿刺操作长海麻醉科侯炯DepartmentofAnesthesiology (一)适应证1.1.脑和脑和脊髓炎症性病变的诊断脑和脑和脊髓炎症性病变的诊断2.2.脊髓血管性病变的诊断脊髓血管性病变的诊断3.3.区别阻塞性和非阻塞性脊髓病变区别阻塞性和非阻塞性脊髓病变4.4.气脑造影和脊髓腔碘油造影气脑造影和脊髓腔碘油造影5.5.早期颅内高压的诊断性穿刺早期颅内高压的诊断性穿刺6.6.鞘内给药鞘内给药7.7.蛛网膜下腔出血放出少量血性脑脊液以缓解症状蛛网膜下腔出血放出少量血性脑脊液以缓解症状CHA