蛛网膜下腔阻滞医疗模板(30P.pptxVIP

蛛网膜下腔阻滞——你该知道的N件事

目录1.Concept2.Procedure3.Indication/Contraindication4.Complications

目录1.Concept2.Procedure3.Indication/Contraindication4.Complications

Concept蛛网膜下腔截断性阻滞

HistoryBier把小剂量的可卡因注射到脊髓周围的脑脊液中。在动物和人身上都取得了成功。TrendyDesignincontemporarycolorsandstyles-PowerPointTemplatesBackgrounds,PowerPointDiagramsChartsforyourPresentationDoctorssometimesturnouttobetheirownbestguineapigs——AnneFawcett.

目录1.Concept2.Procedure3.Indication/Contraindication4.Complications

蛛网膜下腔阻滞流程图注药消毒铺巾摆体位定位穿刺调节平面L3侧卧位坐位

目录01Concept02Procedure03Indication/Contraindication04Complications05

Indication下腹，盆腔下肢肛门会阴部2-3小时内

Contraindication休克过敏中枢神经系统疾病脑脊膜炎、脊髓炎、颅压升高凝血功能障碍穿刺部位炎症或感染,败血症脊椎外伤、结核精神病/严重神经官能症/小儿不能合作的病人

目录ConceptProcedureIndication/ContraindicationComplications

ComplicationPuncturerelatedDruginjectionPostoperative

PunctureRelatedInfectionInfectionHematomaNerveRootSpinalBleedMeningitisArachnoiditisAbscess1.Backorvertebralpain2.Nerverootpain3.Motor/sensorydeficitsorsphincterdysfunction.4.Paraplegiaorparalysis.Bloodculture,CT,MRIAntibiotics

PunctureRelatedSpinalcordInfectionHematomaNerveRootSpinalBleed

PunctureRelatedNerverootInfectionNerveRootHematomaSpinalBleedPreventionObservation

PunctureRelatedBleedInfectionHematomaNerveRootSpinalBleed1.Venousplexus2.Pregnancy/AVM3.Subarachnoidhemorrhage

PunctureRelatedHematomaInfectionHematomaNerveRootSpinalBleed1.Spinal1:220,0002.Epidural1:150,0003.Abnormalcoagulation

DrugInjection心血管效应呼吸抑制马尾综合征恶心呕吐

DrugInjectionCardiacarrestLowBP

DrugInjectionPhrenicnerveRespiratorydepression12

PostduralPunctureHeadache(PDPH)01Transientneurologicsymptoms(TNS)02UrinaryRetention03Backache04Postoperative

PostduralPunctureHeadache(PDPH)Treatment1.OralAnalgesics2.Bedrest3.Hydration4.Caffeineinfusion5.Epiduralbloodpatch1.Fronta