近期，发表在BMJ杂志上的《2018 临床实践指南：无损伤腰椎针对比常规类型腰椎穿刺针进行腰椎穿刺》阐述了针对无损伤腰椎针对比常规类型腰椎穿刺针进行腰椎穿刺时的效果。由于无损伤腰椎针更少的腰穿并发症建议所有人群在进程腰椎穿刺时都应用无损伤腰椎针。

• Post-dural-puncture headache is a common complication after lumbar puncture, afecting up to 35% of patients

• This headache results from sustained leakage of cerebrospinal fuid from a dural tear; it can be debilitating and require return to hospital for narcotics or invasive therapy
  

• We issue a strong recommendation for use of atraumatic needles in all patients (adults and children) undergoing lumbar puncture because they decrease complications and are no less likely to work than conventional needles

• Atraumatic needles are more expensive, but evidence suggests that they reduce costs overall compared with conventional needles

• 2018 临床实践指南：无损伤腰椎针对比常规类型腰椎穿刺针进行腰椎穿刺.pdf(878.92k)

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