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 脑脊液隐球菌墨汁染色.PNG 65.1 kB 1 16-Apr-2012 10:44 1614216108

This page (revision-7) was last changed on 11-Jan-2013 15:10 by 1614216108

This page was created on 16-Apr-2012 10:44 by UnknownAuthor

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%%tab-医学决定水平
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%%tab-危急值范围
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　　标本采集： 由临床由临床医师进行腰椎穿刺，必要时从小脑延脑池或侧脑室穿刺采集。脑脊液分别收集于3个无菌容器中，采集量见表7 2。第1管做细菌学检查，第2管做化学或免疫学检查，第3管做常规检查。\\
　　标本的运送：容器上需粘贴患者标识号，该标识号可以是条形码，也可以是申请单的联号。如果是条形码应包含患者姓名、检验目的、标本类型、标本采集日期等信息。\\
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%%tab-病人准备
　　患者应了解腰椎穿刺术的注意事项，放松心情，积极与医生合作，符合腰椎穿刺的适应症。\\
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%%tab-标本采集和运送要求
样本采集：脑脊液标本由临床医生进行腰椎穿刺采集，必要时可从小脑延脑池或侧脑室穿刺获得。采集的脑脊液应尽量避免凝固和混入血液。放液不宜过速、过多，放出少量脑脊液（1-2ml），做最必要的检查。腰穿后去枕平卧24小时，严密观察病情，经常注意生命体征和瞳孔的变化。如发现头痛剧烈、颈痛、精神委靡、瞳孔不等大、意识障碍加重等，则有发生脑疝的可能，应积极采取脱水、降颅压等措施。\\
标本运送：标本采集后要立即加盖送检，一般不能超过1小时。否则需加入氟化钠，若未加盖暴露于空气中的时间较 长，空气中许多杂菌可将脑脊液葡萄糖分解，使糖假性降低。因标本采集较难，全部送检过程应注意安全。
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%%tab-注意事项
　　腰穿前应注意有无颅内压增高症状和体征，必要时做眼底检查。血小板减少性紫癜、血友病、急性白血病患者，腰穿要特别慎重，有时可并发脊髓硬膜下血肿。宜用小号穿剌针。\\
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[脑脊液检验]
[脑脊液]
Version Date Modified Size Author Changes ... Change note
7 11-Jan-2013 15:10 0.992 kB 1614216108 to previous
6 03-Dec-2012 17:05 0.75 kB 1614216108 to previous | to last
5 03-Dec-2012 17:05 0.755 kB 1614216108 to previous | to last
4 07-May-2012 12:43 0.752 kB 1614216108 to previous | to last
3 03-May-2012 12:48 0.762 kB 1614216108 to previous | to last
2 23-Apr-2012 11:24 0.741 kB 1614216108 to previous | to last
1 16-Apr-2012 10:44 0.763 kB UnknownAuthor to last
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