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近年来,我们应用颈椎侧方穿刺(下称颈穿)技术诊断早期脑血管病病人8例,年龄59～75岁,病程1～3小时。其中临床表现为头痛6例,言语不清2例,左、右侧肢体偏瘫征各3例。左侧肢体麻木1例。临床诊断为头痛原因待查、脑叶出血、蛛网膜下腔出血、脑梗塞各2例。行颅脑CT和MR检查各4例,其中阴性4例,脑叶出血3例,基底节出血1例。颈穿诊为脑梗塞、蛛网膜下腔出血各2例,脑出血4例。 1.颈穿方法:取仰卧位,头部保持正位,颈部尽量伸直,使双耳道假想连线与床面检查台平行。常规消毒后,用2％利多卡
In recent years, we applied cervical lateral puncture (referred to as cervical puncture) technology in the diagnosis of early cerebrovascular disease in 8 patients, aged 59 to 75 years old, duration of 1 to 3 hours. Including clinical manifestations of headache in 6 cases, 2 cases of verbal illnesses, left and right limb hemiplegia sign in 3 cases. Left limb numbness in 1 case. Clinical diagnosis of headache due to be investigated, lobar hemorrhage, subarachnoid hemorrhage, cerebral infarction in 2 cases. Four patients underwent brain CT and MR examinations respectively, of which 4 were negative, 3 were cerebral lobe hemorrhage, and 1 was basal ganglia hemorrhage. Cervical diagnosis of cerebral infarction, subarachnoid hemorrhage in 2 cases, 4 cases of cerebral hemorrhage. 1. Neck piercing method: Take the supine position, the head to maintain the position, the neck as straight as possible, so that the double ear canal hypothetical connection with the bed inspection table parallel. After routine disinfection, with 2% lidocaine