In what circumstances should a lumbar puncture needle be performed in neonatal hypoxic-ischemic encephalopathy

Neonatal hypoxic-ischemic encephalopathy, under normal circumstances, do not do lumbar puncture, because hypoxic-ischemic encephalopathy can cause cerebral edema, convulsions, increased intracranial pressure and other manifestations, in this case, lumbar puncture is prohibited Yes, unless the clinical symptoms of the child are relatively stable and there is no increased intracranial pressure, but there are obvious neurological symptoms, it is necessary to rule out whether it is caused by intracranial infection. In this case, a lumbar puncture can be performed and cerebrospinal fluid examination can be performed.

There is also a case of severe intracranial hemorrhage. Continuous lumbar puncture can release the old blood in the ventricle and cerebrospinal fluid, relieve the pressure in the ventricle, maintain the cerebrospinal fluid circulation path, and reduce the compression on the brain tissue. This is a kind of Older methods of treating cerebral hemorrhage.

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