实用医学杂志2016，Vol.32Issue(7)：1097-1100,4.DOI:10.3969/j.issn.1006-5725.2016.07.019
急性淋巴细胞白血病患儿创伤性腰椎穿刺的危险因素
Risk factors for traumatic lumbar punctures in children with acute lymphoblastic leukaemia
摘要
Abstract
Objective To investigate the risk factors for traumatic lumbar punctures in children with acute lymphoblastic leukaemia. Methods 132 children with acute lymphoblastic leukemia totally received 2634 lumbar punctures. The basic data on age, sex, body mass index (BMI), platelet count, interval between two punctures, and presence or absence of ultrasound-guided procedure were collected and analyzed. The risk factors for traumatic lumbar puncture were identified by logistic regression. Results The risk for traumatic lumbar puncture was higher in children younger than 1 year, and it was relatively lower in those aged 1 to 10 years. The risk for traumatic lumbar puncture was slightly higher in children with a BMI index of more than 95. The longer the interval between two punctures, the lower the risk. If lumbar puncture was guided under ultrasound or radiographic images, the risk was much smaller. Conclusions Age of younger than 1 year, BMI index of more than 95, shorter interval between two punctures, and direct puncture can increase the risk for traumatic lumbar puncture.关键词
急性淋巴细胞白血病/创伤性腰椎穿刺/危险因素Key words
Acute lymphoblastic leukaemia/Traumatic lumbar punctures/Risk factors引用本文复制引用
娄珊,刘玉,王雪梅,严媚,李兆申..急性淋巴细胞白血病患儿创伤性腰椎穿刺的危险因素[J].实用医学杂志,2016,32(7):1097-1100,4.基金项目
重要战略方向自然疫源性疾病调查研究 （）
