0 the act of putting a needle between the bones of the lower back in order to remove fluid for testing, or to reduce pressure in the head or back -- 腰椎穿刺
Strategy 1 in the figure presents the results when every child with meningeal signs undergoes a lumbar puncture and empirical treatment until bacterial cultures are conclusive.
Results of a lumbar puncture test were negative.
If there has been no previous therapy, further investigation by lumbar puncture should be considered, or empirical treatment for neurosyphilis offered.
If lumbar puncture is refused or impractical, then the patient should be considered for empirical treatment.
Lumbar puncture may be impossible in an agitated or confused elderly patient.
If diagnostic uncertainty remains, may need to perform lumbar puncture (to help exclude encephalitis or meningitis).
Two had a negative lumbar puncture and all three were treated with penicillin.
Five of these children underwent a second lumbar puncture which was negative bacteriologically.
