Hver er undirbúningurinn fyrir aðgerð á beinmergsstungunni?

Dec 14, 2015

Bone marrow puncture is indicated for the diagnosis of various blood diseases (such as leukemia, aplastic anemia, primary thrombocytopenic purpura, etc.). Certain infectious diseases or parasitic diseases require bone marrow bacterial culture or looking for protozoa such as malaria and kala-azar. Diagnosis of reticuloendothelial system disease and multiple myeloma. Suspected bone marrow metastasis of malignant tumor. Understand the hematopoietic function of bone marrow, whether hematopoiesis is suppressed, and guide the use of anticancer drugs and immunosuppressive drugs. Contraindications for bone marrow puncture: Patients with severe bleeding due to lack of clotting factors, such as hemophilia; patients with skin infection at the puncture site; and late pregnancy. The preparations for bone marrow aspiration should explain the purpose and necessity of the puncture to the patient and family members, and implement it after signing and agreeing; check the "four items of coagulation", and those with severe coagulation dysfunction need to be transfused with plasma or corresponding coagulation factors before correction; allergic physique If the lidocaine skin test is required, it can be performed only if it is negative.

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