骨髄穿刺の準備は何ですか？

Bone marrow aspirate Bone marrow aspirate is indicated for the diagnosis of various blood diseases (such as leukemia, aplastic anemia, idiopathic thrombocytopenic purpura, etc.). Some infectious or parasitic diseases require bacterial culture in bone marrow or those who look for protozoa such as malaria and kala-azar. Reticuloendothelial disease and the diagnosis of multiple myeloma. Malignant tumors suspected of bone marrow metastasis. Understand the hematopoietic function of bone marrow, whether there is hematopoietic inhibition, and guide the use of anticancer drugs and immunosuppressive drugs. Contraindications for bone marrow puncture include severe bleeding due to lack of coagulation factors, such as hemophilia; skin infection at the puncture site; late pregnancy. The preparations for bone marrow puncture should explain the purpose and necessity of the puncture to the patient and their family members, and implement it after signing and agreeing; check the "four items of coagulation", and those with severe coagulation disorders need to be transfused with plasma or corrected by corresponding coagulation factors before implementation; allergic constitution If the test is negative, a lidocaine skin test is required.

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