Apakah orang dengan penyakit darah memerlukan tusukan sumsum tulang?

Diagnosis and treatment of blood diseases usually requires a "bone marrow puncture". Whenever doctors advise patients to do "bone puncture", most patients, including their family members will feel confused and fear: Will "bone puncture" bring harm to themselves? Will there be serious sequelae? Some people even think of whether bone piercing will cause hemiplegia? More is the fear of "penetrating bone inspection", will it be very painful? All kinds of doubts and fears cause patients or their families to adopt an attitude of rejection and avoidance, which delays the diagnosis and treatment of certain diseases. The root cause is the lack of understanding of the "bone puncture" examination and the understanding of its importance. "Bone marrow puncture" by Lu Shiyun, Department of Hematology, Wuxi Second People's Hospital, is a common and reliable method for diagnosing blood diseases. Extraction of bone marrow fluid through "Bone Chuan" for bone marrow cell morphology, histochemistry, cytogenetics and ultrastructural examination, bone marrow stem cell culture, bacterial culture and parasite examination, play a very important role in the diagnosis and treatment of blood system diseases It can be of decisive diagnostic value for various anemias, various blood diseases, myelodysplastic syndromes, myeloma, etc. It is helpful for long-term unexplained febrile diseases, lymphadenopathy, and multiple etiological examinations. It is also used to judge the curative effect and prognosis of various blood diseases, aplastic anemia, etc. Compared with other traumatic examinations, bone marrow aspiration is quite safe. Some people often confuse it with the risky "lumbar puncture". These are two completely different examinations. The puncture site and indications are very different. "Lumbar puncture" is to accurately insert a probe into the spinal cord cavity to measure brain pressure and obtain a cerebrospinal fluid sample for corresponding laboratory examinations, which requires very high requirements for the surgeon. And "osteopuncture" is to insert a puncture needle into several protruding bone nodules on the surface of the human body, and extract a small amount of bone marrow fluid for smears and other inspections, which basically will not damage the internal organs and cause sequelae. The main parts of the puncture are the anterior superior iliac spine and posterior superior iliac spine of the human pelvis, both on the left and right sides. Most people can be easily touched. A few special cases may require osteotomy of the sternum. The inspection and puncture process is not complicated, and every doctor who receives specialized training can successfully complete the bone puncture procedure. "Bone puncture" is mostly done in a special bone marrow puncture room, and a few special patients can also be performed at the bedside. Strict aseptic operation specifications were adopted in the process, and lidocaine was used for local anesthesia. Most of the puncture procedures had no obvious pain, mainly soreness, and transient tingling during aspiration. A physician who is proficient in "osteocentesis" can complete the operation within 3 to 5 minutes. The eye of the puncture needle is similar to the eye of an intramuscular injection. You can move freely in a few minutes after applying a little pressure. Judging from the bone puncture that our department of hematology has done over the years, there are no patients with obvious discomfort. Occasionally, due to some special reasons (such as blood thinning), it is necessary to repeat the puncture several times to provide reliable diagnostic value. "Bone puncture" examination is simple and easy to perform, and it is never possible to cause serious harm to patients as ordinary people imagine. It is an examination method that plays an important role in the diagnosis and treatment of blood diseases. You should listen to the opinions of specialists. This will not only help the diagnosis and treatment of your disease, but also save you from making detours in the diagnosis and treatment of the disease. To a certain extent, it can also reduce the economic burden and make it early Make a clear diagnosis and judge the curative effect, so that the disease can be treated effectively and promptly.

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