Is bone puncture not a serious problem with bone marrow?

There is a condition called a bone marrow aspirate. Myeloproliferative hypoplasia: The bone marrow is almost completely replaced by adipose tissue, the hematopoietic cells are empty, and no cells can be pumped, such as aplastic anemia.

Increased bone marrow interstitial cells: bone marrow pathological sections show diffuse proliferation of fibroblasts and reticular fibers, and even partial bone sclerosis. Hematopoietic tissue atrophy is fixed in tough fibrous tissue, such as bone marrow fibrosis, which is the most common cause of bone marrow stemness. smoking disease.

Bone marrow hyperplasia is extremely active: there are too many cells in the bone marrow, which are closely arranged, and there is almost no space between cells, which is not easy to be suctioned to cause dry suction. Such as chronic myeloid leukemia, acute non-lymphocytic leukemia, myelodysplastic syndrome, acute lymphocytic leukemia, multiple myeloma, bone marrow metastases, etc.

Bone marrow necrosis: Bone marrow is often not extracted when cells in the bone marrow are lysed and destroyed due to severe infection or bone marrow metastases.

What to do with dry bone marrow patients and their families?

Dry bone marrow aspiration often affects timely diagnosis. In this case, patients and their families should not worry, but should listen to the doctor's patient explanation, follow the doctor's advice, and cooperate with the doctor for further examination. Since the pathological examination of bone marrow biopsy takes a long time, and the cause of dry aspiration is urgently needed in clinical practice, the doctor may take the following measures: rotate the puncture needle several times at the fixed part of the puncture needle, then carefully pull out the puncture needle, and use the core of the needle to remove the puncture needle. A small amount of bone marrow fluid was pushed onto the slide, and the smear was stained. This will allow some cases to obtain specimens and make a diagnosis. If there is not even a little bit of bone marrow fluid, only a bone marrow biopsy is required for pathological examination.

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