Is the bone piercing problem serious than bone marrow?

There is a condition called dry bone marrow extraction. Bone marrow hyperplasia: The bone marrow is almost completely replaced by adipose tissue, and the hematopoietic cells are empty and no cells can be drawn, such as aplastic anemia.

Increased bone marrow stromal cells: bone marrow pathological slices show diffuse proliferation of fibroblasts and reticular fibers, and even part of bone sclerosis. Atrophy of hematopoietic tissue is fixed in tough fibrous tissue, such as bone marrow fibrosis, which is the most common cause of bone marrow stems. Pumping disease.

　　 Bone marrow hyperplasia is extremely active: there are too many cells in the bone marrow, they are tightly arranged, there are few gaps between cells, and it is not easy to be sucked to cause dry sucking. Such as chronic myelogenous leukemia, acute non-lymphocytic leukemia, myelodysplastic syndrome, acute lymphocytic leukemia, multiple myeloma, bone marrow metastases, etc.

Bone marrow necrosis: The bone marrow cannot be extracted even when the cells in the bone marrow are lysed and destroyed due to serious infection or bone marrow metastasis.

What should I do with patients and their families?

Dry bone marrow extraction often affects timely diagnosis. In this case, the patient and family members should not be anxious, but should listen to the doctor's patient explanation, follow the doctor's advice, and cooperate with the doctor for further examinations. Since the pathological examination of bone marrow biopsy takes a long time, and the clinical need to know the cause of dry extraction, the measures that the doctor may take are: rotate the puncture needle several times at the fixed position of the puncture needle, then carefully pull out the puncture needle, and use the heart of the needle. A small amount of bone marrow fluid is pushed onto the slide, and the smear is stained. This allows some cases to obtain specimens and make a diagnosis. If there is not even a bit of bone marrow fluid, only a bone marrow biopsy pathological examination is required.

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