Which diseases need to be examined by bone marrow puncture needles?

Bone marrow tissue cell classification count (bone marrow picture) examination is one of the commonly used clinical diagnosis and treatment methods, which helps to make correct diagnosis and differential diagnosis of certain diseases (especially blood diseases). In pediatric bone marrow aspiration, the indications are as follows: 1. Diseases that must be confirmed by bone marrow examination: (1) various types of acute and chronic leukemia; (2) megaloblastic anemia; (3) Hodgkin's disease, malignant histiocytosis 2. Observe the morphology and hematopoietic function of bone marrow cells for the diagnosis of hemolytic anemia, aplastic anemia, primary thrombocytopenic purpura, etc.; 3. Look for the pathogens of parasitic diseases, such as chronic malaria, kala-azar, etc.; 4. Bacteria For infectious diseases, when the blood culture is negative, bone marrow can be used for bacterial culture to find the bacteria smoothly; 5. Observe the response to the treatment of blood diseases. At present, iliac spine puncture is often used in pediatrics-suitable for children over 3 years old; sternal puncture and tibial puncture-suitable for children under 2 years old. Inhibition of bone marrow aspiration: hemophilia and those with bleeding tendency. It should be pointed out that bone marrow puncture does not cause lameness, and it does not have much effect on children's body. It is worth noting that the clinical value of bone marrow imaging examination has certain limitations, and bone marrow puncture itself will bring some pain to patients. Therefore, bone marrow puncture should not be performed excessively and should be targeted.

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