Which Diseases Require Bone Marrow Aspiration Needle Examination?

Not long ago, she started to have a fever and fatigue. She went to the Pediatrics Department of the Municipal Hospital. The doctor suspected that she was suffering from "acute leukemia" and asked her to do a bone marrow test. I heard from the old man that bone marrow extraction would make a person lame. Is there any reason? Please answer. Zixing Chen Liping Bone marrow histiocytosis (bone marrow image) 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). Indications for bone marrow aspiration in pediatrics 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. Observing the morphology and hematopoietic function of bone marrow cells for the diagnosis of hemolytic anemia, aplastic anemia, idiopathic thrombocytopenic purpura, etc.; 3. Searching for the pathogens of parasitic diseases, such as chronic malaria, kala-azar, etc.; 4. Bacteria Infectious diseases, when the blood culture is negative, it is advisable to take bone marrow for bacterial culture, and the bacteria can be successfully found; 5. Observe the treatment response of blood diseases. At present, iliac spine puncture is often used in pediatrics - suitable for children over 3 years old; sternocentesis and tibial puncture - suitable for children under 2 years old. Bone marrow aspiration contraindications: hemophilia and those with bleeding tendency. It should be pointed out that bone marrow aspiration does not cause lameness and does not have much effect on the body of children. It is worth noting that the clinical value of bone marrow examination has certain limitations, and bone marrow puncture itself will bring some pain to the patient. Therefore, bone marrow puncture should not be performed excessively and should be targeted.

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