How to improve the success rate of bone marrow puncture.docVIP

 PAGE \* MERGEFORMAT 14 How to improve the success rate of bone marrow puncture [Keywords:] bone marrow; puncture; success rate of Bone marrow biopsy (including cell staining), on various types of leukemia, multiple myeloma, malignant histiocytosis, bone metastases, bone marrow necrosis, myelodysplastic syndrome, Megaloblastic anemia, sideroblastic anemia, Gaucher (Gaucher) disease, Niemann-Pick  (Nieman  Pick) disease, malignant lymphoma bone marrow migration, sea-blue histiocytosis and certain parasites such as leishmaniasis, malaria, and so on proliferative anemia, agranulocytosis, leukemoid reaction, infectious mononucleosis have secondary diagnosis of psychosis [1]. Over the years, from the test section of the inspection reports and clinical symptoms prompted the need for further diagnosis of bone marrow puncture in patients with very common, and eventually made a bone marrow puncture is negligible in patients, some doctors because of poor bone marrow puncture techniques are unwilling to advise patients to make of bone marrow puncture [doctors indication of bone marrow cytology is less clear. Cytologic examination of bone marrow hematopoietic system is mainly used for diagnosis, but in other cases, the disease also has a certain sense. The indication for any other system diseases, with the whole body can not be explained in the following clinical manifestations such as: anemia, bleeding, infection symptoms [lymph nodes, liver, splenomegaly, sternal tenderness limitations [such as in blood red blood cells, white blood cells and platelets (or one of the three-line one or two lines) increase or decrease the number of [reticulocyte increase or decrease [there giant red, large red blood cells, spherical red blood cells, oval-shaped red blood cells, small red blood cells, red blood cell deformity and debris [and young red blood cells and (or) promyelocytic cells and so on . Combination of the above-mentioned abnormal signs and blood and highly suspected