What does bone puncture mean when it reports hypercaryocytes and poor platelet function

This is a manifestation of thrombocytopenic purpura, thrombocytopenic purpura is a type of blood disease, and it should be positive**.

The main symptoms of thrombocytopenia are: first, bleeding from the nose, mouth, gums and other parts; blood spots on the body; The slightest touch can cause bruising on the body; **Prolonged bleeding in the presence of trauma; There is blood in the stool (usually caused by internal bleeding), accompanied by abdominal pain and headache; Long-term bleeding will inevitably lead to dull yellow, malaise, etc. The most common and typical symptoms of thrombocytopenia are purpura.

Bleeding gums.

If there is a simple thrombocytopenia and no hemoglobin and white blood cell abnormalities, thrombocytopenic purpura is diagnosed, and it is divided into idiopathic thrombocytopenic purpura and secondary thrombocytopenic purpura.

Secondary thrombocytopenic purpura is common in thrombocytopenia induced by infection, rheumatological diseases, hypersplenism, etc., and the primary disease needs to be corrected, and platelets can return to normal.

Idiopathic thrombocytopenic purpura is diagnosed when the above-mentioned secondary factors causing thrombocytopenia are excluded, and the bone marrow cytology is active, there are many megakaryocytes, and there are maturation disorders.

Platelets are low, but what are the values?

For idiopathic thrombocytopenic purpura, glucocorticoids** are preferred, followed by immunosuppressants, and can also be supplemented with proprietary Chinese medicines.

However, if the platelets are more than 50g L and the bleeding symptoms are not severe, special drugs (glucocorticoids, immunosuppressants, etc.) with large side effects can be dispensed with, and Chinese patent medicines (or dietary supplements) can be considered.

If it is less than 20g L and there are bleeding manifestations, it is a thrombocytopenia emergency! There is a high risk of spontaneous bleeding, and in severe cases, intracranial hemorrhage is life-threatening! Urgent treatment is required, with platelet transfusions, gamma globulin pulse**, and high-dose glucocorticoid pulses** preferred.

It is recommended to go to the hematology department of the hospital to rule out secondary thrombocytopenic purpura, if the diagnosis of idiopathic thrombocytopenic purpura is preferred, glucocorticoids** are preferred, although if there are no bleeding signs, platelet count can be continued and glucocorticoids can be added if necessary.

Hello, megakaryocytic leukemia M7 is a type of acute leukemia with a very low incidence, and the diagnosis is based on the presence of protomegakaryocytic (small megakaryocyte) cells in the peripheral blood; 30% of protomegakaryocytes in bone marrow, protomegakaryocytes confirmed by histochemical electron microscopy or monoclonal antibodies; When the bone marrow has few hematopoietic cells, it is often dry, and the biopsy has an increase in primitive and megakaryocytes, and an increase in reticular fibers. Therefore, it depends on the number of primitive megakaryocytes in the bone penetration, if it is 30%, it can be diagnosed

The clinical manifestations of megakaryocytic leukemia are the same as those of other acute leukemias, mainly anemia, hemorrhage, infection, fever and infiltration, but the clinical symptoms alone cannot be relied on to determine whether leukemia is present. You can provide detailed information to help you with your analysis.