Bone Marrow Puncture Pain How long does bone marrow puncture hurt and can recover in a few days

It hurts when I take the anesthetic, and then the puncture looks at the level of the doctor's anesthetic, if the level is high, it doesn't hurt, but when the bone marrow is withdrawn, there is a sense of soreness, which is also one of the signs of successful puncture, my last puncture, the patient fell asleep, so don't be too nervous. In addition, I wish you that the results of the puncture are normal and free of any diseases.

Brother upstairs, it's leukemia, right? I haven't heard of sepsis to do bone piercing Ha Generally, there will be some pain when the anesthetic is played, and the bone marrow fluid will not be too painful after the anesthetic takes effect, and there may be a feeling of soreness, of course, everyone's sensitivity to pain is different.

It will be painful for a week after a bone marrow puncture and return to normal in a week. What is the effect of puncture on the body, generally you can not take a bath within 24 hours after the puncture, and you can untie the gauze after 3 days, and the body is relatively weak and normal for 3 to 5 days.

Bone marrow aspirate is a relatively safe examination method for diagnosing hematologic diseases, taking a little bone marrow fluid for examination, like blood collection, there will be no sequelae. It can be tested for hematologic diseases such as iron deficiency anemia, hemolytic anemia, acute leukemia, chronic leukemia, aplastic anemia, etc. However, bone marrow aspiration is different from venous blood collection and is one of the trauma tests.

Preparation before piercing:

Before the needle biopsy, it is necessary to first meet the general condition of the patient, such as the normal mental state, and the conditions that can actively cooperate with the doctor. Second, the nutritional status should not be cachexia, for example, patients who are extremely weak and dying should not have a needle biopsy.

In addition, it is the coagulation function. The coagulation function should be within the specified range, so patients with needle biopsy need to check the coagulation function and blood routine before surgery. The main purpose of the blood routine is to see the number of platelets, if the platelets are low below 40,000, there are also contraindications to puncture, mainly because of fear of bleeding.

After that, the doctor also asks about the medical history, and if the patient has been on anticoagulation**, the anticoagulation or antiplatelet resistance needs to be stopped for at least a week before a needle biopsy can be done.

The above content refers to Encyclopedia - Bone marrow aspirate.

1 Pinyin 2 English references.

3 annotation gǔ suǐ chuān cì

bone marrow iration

A bone marrow aspirate is a common technique to take bone marrow fluid. Bone marrow aspirate examination includes cytology, bacteriology and parasitology. Cytology is of great significance for the diagnosis, efficacy observation and prognosis of hematologic diseases such as anemia, leukemia and some tumors.

Bone marrow puncture is commonly used to slam the anterior superior iliac spine, posterior superior iliac spine, sternum, or lumbar vertebral vertebral process. The first two types of piercing are safer and easier to perform. The sternum is thin, followed by the heart and large blood vessels, and puncture is dangerous.

However, due to the abundance of sternal bone marrow fluid, sternal puncture is still necessary when puncture in other parts fails, but accidents involving penetration of the sternum should be strictly prevented. Bone marrow aspiration should be performed in strict accordance with the operating procedures. Jian Chun first chooses the puncture site, and the patient should choose the appropriate ** local anesthesia at the puncture point, according to the aseptic operation technique.

Use a special puncture needle to slowly puncture the bone; When the needle enters the bone marrow cavity, there is a sense of loss of resistance. A milliliter of bone marrow fluid is taken, and a cell count and smear are immediately taken. If bone marrow bacterial culture is needed on the limbs, you can continue to extract 1 2 ml.

The puncture site should be covered with sterile gauze. In order to avoid accidents, the first test of anesthetic should be done before puncture. Patients with bleeding tendencies should be cautious when doing bone puncture.

Absolute contraindications to bone marrow aspiration are rare, and should be noted in the following situations:

1.Bone marrow aspirate is contraindicated in hemophilia with severe bleeding. Bone marrow aspiration should not be done in patients with bleeding tendencies or significantly prolonged coagulation time, but it can also be done to confirm the diagnosis of the disease, and local compression must be performed to stop bleeding for 5 to 10 minutes after puncture.

2.Women in the third trimester of pregnancy should be cautious about bone marrow aspiration, and children and uncooperative people should not have sternal aspiration.

1.Bone marrow aspirate is one of the most important tests for hematologic diseases. Through the cell examination of the bone marrow smear, it is possible to understand the production of various cells in the bone marrow, the morphology and composition of various cells, and the detection of abnormal cells, so as to make a clear diagnosis, observe the curative effect, and estimate the prognosis.

For example, the diagnosis of anemia can help diagnose the causes of anemia morphologically, such as iron deficiency anemia, hemolytic anemia, aplastic anemia, etc., and diagnose various types of leukemia; In terms of malignant tumors, bone perforation is of great significance for the diagnosis of multiple myeloma, bone marrow metastases, and lymphoma invasion of bone marrow.

2.In addition, the bone marrow smear can be used to test for parasites and bacteria, which can detect parasites (such as malaria) and for typhoid fever and other sepsis during culture.

3.The specific indications are summarized as follows:

1) Bone marrow fluid is used for various examinations to assist in the diagnosis and treatment of hematologic diseases and infectious diseases (infectious diseases, parasitic diseases, bacterial infections, etc.).

2) Confirm whether there is abnormal cell infiltration in the bone marrow, such as malignant tumors, bone marrow metastasis, etc.

3) Bone marrow fluid is taken for bone marrow transplantation.

4) Inspection and identification of special poisons, such as phenol, quinone, etc.