I want to do a needle biopsy to confirm that I can't do high erythrocyte sedimentation rate, please ask this

Feb 28, 2022

Lymph node biopsy is to take a invasive method to take lymph node tissue for pathological examination. There are two main ways to get lymph node tissue: 1. Lymph node puncture; 2. Lymphadenectomy; lymph node removal will not stimulate other lymphoid organs to cause abnormalities; if the removed lymph nodes are normal, it will not do anything to the body. influence. Lymph node puncture 1. Lymph node puncture to obtain the aspirated fluid to make a smear cytology or pathogenic examination can help diagnose related diseases that cause lymph node enlargement, such as infection (bacteria, virus, fungus, worm), tuberculosis and leukemia, lymphoma, malignant group, metastatic cancer Wait. 2. Operation steps: select the enlarged lymph node suitable for puncture → routinely disinfect the skin and the operator's finger → fix the lymph node with the index finger and thumb of the left hand → use the 18-19 gauge needle to dry the syringe needle in the right hand and pierce the lymph node along the long axis of the lymph node → Suck hard while pulling the needle → remove the syringe and inflate, then aspirate blood from the needle, spray it on the smear to make a uniform glass slide, stain for microscopy → cover with sterile gauze after surgery and fix it with tape. 3. Matters needing attention: ①It is best to puncture the front of the iliac, so as to avoid excessive lipids and affect the smear ②If the aspirate cannot be drawn out, the needle can be punctured continuously in different directions ③Pay attention to selecting larger lymph nodes and keeping them away from large blood vessels ④Smear Before paying attention to the characteristics of the extract 1. Indications: Lymph node biopsy can not be diagnosed in patients with lymphadenopathy, lymphoma leukemia, malignant group, immunoblastic lymphadenopathy, tuberculosis, tumor metastasis or sarcoidosis should be selected, and lymph node biopsy should be selected. 2. Biopsy site: Generally, swollen lymph nodes are taken. For those with enlarged lymph nodes all over the body, abdominofemoral lymph nodes should be taken as little as possible. 3. The removed lymph nodes should be fixed with 10 percent formaldehyde or 95 percent ethanol immediately and sent for examination. The difference between cervical lymph node biopsy and lymph node biopsy The former is more traumatic, but the results are accurate, and sometimes it can also play a therapeutic role. The latter is less traumatic, but sometimes the results are inaccurate due to the small amount of tissue taken.

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