Bacteriamarcult
骨髓细菌培养是一种检测骨髓中是否存在细菌感染的实验室检查方法。
{通过培养骨髓样本识别可能存在的细菌,帮助诊断严重的细菌感染，如败血症或骨髓炎,检测结果可指导抗生素治疗方案的选择,通常在疑似严重感染时进行此项检查,结果解读需由专业医生完成}
Key facts at a glance
- LOINC
- 60258-1
- Short code
- BMRBCID
- Synonyms
- Bacteria Mar Cult
- Category
- chemistry
- Sample
- serum
- Container
- Sterile bone marrow aspirate collected in a sterile blood culture bottle (aerobic and anaerobic), sterile screw-cap transport vial, or sterile container without preservative. Sodium polyanethol sulfonate (SPS) anticoagulant tubes may be used.
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- ≥ 0 years
- Method
- culture
- CPT
- 87040
- SNOMED
- 442125008
- Specimen volume
- 1-3 mL of bone marrow aspirate; minimum 0.5 mL for pediatric patients. When collected into blood culture bottles, follow manufacturer-specified volumes (typically 5-10 mL per bottle).
- Stability
- Specimens should be transported to the laboratory immediately at room temperature (20-25°C). If immediate transport is not possible, specimens may be held at room temperature for up to 2 hours. Do not refrigerate, as cold may kill certain fastidious organisms. Specimens in blood culture bottles may be incubated promptly upon receipt.
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 48–336 hours
- Order
- routine
这是什么测试？
骨髓细菌培养是一种通过采集骨髓样本并进行培养，以检测是否存在细菌感染的实验室检查方法。骨髓是人体重要的造血器官，当怀疑患者存在严重的细菌感染、败血症或骨髓炎症时，医生可能会建议进行此项检查。培养结果可以帮助识别引起感染的特定细菌类型，从而选择最有效的抗生素进行治疗。
检查过程是怎样的？
医生会在无菌条件下使用特殊的针头从骨髓腔中抽取少量骨髓样本。这个过程称为骨髓穿刺，通常在髂骨（骨盆骨）进行。采集到的样本会被立即送往实验室，置于适合细菌生长的培养基中进行培养。如果样本中存在细菌，它们会在培养过程中繁殖，从而被检测出来。整个培养过程可能需要几天到一周不等，因为不同的细菌有不同的生长速度。
检查前需要做什么准备？
在进行骨髓穿刺前，请告知医生您正在服用的所有药物，特别是抗凝药物（如华法林、阿司匹林等），因为这些药物可能会增加出血风险。医生可能会要求您在检查前停止服用某些药物。同时，请告知医生您是否有任何过敏史，特别是对局部麻醉药的过敏史。检查当天建议穿着宽松舒适的衣服，以便于暴露检查部位。骨髓穿刺是一项有创检查，可能会引起轻微的不适或疼痛，但通常会在局部麻醉下进行。
检查后需要注意什么？
检查结束后，医生会在穿刺部位施加压力以防止出血，然后贴上无菌敷料。您需要在检查后休息一段时间（通常为15-30分钟），医生会观察您是否有出血或其他并发症。回家后的24小时内，请保持穿刺部位干燥清洁，避免沾水。如果出现持续出血、剧烈疼痛、发热或穿刺部位红肿等异常情况，请立即联系医生。几天内避免剧烈运动或提重物，以免影响伤口愈合。
Reference range
No growth of pathogenic bacteria. Normal/sterile bone marrow is free of cultivable bacterial organisms. Results reported as 'No growth' or identification of isolated organisms with quantitation when applicable.N/A
Informed consent is required for bone marrow aspiration procedure. No fasting required. Patient should be assessed for bleeding disorders, anticoagulant use, and allergies to local anesthetics prior to the procedure. Aseptic technique is mandatory.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Frequently asked questions
骨髓培养和血液培养有什么区别？
检查结果需要多长时间才能出来？
骨髓穿刺会很痛吗？
如果培养结果为阴性是否说明没有问题？
Sources
- 1
- 2
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy