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< 幽霊屋台？で泥酔！強制退院！！ | メイン | 強烈！仙台国分町の異臭騒ぎ！！ >
2007.09.02 06:07 |  診療  |  研究  |  仕事 / 職場  |  タッカ―  | 推薦数 : 0

驚異！熱針！マルクのギネスを狙え！！

骨髄穿刺　小生が第３内科血液グループに所属して一番驚いたのは、やはりマルク（骨髄穿刺）の回数の多さでありました。ざっとですが、毎週外来マルクが３０～４０件、病棟マルクが１５～２０件、出張マルクが３～５件あり、小生１人で施行するわけではありませんが、２人ペアーでマルク術者とストリッヒ（塗末標本）作成担当者の組み合わせになります。従って、マルク術者に多く当たった時は４０～５０件１人で施行することになります。年間に換算すると４０～５０×４×１２＝１９２０～２４００回となり、恐らくギネス物だな？と勝手に思っておりました。血液専門の先生でこれ以上のペースでマルクを施行されておられる方お教えください。何故こんなに多いのか？この原因は宇塚先生の白血病治療戦略（ストラテジィ）の基本であるターゲットポイントと個別的治療の考え方に起因するものであります！従って、きめ細かな治療のためには頻回のマルクチェックが必要となる訳です！通常は胸骨より骨髄液を２ｃｃ程採取致しますが、培養実験などに使用する時は腸骨より１０ｃｃ程搾取いたします。ちなみに小生も正常ボランティアとして、１０ｃｃ搾取されました。その時の鈍い痛みは忘れられません・・・。

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