{"id":672,"date":"2026-05-10T23:00:00","date_gmt":"2026-05-11T02:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=672"},"modified":"2026-05-10T23:00:00","modified_gmt":"2026-05-11T02:00:00","slug":"descarte-hematologia-mielograma-biopsia-medula-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/descarte-hematologia-mielograma-biopsia-medula-rss\/","title":{"rendered":"Hematologia: descarte de coleta especializada, mielograma e bi\u00f3psia de medula"},"content":{"rendered":"<p>A hematologia ambulatorial combina <strong>avalia\u00e7\u00e3o cl\u00ednica<\/strong> com <strong>procedimentos invasivos diagn\u00f3sticos<\/strong> caracter\u00edsticos: coleta venosa especializada, aspirado de medula \u00f3ssea (mielograma) e bi\u00f3psia de medula \u00f3ssea com agulha de Jamshidi.<\/p>\n<h2>Os 4 procedimentos t\u00edpicos<\/h2>\n<table border=\"1\" cellpadding=\"6\" cellspacing=\"0\" style=\"border-collapse:collapse;\">\n<tr>\n<th>Procedimento<\/th>\n<th>Res\u00edduo<\/th>\n<th>Grupo<\/th>\n<\/tr>\n<tr>\n<td>Coleta venosa especializada (anti-coagulado, hemograma, citogen\u00e9tica)<\/td>\n<td>Tubo + agulha + cateter + EPI<\/td>\n<td>E + A1<\/td>\n<\/tr>\n<tr>\n<td>Mielograma (aspirado medula crista il\u00edaca\/esterno)<\/td>\n<td>Agulha aspira\u00e7\u00e3o + l\u00e2minas + EPI<\/td>\n<td>E + A1<\/td>\n<\/tr>\n<tr>\n<td>Bi\u00f3psia de medula (Jamshidi)<\/td>\n<td>Agulha de bi\u00f3psia + fragmento osso\/medula em formol + EPI<\/td>\n<td>E + A1 + B (formol)<\/td>\n<\/tr>\n<tr>\n<td>Mielograma + bi\u00f3psia conjuntos<\/td>\n<td>Soma dos dois acima<\/td>\n<td>E + A1 + B<\/td>\n<\/tr>\n<\/table>\n<h2>Mielograma: o procedimento caracter\u00edstico<\/h2>\n<p>Aspirado de medula \u00f3ssea para diagn\u00f3stico de leucemia, linfoma, anemia apl\u00e1stica:<\/p>\n<ul>\n<li><strong>Agulha de aspira\u00e7\u00e3o<\/strong> (Jamshidi 13-15G) \u2192 E (alta calibre).<\/li>\n<li><strong>L\u00e2minas com material aspirado<\/strong> \u2192 A1 (v\u00e3o para hematologia\/citologia).<\/li>\n<li><strong>Anest\u00e9sico local<\/strong> \u2192 A1 + ampola.<\/li>\n<li><strong>EPI cir\u00fargico leve<\/strong> \u2192 A1.<\/li>\n<\/ul>\n<p>Volume por procedimento: 100-200 g.<\/p>\n<h2>Bi\u00f3psia de medula<\/h2>\n<p>Fragmento \u00f3sseo com medula \u2192 frasco com formol \u2192 patologia. Res\u00edduo:<\/p>\n<ul>\n<li><strong>Agulha Jamshidi<\/strong> \u2192 E.<\/li>\n<li><strong>Frasco com formol<\/strong> \u2192 A1 + B.<\/li>\n<li><strong>EPI<\/strong> \u2192 A1.<\/li>\n<\/ul>\n<h2>Volume e custo m\u00e9dio<\/h2>\n<p>Consult\u00f3rio hematol\u00f3gico ambulatorial padr\u00e3o (10-20 atendimentos\/dia, 2-5 mielogramas\/bi\u00f3psias\/dia):<\/p>\n<ul>\n<li><strong>Volume RSS A1<\/strong>: 5-15 kg\/m\u00eas.<\/li>\n<li><strong>Grupo E<\/strong>: 1-3 kg\/m\u00eas.<\/li>\n<li><strong>Grupo B<\/strong>: 0,5-1,5 kg\/m\u00eas.<\/li>\n<li><strong>Coleta especial<\/strong>: R$200-450\/m\u00eas.<\/li>\n<li><strong>PGRSS<\/strong>: R$2.500-4.500.<\/li>\n<\/ul>\n<h2>Conclus\u00e3o<\/h2>\n<p>Hematologia ambulatorial \u00e9 gerador RSS m\u00e9dio com componente perfurocortante (agulhas de aspira\u00e7\u00e3o) e formol. PGRSS proporcional, segrega\u00e7\u00e3o clara A1+E+B.<\/p>\n<p>A <a href=\"https:\/\/sevenresiduosaude.com.br\/\">Seven Res\u00edduos Sa\u00fade<\/a> atende cl\u00ednicas hematol\u00f3gicas em S\u00e3o Paulo. <a href=\"https:\/\/sevenresiduosaude.com.br\/blog\/\">Solicite avalia\u00e7\u00e3o<\/a> ao perfil espec\u00edfico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Consult\u00f3rio hematol\u00f3gico: coleta venosa especializada, aspirado de medula, bi\u00f3psia de medula. Veja segrega\u00e7\u00e3o RSS e custo de coleta especial.<\/p>\n","protected":false},"author":3,"featured_media":671,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1266,1264,1265,1262,1263],"class_list":["post-672","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-aspirado-medula-residuo","tag-biopsia-medula-pgrss","tag-coleta-venosa-especializada","tag-hematologia-rss","tag-mielograma-descarte"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/672","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=672"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/672\/revisions"}],"predecessor-version":[{"id":2420,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/672\/revisions\/2420"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/671"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=672"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=672"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}