CD1700血细胞分析仪;血小板聚集;复查____

50例血小板减少标本结果分析

http://www.100md.com 《实用医技杂志》 2006年第17期

CD1700血细胞分析仪;血小板聚集;复查,,],CD1700血细胞分析仪;血小板聚集;复查,1材料与方法,2结果,3讨论,参考文献：

     [摘要] 目的：探讨CD1700血细胞分析仪血小板(PLT)检测结果偏低的原因,选择正确的方法进行复查,保证PLT检测质量。方法：对50例CD1700血细胞分析仪上检测结果偏低的标本涂片镜检,重新采集静脉血,分别在CD1700(预稀释法)上和用手工法进行复查。对血涂片存在PLT聚集的抗凝血在首次检测30 min后在CD1700上再复查一次。结果：有40例标本血涂片PLT形态正常,无PLT聚集,重新采血复查PLT,两种方法结果仍偏低,与复查前差异无显著性(P>0.05)。10例标本血涂片上PLT存在着不同程度的聚集,重新采血复查PLT,两种方法结果均正常,与复查前差异有显著性(P<0.01) 。10例标本中有2例在CD1700上复查结果正常。结论：对各种原因引起PLT检测结果偏低者,应进行人工镜检血涂片和PLT手工计数,或在其他仪器上检测,同时要提高采集血涂标本的质量。

    [关键词] CD1700血细胞分析仪;血小板聚集;复查

    Results Analyse to 50 Cases of Thrombocytopenia Specimens

    ZHANG Xiaodong，PENG Lanfen,HUANG Wencai，et al

    (The Houjie Hospital of Dongguan，Dongguan,Guangdong 523945,China)

    Abstract：Objective To explore the reasons that result in platelets analysis results on low side which analysed in haematology analyzer CD1700 in order to select correct methods to reexamine them and then guarantee the quality of platelet analysises.Methods 50 Cases of thrombocytopenia speciments analysed in haematology analyzer CD1700 were made into bolld smears and examined in microscope,and the suffers of these speciments were collected blood again from vein 50 samples of blood were analysed separately in haematology analyzer CD1700 (prediluted method) and with manual method.The speciments which with platelet aggragation in blood smears were analysed in CD-1700 30 minutes after first analysed.Results In 40 Cases of speciments the shapes of platelets was normal and there were not the low side and were not different from which analysed first time(P>0.05).For 10 Cases of speciments with plateiet aggregation of differents degrees in blood smears the platelet results reexamined with two methods were different from the results analysed fist time(P<0.01).And two speciment of the ten was analysed again 30 minutes afer fist analysed,the result was normal.Conclusion Thrombocytopenia results caused by kins of reasons should be analysed by examining blood smears in microscope,and pletlets were analysed with manual method or in other haematology analyzer,simultane the quality of collecting blood speciments should be improved. ......

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