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1、血细胞分析仪分析结果异常时与血涂片的临床对比研究【摘要】目的:将血细胞分析仪所检测出现异常的标本涂片染色,在显微镜下对其血细胞数量、形态、分类与血细胞分析仪检查结果实施对比,以此检验血细胞分析仪分析的结果是否可靠与准确。方法:将本院2013年6月-2015年6月接收的通过血细胞分析仪出现血细胞分析结果异常的患者标本2000例进行研究分析,将英与血涂片镜检测的结果实施分析对比。结果:血小板数量比正常标本涂片较高,与血细胞分析仪分析的结果相同,但部分血小板数量比正常低的部分不符合,因其部分血小板的聚集导致出现假性血小
2、板减少,必须给予血涂片镜检测;血涂片镜检测和血细胞仪分析的红细胞体积结果相同;对分类或不分类异常的白细胞标木须给予血涂片镜检。结论:应用血细胞分析仪所检测的结果出现异常、不完全的可靠,只冇将涂片染色镜检测结果对比,才可将血细胞分析仪不可正确识别异常细胞成分的缺点进行修正,最后得到准确而又科学的结果,降低患者的漏误诊率。【关键词】血细胞分析仪;血涂片;临床对比ClinicalComparativeStudyonAbnormalAnalysisResuItsofBloodCellAnalyzerandBloodSme
3、ar/YUWen-hui,LIUFeng-ling,XIAJun.//MedicalInnovationofChina,2016,13(18):058-061[Abstract】Objective:Thespecimensmearswerestainedbythebloodcellanalyzer,andthenumber,formandclassificationofbloodcellswerecomparedtothoseresultsofbloodcellanalyzertoverifyiftheresul
4、tsofthebloodcellanalyzerarereliableandaccurate.Method:TwothousandspecimensofpatientsshowingabnormalbloodcellanalysisresultsviathebloodcellanalyzeradmittedfromJune2013toJune2015weresubjectedtoresearchandanalysis,andsuchresultsweresubjecttoanalysisandcomparison
5、t.oresultsdeterminedviabloodsmearmicroscope・Result:Thenumberofplateletsofpatientswerehigherthanthatofnormalspecimensmears,beingthesametoresultsofthebloodcellanalyzer,butthenumberofpartialplateletsdidn"tcoincidedwithnormallylowerpart,pseudothrombocytopeniaresu
6、ltedfromtheaggregationofplateletsmustbesubjectedtobloodsmeardetection.TheresultsofRBCvolumetestedviabloodsmearmicroscopewerethesametothoseviabloodcellanalyzer.AbnormalWBCspecimensclassifiedorunclassifiedwererequiredtosubjecttobloodsmearmicroscopy.Conclusion:T
7、estingresultsbyusingofbloodcellanalyzerareabnormalandnotcompletelyreliable,onlythecomparisonofsmearstainingmicroscopetestresultscanthedisadvantageofthebloodcellanalyzerfailingtocorrectlyidentifyabnormalcellcompositions,accurateandscientificresuItsareobtainedf
8、inally,decreasingthemisdiagnosisprobabilityofpatients.[Keywords]Bloodcellanalyzer;Bloodsmear;ClinicalcomparisonFirst-author,saddress:LiujiangCountyPeople'sHospital,Liujiang545100,Chinadoi