急诊动脉血气分析用血进行血细胞计数的可行性探讨  

Analysis of feasibility of blood cell count in blood emergency arterial blood gas

作　　者：黄万仁 张桂芬[1] 张杰雄[1] 

机构地区：[1]广东省佛山市顺德区第一人民医院急诊科,广东佛山528300

出　　处：《中国医药科学》2014年第9期188-190,共3页China Medicine And Pharmacy

摘　　要：目的探讨急诊动脉血气分析用血进行血细胞计数的可行性。方法选取2008年3月~2013年10月我院急诊科进行治疗的患者153例,所有患者同时进行动脉血气分析和静脉血细胞计数分析。结果静脉血与即时动脉血血细胞计数均数比较,MCHC、MCV、MCH、MPV、P-LCR、BASO、PDW等指标比较,差异有统计学意义(P<0.05);而静脉血与半小时动脉血血细胞计数均数比较,HGB、HCT、RWD-SD、RWDCV、PLT、MPV、PDW、P-LCR、LYMPH、BASO等比较,差异有统计学意义(P<0.05)。对各项有差异的指标做线性分析,即时动脉血、半小时动脉血各项指标与静脉血呈正相关关系(P<0.05)。结论动脉血气分析用血急诊检验中,在即时条件下可以替代静脉血行全血细胞计数分析。Objective To explore the feasibility of blood cell count in blood emergency arterial blood gas. Methods 153 patients of the emergency department of our hospital in 2008 March to 2013October were collected,arterial blood gas analysis andblood cell count were performed in all patients at the same time were all observed. Results Venous blood and the instant blood blood cell counts were compared,comparison of MCV,MCH,MCHC,MPV, PDW,P-LCR,BASO,the difference was statistically significant(P < 0.05);and the venous blood and the half hour blood blood cell counts were compared,comparison of HGB,HCT,RWD-SD,RWD-CV,PLT PDW,P-LCR,MPV,LYMPH,BASO,etc,the difference was statistically significant(P < 0.05). There are differences between the index of the linear analysis,venous blood and theinstant blood, half an hour of arterial blood indicators are positively correlated with significant(P < 0.05). Conclusion Analysis of blood transfusion in emergency inspection of arterial blood gas, in the instant conditions analysis of alternative venous blood forblood cell count.

关 键 词：急诊 动脉血气分析 血细胞计数 可行性 

分 类 号：R446.1[医药卫生—诊断学]