血细胞显微镜复检标准的制定及临床应用  

Criteria for performing peripheral blood smear review and its clinical application

作　　者：孙芾[1] 王厚芳[1] 于俊峰[1] 穆煜[1] 柳杰[1] 杜振波[1] 

机构地区：[1]北京和睦家医院医学检验中心,100016

出　　处：《中华检验医学杂志》2005年第2期155-157,共3页Chinese Journal of Laboratory Medicine

摘　　要：目的建立血细胞显微镜复检标准,保证血细胞分析结果准确性,以利临床诊断和治疗。方法根据医院具体情况依据血细胞分析仪检测结果制定血细胞显微镜复检标准,通过对9992份标本结果的数据分析,评价标准的可行性和可靠性。结果所制定的标准经临床验证有重要临床价值和意义。仪器检测的标本中有293%的CBC标本需要复检,其中322%存在杆状细胞增多、异型淋巴细胞增多或其他类型的异常。结论制定血细胞显微镜复检标准非常重要,可以加强血细胞检查准确性,为临床提供更有价值的信息,有利于诊断和治疗。Objective To find a proper way for accurate results on complete blood counts.Methods Based on the results from automatic hematology analyzer, set up criteria for blood cell microscopic examination. 9 992 blood specimens were detected and the results were analyzed according to the criteria, statistics on the data were made to find out the reliability of the policy.Results The criteria could help to find more abnormal cells, it was very useful for clinical diagnosis and proper treatment.There were 29.3% of CBC specimens needed for microscopic examination, 32.2% of which had increased bands or increased atypical lymphocytes or other abnormalities.Conclusions It was very important to set up the criteria for performing peripheral blood smear. It can provide more accurate and reliable information to clinical doctors.

关 键 词：复检 血细胞 临床应用 显微镜 治疗 标本 异型淋巴细胞 结论 评价标准 准确性 

分 类 号：R446.1[医药卫生—诊断学]