三分群血细胞分析仪复检过筛标准的建立及应用  

Establishment and application of hematology review criteria for automated triplication sort blood cell analyzer

作　　者：李雪宏 张淑贞 黄海燕 卢秀兰 

机构地区：[1]广东省深圳市葵涌人民医院,518119

出　　处：《检验医学与临床》2008年第9期513-514,共2页Laboratory Medicine and Clinic

摘　　要：目的探讨建立三分群血细胞分析仪复检过筛标准,力图解决血细胞检查中效率与质量的矛盾。方法应用迈瑞BC-3000血细胞分析仪对3260例临床血液常规标本进行检测并用复检过筛标准分为在筛组和过筛组,再经普通光学显微镜对血涂片进行复检。结果在筛组985例(30.2%),镜检异常率40.8%。过筛组2275例(69.8%)。其中白细胞形态异常7例,假阴性率0.31%(占检测总数的0.21%);红细胞形态异常5例,假阴性率0.22%(占检测总数的0.15%);血小板形态异常9例,假阴性率0.40%(占检测总数的0.28%),总假阴性率为0.93%。结论合理制定三分群血细胞分析仪血细胞检测的复检过筛标准,可减少显微镜复检的数量,保证工作质量,提高工作效率。Objective To establish hematology review criteria by using automated blood cell analyzer, and try to solve the contradiction between efficiency and quality. Methods After detected with Mayrui BC-3000 automated blood cell analyzer, 3 260 clinic blood routine samples were divided into filtering group and filtered group by review criteria. And then the blood smears were reviewed with optical microscope. Results The percentage of filtering group and filtered group was 30. 2% and 69. 8% respectively. Review abnormality rate of filtering group was 40.8%. In filtered group, the false negative rate of leucocyte paramorphia was 0.31% （0.21% of all samples）, of erythrocyte paramorphia was 0.22% （0.15% of all samples）, and of hematoblast paramorphia was 0.40% （0.28% of all）. So the total false negative rate was 0. 93%. Conclusion A proper review criterion for blood cell analyzer helps to reduce the review times of microscope, and improve both the efficiency an.d quality in tests.

关 键 词：血细胞分析仪 复检标准 白细胞分类 

分 类 号：R446.11[医药卫生—诊断学]