高原环境下异常血样标本的发生原因及处理  

Reasons and Treatments of abnormal blood samples at high altitude

作　　者：石泉贵[1] 陈芳芳[1] 

机构地区：[1]西藏军区总医院检验科,西藏拉萨850007

出　　处：《西藏医药》2016年第2期1-3,共3页Tibetan Medicine

摘　　要：目的了解高原环境下异常血样标本的类型及分布状况,提高临床检测结果的准确性与可靠性。方法选海拔3700米地区门诊及住院患者,常规消毒,静脉或动脉采血,根据检测项目选择相应的抗凝剂抗凝或不抗凝,采集相应的血量。结果 346份异常血样标本有6种类型,以凝血血样为主,114份,占32.9%,其次是溶血血样和脂血血样,分别占24.0%和13.6%。结论在清楚异常血样标本的发生原因后,采用正确的方法进行纠正或处理,对确保检测结果的准确性及可信性,对疾病的诊断、治疗、预防及疗效评估有重要的意义。Objective： To investigate the types and distribution of abnormal blood samples at high altitude and improve the accuracy and reliability of the clinical detection. Method：The eligible patients were enrolled from clinic and hospitalization, who reside within the altitudes of 3700 meters. After routine disinfection, according to testing items to select the corresponding anticoagulants anticoagulation or failure, the appropriate blood were obtained from artery or vein. Results： There were six types of abnormal blood samples in 346 cases. The blood sample of coagulation for the main, was 114 cases（32.9%）, the next were hemolysis（24.0%）, and lipohemia（13.6%）.Conclusions： We clearly understand the reasons of abnormal blood samples, it was adopted the right approach to remedy or treat, considered to ensure the accuracy and reliability of the results, meanwhile, a greatly significance in diagnosis, treatment, prevention, and efficacy.

关 键 词：高原 血样 异常标本 处理 

分 类 号：R446.1[医药卫生—诊断学]