血常规危急值统计分析  

Statistical Analysis of Critical Value of Blood Routine

作　　者：白丽霞[1] 陈娟[1] 彭赛辉 吴志成[1] Bai Lixia,et al(Department of Clinical Laboratory, Peking University Shenzhen Hospital, Shenzhen 51803)

机构地区：[1]北京大学深圳医院检验科,北京518036

出　　处：《数理医药学杂志》2018年第8期1169-1172,共4页Journal of Mathematical Medicine

摘　　要：目的:分析血常规危急值报告现状,为危急值报告的规范化管理提供参考依据。方法:通过杭州创业软件股份有限公司研发的实验室信息管理系统(LIS)对血常规危急值发生率、科室分布情况、分布区间进行回顾性分析。结果:血常规危急值共报告1836例,发生率为0.92%,其中报告最多的项目依次是血小板、白细胞、血红蛋白;危急值发生最多的病区分别为血液内科、急诊科、外科ICU、肿瘤内科。结论:危急值项目的选择及危急值分层界限的确定应根据医院工作性质、检测系统不同及征求临床医生建议后再确定,并在临床实践过程中定期进行监控、评估与调整。Objectives：To analyze the status of critical value report of blood routine,and to provide reference for standardized management of emergency value report.Methods：Through the laboratory information management system（LIS）,the incidence of critical value of blood routine,the distribution of departments and the distribution interval were analyzed retrospectively.Results：A total of 1836 critical value cases were reported and the critical values reporting rate was 0.92%.The most reported items were platelets,white blood cells,and hemoglobin.The most critical areas were hematological department,emergency department,surgical ICU and oncology department.Conclusion：The selection of critical value items and the determination of the critical values are dependent on the character of clinical work,different detection system and advice from clinicians,and the critical values should be monitored,evaluated and adjusted regularly during clinical practice.

关 键 词：危急值 血常规 统计分析 

分 类 号：R446.1[医药卫生—诊断学]