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作 者:孙迪 宋哲 孙颖 刘祥忠 SUN Di;SONG Zhe;SUN Ying(Yantai Central Blood Station ,Yantai 264003)
机构地区:[1]山东省烟台市中心血站,264003 [2]烟台市传染病医院
出 处:《临床输血与检验》2017年第5期498-501,共4页Journal of Clinical Transfusion and Laboratory Medicine
摘 要:目的探讨血浆乳糜程度比浊板和溶血程度比色板的使用,在采供血过程中降低由于人为误判导致的血浆非正常报废的影响。方法随机抽调15名相关科室工作人员做为受试者,在自然光、日光灯的不同光线下对照比浊板和比色板图片及未对照比浊板和比色板图片,对处于临界值的血样进行血浆乳糜和溶血程度比对,检测光线对比浊板和比色板的影响;统计本站2012年与2013年乳糜血浆及溶血血浆报废数据,并加以对比。结果自然光和日光灯2种不同光源比较的差异无统计学意义(P>0.05);未对照与对照比浊板和比色板前后比较,差异有统计学意义(P<0.05);2012年乳糜血浆报废率达到0.46%,血浆溶血报废率达到0.26%;2013年乳糜血浆报废率0.41%,溶血血浆报废率0.18%,应用比浊板、比色板后血浆报废率均有明显下降(P<0.01)。结论采用比浊板和比色板图片控制乳糜血浆、溶血血浆非正常报废,可作为采供血过程中快速、简便、有效鉴别血浆乳糜程度、血浆溶血程度的有效方法。Objective To investigate the effect of chyle levels of plasma turbidity plate and degrees of plasma hemolysis shadeguide for reducing the unnecessary retirement of plasma due to objective incorrect assessment in the process of blood collection and supply.Methods Fifteen staffs were randomly grouped to compare the chyle and hemolysis samples in critical level at different light by chyle plasma turbidity plate and plasma hemolysis shadeguide in order to check the influence of the natural or artificial light.The chyle and hemolysis plasma discarding data were analyzed from2012to2013.Results There was no difference between the natural light and the light of lamp(P>0.05)whereas a significant difference was seen between chyle levels of plasma turbidity plate and degrees of plasma hemolysis shadeguide(P<0.05).In the year of2012,the rate of chyle plasma discarding was0.46%,and that of hemolysis plasma discarding was0.26%.In2013,however,the rate of chyle plasma discarding was0.41%,and that of hemolysis plasma discarding was0.18%.The rates of both plasma discarding have been obviously reduced after using chyle levels of plasma turbidity plate and degrees of plasma hemolysis shadeguide(P≤0.01).Conclusion The chyle levels of plasma turbidity plate and degrees of plasma hemolysis shadeguide may effectively control the unnecessary retirement of chyle and hemolysis plasma,and can be used as a convenient and effective method to distinguish the chyle and hemolysis plasma in the process of blood collection and supply.
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