血常规MCV、MCH、MCHC值均正常的严重溶血标本1例  

A case of severe hemolysis specimen with normal values of MCV,MCH and MCHC

作　　者：王利民 WANG Limin

机构地区：[1]华中科技大学附属协和医院检验科

出　　处：《临床血液学杂志（输血与检验）》2019年第6期979-981,共3页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：血标本溶血是检验工作中常见的一种干扰和影响因素。作为一名临床基础检验的工作人员,我们常根据血常规结果中平均红细胞血红蛋白(MCH)、平均红细胞血红蛋白浓度(MCHC)值增高来怀疑血标本是否发生了溶血,然而这却存在着一定的缺陷,会导致因患者自身发生急性溶血现象的溶血标本出现漏检。我科发现1例平均红细胞体积(MCV)、MCH、MCHC值均正常的严重溶血标本,现报告如下。Hemolysis of blood sample is a common interference and influencing factor in laboratory work.As a basic clinical laboratory staff,we often suspect whether hemolysis occurs in blood samples according to the increase of MCH and MCHC values in blood routine results.However,there are some defects,which may lead to the omission of hemolysis samples due to acute hemolysis of patients themselves.We found a severe hemolytic specimen with normal MCV,MCH and MCHC values.

关 键 词：平均红细胞体积 平均红细胞血红蛋白 平均红细胞血红蛋白浓度 急性血管内溶血 

分 类 号：R457.1[医药卫生—治疗学]