CAJ | 학술논문

[目的]探讨真空采血管和标本放置时间的不同对急诊患者电解质检测结果产生的影响。[方法]使用肝素锂抗凝管和普通促凝真空管，同时抽血后分别于放置0．5、1、2 h时进行检测，观察两者不同时刻检测的结果。[结果]在0．5和1 h时，血浆组中K＋和Na＋浓度均明显低于血清组（P＜0．05）。随着标本放置时间的延长，血浆组中K＋和Na＋浓度有增高趋势，并在2 h时差异有统计学意义（ P＜0．05）。血清组中K＋、Na＋和Cl-的浓度不同时刻无明显差异（P＞0．05），但随着放置时间的延长，血浆组和血清组的CO2水平均明显下降，且差异有统计学意义（ P＜0．05）。[结论]使用不同的真空采血管对电解质的检测结果有影响。随着标本放置时间的延长，血浆组K＋和Na＋的测量值升高，血浆组和血清组CO2的测量值则都下降。
[목적]탐토진공채혈관화표본방치시간적불동대급진환자전해질검측결과산생적영향。[방법]사용간소리항응관화보통촉응진공관，동시추혈후분별우방치0．5、1、2 h시진행검측，관찰량자불동시각검측적결과。[결과]재0．5화1 h시，혈장조중K＋화Na＋농도균명현저우혈청조（P＜0．05）。수착표본방치시간적연장，혈장조중K＋화Na＋농도유증고추세，병재2 h시차이유통계학의의（ P＜0．05）。혈청조중K＋、Na＋화Cl-적농도불동시각무명현차이（P＞0．05），단수착방치시간적연장，혈장조화혈청조적CO2수평균명현하강，차차이유통계학의의（ P＜0．05）。[결론]사용불동적진공채혈관대전해질적검측결과유영향。수착표본방치시간적연장，혈장조K＋화Na＋적측량치승고，혈장조화혈청조CO2적측량치칙도하강。
Objective] To study the effect of different placed time for vacutainer and specimen on the results of emergency electrolyte detection . [ Methods] With heparin lithium anticoagulation tube and common coagulation vacuum tube , electrolytes were detected at 30 minutes,one hour and two hours af-ter extracting blood . [ Results] At 30 minutes and one hour after extracting blood ,the levels of K +and Na+of the plasma group were significantly lower than those of the serum group (P<0.05).With the ex-tension of specimen placed time , the levels of K +and Na +of the plasma group were becoming higher than those previously ,and at two hours the difference had statistical significance ( P<0 .05 ) .There was not ob-vious difference found in the levels of K +, Na +and Cl -of the serum group at different placed times ( P>0.05).But the levels of CO2 of both the plasma group and the serum group were significantly lower than those previously with the extension of specimen placed time , and the difference had statistical significance (P<0.05). [Conclusion] It is indicated that the using of different vacutainers effects electrolyte de-tection.With the extension of specimen placed time , the levels of K +and Na +of the plasma group increase gradually , and the levels of CO 2 of the plasma group and the serum group both decrease gradually .