国际检验医学杂志
國際檢驗醫學雜誌
국제검험의학잡지
INTERNATIONAL JOURNAL OF LABORATORY MEDICINE
2014年
13期
1776-1777,1780
,共3页
血细胞分析仪%乳糜血%血浆置换
血細胞分析儀%乳糜血%血漿置換
혈세포분석의%유미혈%혈장치환
blood cell analyzer%chylemia%plasma exchange
目的：评价乳糜血标本血浆置换前后对血细胞分析仪测定结果影响的临床应用价值。方法采集乳糜血标本22例，使用血细胞分析仪对血浆置换前后的标本进行检测，并与手工显微镜计数结果进行比对。结果非乳糜血样本 WBC、NEU、LY、MO、RBC、HGB 和 PLT 结果与置换前的原始血样本测定结果的差异无统计学意义（P ＞0．05）；在22例乳糜血样本检测中， WBC 计数分类、HGB、PLT 在置换前后结果差异有统计学意义（P ＜0．05），置换后乳糜血标本血细胞分析仪 WBC 计数分类和PLT 结果与显微镜计数法相关性较好（r2＝0．936；r2＝0．918）；在三酰甘油的干扰试验中，发现 WBC 计数分类、HGB、PLT 结果会随着三酰甘油浓度的增加而变化。结论采用血浆置换方法可以明显改善乳糜血标本对血细胞分析仪测定结果的影响，为临床提供准确的结果。
目的：評價乳糜血標本血漿置換前後對血細胞分析儀測定結果影響的臨床應用價值。方法採集乳糜血標本22例，使用血細胞分析儀對血漿置換前後的標本進行檢測，併與手工顯微鏡計數結果進行比對。結果非乳糜血樣本 WBC、NEU、LY、MO、RBC、HGB 和 PLT 結果與置換前的原始血樣本測定結果的差異無統計學意義（P ＞0．05）；在22例乳糜血樣本檢測中， WBC 計數分類、HGB、PLT 在置換前後結果差異有統計學意義（P ＜0．05），置換後乳糜血標本血細胞分析儀 WBC 計數分類和PLT 結果與顯微鏡計數法相關性較好（r2＝0．936；r2＝0．918）；在三酰甘油的榦擾試驗中，髮現 WBC 計數分類、HGB、PLT 結果會隨著三酰甘油濃度的增加而變化。結論採用血漿置換方法可以明顯改善乳糜血標本對血細胞分析儀測定結果的影響，為臨床提供準確的結果。
목적：평개유미혈표본혈장치환전후대혈세포분석의측정결과영향적림상응용개치。방법채집유미혈표본22례，사용혈세포분석의대혈장치환전후적표본진행검측，병여수공현미경계수결과진행비대。결과비유미혈양본 WBC、NEU、LY、MO、RBC、HGB 화 PLT 결과여치환전적원시혈양본측정결과적차이무통계학의의（P ＞0．05）；재22례유미혈양본검측중， WBC 계수분류、HGB、PLT 재치환전후결과차이유통계학의의（P ＜0．05），치환후유미혈표본혈세포분석의 WBC 계수분류화PLT 결과여현미경계수법상관성교호（r2＝0．936；r2＝0．918）；재삼선감유적간우시험중，발현 WBC 계수분류、HGB、PLT 결과회수착삼선감유농도적증가이변화。결론채용혈장치환방법가이명현개선유미혈표본대혈세포분석의측정결과적영향，위림상제공준학적결과。
Objective To evaluate the clinical application value of influence of chylemia specimen before and after blood plasma exchange on the detection results of hematological analyzer.Methods 22 chylemia specimens were collected,then the hematological analyzer was used to test the chylemia specimens before and after blood plasma exchange,and the results were compared with those detected by the manual microscopic counting.Results The detection results of WBC,NEU,LY,MO,RBC,HGB and PLT in the non-chylemia specimens and the original blood specimens before blood plasma exchange had no statistically significant differences (P >0.05);in 22 cases of chylemia specimens,the WBC count and classification,and the mean value of HGB and PLT before and after blood plasma exchange in the chylemia specimens had statistically significant differences (P <0.05),the WBC count and clas-sification,and PLT mean value after blood plasma exchange in the chylemia specimens by the hematological analyzer had good corre-lation with those detectd by the microscopic counting method(r2 =0.936,r2 =0.918).In the triglyceride interference test,the WBC count and classification,and the mean value of HGB and PLT could be changed with the increase of the triglyceride concentration. Conclusion Adopting the blood plasma exchange method could obviously improve the influence of chylemia specimens on the detec-tion results by the hematological analyzer and provide the accurate results for clinic.
