CAJ | 학술논문

目的：探讨急诊动脉血气分析用血进行血细胞计数的可行性。方法选取2008年3月~2013年10月我院急诊科进行治疗的患者153例，所有患者同时进行动脉血气分析和静脉血细胞计数分析。结果静脉血与即时动脉血血细胞计数均数比较，MCHC、MCV、MCH、MPV、P-LCR、BASO、PDW等指标比较，差异有统计学意义（P＜0.05）；而静脉血与半小时动脉血血细胞计数均数比较，HGB、HCT、RWD-SD、RWD-CV、PLT、MPV、PDW、P-LCR、LYMPH、BASO等比较，差异有统计学意义（P＜0.05）。对各项有差异的指标做线性分析，即时动脉血、半小时动脉血各项指标与静脉血呈正相关关系（P＜0.05）。结论动脉血气分析用血急诊检验中，在即时条件下可以替代静脉血行全血细胞计数分析。
목적：탐토급진동맥혈기분석용혈진행혈세포계수적가행성。방법선취2008년3월~2013년10월아원급진과진행치료적환자153례，소유환자동시진행동맥혈기분석화정맥혈세포계수분석。결과정맥혈여즉시동맥혈혈세포계수균수비교，MCHC、MCV、MCH、MPV、P-LCR、BASO、PDW등지표비교，차이유통계학의의（P＜0.05）；이정맥혈여반소시동맥혈혈세포계수균수비교，HGB、HCT、RWD-SD、RWD-CV、PLT、MPV、PDW、P-LCR、LYMPH、BASO등비교，차이유통계학의의（P＜0.05）。대각항유차이적지표주선성분석，즉시동맥혈、반소시동맥혈각항지표여정맥혈정정상관관계（P＜0.05）。결론동맥혈기분석용혈급진검험중，재즉시조건하가이체대정맥혈행전혈세포계수분석。
Objective To explore the feasibility of blood cell count in blood emergency arterial blood gas. Methods 153 patients of the emergency department of our hospital in 2008 March to 2013October were collected,arterial blood gas analysis andblood cell count were performed in all patients at the same time were all observed. Results Venous blood and the instant blood blood cell counts were compared,comparison of MCV,MCH,MCHC,MPV, PDW,P-LCR,BASO,the difference was statistically significant(P < 0.05);and the venous blood and the half hour blood blood cell counts were compared,comparison of HGB,HCT,RWD-SD,RWD-CV,PLT PDW,P-LCR,MPV,LYMPH,BASO,etc,the difference was statistically significant(P < 0.05). There are differences between the index of the linear analysis,venous blood and theinstant blood, half an hour of arterial blood indicators are positively correlated with significant(P < 0.05). Conclusion Analysis of blood transfusion in emergency inspection of arterial blood gas, in the instant conditions analysis of alternative venous blood forblood cell count.