CAJ | 학술논문

目的：探讨血小板计数危急值的临床应用价值及其界值的调整方法。方法回顾性分析2012年1月至2013年12月血小板计数不超过50×109／L的患者的血小板计数危急值发生率及分布规律；并召开临床协调会，共同商定适合不同科室的血小板计数危急值。结果共检测血小板计数193776人次，其中血小板计数危急值1602人次，检出率为0．83％。血液科血小板计数危急值调整为小于或等于10×109／L ；外科调整为小于或等于50×109／L ；其他科室仍为小于或等于20×109／L ；短时间内血小板计数相差50％，也按危急值报告处理。结论按临床不同科室的需求调整血小板计数危急值，可提高临床和实验室的工作效率，保证患者的安全。
목적：탐토혈소판계수위급치적림상응용개치급기계치적조정방법。방법회고성분석2012년1월지2013년12월혈소판계수불초과50×109／L적환자적혈소판계수위급치발생솔급분포규률；병소개림상협조회，공동상정괄합불동과실적혈소판계수위급치。결과공검측혈소판계수193776인차，기중혈소판계수위급치1602인차，검출솔위0．83％。혈액과혈소판계수위급치조정위소우혹등우10×109／L ；외과조정위소우혹등우50×109／L ；기타과실잉위소우혹등우20×109／L ；단시간내혈소판계수상차50％，야안위급치보고처리。결론안림상불동과실적수구조정혈소판계수위급치，가제고림상화실험실적공작효솔，보증환자적안전。
Objective To investigate clinical application of critical value of platelet count and its threshold adjustment . Methods Theincidence rate and regularities of distribution of critical value of platelet count were retrospectively analyzed in pa‐tients ,whose platelet count was ≤50 × 109/L from Jan .2012 to Dec .2013 .And the suitable critical values of platelet count for dif‐ferent clinic units were set through clinical coordination .Results The platelet count were detected in 193 776 samples ,and detection results of 1 602 samples reached the critical value of platelet count (detection rate was 0 .83% ) .The critical value of platelet for he‐matology unit was adjusted to ≤10 × 109/L ,for surgical unit was adjusted to ≤50 × 109/L ,and for other units the critical value was still ≤20 × 109/L .Meanwhile ,cases were regarded as reaching the critical value when detection results of platelet count were differ by 50% in short time .Conclusion The adjustment of critical value of platelet count for different units could improve efficiency of clinic and laboratory ,and enhance safety of patients .