CAJ | 학술논문

目的：探讨全自动血液分析仪显微镜复检规则设置的合理性和适用性，减少假阴性率，为临床提供可靠的诊断依据。方法通过对2085份标本结果的数据统计，根据显微镜镜检结果和仪器给出的报警信息、散点图的图像进行综合分析。结果仪器检测的2085份标本有583份标本有异常信息提示，60份标本血液分析无报警，但显微镜镜检阳性，假阴性率为2．88％，主要为轻度的中性粒细胞核左移、红细胞大小不均、血小板聚集及大血小板，血液科标本中有3份无原始细胞异常提示，但出现其他提示信息，没有漏检。结论血细胞分析仪不能完全代替显微镜涂片检查，制定血细胞显微镜复检标准非常必要，在保证质量的同时，也发挥全自动血液分析仪的筛选效率。
목적：탐토전자동혈액분석의현미경복검규칙설치적합이성화괄용성，감소가음성솔，위림상제공가고적진단의거。방법통과대2085빈표본결과적수거통계，근거현미경경검결과화의기급출적보경신식、산점도적도상진행종합분석。결과의기검측적2085빈표본유583빈표본유이상신식제시，60빈표본혈액분석무보경，단현미경경검양성，가음성솔위2．88％，주요위경도적중성립세포핵좌이、홍세포대소불균、혈소판취집급대혈소판，혈액과표본중유3빈무원시세포이상제시，단출현기타제시신식，몰유루검。결론혈세포분석의불능완전대체현미경도편검사，제정혈세포현미경복검표준비상필요，재보증질량적동시，야발휘전자동혈액분석의적사선효솔。
Objective To discuss the rationality and applicability of the re‐inspection rules for automatic blood analyzer micro‐scope ,to reduce the false negative rate ,to provide reliable clinical basis of diagnosis .Methods Data of 2 085 samples were collect‐ed ,according to the microscopic examination results and the instrument alarm information and a scatter diagram ,a comprehensive a‐nalysis was conducted .Results In 2 085 specimens ,there were 582 cases with abnormal information prompt ,60 cases without alarm information but microscopy positive specimens of blood ,the false negative rate was 2 .88% ,mainly mild neutrophil nuclear left ,une‐qual size of red blood cells ,platelet aggregation and large platelet .There were 3 blood samples without abnormal instrument results of primitive cells ,but with other information ,still didn′t missed .Conclusion The blood cell analyzer could not completely replace the microscope examination ,it is necessary to make a reasonable standard for reexamination of blood cells for assuring the quality , keeping the screening efficiency of automatic blood analyzer for clinical diagnosis .