CAJ | 학술논문

目的：针对新购进 ADVIA 2120i 血液分析仪报警信息进行可靠性分析。方法选取500例有异常报警信息提示的和500例无报警提示的门诊和住院患者的血液标本，进行手工涂片，经瑞姬氏染色，显微镜镜检复核对比。结果对于有报警信息提示的标本中未成熟粒细胞（IG）、血红蛋白浓度不等（Hc - VAR）、小红细胞（MICRO）、核左移（Ls）、大红细胞（MACRO）、低色素性红细胞（HYPO）、高色素性红细胞（HYPER）、红细胞大小不等（ANISO）仪器报警信息与显微镜镜检符合率差异无统计学意义（ P >0,05）；而有核红细胞（ NRBC）差异有统计学意义（ P <0,05）；大血小板（LPLT）、原幼细胞（BLASTS）、变异淋巴细胞（ATYP）、血小板凝集（PLTCLM 报警信息两者之间比较，差异有统计学意义（P <0,01）。无报警信息的标本中 MACRO、MICRO、HYPO、ANISO、LPLT、PLTCLM报警的标本有少量漏检。结论仪器对于有核左移、红细胞异常方面的报警信息的和无报警信息的标本能起到良好的过筛作用。而对于有血小板、幼稚细胞特别是早期的幼稚细胞、异型淋巴细胞方面的报警信息的标本，应涂片进行显微镜手工复捡。
목적：침대신구진 ADVIA 2120i 혈액분석의보경신식진행가고성분석。방법선취500례유이상보경신식제시적화500례무보경제시적문진화주원환자적혈액표본，진행수공도편，경서희씨염색，현미경경검복핵대비。결과대우유보경신식제시적표본중미성숙립세포（IG）、혈홍단백농도불등（Hc - VAR）、소홍세포（MICRO）、핵좌이（Ls）、대홍세포（MACRO）、저색소성홍세포（HYPO）、고색소성홍세포（HYPER）、홍세포대소불등（ANISO）의기보경신식여현미경경검부합솔차이무통계학의의（ P >0,05）；이유핵홍세포（ NRBC）차이유통계학의의（ P <0,05）；대혈소판（LPLT）、원유세포（BLASTS）、변이림파세포（ATYP）、혈소판응집（PLTCLM 보경신식량자지간비교，차이유통계학의의（P <0,01）。무보경신식적표본중 MACRO、MICRO、HYPO、ANISO、LPLT、PLTCLM보경적표본유소량루검。결론의기대우유핵좌이、홍세포이상방면적보경신식적화무보경신식적표본능기도량호적과사작용。이대우유혈소판、유치세포특별시조기적유치세포、이형림파세포방면적보경신식적표본，응도편진행현미경수공복검。
Objective To evaluate the reliability of the alarm system of the newly - purchased AD-VIA 2120i hematology analyzer, Methods Five hundred blood specimens with the information tips of abnor-mal alarm and 500 cases of blood specimens without alarm tips were collected from the outpatients and inpa-tients, After manual smearing,via Wright′s staining,the review comparison was done under microscope, Re-sults Regarding the coincidence rate,among the specimens with alarm information tips,the results of imma-ture granulocyte(IG),hemoglobin concentration variation(Hc - VAR),microcyte(MICRO),nuclear left shift (Ls),macrocyte( MACRO),hypochromic erythrocyte( HYPO),hyperchromic erythrocyte( HYPER)and anisocytosis(ANISO)were not different significantly as compared with those reviewed under microscope(P >0, 05), But,the difference was significant in the results of nuclear red blood cell(NRBC)(P < 0, 05),plate-let(LPLT),blasts(BLASTS),atypical lymphocyte(ATYP)and platelet clumps(PLTCLM)(P < 0, 01)be-tween the two groups, There was little missed - review in MACRO,MICRO,HYPO,ANISO,LPLT and PLT-CLM among the specimens without alarm information, Conclusion The analyzer has the good screening effect in terms of nuclear left shift and erythrocyte abnormality between the alarm information and non - alarm information, For the specimens with alarm information in the platelets and blasts,especially the early juvenile cells and atypical lymphocytes,the manual smearing review is required under microscope.