引用本文:陆 颖,刘 勇.532例血小板减少标本复查结果及形态学分析[J].中国临床新医学,2009,2(3):263-264.
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532例血小板减少标本复查结果及形态学分析
陆 颖,刘 勇
537000 广西,玉林市第一人民医院检验科
摘要:
[摘要] 目的 探讨XT-1800i血细胞分析仪血小板(PLT)检测结果偏低的原因,选择正确的方法进行复查,保证PLT检测质量。方法 对532例XT-1800i血细胞分析仪上PLT检测结果偏低的标本用手工法进行血小板计数,同时作外周血涂片镜检观察血小板形态。结果 219例患者结果仍偏低,复查前后差异无统计学意义(P>0.05), 血涂片血小板均匀分布, 形态大致正常;313例复查后血小板数正常,其中306例血涂片上出现大、巨大血小板,7例标本血涂片上血小板存在着不同程度的聚集。结论 血液分析仪检测血小板结果偏低的标本应进行血涂片镜检和手工计数血小板。
关键词:  血细胞分析仪  血小板  形态学
DOI:10.3969/j.issn.1674-3806.2009.03.017
分类号:R 446.11
基金项目:
The reexamination result and morphological analysis of the blood platelet reduction specimen in 532 cases
LU Ying, LIU Yong
Department of Clinic Laboratory, the First People′s Hospital of Yulin, Yulin, Guangxi 537000, China
Abstract:
[Abstract] Objective To discuss the reason of blood platelet (PLT) examination result somewhat low in XT-1800i blood analyzer application, choose the correct method to carry on the reexamination and guarantee the PLT examination quality.Methods  Five hundred and thirty-two specimens of PLT examination result somewhat low in XT-1800i blood analyzer application were reexamined with manual method, and simultaneously made the circumference blood smear microscopic exam to observe blood platelet shape.Results  The results of 219 specimens were still somewhat low and there were not difference between before and after the reexamination (P> 0.05).The blood smear blood platelet showed uniform distribution and the shape was approximately normal;The results of 313 specimens reexamination showed the platelet count was normal, on 306 specimens blood smears appeared the giant blood platelet, on 7 specimens blood smears the blood platelet had the varying degree the accumulation.Conclusion  The examination blood platelet result somewhat low specimen in blood analyzer application should be carried on the peripheral blood film with microscopy and the manual counting blood platelet.
Key words:  XT-1800i blood analyzer  Blood platelet  Morphology