POCT技术的应用是检验医学成熟的标志祥解.ppt

POCT技术的应用是 检验医学成熟的标志 命题提出的理念 一个检验分析系统，当它的检测分析灵敏度、特异性达到极限的时候，要想再提高，就要改造这个系统，甚至要建立新的系统。 新技术的推广应用是我们每一个医学工作者的使命和职责 消除临床医学和检验医学之间的某些误区是现代医学发展的必然 检验医学成熟与否的问题 检验医学成熟的标准 检验医学应当是发展、完善和充实医学科学的生力军，自身和其他科学或学科的理论和技术是发展、完善和充实检验医学的动力源泉 检验医学成熟的一面 检验医学的概念，循证检验医学，新理论、新技术等 检验医学不成熟的一面 检验医学概念的纷争，新理论、新技术应用的障碍等 检验医学既成熟又不成熟 命题论证 POCT技术的应用是缩短急救检验中TAT的最有效方法之一 论据： Circulation 2001 Sep 25;104(13):1483-8Related Articles, Books, LinkOut Ninety-minute exclusion of acute myocardial infarction by use of quantitative point-of-care testing of myoglobin and troponin i.McCord J, Nowak RM, McCullough PA, Foreback C, Borzak S, Tokarski G, Tomlanovich MC, Jacobsen G, Weaver WD. Clin Chim Acta 2001 Sep 15;311(1):67-72Related Articles, Books, LinkOut Point-of-care testing of cardiac markers: results from an experience in an Emergency Department.Altinier S, Zaninotto M, Mion M, Carraro P, Rocco S, Tosato F, Plebani M. 论据 Circulation 2001 Sep 25;104(13):1483-8Related Articles, Books, LinkOut Ninety-minute exclusion of acute myocardial infarction by use of quantitative point-of-care testing of myoglobin and troponin i.McCord J, Nowak RM, McCullough PA, Foreback C, Borzak S, Tokarski G, Tomlanovich MC, Jacobsen G, Weaver WD.Background- Diagnostic strategies with ECG and serum cardiac markers have been used to rule out acute myocardial infarction in 6 to 12 hours. The present study evaluated whether a multimarker strategy that used point-of-care measurement of myoglobin, creatine kinase (CK)-MB, and troponin I could exclude acute myocardial infarction in /=3 hours. Methods and Results- We prospectively enrolled consecutive patients (n=817) in the emergency department who were evaluated for possible acute myocardial infarction. In patients with nondiagnostic ECGs, we measured CK-MB, troponin I, and myoglobin with a point-of-care device at presentation and