HOWTOUSECLINICALLABORATORY.pptVIP

HOW TO USE CLINICAL  LABORATORY Li Ping 李萍 Department of Laboratory Medicine 检验系/实验医学 West China Hospital and Medical School of Sichuan University Organization of the Department 实验医学科 临床微生物室 临床血液及临检室 临床免疫室 临床生化室 临床激素室 临床输血室 临床药理室 临床实验室的地位和作用 THE USE OF BIOCHEMICAL TESTS 试验检查的过程 Every laboratory analysis should provide the answer to a question which the clinician has posed about the patient. Obtaining the correct answers can often seem to be fraught with difficulty. 申请单 条码号、门诊号、住院号 病人的姓名、性别和出生日期 病房、床位号 临床诊断、特殊检验注意事项 申请检查项目 标本类型 采样时间及报告时间（年、月、 日、时、分） 有关治疗情况（如：用药情况） 医生姓名 Specific Groupings of Tests 01 生化1 常规全套 肝肾糖尿酸脂酶） 04 生化4 K Na Cl Ca Mg P 05 生化5 K Na Cl CO2 06 肝功 （TB DB IB ALT TP Alb Glob A/G AST 07 肾功 （Urea Crea 08 肝酶 （AST ALP GGT LDH CHE 12 碱性磷酸酶 ALP Emergency tests Urea and electrolytes Blood gases Amylase Glucose Clinical note The clinical laboratory plays only a part in the overall assessment and management of the patient. For some patients, laboratory analyses may have little or no part in their diagnosis or the management of their illness. For others, many test may be needed before a diagnosis is made, and repeated analyses required to monitor treatment over a long period. SPECIMEN COLLECTION Provide correct specimen and information As much information as possible Patient identification must be correct Include some indication of the suspected pathology Requested analyses should be clearly indicated SAMPLING ERRORS Blood sampling technique Prolonged stasis during venepuncture. Insufficient specimen Errors in timing Incorrect specimen container Inappropriate sampling site Incorrect specimen storage AUTOMATION AND COMPUTERIZATION Computerized laboratories and automated methods of analysis allows a high degree of productivity and improves the quality of service. Laboratory informational system LIS Linked to computer terminals on wards allow direct access to results by the requesting clinician. Summary Each la