实验诊断学 血液一般检验2013.pptVIP

第二章 血液一般检测;Contents and Learning Objectives;What does a complete blood count measure? ;;What does a complete blood count measure? ;How to collect a complete blood count sample? ;Sample collection - Site - Strict aseptic technique - ？ ;How to interpret complete blood count results? ; [Reference value] RBC Hb 成年男性 (4.0 ~ 5.5)×1012/L 120 ~ 160 g/L 成年女性 (3.5 ~ 5.0)×1012/L 110 ~ 150 g/L 新生儿 (6.0 ~ 7.0)×1012/L 170 ~ 200 g/L ;贫血(anemia);Thalassemia;1）Hematocrit，Hct ( packed cell volume，PCV）;;2) Mean RBC indices;;＝; 3) RBC Distribution Width，RDW;;2）TOTAL LEUKOCYTE COUNT (TLC);Neutrophil (Ne) Lymphocyte (Ly) Eosinophil (Eo) Basophil (Ba) Monocyte (Mo);[Clinical Significance ] ; M： a.增多：某些感染如感染性心内膜炎等、 血液病如单核细胞白血病等。 b.减少：无重要临床意义。;4）Platelet;Causes of thrombocytopenia : ?? Viral infection ?? Idiopathic thrombocytopenic purpura (ITP) ?? Medications ?? DIC ?? Liver disease ?? Autoimmune disease ?? Hypersplenism ?? Pregnancy ?? Bone marrow causes;High Platelet Count (Thrombocytosis) Malignant tumor Polycythemia vera Splenectomy;How to perform a complete blood count test? ;1. 血细胞自动化分析原理： 1）三分类：电阻法原理（Coulter? Counter?.）;COULTER PRINCIPLE ;;2）Red cell histogram;下面介绍几种贫血时图形变化： ;不同类型贫血红细胞体积分布直方图 ;Vocabulary;References