BECKMEN系统血细胞直方图散点图的临床意义—培训课件.pptVIP

红细胞限定性旗标(III) 6. 1+ Poikilocytosis(红细胞畸形)：RDW高于上限而MCH低于下限 2+ Poikilocytosis(红细胞畸形)：程度高于1+ 3+ Poikilocytosis(红细胞畸形)：程度高于2+ 7. Erythrocytosis(红细胞增多症)：红细胞数值高于设定的上限 8. Pancytopenia(全血细胞下降)：白细胞、红细胞和血小板数值都下降 血小板怀疑性旗标 1. Platelet Clumps (血小板聚集) 2. Giant Platelets (巨大血小板) 血小板限定性旗标 1. Thrombocytopenia(血小板减少症)：血小板数值低于下限 2. Thrombocytosis(血小板增多症)：血小板数值高于上限 3. Small Platelets(小血小板)：MPV低于下限 4. Large Platelets(大血小板)：MPV高于上限 * * * We could have used forward angle light scatter, but that would only be an estimate of relative size - not a true measure of cell volume. Instead, when the cell reaches the sensing zone, the VCS module energizes the embedded electrodes with direct current. Since white blood cells resist the flow of direct current, this results in a true measure of the volume of the cell - and is the reference method for volumetric sizing. * Similarly, we could have used low angle light scatter to estimate the relative complexity of the cell, but light scatter is non-specific in regards to complexity. Everything from the granules to the nuclear structure cause increased low angle scatter. But radio waves can be tuned to a frequency that is unaffected by the cellular membrane and granules - resulting in a signal that is much more specific to nuclear structure, density and lobularity. Therefore, when the cell is in the sensing zone, we superimpose a finely tuned radio frequency signal onto the DC volume signal and collect information that is specific to the nuclear structure of the cell. * And finally, since the optimum angle of light scatter varies for each cell type, VCS Technology captures light scatter readings over a continuous arc that encompasses over 60 angles. In comparison to standard flow cytometry which reads granularity at a fixed angle, the VCS method is much more sensitive and versatile.为什么可以准确区分嗜酸和中性呢？我们来看下一张片子 * We could have used forward angle light scatter, but that would only be an estimate of relative size - not a true measure of cell v