血红蛋白监测方法.ppt

* Effective interventions to reduce anemia in the first six months include improving iron status at birth (through improved micronutrient status pre-pregnancy and during pregnancy, immediate cord clamping, and exclusive breastfeeding. Rates of anemia are highest 6-24 months due to low intake of good bioavailable sources of iron (such as meat and poultry) * an-Etymology: from Greek. ne, no, without, not –aemia also –hemia or –haemia Etymology: New Latin, from Greek -aimi, from haima, blood. * * * * * * * Blood obtained by skin puncture is composed of a mixture from the arterioles, venules and capillaries; it may also be diluted with intrastitial and intracellular fluid.  Results from capillary samples are in some cases higher and in other cases lower than the corresponding venous results. Among other things this is depending on the capillary technique. The relative composition of skin puncture will depend on variables such as blood flow to the skin during collection. Warming the puncture site prior to blood collection in effect arterialises the blood in the skin. If it is necessary to squeeze firmly in order to obtain blood, it is most likely that the blood will be diluted with intrastitiual fluid and the results are unreliable. If the fingers are being cold and cyanosed, too high figures for Hb are usually obtained due to a contraction of the arterioles that will exaggerate a central, rapid flow of greater particles like erythrocytes. * Make sure that the drop of blood is large enough to fill the cuvette in one continuous operation. Do not refill. The cuvette is designed to be filled in on step to make sure that the mixing is optimal and the proportions between the reagent and the blood is correct. It is not enough to only fill the eye of the cuvette! Wipe off the excess blood on the cuvette sides. Do not touch the slit of the cuvette. Blood left outside the cuvette, can result is incorrect reading. Look for large air bubbles in the filled cuvette. If pre