血栓弹力图室内质控方案的探讨.PDFVIP

北京医学2015年第37卷第4期 ·377 · ·临床输血专栏 · ·论著 · 血栓弹力图室内质控方案的探讨 高旭蓉 马丽 张颖 潘楠 贾金娜 纪宏文 【摘要】目的 探讨建立适合本实验室特点的血栓弹力图（TEG）检测室内质控方案。方法 采用2013年2~7月 间的连续20次室内质控数据，绘制Levey-Jennings质控图，并与厂家提供的质控正常参考范围进行对比。结果 本 实验室2013年的20次TEG质控数据均在厂家提供的质控参考范围内。在绘制质控图后发现R值、α-Angle值和MA 值均有超过x±2s或x±3s范围的数据。结论 在TEG质控检测中不能单独依据厂家的质控正常参考范围，需结合绘ˉ ˉ 制质控图的方法，来发现是否存在失控数据，以保证试验检测结果的准确性。 【关键词】 血栓弹力图 室内质控 质控图 StudyofInternalQualityControlofThromboelastography GaoXurong,MaLi,ZhangYing,PanNan,JiaJinna,Qi Hongmei,WangYue,LiuNa,MaZuxuan,XiongQian,JiHongwen. DepartmentofBloodTransfusion,Fuwaihospital, ChineseAcademyofMedicalSciencesPekingUnionMedicalCollege,NationalCenterforCardiovascularDiseases, Beijing100037,China Correspondingauthor：MaLi，Email：mali880329@163.com 【Abstract】Objective To establish the appropriate method of quality control of Thromboelastography(TEG) in lab- oratory. Methods A quality control chart of 20consecutive quality control data in our lab from February to July in 2013 was drawn and compared with the normal reference range from manufacturer. Results All quality control data of TEG in 2013 were in the normal range of the manufacturer. Some data were more than xˉ±2sor xˉ±3sbeyond the scope related to R, α-Angle and MA value in the quality control chart. Conclusion The manufacturers quality control reference range is not enough in TEG Internal quality control test. A quality control chart is needed to distinguish the data that out of range of quality control, and to ensure the accuracy of test results. 【Keywords】 Thromboelastography Internal quality control（IQC ） Control quality chart 血栓弹力图（thromboelastography,TEG）是一种 对象与方法 能动