xs-800i血细胞分析仪血小板参数提供不全的原因分析.docVIP

精品论文 参考文献 XS-800i血细胞分析仪血小板参数提供不全的原因分析 李艳 孙家祥 叶敏 　　（四川德阳市人民医院检验科 四川 德阳 618000） 　　【摘要】 目的：探讨XS-800i血细胞分析仪血小板参数不全的原因及解决方法。方法：对XS-800i血细胞分析仪血小板参数提供不全的122例标本，按仪器血小板的计数结果分为正常组（300&times;109/L>PLT>100&times;109/L）、低值组（PLT<70&times;109/L）2组，分别行显微镜人工血小板计数，并涂片染色观察红细胞和血小板的形态。结果：⑴ 122例血小板参数显示不全的标本中,PLT直方图异常85例，占69.7%；小RBC（MCV＜75FL）57例,占46.7%；涂片可见大血小板者36例,占29.5%，血小板有聚集或卫星现象者56例，占45.9%，RBC形态不完整或有碎片者24例，占19.7%。⑵ 与显微镜计数结果比较,正常组仪器血小板计数结果差异具有统计学意义（P＜0.05），而低值组则无统计学意义（P＞0.05）。结论：对仪器血小板参数缺失或提供不全标本应引起足够重视，均应进行显微镜人工计数，并积极查找原因，方能保证血小板计数结果的准确性。 　　【关键词】血细胞分析仪；血小板参数；血小板计数 　　【中图分类号】R446.11 【文献标识码】A 【文章编号】2095-1752（2015）09-0040-02 　　Reason Analysis of Platelet Parameters Incomplete of XS-800i Blood Cell Analyzer LI Yan，Sun Jiaxiang，Ye Min. The People&rsquo;s Hospital of Deyang City. Sichuan Province, Deyang 618000, China 　　【Abstract】 Objective: To explore the reasons of platelet parameters incompletion of XS-800i blood cell analyzer and its solutions. Methods:The 122 specimens of platelet parameters incomplete by XS-800i blood cell analyzer , according to the instrument platelets counting Results:were divided into normal group (300&times;109/L>PLT>100&times;109/L), low value group (PLT<70&times;109/L) 2 group. Respectively for artificial microscope platelet counting, and smear staining was observed in the red blood cell and platelet morphology. Result ⑴122 cases of platelet parameters showed incomplete specimen, PLT histogram abnormality in 85 cases, accounting for 69.7%; small RBC (MCV < 75FL) in 57 cases, accounting for 46.7%; smear sees large platelet in 36 cases, accounting for 29.5%, platelet aggregation or a satellite phenomenon in 56 cases, accounting for 45.9%, 24 cases of RBC form was incomplete or there were debris, accounted for 19.7%.⑵Compared with the microscope counting results, the instrument platelet counting Results:had statistically significant differences in normal group (P<0.05), while the low-value gro