血液一般检查ppt课件.pptVIP

标本采集~~Sample collecting mostly the sample is colleted from vein it can also be collected from ca’pillary by pricking the fingerip,heel, great toe or earlobe 样本采集后的处理 立即加入加有抗凝剂的试管内，并混匀 抗凝剂：EDTA-K2 Contents (3 part) RBC (red blood cells)~~红细胞 WBCs (white blood cells)~~白细胞 PLT (platelets)~~血小板 RBC and Hb Normal values RBC： Male: 4.0-5.5 ×1012/L Female: 3.5-5.0 ×1012/L Hb： Male: 120-160 g/L Female: 110-150 g/L [临床意义]： MCH (mean corpuscular hemoglobin) 平均红细胞血红蛋白量 系指每个红细胞内所含血红蛋白的平均量，以皮克 (pg)为单位。 (unit: pg＝10-12g) MCH = Hb / RBC 反映了每个红细胞内的平均血红蛋白含量 MCHC (mean corpuscular hemoglobin concentration) 平均红细胞血红蛋白浓度MCHC 系指每升血液中平均所含血红蛋白浓度，以g/L表示。 MCHC = Hb / HCT 反映了血液中血红蛋白浓度 三个指标互相联系 MCV = HCT / RBC MCV = MCH / MCHC MCHC = Hb / HCT MCHC = MCH / MCV MCH = Hb / RBC MCH = MCHC ×MCV MCV,MCH and MCHC reflect the size and hemoglobin concentration of individual RBC useful in the diagnosis of various types of anemia Application: P263,table 4-2-4 case the report of BRT for the girl shows RBC: 3.0 ×1012/L ↓ (3.8-5.2 ×1012/L) Hb：108 g/L ↓ (117-157g/L) MCV:70fl ↓ (80-100fl) MCHC:290g/L ↓ (320-360g/L) MCH:22pg ↓ (27-34pg) We can judge The girl got anemia. we can primary diagnose that maybe she is IDA,or chronic blood loss caused anemia,while the AA, acute loss anemia, hemolytic anemia, megloblastic anemia, and pernicious anemia can be excluded. Combined with her clinical manifestation and other auxiliary examination,we can do the last diagnosis. RDW (RBC volume distribution width) 红细胞体积分布宽度 反映外周血红细胞体积异质性的参数。 是反映红细胞大小不等的客观指标 其对贫血的诊断有重要意义。 Application: P263,table 4-2-5 白细胞~~WBCs 白细胞计数~~ The number of white blood cells Normal values：adult 4-10×109/L 白细胞分类~~The diffrential of WBCs 中性粒细胞~~Neutro