血涂片显微镜检查在血常规检验中的必要性分析.docxVIP

血涂片显微镜检查在血常规检验中的必要性分析 摘要：目的探讨和论证血涂片显微镜检查在血 常规检验时中的必要性。方法 将2013年5月?12月 共980份血液标本采用血液分析仪检查，对其中符合 检查标准的400份标本进行血涂片显微镜检查，对400 份血液标本进行血涂片显微镜检查的结果与采用血液 分析仪检查的结果进行对比分析。结果血液分析仪检 测结果与血涂片显微镜检查结果259例(64.75%)相 符，141例不相符(35.25%)具体体现在：血液分析 仪检测结果显示WBC正常或升高，N升高时，血涂 片显微镜检查结果异常率为18.25%(73/400),当WBC 正常或升高或降低，B、M计数改变时，血涂片显微 镜检查结果异常率为11.5% (46/400),即将WBC正 常或升高或减低，RBC、HB、MCV、RDW等指标 异常时，红细胞形态有明显变化，主要表现为红细胞 血液标本检测结果的准确性，可为临床医生提供更可 靠的诊断依据，应加以重视。 大小不等、高色素性。结论血涂片显微镜检查可提咼 大小不等、高色素性。结论 血涂片显微镜检查可提咼 关键词：血液分析仪；血涂片；显微镜检查；血 常规 Microscopic Examination of Bblood Smears on the Necessity of Analyzing Blood Tests ZHANG Qun-ying,XIANG Jun-jun (Longquanyi District Hospital of traditional Chinese Medicine,Chengdu 610100,Sichuan,China) Abstract： ObjectiveTo investigate and demonstrate the need for microscopic examination of blood smears when the blood of the inspection ? MethodsFebruary 2013-October 2013 period were 980 blood specimens using blood analyzers to check for compliance with inspection standards which 400 specimens of blood smear microscopy of blood samples from 400 blood smear microscopy check the results with the results of the use of the blood analyzer checks were analyzed. ResultsHematology analyzer test results with the results of microscopic examination of blood smears 259 cases (64.75%) match, 141 cases do not match (35.25%) embodied in: blood analyzer test results showed normal or elevated WBC, N rises, blood abnormal smear microscopy result was 18.25% (73/400), when the WBC normal or elevated or lowered, B, M count changes, abnormal results of blood smear microscopy was 11.5% (46/400), is about WBC normal or elevated or reduced, while RBC, HB, MCV, RDW and other indicators of abnormal red blood cell morphology changes significantly, mainly for the red blood cell size, high pigmented. ConclusionBlood smear microscopy can improve the accuracy of the test results of blood samples , can provide a more reliable basis for clinical diagnosis of doctors, attention should be paid ? Key words: Blo