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目的探讨血细胞复检规则的重要性及血小板假性减少的原因及处理方法。方法通过工作中遇到的1例血小板假性减少的病例,根据血细胞分析复检规则,制作血细胞涂片显微镜复检及使用不同的抗凝剂处理检测血小板。结果血涂片镜检发现血小板聚集成堆,EDTA抗凝剂采血管检测血常规血小板异常减低,肝素抗凝管检测血常规血小板正常。结论复检规则在血常规检测中起着重要的作用。通过复检规则能避免单纯依靠仪器造成的误诊和漏诊,采用血涂片复检和更换肝素抗凝剂等方法可发现EDTA抗凝剂引起的血小板聚集,纠正由EDTA抗凝剂引起的血小板假性减少。
Objective To investigate the importance of the rule of blood cell recheck and the reason and treatment of platelet hypogonadism. Methods One case of hypopigmented platelet reduction encountered during the work was made. Blood cell smear microscopy and platelet microscopy were performed with different anticoagulants according to the rules of hemocyte analysis. Results Blood smear microscopy found that platelets aggregated into piles, EDTA anticoagulants blood test to detect abnormal blood platelet abnormalities, heparin anticoagulant test blood routine platelet normal. Conclusion The re-examination rules play an important role in the blood test. Through the re-examination rules can be avoided simply rely on the instrument caused by misdiagnosis and missed diagnosis, the use of blood smear retest and replacement of heparin anticoagulants and other methods can be found in EDTA platelet aggregation caused by anticoagulants to correct EDTA anticoagulant caused by platelet false Reduce sex