摘要
目的通过细胞图文报告的形式了解有核细胞计数≤100个/UI的浆膜腔积液标本涂片分类的临床意义,同时对现有教课书上把有核细胞计数≤150个/UI的浆膜腔积液标本,列入不需要分类标本的教学模式提出质疑,希望统一操作规范,加强质量管理意识。方法对2013年4月1日-2014年3月31日的181例有核细胞计数≤100个/UI的浆膜腔积液标本,进行细胞及临床资料的分析。结果 181例标本中检出有明显异常有形成分的标本43例,总阳性率为23.8%。其中异常细胞(恶性肿瘤细胞、淋巴瘤细胞、白血病细胞)23例,阳性率为12.7%;脓性坏死物10例,阳性率为5.5%;细菌7例,阳性率为3.9%;结晶3例,阳性率为1.7%。结论有核细胞≤100个/UI的浆膜腔积液标本虽细胞量少,但油镜下形态观察意义重大,应引起足够重视。
Objective To explore the clinical significance of serous cavity effusion samples smear classification of nucleated cell count ≤100 / UI by cell graphic report,while referring to that the effusions monocyte count ≤150 / UI on the existing textbooks was enrolled in the teaching mode of samples which need no classification,it need to be questioned. We hope to unify operation standards and enhance the sense of quality management. Methods From April 1st,2013 to March 31 th,2014,181 cases of nucleated cell count below 100 / UI of the serous cavity effusion specimens were detected on cells and clinical data. Results 43 cases were found with abnormal visible component specimens in 118 cases,the total positive rate was 23. 8%. The abnormal cells( malignant tumor cells of leukemia,lymphoma cells,cells) were 23 cases,the positive rate was 12. 7%; 10 cases were purulent necrotic material,the positive rate was 5. 5%; the bacteria were 7 cases,the positive rate was 3. 9%; 3 cases were crystallization,the positive rate was 1. 7%. Conclusion Although the amount of cells of the effusions mononuclear cells ≤100 / UI was small,but the observation under oil microscope morphological was of great significance,which should cause enough attention.
出处
《中国卫生检验杂志》
CAS
2015年第1期92-94,共3页
Chinese Journal of Health Laboratory Technology
关键词
浆膜腔积液
细胞
图文报告
Serous cavity effusion
Cell
Graphic report