摘要
目的分析血液细胞形态学检查在血常规检测中的临床应用价值,为临床检验提供参考。方法选取医院全自动血液分析仪检测血液异常标本200份作为异常组,另外选取同期血液标本检测正常的200份作为对照组。均检测血液细胞形态学,对比检测结果。结果异常组HCT、MCHC、MCV等显著低于对照组,MCV值显著高于对照组(P<0.05)。对照组血液标本形态学检查,假阴性率为4.5%。异常组血液标本形态学检查假阳性率为32.0%。对照组有9例异常,包括红细胞形态异常、白细胞形态异常、血小板减小、EDTA依赖性假性血小板减小。结论血常规检测中检测血液细胞形态学能够提高诊断准确性,具有应用价值。
Objective To analyze the clinical application value of blood cell morphology examination in routine blood test,and provide reference for clinical examination.Methods Detection of 200 blood abnormal samples by automatic blood analyzer in hospital were selected as exception group,200 normal blood samples were detected during the same period were selected as control group. Blood cell morphology were detected,test results were compared.Results The levels of HCT,MCHC and MCV in abnormal group were significantly lower than those in control group,and the values of MCV were significantly higher than those in control group (P < 0.05).In the control group,the false negative rate was 4.5%.The false positive rate of morphological examination in abnormal group was 32.0%.There were 9 abnormalities in the control group,including abnormal erythrocyte morphology,abnormal white blood cell morphology, thrombocytopenia and EDTA-dependent pseudothrombocytopenia. Conclusion Detection of blood cell morphology in routine blood test can improve the diagnostic accuracy and has application value.
作者
明安萍
MING Anping(Laboratory Department,Hubei Traditional Chinese Medicine Hospital,HuBei WuHan 430063,China)
出处
《中国继续医学教育》
2019年第28期88-91,共4页
China Continuing Medical Education
关键词
血常规
血液细胞形态学
误诊
血小板减小
红细胞形态异常
白细胞形态异常
blood routine
blood cell morphology
misdiagnosis
thrombocytopenia
abnormal red blood cell morphology
abnormal white blood cell morphology
