血液细胞分析显微镜复片的必要性探讨

目的:分析血液细胞分析显微镜复片的重要性。方法:选取一周的血液细胞分析显微镜复片结果进行计算分析及6例血小板数量异常结果的处理结果报告。结果:在一周的4 344例标本中,符合复片规则进行显微镜检查的有734例,细胞形态异常占复片总数的23.3%;符合血小板复片规则的全部样本经显微镜观察有6例与血液分析报告血小板计数不相符,其中5例为假性减少,1例为假性增多。结论:显微镜复片能发现细胞形态的异常,识别细胞假性计数异常,弥补血液分析仪的不足,是保证血液细胞分析报告准确性的重要手段。

Necessity discussion of microscopic smear slice review for blood cell analysis

Objective：To elucidate the importance of microscopic smear slice review for the blood cell analysis. Methods：Data from the microscopic smear slice review for the blood cell analysis in one random week were collected. Six samples with different find-ings of microscope and blood cell analysis in the blood platelet number were analyzed. Results： Of the 4 344 cases for the blood cell a-nalysis, 734 cases needed further microscopic smear slice review according to the protocol, in which 23. 3% of the samples were mor-phologically abnormal. Six samples under microscopic smear slice review were different from blood analysis results, wherein five falsely decreased, the other falsely increased. Conclusions： The microscopic smear slice review is an important mean to ensure the accuracy of blood cell analysis report for the reasons that it could find abnormal cell morphology and false counting to compensate the drawbacks of blood analyze.