在VA-ECMO患者中,细胞的重要性
1Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte, EPE, Av. Prof. Egas Moniz, 1649-028 Lisbon, Portugal; Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Morphologie : bulletin de l'Association des anatomistes
|April 5, 2024
概括
血清细胞,或碎片化的红细胞,可以导致不准确的自动化血液计数. 血细胞组图的仔细分析对于正确的解释至关重要,特别是在体外膜氧化 (ECMO) 患者中.
科学领域:
- 血液学 血液学 血液学
- 临床病理学 临床病理学
- 医学实验室科学 医学实验室科学
背景情况:
- 血清细胞,或碎片化的红细胞,越来越多地被认为是实验室错误的来源在全血细胞计 (CBC) 分析.
- 它们的存在可以导致血小板数的虚假升高 (血小板细胞增血) 和虚假降低红细胞 (RBC) 数.
- 由于自动溶解方法,血红蛋白度可能看起来准确,但平均体质血红蛋白 (MCH) 可能会虚假地升高.
研究的目的:
- 为了突出表现石细胞对CBC参数的影响.
- 强调分析红细胞 (RBC) 和血小板组图的重要性,以识别分裂细胞.
- 要强调在需要体外膜氧化 (ECMO) 的患者中准确的CBC解释的临床意义.
主要方法:
- 对受细胞影响的CBC参数的审查.
- 通过自动化血液学分析仪生成的红细胞 (RBC) 和血小板组织图的分析.
- 在患有体外膜氧化 (ECMO) 患者的病例考虑.
主要成果:
- 分裂细胞可以导致虚假高的血小板计数和虚假低的红细胞计数.
- 血红蛋白度可能不受影响,但平均体质血红蛋白 (MCH) 可能是虚假的高.
- 自动分析仪直方图对于识别分裂细胞和确保准确的CBC报告至关重要.
结论:
- 仔细检查血清图谱对于检测类细胞至关重要.
- 准确地解释CBC参数对于防止误诊和错误的临床决定至关重要,特别是在ECMO治疗的重症患者中.
- 实验室专业人员必须在识别分裂细胞时保持警,以确保可靠的患者数据.
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