时间是从肝血和血清中释放的重要因素
Tom Reuter1,2, Michael Müller2,3, Felix Stelter2,4
1LADR Laboratory Group Dr. Kramer & Kollegen, Geesthacht, Germany.
在离心之前,血液样本中的含量随着时间的推移而增加,特别是在肝素 (Li-Hep) 管中,导致伪超血症. 血清管是门诊测试的可行替代方案.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 预分析变量 预分析变量
背景情况:
- 门诊血液样本往往经历延迟的离心,影响测试准确度.
- 在延迟样本处理中,释放和伪高血是关键问题.
研究的目的:
- 为了研究随着时间的推移,肝素 (Li-Hep) 和血清血液采集管中的释放和伪高血症的发展.
- 在模拟的门诊预分析条件下比较Li-Hep和血清管的适用性.
主要方法:
- 在Li-Hep和血清管中收集了201名捐赠者的血液样本.
- 样品在采集后的0.5,4,6和8小时被离心.
- 模拟的预分析条件包括和冷藏储存.
主要成果:
- 从Li-Hep血中释放的比离心离散前的血清要多得多.
- 6小时后,两种管类型的水平没有显著差异.
- 在8小时后,与血清组 (76) 相比,在Li-Hep组 (164) 的捐赠者中,更多的捐赠者出现了伪高血症.
结论:
- 分析前的条件显著影响水平和伪高血症风险.
- 血清管与Li-Hep管一样适合在门诊环境中测定.
- 血清管为门诊血液管理提供了更广泛的分析可能性.
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