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社区临床检验中不合格血液标本应对措施分析

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目的 讨论临床检验中血液标本不合格的原因以及相关预防措施.方法 对厦门市思明区筼筜街道社区卫生服务中心2021年2月—2022年12月接受血液检查的200例受检者的血液标本展开研究,统计其临床检验的不合格率,并找到血液标本不合格的原因,以此为基础提出有针对性的对策.结果 此次回顾性分析中,血液标本临床检验不合格率为12.50%.在不合格标本中,12.00%为凝血,16.00%为运输不及时,16.00%为溶血,28.00%为患者信息不全或遗失而致,16.00%为采血过程不规范,16.00%为抗凝剂的应用不合理而致.结论 临床血液检验的质量控制是检验结果可靠、准确的基础,包括溶血性贫血试验室检验、血液常规检验、骨髓细胞学监测、交叉配血实验和血型鉴定等,每一个环节的检验质量与检验方式都对检验质量控制效果有着明显影响.造成血液标本不合格的原因有许多,应针对具体情况展开分析,明确具体原因,并提出预防策略,进而提升血液检验的准确性,为临床诊断、治疗提供参考.
Analysis of response measures for unqualified blood samples in community clinical test
Objective To discuss the causes of unqualified blood samples in clinical test and relevant preventive measures.Methods A total of 200 blood samples of patients who underwent blood test in Xiaman Siming District Yundang Streat Community Health Service Center from February 2021 to December 2022 were studied,and the unqualified rate of clinical test was counted,and the reasons for the unqualified blood samples were found.Based on this,targeted countermeasures were proposed.Results In this retrospective analysis,the unqualified rate of clinical test of blood samples was 12.50%.Among the unqualified samples,12.00%were caused by coagulation,16.00%by untimely transportation,16.00%by hemolysis,28.00%by incomplete or missing patient information,16.00%by nonstandard blood collection process,and 16.00%by unreasonable use of anticoagulants.Conclusion The quality control of clinical blood test was the basis of reliable and accurate for test results,including hemolytic anemia laboratory test,blood routine test,bone marrow cytology monitoring,cross matching test and blood type identification,etc.The test quality and test method of each link had a significant impact on the test quality control effect.There were many reasons for disqualification of blood samples.We should analyze the specific situation,clarify the specific reasons,and propose preventive strategies to improve the accuracy of blood test and provide reference for clinical diagnosis and treatment.

Blood sampleCommunity clinical testCause of nonconformity

张岳香、方镇宁

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厦门市思明区筼筜街道社区卫生服务中心检验科,福建 厦门 361012

血液标本 社区临床检验 不合格原因

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(6)