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目的:总结血细胞分析仪临床使用出现误诊及漏诊的原因,提出显微镜复查方式。方法:选取2014年9月至2015年9月50例在黔南州人民医院接受诊治的患者资料,对其住院期间病况检验进行分析;所有患者;均为全血细胞减少症状,临床治疗期间均接受血液细胞形态学检查,进一步掌握血细胞在病变状态下的变化情况,综合对比与分析血液检查结果,判断漏诊及误诊情况。结果:对50例患者检查发现,骨髓增生异常综合征、再生障碍性贫血、巨幼红细胞性贫血等3类患者相比,骨髓增生异常综合征检测率最低,其使用血细胞分析仪进行识别过程中,误诊及漏诊率较高,3类患者对比,差异具有统计学意义(P<0.05)。在显微镜复查指导下,才能确定具体病况。结论:血细胞分析仪检查常出现误诊及漏诊,显微镜复查可进一步确诊病情,提高临床诊断与治疗的有效率。
OBJECTIVE: To summarize the causes of misdiagnosis and missed diagnosis of clinical use of hematology analyzer, and to propose the way of microscopic examination. Methods: From September 2014 to September 2015, 50 cases of patients admitted to Qiannan Prefecture People’s Hospital were enrolled in this study. Their hospitalization period was analyzed. All patients were all with pancytopenia symptoms and were accepted during clinical treatment Blood cell morphology examination, to further understand the changes in the state of blood cells in the lesion, a comprehensive comparison and analysis of blood test results to determine the situation of misdiagnosis and misdiagnosis. Results: In 50 patients, myelodysplastic syndromes had the lowest detectable rate of myelodysplastic syndromes, aplastic anemia, and megaloblastic anemia among the three types of patients, which were identified by hematology analyzer , The misdiagnosis and the rate of misdiagnosis were higher. There were significant differences between the three types of patients (P <0.05). Under the guidance of the microscope review, to determine the specific condition. Conclusion: Hematology analyzer often misdiagnosis and missed diagnosis, microscopic examination can further confirm the condition, improve clinical diagnosis and treatment efficiency.