有效解读临床检验报告,提高临床诊治水平

Effective interpretation of clinical laboratory reports to improve the level of clinical diagnosis and treatment

近年来,医学检验技术进展迅猛,临床检验逐渐过渡到检验医学。临床一线的医务工作者需紧跟发展趋势,全面、深入认识层出不穷的检验项目,并能够准确、有效解读常见检验项目的临床价值,这无疑对提高临床诊断和治疗水平具有重要意义。临床检验项目繁多,影响检验结果解读的因素颇多,解读检验报告需充分了解检验方法和仪器的局限性,评估其可能存在的误差及不确定度;从检验前、检验中和检验后3方面分析结果;方法不同,其参考区间、医学决定水平及临床意义存在差异。检验结果解读离不开临床,最终解释必须结合临床综合判断。

In recent years,clinical testing gradually has developed into medical laboratories.Clinical workers need to keep up with the trend of the development and to understand the endless stream of test items in depth and comprehensively.Interpreting the clinical value of common test items accurately and effectively would be undoubtedly important for improving the clinical diagnosis and treatment.Many clinical test items and factors will affect the interpretation of the test results.The interpretation of the test reports must understand the limitations of the testing methods and instruments,and fully evaluate the errors and uncertainties of the test methods.The reports should be analyzed from the processes of pre-examination,examination and post-examination.Also different methods might exert effect in reference interval,medical decision and clinical significance.Interpretation of test results can not be separated from clinical circumstances,and final interpretation must be combined with clinical judgment.