临床血液常规检验标本不合格的原因分析与对策探讨

Analysis of the Causes of Unqualified Clinical Blood Test Specimens and Discussion of Countermeasures

目的关于临床血液常规检验标本不合格的原因分析与对策探讨。方法选择2018年6月至2019年2月于我院进行血常规检验的1200名受检者作为调查对象,对所有研究对象均行常规血液采集,将血液采集所得的标本送归实验室进行血常规检验,分析血常规检验不合格标本占比,并调查血常规检验不合格的因素,进行相关的探讨和总结。结果1200名进行血液检验的受检者中存在不合格血液标本82名,占6.83%;导致临床血常规检验标本不合格的因素主要包括溶血因素(21名)、凝血因素(18名)、抗凝剂使用不当(16名)、标本送检不及时(15名)、标本样本量太少(12名),分别占25.61%、21.95%、19.51%、18.29%和14.63%。结论临床在进行血常规检验时导致血液标本不合格的因素表现在多个方面,主要包括溶血、凝血、抗凝剂使用不当、标本未及时送检、标本样本量太少等。临床需根据这些相关因素进行针对性的干预,以最大限度的提升血常规标本检验的合格率。

Objective Analysis of the causes of unqualified clinical blood test specimens and discussion of countermeasures.Methods From June 2018 to February 2019,1200 peoples who underwent routine blood tests were selected as subjects.All subjects were routinely collected blood and collected from blood.The specimens were sent to the laboratory for blood routine examination,the proportion of unqualified blood test specimens was analyzed,and the factors for unqualified blood routine tests were investigated,and relevant investigations and summaries were conducted.Results Of the 1200 peoples who underwent blood tests,82 peoples were unqualified blood samples,accounting for 6.83%.The conclusions led to the failure of blood test specimens in clinical blood tests,including 21 peoples of hemolysis,18 peoples of coagulation factors,16 peoples of improper use of coagulant,15 peoples of specimens were not sent in time,and 12 peoples of specimens were too small,accounting for 25.61%,21.95%,19.51%,18.29%and 14.63%,respectively.Conclusions In the clinical routine blood test,the factors that lead to the unqualified blood samples are manifested in many aspects,mainly in the aspects of hemolysis,coagulation,improper use of anticoagulants,untimely delivery of specimens,and too small sample samples.Targeted interventions based on these relevant factors are needed to greatly improve the pass rate of blood routine specimens.