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경희대학교 의과대학·의학전문대학원

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(1)

혈액검사종목의 선택

,

검체 채취

,

검사변동원인

,

참고치

진단검사의학과 조선영

영상

15

(2)

혈액검사종목의 선택

• 혈액학적 검사

– 혈액세포수 계산 (CBC : complete blood

cell counting)

(3)

• EDTA tube

– 형태 보존 – Viability – PCR

(4)

• 혈액학적 검사

– 혈액응고 검사 – Citrate tube

• 1:9

Knuttinen et al. Review of Pharmacology and Physiology in Thrombolysis Interventions. 2010

(5)

• SST tube

– 혈청 (serum) – Gel 의 기능

(6)

• 미생물학적 검사

• 진단면역학적 검사

• 수혈의학적 검사

• 세포유전 검사

• 분자진단 검사

Heparin tube • Viability 유 • PCR inhibitor Plain tube

(7)

검사변동원인

(8)
(9)
(10)

간섭물질

(11)

• hCG vs LH

hCG

LH

(12)

검체 채취

• 혈액

– 동맥혈 • ABGA – 정맥혈 • 전혈 • 혈장 • 혈청 – 올바른 tube 에 – 금식이 필요한 경우

• 소변

– 중간뇨 – 아침 첫뇨

• 미생물학적 검사

– Contamination 주 의 – 혐기성 vs 호기성

(13)
(14)

참고치

• Reference interval

– 참고인들에게서 얻어진 관찰 값의 중앙 95% – 건강 참고치 – 질병관련 참고치 – 임상결정한계치 – 나이 , 성별 120 명의 참고인 중 중앙값 95% 보이는 114 명의 검사결과 범위 참 고 범 위

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