检验血样凝血溶血原因分析与预防.docVIP

精品论文 参考文献 检验血样凝血溶血原因分析与预防 王秀袖四川省广元市第一人民医院 628000 　　【摘要】目的：研究血液出现凝血溶血的原因以及相应的预防措施，防止出现误诊现象。方法：我院对2010 年7 月-2012 年7 月间检验科4082 例采血同时对其血样进行分析，其中有304 分进行采血的血样出现凝血反应，96 份进行采血的血样出现溶血反应。具体方法为：由护士长及采血者共同组成一个研究小组，分别调查记录患者的采集血样的时间、患者自身的情况、采集的血量、工具以及采集后送检的时间等等，最终将血样出现凝血、溶血的原因进行分析和总结，根据实际情况制定可行性的预防措施，经过一段时间的实践，分析制定的预防措施是否有效。结果：通过对本文所选人群进行分析，得出采血后出现凝血、溶血的原因有很多，具体包括以下几种：（1）患者自身易出现凝血溶血现象，主要为采血前饮水或者进食导致。（2）医务人员的操作方法不正确，第一，是由于抽入到真空管内的血液样本析出程度不等的纤维蛋白或者出现血凝块；第二，是指血液标本中出现可白细胞及红细胞破裂，血清或者血浆中混有血细胞的成分。（3）没有在根本上预防血样出现溶血、凝血等质量问题。结论：血液检查结果能够高度的反应病情的变化，其准确度指导着病情的诊治方向，如果义务人员的技术不够熟练，不够细心等等都会增加患者的痛苦，延误病情的诊治，使患者对医疗机构失去信心，作为医务人员我们应该对其进行有效的预防，提高血液中疾病的诊断率。 　　【关键词】检验血样；凝血溶血；原因分析；预防措施【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165（2015）11-0035-02Abstract：Objective: To study the causes of hemolytic blood coagulation and the corresponding preventive measures, to prevent misdiagnosisphenomenon. Method: in our hospital from 2010 July to July -2012 years 4082 cases of blood sampling and laboratory analysis of the blood samples,including 304 points for blood coagulation blood appeared, 96 blood samples from hemolytic reaction. The specific method is: the nurse and the blood toform a joint research group survey, blood samples were collected respectively were recorded time, the patients own situation, collecting blood, tools andcollected after submission time, blood coagulation, will eventually appear, hemolytic reasons were analyzed and summarized, according to the actualdevelopment of feasibility the preventive measures, after a period of practice, analysis and prevention measures are effective. Results: through the analysis ofthe selected population, there are many reasons that after taking blood coagulation, hemolysis, specific include the following: (1) patients prone to clottinghemolysis phenomenon, mainly for drinking or eating lead before blood sampling. (2) the operation methods of medical staff is not correct, the first, is dueto precipitation of degree of blood samples drawn into the vacuum tube of different f