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CHAPTER 10  ■  Basic Laboratory Assessment of Erythrocytes, Leukocytes, and Platelets                                             211




                                                                                                                               Hematocrit (Packed Cell Volume)

                       TABLE         10.1       Manual Total Cell Counts
                                                                                                                               T   hematocrit  Hct ,     packed cell volume,       m       -

                                                                                                                                                                         m                   k     RBC            m-
                                       Standard                                                                                                           ,    m                  m                    q    . T

                                       Blood                                               Microscope                          m                                                m                         . A     m  -

                       Type of  Specimen                                                   Objective

                       Cell            Dilution              Diluent                       Power                                        m                                                 .



                       RBC             1:100                 0.85% NaCl                    40×                                      W                                                ,
                                                                                                                                                       m                  ,
                       WBC             1:20                  3% acetic acid,               10×                                                                        . T        m

                                                             1% ammonium                                                          RBC                m                          . I       x

                                                             oxalate, 1% hydro-                                                                                            SI        m.

                                                             chloric acid
                                                                                                                                    A          m            m                                               m   -
                       Platelet        1:100                 1% ammonium                   40×                                          m               m                    . T                    m

                                                             oxalate                       phase microscopy                        m                                      m    (MCV)


                                                                                                                                                                                                   m

                                                                                                                                     RBC        m              m          m          . H  m

                                                                                                                                                                 m                m

                   QUAN  I  A  IVE ASSESSMEN   OF                                                                                                                                                       m          .

                   ERY  HROCY  ES                                                                                                   S                               m                       m      m         m    -

                                                                                                                                          m                                   m                             .
                   Hemoglobin Measurement in the Laboratory                                                                    S       m


                                                                                                                                                q                   ED  A
                   T           m                hemoglobin  Hb                       m

                                                                      CBC. A     m             m    -                                            RBC        k     .

                         m                                            m                m             ,                                                           m                                                          .

                           m                  m     m                       . A m                  -                           P                                                                 m                     m

                   m                      m                                             q                                            k                 m               m                                                .

                   m                            k     m                           .

                        T        m                          m         ,  H C,               m       -                          Rule of Three

                   m              m                       m             D     k   ’                                            A q     k         k         m                    m          m

                                            m             ;             m                   ;        -                                   “                   .” T                                 m          m     -

                                           m                  (KH PO ),                                                                                      m                             m


                                             m          m         ;                                                               m                       (H     ×    = HC   ±   %).
                          m    m z                                         RBC       . W                                            Example: I                              m                     .     /  L

                          m       m                            m x                                    -                          m          m                   %,                                      m

                   m    ,                      m      H CN        m                        m    -                              m                       m                                         . T

                            q                                                m      .                                                                                         (        %         %).

                        H  m                     m                                       m                -                         T                                       m         m   ,      m

                   m                                                                m       m                                                  . A                                         m                          -

                   m         . T       m                                                     - m                               m                                   m          m             .

                   D     k   ’              ,                                      m                          m.

                        S                                 m          m              m                                          Blood Volume Measurement

                                m         m                     . H  m

                                                               m    (                  m  ),  x   m                            I   m             ,                   m

                                WBC          ,                                               m       -                                                                                                           H

                        C        m            S.                                                                                              m   m

                        S                             m-                                                                                                         mm                                        m            ,

                                                              . I           m            m                    -                                              ,                           .

                           ,                          m          m                 q        m                                                         m                            ,       m          m

                    .   %          , m x               m    ,                               m    . I                                m                m  m                m      .

                                            x    m                     WBC          ,                                               P    m          m      m                               m          . A      -

                           m                                                 m                                                                                                                          m       m      -

                                         ,                                                                                     m     ,             E                      ,  I-                    m   ,

                              ,              %                                                                                         m-                            ,       j                              m          -

                                         m      . I                              m             C     S                                                          m                                               j

                                          ,                         m                               :                                                                                   m         . R


                                                                             m                    .                                  m             m         mm               ,                         m
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