Page 231 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )
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CHAPTER 10  ■  Basic Laboratory Assessment of Erythrocytes, Leukocytes, and Platelets                                             215




                           k                                     .

                                                                      k          .                                                 TABLE         10.3       Maturation Time Correction Factor

                        T

                             -       -     m                                   ,                                                   Hematocrit (%)                                Maturation Time (Days)

                                                                                      (RBC) m

                                           q                    m                 RBC                 ,                            45                                            1.0

                   m                               -                                                 . W                           35                                            1.5

                         RBC m           ,                                           RBC            -                              25                                            2.0

                                                              . N   m

                                                                                                        ,                          15                                            2.5

                                                       m           . A

                                   m                             RBC             . R

                                                                         m                m           .
                                                                                                                                      m

                   Calculating and Expressing Traditional                                                                              .

                   Reticulocyte Values                                                                                              A            m                                mm


                                     ,                                                          x                                                                                 x (RPI). T    m

                                                                 m                                        -                                              m         m                                              -

                           (  .  .,   %). H           ,                             m                -                         m                m      . T    RPI m                                           -

                                                                                        m                                                                                                  . T

                                                             m

                                                                          m                                   -                                                                                      m            .

                               .                                                                                                  m                                    m                m                  -

                   q          ,   x                                                                                            q                                        RNA                m

                                           m               m                             m                                                         ,

                                 . T                                m                                                                                                       m       m                 m

                                        ,                                  m                        . T                        (              .  ). T    CLSI        mm                              RPI

                   C           L                S              I            (CLSI)                                                                                m       .

                                                     m   ,                                                    ,                Calculation of the Reticulocyte Production Index

                       m       m       m                                                                  -

                                                    m          k     RBC        m   (    m          ).                                                                                              %
                                                                                                                                                RPI =

                   Corrected Reticulocyte Count                                                                                                                    m                m



                         C                                          =                                     (%)                  I                                                           .  %                         ’
                                                                                  (
                                             ’        k                 m      m                      )                           m                .     L/L,       RPI

                             ×
                                                                                                                                                                                .
                                     m        m                                                                                                                    RPI =  =               .

                                                                                                                                                                               .
                   Example: I                m                   m                   % (  .     L/L)

                                                               %,                                                              Absolute Reticulocyte Count


                                                                                                                               T                    m          m                         m                     -

                    C                                          =   %                                                                                  ,                                    ,

                                                           LL                                                                      m   . T                                                                 m
                                                      .
                                                              /
                           ×
                                             (
                                        /
                                     LL          m          m                          )                                                                             (L)       m             (µL)            .
                                .
                                                                                                                               T        m                                               (               ) ×     /L.

                                                                 /
                                                              .
                                                                   LL
                          =  ×                                                                    =   =   .          %         I                                                                            ×     /L,

                               .

                                                                                                       .

                                                     (
                                        .
                                             LL          m          m                          )
                                                /
                                                                                                                                                  m   .
                        T        m                                                         m                                        A                     m                  z
                      m                                             m                                                                             ,       m              m
                    .  %      . %.
                   Reticulocyte Production Index
                                                                                                                                        A                                        =
                   A    m                                                                                                                     %
                                                                                                                                                                                 ×
                                                                  m

                      q           m   .         .                                                                                                                                    *

                       m                                      k               m. T                                                  *T                                                                   m     /L

                           ,                          ,                                                                                /L.
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