Page 237 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )
P. 237

CHAPTER 10  ■  Basic Laboratory Assessment of Erythrocytes, Leukocytes, and Platelets                                             221




                                                                                                                               Specimen

                        BOX  10.2
                                                                                                                               P                         ,          m        ,                            m      ,

                                                                                                                                                               ,                                     m     .  W

                     Total White Blood Cell Estimate                                                                                      m        m            m            m  ED  A-

                                                                                                                                                                  m        -                                       .
                      .  S                                                                          m                          Sm                          m                                                          -

                             × m                    (RBC  j                   ).                                                          m ED  A         m                         m    m

                      .  C                    m            WBC                                                                                                          m                 . U               m

                          (m    m  m).                                                                                                                                           ,                   m

                      .  C                         m                                           WBC                                                   .

                               µL      m                                      m          WBC/

                                 ×   ,      .                                                                                  Reagents, Supplies, and Equipm ent

                      .  C  m                   m                   q                             -                             .  A m

                          m               m            m          WBC                                                           .  M               ,  mm              ,



                     Example: I                            WBC

                                  ×     j          ,                                                                           Quality Control

                         m                   ×   ,      . T    WBC      m             ,      /µL                                                     x                     x  m          mm                        -

                        mm          .   ×     /L.                                                                              m           m                                    . A


                                                                                                                                                              m
                     S         : M                m            JC. L                                        k          . I  :

                     S        -M        EA, L             -S               CA, K      k   JA (     .). Clinical                          m                                                     m
                     Hematology: Principles, Procedures, Correlations,            , P                  ,                       m                                                    k                                      .
                     PA: L              -R         P             ,         :      .                                            P                          q                                    m

                                                                                                                                      m             x                         m                  m              .

                                                                                                                               Q                                m     m


                        Ex  m                                                 m                                                                                       .

                       m                            m     .  A                        m

                                    m             m             not                              q      -                      Procedure

                               m          m     ,                                           -        k                          .  B                        x  m

                         q                  m          m     .                                                                                   m      (      C                           m                       ).

                        N   m     ,                                                            mm                               .  F              m                              ×     j           (               ).

                                                               m      (               RBC                                           S              m                  k                              ,      m       ,

                                              ). A        x  m                                                ,                                    m           . A                     mm

                                           m                                    m                                                                             × (      mm         )     j          . B

                          ,                                       x m                                                                                    m                                 (F   .     .  ). Ex

                                      .                                                                                                     x  m                m                                  x m

                        Example: I

                                                                          ×     j          ,                                                                                                       . It is important

                                                                 m                     ×     ,      . T                             to examine cellular morphology and to count leukocytes

                                    m               ,      /µL     mm            .   ×     /L.                                      in areas that are neither too thick nor too thin. I


                        Note: I                                                  m                                 ,                                         k,                                                         -

                                       ,              m     x    ,           m                           :                          m                             f              x  m     . I


                         A               m                        /        ×                   RBC                                              ,                            m  k          k


                                                            RBC  /                                                                              .
                                                                                                                                 .  A                                           k                                           .

                                                                                                                                    Ex                                                                   k

                                                                                                                                                . C                  k                            k
                   LEUKOCY  E DIFFEREN  IAL COUN                                                                                    (      F   .     .  ). E                                               mm



                   Principle                                                                                                                                           (        ),                  (     m         ),
                                                                                                                                              m                                    (PMN);    m             ;

                   A              m           x  m                    m                                                             m             ;                  ;                    .  A                k

                                           k                                                                                        m                                                   (              .  ). R

                              m              . I                                        m         k                                               ,                        m                                   k

                                                            mm             k                                                                                               m               .

                                                         m                                                       -              .  A       m                   k          ,                     ,

                                   mm                                k m   . E                         -                                                     . N                                         not

                   m                                m                                  m    . P            z

                                                                                        m                         .                 (                           m     ).
   232   233   234   235   236   237   238   239   240   241   242