chỉ số máu ngoại vi và ứng dụng
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August 12, 2014
August 12, 2014
1
1
C¸c chØ sè m¸y ®Õm tÕ bµo
vµ øng dông
August 12, 2014 2
Coulter model "A" !"
#$%&'()*
+,-
-#./0#1#%
23-/0#1#,##%
34-(56,/0#,##%
3-/0#)#%
7+8-'9:;
#.<=%
Më ®Çu
August 12, 2014 3
6> #? @ #$ *
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M# <- N AO 6<* P
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P#?A'Q#;%
August 12, 2014 4
R1##J#.<=-
% M##.<=1#
4% M##.<=,##
S% M##.<=)#
T% M##.<=1#6/:
% M##.<==#
C¸c nhãm chØ sè cña m¸y ®Õm tÕ bµo
August 12, 2014 5
M#A,#.<=-
% &=6/0"6
4% U)1-V<&#*
S% M#WCD6F-X+6,%
C¸c d¹ng chØ sè cña m¸y ®Õm tÕ bµo
August 12, 2014 6
%YUM- Y*U6AM*66C<=6/0,##F -ZRQ6
4%[UM- [*AU6AM*66C<=6/01#F -T%4Z%T×
4
Q6
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Q6
S% VRU- V*6C<\#=F -SZ2Q6
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% ]M^- ]*M(<#6^6* 8ZD6
C)L#_VMF
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C19V&7_VMF -S4ZS2Q6
8%`7a- (6*6*C<=6/0)#F ZRQ6
C¸c chØ sè cña m¸y ®Õm tÕ bµo
(18 chØ sè)
August 12, 2014 7
MWN#,##-2#.<=
abc RQ6à -"6<=6/0=6(#*
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C¸c chØ sè cña m¸y ®Õm tÕ bµo
(18 chØ sè)
August 12, 2014 8
U,##- fdcfdgUh&dcUh&dg
V1#- [eYZ&e[eYZM^[f7c[f7g
7)#- `eYZ&e`eYZM^`ZaM[Vi[]i[
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7=#- V`MgV`Mc
C¸c chØ sè cña m¸y ®Õm tÕ bµo
(32 chØ sè)
August 12, 2014 9
øng dông l©m sµng
A/ C¸c chØ sè hång cÇu:
1. Sè l!îng hång cÇu.
&=6/01#-#Wj#Ck/:#W;
F1#'#C^H*lF%…
&=6/0VM@-!m/0@6/0<\#=
*#/!W(@N#96K##n<
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%
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e/:47Q6-#;#k(#N%
August 12, 2014 10
2. L!îng huyÕt s¾c tè.
7)k_,j#
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L%
o;s(5N#9,LA'6/0
<\#=p4q-
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o56#.<=#?@!#t#LP#!H@
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%
August 12, 2014 11
3. ThÓ tÝch khèi hång cÇu (Hematocrit).
[k#Js#*Au##_,
k#k(- APkJv
w ,# '# H@ A /0 X + 9…
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j#(Gx;!=1#pSq%
August 12, 2014 12
4. C¸c chØ sè kh¸c
T%%]MV]MVM-1#_<\#j#/0#
<\#-
/0#<\#-]MVy48(Qj#]MVMy48Q6%
U_<\#-]MV]MVM:,_/%
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6,%
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+ ]M^y8D6-1#{%
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+ [eY}ZTc -V1#!L#/:#1;
+ [eY zTc - V1 # { !W
1;
August 12, 2014 13
5.Mét sè sai sè:
%%&=6/0VM
VMs/!/!6,
]@v1#
M=W!W=%
ak,A5;As#%
a(#*#%%%
5. 2. ~L#/:#_1#
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VMs/!%
August 12, 2014 14
%S%a/0V&7
V/?O#-<!6(A%
&=6/0UM#Cj#!RQ6F%
August 12, 2014 15
6. C¸c chØ sè hång cÇu l!íi
7"6VM6/:
&=6/0=
M.<=!#-A'#.<=(€HCD6*<#*<*
F
ýw-_,(N#$$P/?!
%
August 12, 2014 16
7. ¸p dông ph©n lo¹i thiÕu m¸u
`56,-6##)s/:
_5%
M##.<=1##nk#J>wH_
*Au(N;s*5%
MJ;##(56,-*N#9
*)#$*5C,
$$F M#(56,A'…
_###.<=1#A•(AO(G%
August 12, 2014 17
0
0
100
100
80
80
150
150
f
f
l
l
%
%
20
20
RBC : 4.8
RBC : 4.8
HGB: 128
HGB: 128
HCT: 0.46
HCT: 0.46
MCV: 89
MCV: 89
RDW: 12
RDW: 12
PTL : 258
PTL : 258
MPV: 8.5
MPV: 8.5
PDW: 12
PDW: 12
BiÓu ®å hc, tc b×nh th&êng
BiÓu ®å hc, tc b×nh th&êng
August 12, 2014 18
0
0
100
100
80
80
150
150
f
f
l
l
%
%
RBC : 3.8
RBC : 3.8
HGB: 98
HGB: 98
HCT: 0.26
HCT: 0.26
MCV: 69
MCV: 69
RDW: 1
RDW: 1
2
2
.5
.5
7VM{!L#/:#;
August 12, 2014 19
0
0
100
100
80
80
150
150
f
f
l
l
%
%
RBC : 3.8
RBC : 3.8
HGB: 98
HGB: 98
HCT: 0.26
HCT: 0.26
MCV: 69
MCV: 69
RDW: 15.5
RDW: 15.5
7VM{!L#/:#!W;
August 12, 2014 20
0
0
100
100
80
80
150
150
f
f
l
l
%
%
R,<:#$<\
RBC : 4.1
RBC : 4.1
HGB: 98
HGB: 98
HCT: 0.26
HCT: 0.26
MCV: 76
MCV: 76
RDW: 15.5
RDW: 15.5
MCHC: 312
MCHC: 312
August 12, 2014 21
0
0
100
100
80
80
150
150
f
f
l
l
%
%
o(N;s#$<\
RBC : 4.1
RBC : 4.1
HGB: 98
HGB: 98
HCT: 0.26
HCT: 0.26
MCV: 76
MCV: 76
RDW: 15.5
RDW: 15.5
MCHC: 312
MCHC: 312
August 12, 2014 22
Hång cÇu nhá (thêng nhîc s¾c):
MCV < 80 fl
MCHC < 320 g/l
o1;: BÖnh m¹n tÝnh.
Thalassemia thÓ nhÑ kh«ng cã tan m¸u.
~W;: ThiÕu s¾t.
Thalassemia thÓ trung b×nh vµ nÆng.
HbS.
August 12, 2014 23
Hång cÇu b×nh thêng: MCV 80-100fl
o1;-
•
BÖnh m¹n tÝnh.
•
BÊt thêng enzym hoÆc HST kh«ng tan m¸u
~W;-
•
Giai ®o¹n sím cña thiÕu m¸u dinh dìng.
•
X¬ tñy.
•
Rèi lo¹n sinh tñy.
August 12, 2014 24
0
0
100
100
80
80
150
150
f
f
l
l
%
%
R,<:#$A%D6#j#U4
RBC : 3.8
RBC : 3.8
HGB: 102
HGB: 102
HCT: 0.41
HCT: 0.41
MCV: 106
MCV: 106
RDW: 15.5
RDW: 15.5
MCHC: 322
MCHC: 322
August 12, 2014 25
0
0
100
100
80
80
150
150
f
f
l
l
%
%
o(N;s#$A%D6#QU4
RBC : 3.8
RBC : 3.8
HGB: 102
HGB: 102
HCT: 0.41
HCT: 0.41
MCV: 106
MCV: 106
RDW: 15.5
RDW: 15.5
MCHC: 322
MCHC: 322
