Bienzle D, Stanton J B, Embry J M, Bush S E, Mahaffey E A
Department of Pathology, School of Veterinary Medicine, University of Georgia, Athens 30602-7833, USA.
J Am Vet Med Assoc. 2000 Oct 15;217(8):1195-200. doi: 10.2460/javma.2000.217.1195.
To compare CBC results obtained by use of an in-house centrifugal analyzer with results of a reference method.
Prospective study.
Blood samples from 147 dogs, 42 cats, and 60 horses admitted to a veterinary teaching hospital and from 24 cows in a commercial dairy herd.
Results obtained with the centrifugal analyzer were compared with results obtained with an electrical-impedance light-scatter hematology analyzer and manual differential cell counting (reference method).
The centrifugal analyzer yielded error messages for 50 of 273 (18%) samples. Error messages were most common for samples with values outside established reference ranges. Correlation coefficients ranged from 0.80 to 0.99 for Hct, 0.55 to 0.90 for platelet count, 0.76 to 0.95 for total WBC count, and 0.63 (cattle) to 0.82 (cats) to 0.95 (dogs and horses) for granulocyte count. Coefficients for mononuclear cell (combined lymphocyte and monocyte) counts were 0.56, 0.65, 0.68, and 0.92 for cats, horses, dogs, and cattle, respectively.
Results suggested that there was an excellent correlation between results of the centrifugal analyzer and results of the reference method only for Hct in feline, canine, and equine samples; WBC count in canine and equine samples; granulocyte count in canine and equine samples; and reticulocyte count in canine samples. However, an inability to identify abnormal cells, the high percentage of error messages, particularly for samples with abnormal WBC counts, and the wide confidence intervals precluded reliance on differential cell counts obtained with the centrifugal analyzer.
比较使用内部离心分析仪获得的全血细胞计数(CBC)结果与参考方法的结果。
前瞻性研究。
来自一家兽医教学医院收治的147只犬、42只猫和60匹马的血样,以及来自一个商业奶牛群的24头牛的血样。
将离心分析仪获得的结果与使用电阻抗光散射血液学分析仪和手工细胞分类计数(参考方法)获得的结果进行比较。
离心分析仪对273份样本中的50份(18%)产生了错误信息。错误信息在数值超出既定参考范围的样本中最为常见。血细胞比容(Hct)的相关系数范围为0.80至0.99,血小板计数为0.55至0.90,白细胞总数为0.76至0.95,粒细胞计数在牛中为0.63,猫中为0.82,犬和马中为0.95。猫、马、犬和牛的单核细胞(淋巴细胞和单核细胞合并)计数的系数分别为0.56、0.65、0.68和0.92。
结果表明,仅在猫、犬和马的样本中,离心分析仪的血细胞比容结果与参考方法的结果之间存在极好的相关性;犬和马的样本中的白细胞计数;犬和马的样本中的粒细胞计数;以及犬的样本中的网织红细胞计数。然而,无法识别异常细胞、错误信息的高比例,特别是对于白细胞计数异常的样本,以及宽泛的置信区间,使得无法依赖离心分析仪获得的细胞分类计数结果。