Coffin Cheryl M, Hamilton Marilyn S, Pysher Theodore J, Bach Philip, Ashwood Edward, Schweiger Jeanne, Monahan Dennis, Perry Deborah, Rogers Beverly B, Brugnara Carlo, Rutledge Joe, Weiss Ronald, Ash Owen, Hill Harry, Meikle Wayne, Roberts William, Geaghan Sharon
Department of Pathology, University of Utah School of Medicine, Salt Lake City, USA.
Am J Clin Pathol. 2002 May;117(5):683-90. doi: 10.1309/NYA1-V9KQ-NVF8-MA8M.
The practice of pediatric laboratory medicine involves unique challenges related to development, nutrition, growth, and diseases during different periods of infancy, childhood, and adolescence. This article discusses key aspects of pediatric laboratory medicine faced by clinical pathologists, clinical laboratory scientists, and clinicians, including point-of-care testing, preanalytic variables, analytic factors, age-specific reference intervals, esoteric laboratory tests, clinical impact, andfuture opportunities. Although challenging, pediatric laboratory testing offers many opportunities for improved patient care, clinical- and laboratory-based research, and education.
儿科检验医学的实践涉及与婴儿期、儿童期和青春期不同阶段的发育、营养、生长及疾病相关的独特挑战。本文讨论了临床病理学家、临床检验科学家和临床医生在儿科检验医学中面临的关键问题,包括即时检验、分析前变量、分析因素、特定年龄的参考区间、特殊检验、临床影响及未来机遇。尽管具有挑战性,但儿科检验为改善患者护理、基于临床和检验的研究及教育提供了诸多机会。