Védy Serge, Boom Bruno, Perez Pascale, Schillinger Sarah, Ragot Céline, Bakkouch Sylvie, Puyhardy Jean-Michel
Fédération des laboratoires, Hôpital d'instruction des armées Legouest, Metz.
Ann Biol Clin (Paris). 2011 Jul-Aug;69(4):453-8. doi: 10.1684/abc.2011.0596.
Platelets count is usually realised on EDTA anticoagulant. This one is sometimes able to generate platelets agregats. That is the reason why the first thing to do encountering thrombopenia is to check for agregats on blood thin smear. In case of positive result, a control can be asked using another anticoagulant. The most used is sodium citrate. A correction has to be applied to the automat result because blood is diluted in anticoagulant. But no one says those haematological automats are exact on citrate as they are on EDTA. That's what we wanted to check.
血小板计数通常在乙二胺四乙酸(EDTA)抗凝剂上进行。这种抗凝剂有时会导致血小板聚集。这就是遇到血小板减少症时首先要做的事情是检查血涂片上是否有聚集物的原因。如果结果为阳性,可以使用另一种抗凝剂进行对照检查。最常用的是柠檬酸钠。由于血液在抗凝剂中被稀释,必须对自动检测结果进行校正。但没有人说那些血液学自动分析仪在柠檬酸盐上的结果和在EDTA上一样准确。这就是我们想要检查的。