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Analytical performance of three point of care methods for pleural fluid pH analysis.三种即时检测方法在胸腔积液 pH 值分析中的分析性能。
Clin Biochem. 2013 Aug;46(12):1139-1141. doi: 10.1016/j.clinbiochem.2013.04.021. Epub 2013 Apr 30.
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Comparison of pH, lactate, and glucose analysis of equine synovial fluid using a portable clinical analyzer with a bench-top blood gas analyzer.使用便携式临床分析仪与台式血气分析仪对马滑液的pH值、乳酸和葡萄糖分析进行比较。
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Chylothorax and cholesterol pleural effusion.乳糜胸和胆固醇性胸腔积液。
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Secondary bacterial peritonitis in cirrhosis: a retrospective study of clinical and analytical characteristics, diagnosis and management.肝硬化继发细菌性腹膜炎：临床和分析特征、诊断和治疗的回顾性研究。
J Hepatol. 2010 Jan;52(1):39-44. doi: 10.1016/j.jhep.2009.10.012. Epub 2009 Oct 23.
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Global health funding: how much, where it comes from and where it goes.全球卫生资金：数额多少、来自何方以及去往何处。
Health Policy Plan. 2009 Nov;24(6):407-17. doi: 10.1093/heapol/czp026. Epub 2009 Jul 1.
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Factors influencing the measurement of pleural fluid pH.影响胸腔积液pH值测量的因素。
Curr Opin Pulm Med. 2009 Jul;15(4):353-7. doi: 10.1097/MCP.0b013e32832b98d4.
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Clinically important factors influencing the diagnostic measurement of pleural fluid pH and glucose.影响胸腔积液pH值和葡萄糖诊断测量的临床重要因素。
Am J Respir Crit Care Med. 2008 Sep 1;178(5):483-90. doi: 10.1164/rccm.200801-062OC. Epub 2008 Jun 12.
9
Does this patient have bacterial peritonitis or portal hypertension? How do I perform a paracentesis and analyze the results?该患者是患有细菌性腹膜炎还是门静脉高压症？我该如何进行腹腔穿刺并分析结果？
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10
Executive summary. The National Academy of Clinical Biochemistry Laboratory Medicine Practice Guideline: evidence-based practice for point-of-care testing.执行摘要。美国国家临床生物化学学会实验室医学实践指南：即时检验的循证实践。
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使用iSTAT和Piccolo分析仪进行即时检测与固定医院化学分析平台对非血清样本进行体液分析。

Bodily fluid analysis of non-serum samples using point-of-care testing with iSTAT and Piccolo analyzers versus a fixed hospital chemistry analytical platform.

作者信息

Londeree William, Davis Konrad, Helman Donald, Abadie Jude

机构信息

Department of Medicine, Tripler Army Medical Center, Honolulu, HI (WL).

出版信息

Hawaii J Med Public Health. 2014 Sep;73(9 Suppl 1):3-8.

PMID:25285247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4175927/
Abstract

INTRODUCTION

Forward deployed military medical units can provide sophisticated medical care with limited resources. Point-of-Care Testing (POCT) may facilitate care and expedite diagnosis. This study assessed the accuracy of results for POCT for non-serum samples (pleural, peritoneal, and cerebrospinal fluid) using iSTAT and Piccolo hand-held devices compared with results obtained using a hospital chemistry analyzer.

METHODS

Pleural, peritoneal, and cerebrospinal fluids obtained during routine care were simultaneously analyzed on a Vitros 5600 automated clinical chemistry hospital analyzer, iSTAT, and Piccolo POCT devices.

RESULTS

POCT results were highly correlated with the Vitros 5600 for pleural fluid LDH, glucose, and triglycerides (TG); for peritoneal fluid bilirubin, TG, glucose, albumin, and protein; and glucose for cerebrospinal fluid.

CONCLUSION

POCT results for non-serum samples from pleural, peritoneal, and cerebrospinal fluid correlate with standard hospital chemistry analysis. The results of this study demonstrate potential for possible new diagnostic roles for POCT in resource-limited environments.

摘要

引言

前沿部署的军事医疗单位能够在资源有限的情况下提供复杂的医疗服务。即时检验（POCT）可能有助于医疗服务并加快诊断。本研究评估了使用iSTAT和Piccolo手持式设备对非血清样本（胸腔积液、腹腔积液和脑脊液）进行POCT检测结果的准确性，并与使用医院化学分析仪获得的结果进行比较。

方法

在常规护理过程中获取的胸腔积液、腹腔积液和脑脊液同时在Vitros 5600自动化临床化学医院分析仪、iSTAT和Piccolo POCT设备上进行分析。

结果

POCT检测结果与Vitros 5600对胸腔积液乳酸脱氢酶（LDH）、葡萄糖和甘油三酯（TG）；腹腔积液胆红素、TG、葡萄糖、白蛋白和蛋白质；以及脑脊液葡萄糖的检测结果高度相关。

结论

胸腔积液、腹腔积液和脑脊液非血清样本的POCT检测结果与标准医院化学分析结果相关。本研究结果表明POCT在资源有限环境中可能具有新的诊断作用。