Sueoka Eisaburo
Rinsho Byori. 2016 Aug;64(8):965-971.
The knowledge and skills of clinical hematology necessary for clinical laboratory medicine are different from the knowledge required for the hematological specialists or general physicians. A wide range of knowledge and comprehensive skills to connect the sub-specialty and hematological specialist are required. To do so, comprehensive understanding such as, (1) how to assess the results of blood testing in a relative- ly frequent disease, (2) understanding of specific diseases that require rapid clinical judgment and consulta- tion, (3) the latest diagnostic techniques, including genetic diagnosis, (4) the knowledge of companion diag- nostic techniques necessary for molecular targeted therapy and molecular immunotherapy, are required. However, it is not easy to understand the rapid progress in diagnostic techniques and treatment strategies even in hematological specialists. Therefore, the following points are presented in the seminar; understand- ing of boundary for normal and abnormal findings, evaluation criteria for rapid assessment and report, the feature of hematological malignancies tight cooperation is needed with hematological specialist. In this paper, the role of the specialists on clinical laboratory medicine as a "mediator" in the clinical hema- tology is summarized, especially in anemia and coagulation disorders. [Review].
临床检验医学所需的临床血液学知识和技能与血液学专家或普通内科医生所需的知识不同。需要广泛的知识和综合技能来连接血液学亚专业和血液学专家。为此，需要全面理解以下内容：（1）如何评估相对常见疾病的血液检测结果；（2）理解需要快速临床判断和会诊的特定疾病；（3）包括基因诊断在内的最新诊断技术；（4）分子靶向治疗和分子免疫治疗所需的伴随诊断技术知识。然而，即使是血液学专家，理解诊断技术和治疗策略的快速进展也并非易事。因此，本次研讨会提出以下几点：理解正常与异常结果的界限、快速评估和报告的评估标准、血液系统恶性肿瘤的特征，需要与血液学专家紧密合作。本文总结了临床检验医学专家在临床血液学中作为“调解人”的作用，特别是在贫血和凝血障碍方面。[综述]
