Kalish R J, Goldberg G, Roberts K, Schwartz S, Iorio C
Department of Clinical Pathology, St Joseph's Hospital Health Center, Syracuse, NY 13203.
Arch Pathol Lab Med. 1987 Dec;111(12):1155-7.
The clinical value of the Coulter S-Plus V three-part leukocyte differential cell count in the preoperative evaluation of 295 patients scheduled for ambulatory surgery was examined. Ninety-five percent of the specimens could be processed by the instrument without further review. Only 11 specimens had abnormal manual differential cell counts. Of these, all but three were detected using a combination of S-Plus V-generated flags and preset laboratory criteria. There were 16 cases with red blood cell morphologic abnormalities, eight of which were not associated with specimens referred for complete manual differential cell count. In none of these 11 unreferred cases was the undetected abnormality of clinical significance relative to the patient's upcoming surgery. The use of the S-Plus V three-part differential in this patient population can result in a significant cost savings without adversely affecting patient care.
对295例计划进行门诊手术的患者，在术前评估中检测了库尔特S-Plus V三分群白细胞分类计数的临床价值。95%的标本无需进一步复查即可由该仪器处理。只有11份标本的手工分类计数异常。其中，除3份外，其余均通过S-Plus V生成的标记和预设实验室标准相结合的方法检测到。有16例存在红细胞形态异常，其中8例与送检进行完整手工分类计数的标本无关。在这11例未送检的病例中，未检测到的异常相对于患者即将进行的手术均无临床意义。在该患者群体中使用S-Plus V三分群分类计数可显著节省成本，且不会对患者护理产生不利影响。
