Lewis S M, Bentley S A
J Clin Pathol. 1977 Jan;30(1):54-64. doi: 10.1136/jcp.30.1.54.
Hemac is an automated blood counting system which is based on production of impulses from light scattered and diffracted by cells flowing past a laser beam. The pulses are processed electronically for cell counts and packed cell volume; haemoblobin is measured as cyanmethaemoglobin; absolute values are computed. On evaluation the precision was of the order of 2% for Hb and RBC, 2-8% for PVC, and 3% for WBC. When compared with other methods in the routine laboratory, PCV and absolute values gave divergent results, but PCV was found to correlate well with microhaematocrit corrected for trapped plasma. This suggests that Hemac may more closely reflect true values of PCV, MCV, and MCHC than other routine methods. Whether this "accuracy" is necessarily an advantage must be considered ietation of the blood count data, especially MCV, are discussed.
Hemac是一种自动血液计数系统,它基于流过激光束的细胞散射和衍射光产生的脉冲。这些脉冲通过电子方式处理以进行细胞计数和红细胞压积;血红蛋白以氰化高铁血红蛋白的形式测量;计算绝对值。经评估,血红蛋白和红细胞计数的精度约为2%,红细胞压积为2 - 8%,白细胞为3%。与常规实验室中的其他方法相比,红细胞压积和绝对值得出的结果不同,但发现红细胞压积与校正了滞留血浆的微量血细胞比容相关性良好。这表明Hemac可能比其他常规方法更能准确反映红细胞压积、平均红细胞体积和平均红细胞血红蛋白浓度的真实值。这种“准确性”是否必然是一个优势必须加以考虑,同时还讨论了血细胞计数数据的解释,尤其是平均红细胞体积。