Tatsumi N, Takubo T, Tsuda I, Hino M
Department of Clinical and Laboratory Medicine, Osaka City University Medical School.
Rinsho Byori. 1997 Oct;45(10):997-1002.
Total quality control (TQC) is one of the most important issues in laboratory hematology. As for complete blood count (CBC), almost all blood cell counters possesses quality control (QC) programs for its determination, and values of high quality can be provided by the counters. Reticulocytes can be determined precisely as well. However, mean cell volume (MCV) were slightly different among blood cell counters when semifixed QC materials were used for its surveillance. No QC materials to evaluate white cell differential functions have not be found for the common use now. Thus, urgent matter would be the development of appropriate QC materials to be used for overall blood cell counters. In coagulation testings, trials for common use of international normalized ratio (INR) for the prothrombin time (PT) test has been continued yearly due to the varieties of biophysical characteristics among PT reagents. Similar variation are also present among activated partial thromboplastin time (APTT) reagents. Some improvement would be required.
全面质量控制(TQC)是实验室血液学中最重要的问题之一。至于全血细胞计数(CBC),几乎所有血细胞计数器都有用于其测定的质量控制(QC)程序,并且计数器可以提供高质量的值。网织红细胞也可以精确测定。然而,当使用半固定QC材料进行监测时,不同血细胞计数器测得的平均红细胞体积(MCV)略有差异。目前尚未找到用于评估白细胞分类功能的通用QC材料。因此,当务之急是开发适用于所有血细胞计数器的QC材料。在凝血检测中,由于凝血酶原时间(PT)试剂的生物物理特性各不相同,每年都在继续尝试将国际标准化比值(INR)用于PT检测的常规应用。活化部分凝血活酶时间(APTT)试剂之间也存在类似的差异。需要进行一些改进。