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凝血试验的质量控制(作者译)

[Quality control of coagulation tests (author's transl)].

作者信息

Sommer R, Hohenwallner W

出版信息

Wien Klin Wochenschr. 1976 Jan 9;88(1):19-25.

PMID:960696
Abstract

The results of quality control of coagulation tests from intralaboratory control programmes are reported and compared with interlaboratory surveys. The test programme includes the following assays: the thromboplastin time (Quick), the partial thromboplastin time and the thrombotest. It can be seen from the results of the thromboplastin time that reliable figures were obtained from intralaboratory quality control examinations only (CV=7% to 13%). In comparison to these results great differences were found in interlaboratory surveys (CV=15% to 30%). The result of interlaboratory surveys of the thrombotest demonstrated a CV of 15% to 20%. The intralaboratory quality control of the partial thromboplastin time showed satisfactory reliability (CV=7.4%). Satisfactory conformity of results was obtained between different laboratories only by using common reagents (CV=8.7%). Possible factors responsible for deviations in laboratory examinations are discussed and proposals for improvement in the realibility of coagulation tests are made.

摘要

报告了实验室内部质量控制程序中凝血试验的质量控制结果,并与实验室间调查结果进行了比较。测试程序包括以下检测:凝血酶原时间(Quick法)、部分凝血活酶时间和血栓试验。从凝血酶原时间的结果可以看出,仅从实验室内部质量控制检查中获得了可靠的数据(变异系数=7%至13%)。与这些结果相比,在实验室间调查中发现了很大差异(变异系数=15%至30%)。血栓试验的实验室间调查结果显示变异系数为15%至20%。部分凝血活酶时间的实验室内部质量控制显示出令人满意的可靠性(变异系数=7.4%)。只有使用通用试剂,不同实验室之间的结果才能获得令人满意的一致性(变异系数=8.7%)。讨论了实验室检查中偏差的可能原因,并提出了提高凝血试验可靠性的改进建议。

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