CN117147546A - Low-value leukocyte specimen concentration smear inspection method - Google Patents

Low-value leukocyte specimen concentration smear inspection method Download PDF

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Publication number
CN117147546A
CN117147546A CN202311109876.5A CN202311109876A CN117147546A CN 117147546 A CN117147546 A CN 117147546A CN 202311109876 A CN202311109876 A CN 202311109876A CN 117147546 A CN117147546 A CN 117147546A
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China
Prior art keywords
layer
leukocyte
slide
blood
smear
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Pending
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CN202311109876.5A
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Chinese (zh)
Inventor
黄伟萍
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YUYAO PEOPLE'S HOSPITAL
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YUYAO PEOPLE'S HOSPITAL
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Priority to CN202311109876.5A priority Critical patent/CN117147546A/en
Publication of CN117147546A publication Critical patent/CN117147546A/en
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/84Systems specially adapted for particular applications
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N1/00Sampling; Preparing specimens for investigation
    • G01N1/28Preparing specimens for investigation including physical details of (bio-)chemical methods covered elsewhere, e.g. G01N33/50, C12Q
    • G01N1/2813Producing thin layers of samples on a substrate, e.g. smearing, spinning-on
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/01Arrangements or apparatus for facilitating the optical investigation
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/01Arrangements or apparatus for facilitating the optical investigation
    • G01N2021/0106General arrangement of respective parts
    • G01N2021/0112Apparatus in one mechanical, optical or electronic block

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  • Physics & Mathematics (AREA)
  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Analytical Chemistry (AREA)
  • Biochemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • General Physics & Mathematics (AREA)
  • Immunology (AREA)
  • Pathology (AREA)
  • Investigating Or Analysing Biological Materials (AREA)

Abstract

The application discloses a method for checking a concentrated smear of a low-value leukocyte specimen, which comprises the following steps: s1: centrifuging the blood sample to separate a plasma layer, a platelet layer, a leukocyte layer, a reduced hemoglobin layer, and an oxygenated red blood cell layer; s2: accurately sucking the plasma layer and the platelet layer; s3: precisely placing a leukocyte layer on an optically standardized slide and pushing the slide; s4: the white blood cells on the slide were precisely stained according to international staining standards. By the concentrated blood smear examination method, the number of visible white blood cells in each oil scope view is obviously increased, thereby greatly improving the examination efficiency and accuracy of the low-value white blood sample. Improved cell distribution and morphology: after concentrated blood smear examination, the concentration of white blood cells is obviously increased, so that the cell distribution is more uniform and the cell morphology is more typical. This helps the inspector to identify the cells more accurately, reducing the risk of misdiagnosis.

Description

Low-value leukocyte specimen concentration smear inspection method
Technical Field
The application relates to the technical field of blood analysis, in particular to a method for checking a concentrated smear of a low-value leukocyte specimen.
Background
In current clinical routine blood tests, blood smear tests are one of the most common test techniques, and traditional blood smear tests are a common clinical laboratory method for assessing the condition of blood cells of a patient.
By searching, chinese patent application CN1605869B discloses a blood test method, which proposes a blood test technique for performing biochemical tests by taking out intracellular fluid components in erythrocytes.
However, in blood smear examination, when the white blood cell count in blood is lower than 2.0X10 9 at/L, the blood smear has few leukocytes, and for low-value leukocyte blood samples, multiple fields of view are often required to be examined to obtain sufficient information, which results in time and effort consuming examination and challenges for diagnostic accuracy.
In addition, due to the sparse distribution of leukocytes in the field of view, and irregularities in cell morphology, the diagnostician typically needs to invest more time and effort to accurately identify and count leukocytes, which can extend patient latency and increase the risk of false diagnosis;
in addition, because the low-value leukocyte blood sample has few cells, the cells are easy to push to the edge of the blood smear when pushing the smear, so that the cell morphology is atypical, and the problems of increased artificial recognition difficulty, misdiagnosis and the like are urgent to be solved.
Disclosure of Invention
The application aims to solve the defects in the prior art, and provides a low-value leukocyte specimen concentration smear inspection method.
In order to achieve the above purpose, the present application adopts the following technical scheme:
a method for concentrated smear examination of a low value leukocyte specimen, comprising the steps of:
s1: centrifuging the blood sample to separate a plasma layer, a platelet layer, a leukocyte layer, a reduced hemoglobin layer, and an oxygenated red blood cell layer;
s2: accurately sucking the plasma layer and the platelet layer;
s3: precisely placing a leukocyte layer on an optically standardized slide and pushing the slide;
s4: the white blood cells on the slide were precisely stained according to international staining standards.
Further, in step 3 and step 4, the pushing and staining steps are in compliance with international blood smear examination criteria.
Further, in step S1, the centrifugation speed is 2000.+ -. 10 rpm and the centrifugation time is 10.+ -. 1 min.
Further, in step S4, white blood cells on the slide are subjected to high-magnification microscopy after staining, with a microscope magnification of 1000x or more.
Compared with the prior art, the application has the beneficial effects that:
increase the efficiency and accuracy of leukocyte detection: by the concentrated blood smear examination method, the number of visible white blood cells in each oil scope view is obviously increased, thereby greatly improving the examination efficiency and accuracy of the low-value white blood sample. This means that the doctor can detect abnormal cells more rapidly, contributing to early diagnosis of blood diseases.
Improved cell distribution and morphology: after concentrated blood smear examination, the concentration of white blood cells is obviously increased, so that the cell distribution is more uniform and the cell morphology is more typical. This helps the inspector to identify the cells more accurately, reducing the risk of misdiagnosis.
Standardization and quality control: the use of international staining standards, ISO9001:2015 quality standards, and CE certified centrifuges, etc. requirements, ensures standardization and quality control of the process. This helps maintain consistency and repeatability of the inspection.
The time and labor are wasted: concentrated blood smear tests significantly reduce the test time and effort on low value leukocyte blood specimens as compared to traditional blood smear tests. This reduces the workload of the medical laboratory.
Solves the problems of time and labor waste in blood smear examination of low-value leucocyte blood specimens, and is helpful for improving disease diagnosis and patient care.
Drawings
The accompanying drawings are included to provide a further understanding of the application and are incorporated in and constitute a part of this specification, illustrate the application and together with the embodiments of the application, serve to explain the application.
FIG. 1 is a schematic diagram of blood stratification after centrifugation in an embodiment of the present application;
FIG. 2 is a schematic diagram of the application in comparison to a conventional blood smear test.
Detailed Description
The following description of the embodiments of the present application will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present application, but not all embodiments.
Referring to fig. 1, the method for concentrated smear examination of low value leukocyte specimens comprises the steps of:
s1: centrifuging the blood sample to separate a plasma layer, a platelet layer, a leukocyte layer, a reduced hemoglobin layer, and an oxygenated red blood cell layer;
s2: accurately sucking the plasma layer and the platelet layer;
s3: precisely placing a leukocyte layer on an optically standardized slide and pushing the slide;
s4: the white blood cells on the slide were precisely stained according to international staining standards.
In this embodiment, the method can obtain high quality white blood cell images in blood samples by precisely controlling the centrifugal speed and time and using international staining standards, which is helpful for rapid and accurate diagnosis of various blood diseases.
In a specific embodiment of the application, in step 3 and step 4, the pushing and staining steps are in compliance with international blood smear examination criteria; wherein, the slide glass is compounded with ISO9001:2015 quality standard.
It should be noted that the method is ensured to be consistent with the traditional international blood smear examination standard, so that the medical professional can easily adopt the method without additional training. This is beneficial in facilitating the widespread adoption and standardization of the process.
In a specific embodiment of the present application, in step S1, the centrifugation speed is 2000.+ -.10 rpm and the centrifugation time is 10.+ -.1 min.
It should be noted that by means of an exact centrifugation speed and time frame, the method can be implemented on different centrifugation devices without affecting the consistency of the results. This helps to ensure the reproducibility and reliability of the method.
In a specific embodiment of the present application, in step S4, white blood cells on a slide are subjected to high-magnification microscopy at a microscope magnification of 1000x or more.
It should be noted that, the high-magnification microscopic examination can provide more detailed leukocyte structure information, which is helpful for doctors to evaluate the cell states in blood smears more accurately, thereby improving the diagnosis accuracy of diseases.
As a preferred practice of the application, following the above procedure, the leukocyte layer is concentrated so that 3 to 5 leukocytes are visible in each standardized oily scope field.
For a better understanding of the technical solution of the present application, the following description is further given in connection with the implementation.
The implementation of the scheme and the adoption of the existing smear checking means carry out blood smear checking on the same low-value leukocyte blood specimen, wherein: the result of the oil microscopic examination is shown in figure 2.
The foregoing is only a preferred embodiment of the present application, but the scope of the present application is not limited thereto, and any person skilled in the art, who is within the scope of the present application, should make equivalent substitutions or modifications according to the technical scheme of the present application and the inventive concept thereof, and should be covered by the scope of the present application.

Claims (4)

1. A method for concentrated smear examination of a low value leukocyte specimen, comprising the steps of:
s1: centrifuging the blood sample to separate a plasma layer, a platelet layer, a leukocyte layer, a reduced hemoglobin layer, and an oxygenated red blood cell layer;
s2: accurately sucking the plasma layer and the platelet layer;
s3: precisely placing a leukocyte layer on an optically standardized slide and pushing the slide;
s4: the white blood cells on the slide were precisely stained according to international staining standards.
2. The method according to claim 1, wherein in step 3 and step 4, the pushing and staining steps are in compliance with the international blood smear test standard.
3. The method according to claim 1 or 2, wherein in step S1, the centrifugation speed is 2000±10 rpm and the centrifugation time is 10±1 min.
4. The method according to claim 1, wherein in step S4, the white blood cells on the slide are subjected to high-magnification microscopic examination at a microscopic magnification of 1000x or more.
CN202311109876.5A 2023-08-30 2023-08-30 Low-value leukocyte specimen concentration smear inspection method Pending CN117147546A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202311109876.5A CN117147546A (en) 2023-08-30 2023-08-30 Low-value leukocyte specimen concentration smear inspection method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202311109876.5A CN117147546A (en) 2023-08-30 2023-08-30 Low-value leukocyte specimen concentration smear inspection method

Publications (1)

Publication Number Publication Date
CN117147546A true CN117147546A (en) 2023-12-01

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202311109876.5A Pending CN117147546A (en) 2023-08-30 2023-08-30 Low-value leukocyte specimen concentration smear inspection method

Country Status (1)

Country Link
CN (1) CN117147546A (en)

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