临床检验项目满足临床需要(共22页).doc

精选优质文档-倾情为你奉上临床检验项目满足临床需要一、按照医疗机构临床实验室管理办法的要求，全院临床实验室集中设置，统一管理，资源共享。检验科设有临床检验室、生化检验室、免疫检验室、微生物检验室、细胞室等。二、现有19名具备丰富经验的专业技术人员，主管技师4人，检验师2人，检验员1人。其中本科学历5人。三、按照卫生部印发医疗机构临床检验项目的通知，常规开展检验项目近400项，具有前沿性，能够保证疑难疾病的诊断，基本覆盖医院各临床科室所诊治的病种，包括临床输血学、临床血液学、临床化学、临床免疫学、临床微生物学，分子生物学等。1、开展ABO血型鉴定、Rh（D）血型鉴定和不规则抗体检查。2、开展各种标本（血液、尿液、粪便、痰液、脑脊液、浆膜腔积液、精液、阴道分泌物等）的物理、化学、涂片检查；开展血常规、溶血、骨髓细胞形态（组化、免疫分型）、凝血、血流变等试验；尿沉渣分析仪有复检标准，复检有记录并报告；血常规检查有镜检标准，镜检有记录并报告。3、临床化学检测包括：蛋白、酶类、脂类、电解质、激素、血气等，有危急值报告制度。4、临床免疫检测包括：体液免疫、细胞免疫、病原体血清学、肿瘤标志物、自身抗体、特定蛋白等，传染病三项ELISA法以酶标仪比色测定结果，保存原始记录。5、临床微生物检测：开展项目包括涂片、培养、鉴定、药敏等试验及耐药性的检测、常见细菌鉴定要求到种，药敏试验用药的选择有制度和依据，细菌培养阳性率30%。6、参加省临检中心室间质评的血细胞分析、尿干化学、细菌鉴定和药敏、生化25项、免疫（乙肝五项、丙肝抗体、HIV抗体）、凝血等项目年年优秀，均获得质评合格证书。附：检验科检测项目列表序号中文名称英文名称试验方法参加室间质量评价情况室内质控情况一、临床体液、血液专业1、血液一般检查1血红蛋白测定Hemoglobin血液分析仪B2红细胞计数red blood cell count血液分析仪电阻抗检测方法B3白细胞计数white blood cell count血液分析仪电阻抗检测方法B4白细胞分类计数leukocyte differential count血液分析仪半导体激光器的流式细胞术方法5白细胞分类计数leukocyte differential count显微镜检查法6嗜酸性粒细胞直接计数Eosinophil direct count显微镜检查法7血细胞分析Analysis of blood cells血细胞分析仪B8网织红细胞计数百分数reticulocyte count显微镜检查法9网织红细胞绝对数reticulocyte count显微镜检查法10网织红细胞计数reticulocyte count血液分析仪半导体激光器的流式细胞法11红细胞比积测定packed red cell volume血液分析仪法B12平均红细胞体积mean corpuscular volume血液分析仪法13平均红细胞血红蛋白量mean corpuscular hemoglobin血液分析仪法14平均红细胞血红蛋白浓度mean corpuscular hemoglobin concentration血液分析仪法15红细胞体积分布宽度测定red blood cell volume distribution width血液分析仪法16红细胞宽度变异系数red blood cell volume distribution width CV血液分析仪法17红细胞血红蛋白含量分布宽度测定red blood cell hemoglobindistribution width血液分析仪法18红细胞沉降率测定(ESR)erythrocyte sedimentation rate血沉分析仪法19血小板计数platelet count血液分析仪半导体激光器的流式细胞法B20血小板比积packed platelet volume血液分析仪法21平均血小板体积测定mean platelet volume血液分析仪法22血小板体积分布宽度platelet volume distribution width血细胞计数仪23异常血小板形态检查Check the abnormal platelet morphology显微镜检查24血液形态学检查Blood morphological examination显微镜检查法25异常白细胞形态检查abnormal leukocyte morphology显微镜检查法26红细胞异常形态检查abnormal erythrocyte morphology显微镜检查法27红斑狼疮细胞检查（LEC）lupus erythematosus cell显微镜检查法28有核红细胞计数Nucleated red blood cell count仪器法29有核红细胞计数Nucleated red blood cell count显微镜计数法30异常淋巴细胞百分比abnormal leukocyte morphology count血液分析仪法31异常淋巴细胞计数abnormal leukocyte morphology count血液分析仪法32巨大不成熟细胞百分比bnormal leukocyte morphology count血液分析仪法33巨大不成熟细胞计数bnormal leukocyte morphology count血液分析仪法34嗜碱性点彩红细胞计数abnormal erythrocyte morphology count显微镜计数法35浓缩血恶性组织细胞检查Blood malignant cells concentrated, to check显微镜法36血液寄生虫显微镜检查Blood parasites to check显微镜法2、尿液的一般检查37尿常规检查Urine routine examination仪器法B38尿常规检查+沉渣Urine routine examination + sediment仪器法39尿液红细胞形态Urine red blood cell morphology显微镜法40尿液酸碱度测定pH, urine干化学法（试带法）41尿比重测定urine specific gravity SG干化学法（试带法）B42尿液沉渣成分检查sediment formed element, urine显微镜检查法43尿液沉渣成分检查sediment formed element, urine尿分析仪法44尿量Urine volume 直接量筒测定法45尿色Urine color 肉眼观察法46尿透明度Urine turbidity肉眼观察法47尿PHUrine PH仪器法48尿蛋白定性试验protein, qualitative, urine干化学法（试带法）B49尿糖定性试验glucose, qualitative, urine干化学法（试带法）B50尿酮体试验ketone bodies, urine干化学法（试带法）B51尿血红蛋白检验hemoglobin(occult blood),urine干化学法（试带法）B52尿胆红素定性试验bilirubin,qualitative, urine干化学法（试带法）B53尿胆原定性试验urobilinogen, qualitative, urine干化学法（试带法）B54尿液亚硝酸盐试验nitrite, urine干化学法（试带法）B55尿液白细胞试验WBC urine干化学法（试带法）B56尿微量白蛋白测定microalbumin, urine干化学法（试带法）B57尿干化学目测检查Urine目测法58尿沉渣图像分析sediment formed element, urine pictures仪器法59尿妊娠试验pregnancy test单克隆试纸法60尿渗透压测定Urine osmolality仪器法61尿含铁血黄素Urine hemosiderinuria普鲁士兰铁染色法62尿本周氏蛋白UrineBence-Jones protein ,BJP热沉定溶解法63尿结石Urinary calculus显微镜检查法64尿液细菌定量ormed bacterium count, urine仪器法65尿液结晶定量ormed crystallization count, urine仪器法66尿管型Urine cast显微镜检查法67尿管型Urine cast仪器法68尿乳糜试验chyle, urine苏丹III染色法69一小时尿沉渣计数sediment formed element count, urine显微镜检查法70尿三杯试验Three glass test显微镜法71尿液结核杆菌集菌检查TB tocheck ,urine显微镜法3、体液和分泌物72浆膜腔积液外观检查general characteristic, serous fluid目测法73浆膜腔积液有形成分检查microscopic examination, serous fluid显微镜检查法74浆膜腔积液粘蛋白examination, serous mucoproteinRivaltas法75脑积液外观检查general characteristic,cerebrospinal fluid目测法76脑脊液有形成分检查formed element examination, cerebrospinal fluid显微镜检查法77脑脊液白细胞分类检查leukocyte differential count, cerebrospinal fluid显微镜检查法78脑脊液蛋白定性试验qualitative test for protein, cerebrospinal fluidPandy法79各种穿刺液常规检查Checks on all kinds of puncture fluid显微镜检查80穿刺液细胞计数Formed element examination, puncture fluid显微镜检查法81穿刺液细胞分类计数leukocyte differential count, puncture fluid显微镜检查法82精液外观检查general characteristic, seminal fluid目测法83精液液化时间测定liquefaction time, seminal fluid目测法84精液精子计数sperm count, seminal fluid显微镜检查法85精子存活率测定motility, sperm显微镜检查法86精子活力测定activity, sperm显微镜检查法87精子细胞形态学测定morphology, sperm显微镜检查法88精液白细胞染色检查leukocyte differential sperm显微镜检查法89精子畸形率测定sperm显微镜检查法90精子平均轨道速度sperm仪器法91精子平均直线速度sperm仪器法92精子平均路径速度sperm仪器法93精子运动的直线性sperm仪器法94精子运动的前向性sperm仪器法95精子平均移动角度sperm仪器法96精子运动的摆动性sperm仪器法97精子平均鞭打频率sperm仪器法98前列腺液外观检查general characteristic, prostatic fluid目测法99前列腺液有形成分检查microscopic examination, prostatic fluid显微镜检查100阴道分泌物检查Vaginal discharge to check显微镜检查101阴道分泌物清洁度检查Vaginal discharge to check显微镜检查102阴道分泌物-氨基半乳糖苷酶Vaginal discharge仪器法103阴道分泌物唾液酸苷酶Vaginal discharge仪器法104阴道分泌物白细胞酶Vaginal discharge仪器法105阴道分泌物过氧化氢酶Vaginal discharge仪器法106呕吐物隐血试验occult blood,金标法107胃液常规检查Gastric fliud to check显微镜检查108十二指肠引流液检查Duodenal fliud to check显微镜检查109胆汁检查Human bile to check显微镜检查110羊水常规检查amniotic fliud to check显微镜检查111羊水胆红素定性试验bilirubin qualitative, amniotic fliud干化学法（试带法）112胸腹水常规检查Pleural and ascitic fluid routine examination目测法113胸腹水细胞学检查Pleural and ascitic fluid to check显微镜检查法4、粪便检查114粪便外观检查general characteristic, feces目测法115粪便显微镜检查microscopic examination, feces显微镜检查法116粪便隐血检查occult blood, feces单克隆试纸法117粪便轮状病毒检测Rotavirus examination, feces金标法118粪便腺病毒检测adenovirus examination, feces金标法119粪便幽门螺杆菌抗体检测Helicobacterpylori examination, feces金标法120潜血试验Occult blood test金标试条法121粪寄生虫卵检查examination of parasite ova,feces直接涂片法122寄生虫形态学检查Parasite morphological examination显微镜法B123寄生虫卵计数Parasite egg count显微镜法5、出凝血检查124血浆纤维蛋白原测定fibrinogen, plasma全自动血凝仪法B125凝血酶原时间prothrombin time, plasma全自动血凝仪法B126国际标准化比值INR计算值127活化的部份凝血酶原时间activated partial thromboplastin time全自动血凝仪法B128凝血酶时间测定thrombin time全自动血凝仪法B129血浆D-二聚体测定D-dimer, plasma全自动血凝仪法6、溶血检查130毛细血管脆性试验Tourniquet test CFT束臂试验法131血块收缩时间Clot retraction time CRT定性法132红细胞渗透脆性试验Erythrocyte osmotic fragility test试管法133红细胞孵育渗透脆性试验Red blood cells incubated osmotic fragility test盐水溶血法134血清酸化溶血试验（Ham）Acidified serum hemolysis test (Ham)试管法135血疟原虫检查plasmodium,blood薄血片法，染色B136血疟原虫检查plasmodium,blood厚血片法，染色B137血微丝蚴检查microfilaria,blood指血湿片法B138血微丝蚴检查microfilaria,blood薄血膜法B139抗酸杆菌涂片检查Acid-fast bacilli smears显微镜7、骨髓检查及常用染色技术140骨髓有核细胞计数nucleated cell count, bone marrow显微镜检查法141骨髓巨核细胞计数megakaryocyte count, bone marrow显微镜检查法142骨髓穿刺液涂片检查examination of bone marrow aspirate Semear显微镜检查法143糖原染色periodic Schiff stainSchiff 法144骨髓涂片细胞学检查Bone marrow smear cytology显微镜检查145骨髓铁染色Bone marrow iron staining化学染色法146骨髓过氧化物酶染色Bone marrow peroxidase staining化学染色法147骨髓碱性磷酸酶染色Bone alkaline phosphatase staining化学染色法148骨髓酸性磷酸酶染色Bone marrow acid phosphatase staining化学染色法149骨髓非特异性酯酶染色Bone marrow of nonspecific esterase staining化学染色法150骨髓特异性酯酶染色Bone marrow nonspecific esterase staining化学染色法8、血液流变学检查151全血粘度测定Whole blood viscosity仪器法152血浆粘度测定Plasma viscosity仪器法9、血型、输血相关性抗原抗体检测153ABO血型鉴定（正定型）Blood group identification (positive) ABO试管法154ABO血型鉴定（反定性）Blood group identification (reverse) ABO试管法155RhD血型鉴定Blood group identification RhD试管法156生理盐水介质交叉配血Crossmatching(normol saline)试管法157特殊介质交叉配血Crossmatching(special medium)免疫法158不规则抗体筛查Abnormol antibody screening 免疫法二、临床免疫血清学 1、肿瘤相关抗原、激素测定159癌胚抗原Carcinoembryonic Antigen电化学发光160甲胎蛋白Alpha-fetoprotein电化学发光162糖抗原125Carbohydrate Antigen 125，CA125电化学发光163糖抗原199Carbohydrate Antigen 199，CA199电化学发光164糖抗原153Carbohydrate Antigen 153，CA153电化学发光165胰岛素Ferritin电化学发光166总前列腺特异性抗原测定Determination of total prostate-specific antigen电化学发光167游离前列腺特异抗原Free prostate-specific antigen电化学发光168绒毛膜促性腺激素亚单位Chorionic Gonadotrophin -Subunit电化学发光169神经元烯醇化酶（NSE）Neuron-specific enolase(NSE)电化学发光170糖类抗原724（CA724）Carbohydrate antigen电化学发光171细胞胶质19片段（CYFRA21-1）Glial cells, 19 segments电化学发光172游离三碘甲状腺原氨酸Free-t3电化学发光173游离四碘甲腺原氨酸测定Free-t4电化学发光174总三碘甲状腺原氨酸Tri-iodothyronine Total电化学发光175游离甲状腺素Free Thyroxine电化学发光176促甲状腺素Thyrotropin电化学发光177甲状腺球蛋白抗体Thyroglobulin Antibody电化学发光178甲状腺过氧化物酶抗体Thyroid-Peroxidase Antibody电化学发光179促黄体生长素Luteinizing Hormone电化学发光180促卵泡刺激素Follice Stimulating Hormone电化学发光181垂体泌乳素Prolanctin电化学发光182雌二醇Estradiol电化学发光183睾丸酮testosterone电化学发光184孕酮Medroxyprogesterone电化学发光185降钙素原PCT电化学发光186肿瘤相关物质测定Tumor associated material determination化学比色法187唐氏筛查Syndrome screening of Down电化学发光2、感染性疾病实验检测188HBsAg定量测定hepatitis B surface antigen, quantitative化学发光法189HBsAb定量测定anti-hepatitis B surface antibody, quantitative化学发光法190HBeAg定量测定hepatitis B e atigen, quantitative化学发光法191HBeAb定量测定anti-hepatitis B e antibody, quantitative化学发光法192HBcAb定量测定anti-hepatitis B core antibody, quantitative化学发光法193HBsAg测定hepatitis B surface antigen, quantitativeELISA法B194HBsAb测定anti-hepatitis B surface antibody, quantitativeELISA法B195HBeAg测定hepatitis B e atigen, quantitativeELISA法B196HBeAb测定anti-hepatitis B e antibody, quantitativeELISA法B197HBcAb测定anti-hepatitis B core antibody, quantitativeELISA法B198HBsAg测定hepatitis B surface antigen, quantitative金标法199HBsAb测定anti-hepatitis B surface antibody, quantitative金标法200HBeAg测定hepatitis B e atigen, quantitative金标法201HBeAb测定anti-hepatitis B e antibody, quantitative金标法202HBcAb测定anti-hepatitis B core antibody, quantitative金标法203甲型肝炎IgM抗体测定anti-hepatitis A IgM antibody酶免疫法204戊肝抗体HEV antibody酶免疫法205丙型肝炎病毒抗体HCV hepatitis C virus antibodies酶免疫法B206丙型肝炎病毒抗体HCV hepatitis C virus antibodies胶体金法207梅毒螺旋体TPTP treponema pallidum酶免疫法208梅毒螺旋体TPTP treponema pallidum金标法209梅毒螺旋体TRUSTTP treponema pallidum凝集法210人免疫缺陷病毒抗体测定anti-human immunodifficiency virus antibody金标法211人免疫缺陷病毒抗体测定anti-human immunodifficiency virus antibody酶免疫法B212EB病毒壳抗原（VCA）IgG抗体Anti EB viral capsid antigen immunoglobulin IgG antibodies ( EBV)酶联法213抗EB病毒衣壳抗原IgA抗体（EBV）Anti EB viral capsid antigen immunoglobulin IgA antibodies ( EBV )酶联法214EB病毒壳抗原（VCA）IgM抗体Anti EB viral capsid antigen immunoglobulin IgM antibodies ( EBV )酶联法215EB病毒抗原(EBNA1)IgG抗体Anti EB viral capsid antigen immunoglobulin IgG antibodies ( EBV)酶联法216EB病毒早期抗原(EA)IgG抗体Anti EB viral capsid antigen immunoglobulin IgG antibodies ( EBV)酶联法217弓形虫IgM测定Toxoplasma gondii IgM金标法218巨细胞病毒IgM抗体测定anti-cytomegalovirus IgM antibody金标法219风疹病毒IgM抗体测定antirubella virus IgM antibody金标法220单纯胞疹病毒IgM抗体测定Herpes simplex IgM antibodies cell金标法221肥达氏反应Widals test凝集法222外斐氏反应Weil-Felix test凝集法223乙肝前S1Hepatitis B virus Pre S1 antigen酶免疫法224EV71检测Human enterovirus 71酶免疫法225流行性出血热病毒抗体测定Epidemic hemorrhagic fever virus antibody determination金标法226肺炎支原体抗体-IgMMycoplasma antibody金标法227结核抗体Anti-TB金标法228嗜肺军团菌血清1型IgM抗体Legionella pheumophila Bremer antibody determination间接免疫荧光法229Q热立克次体IgM抗体Coxiellaburneti antibody determination间接免疫荧光法230肺炎支原体IgM抗体Mycoplasma antibody间接免疫荧光法231肺炎衣原体IgM抗体Chlamydia trachomatis间接免疫荧光法232腺病毒IgM抗体adenovirus antibody determination间接免疫荧光法233呼吸道合胞病毒IgM抗体Respiratory syncytial virus antibody determination间接免疫荧光法234甲型流感病毒IgM抗体Influenza A virus antibody determination间接免疫荧光法235乙型流感病毒IgM抗体Influenza B virus antibody determination间接免疫荧光法236副流感病毒1、2、3型IgM抗体Paranfluenza 1、2、3virus antibody determination间接免疫荧光法3、自身抗体检测238抗核抗体Anti-nuclear antibody酶联免疫分析法239Smith抗原Anti-nuclear antigen Smith酶联免疫分析法240核糖核蛋白RNPAnti-nuclear antibodyRNP酶联免疫分析法241干燥综合症A/BAnti-nuclear antibodyA/B酶联免疫分析法242抗双链DNA抗体Anti-double-stranded DNA antibody酶联免疫分析法4、合作检验243肾素Renin合作检验244血管紧张素Angiotensin合作检验245血浆醛固酮Plasma合作检验246血管紧张素I测定Angiotensin I determination合作检验247人类白细胞抗原B27测定（HLA-B27）Human leukocyte antigen B27 determination (HLA-B27)合作检验248铜蓝蛋白测定Ceruloplasmin determination合作检验249自身免疫性肝炎抗体Autoimmune hepatitis antibodies合作检验250乙型肝炎病毒核酸定量检测Quantitative Diagnostic of Hepatitis B Virus DNA合作检验251血清C肽测定Peptid C determination合作检验252抗平滑肌抗体Anti-smooth muscle antibody合作检验253抗线粒体抗体Anti-mitochondria antibody合作检验254血清透明质酸Hyaluronic acid serium合作检验255血清层粘蛋白L