20161123
李醫師
------------
Good Marker
- Sensitivity
- Specific
- Low molecular weight
- Long half life
------------
Syncope
VT
- >120 /min
- 1/3
- AV dissociation
- Capture beat
- Fusion beat
V1 rbbb
Lbbb
------------
Pacemaker
- Subclavian vein
- LBBB
------------
------------
ANB monocyte
CAE
eosinophil
------------
Cytospin
------------
AML
Cd34 immature
Cd11b, 15
mature
------------
A Coulter counter [1] [2] is an apparatus for counting and
sizing particles suspended in electrolytes. It is used
for cells, bacteria, prokaryotic cells and virus particles.[3]
A typical Coulter
counter has one or more microchannels that separate two chambers containing
electrolyte solutions. As fluid containing particles or cells is drawn through
each microchannel, each particle causes a brief change to the electrical
resistance of the liquid. The counter detects these changes in electrical
resistance.
------------
CML
Basophil
Eosinophil
Megakaryocytes
small
------------
藍紅黃綠紫灰黑
- Blue 3.2% citrate (以前用3.6%): PT, aPTT
- 採血量較少時，依1:9比例使用。
- 紅: 生化
- 黃
- 綠色 heparin: NH3, LDH
- Purple EDTA: CBC, Hb 電泳, HbA1C
- Gray NaF EDTA: glucose
------------
ACD 淺黃
lymphocytes
------------
------------
胡助教授
血小板生命 兩周
全血 四個月
Fy-ab
(-) 有anti-malaria效果，非洲人很多
------------
MCHC 正常值33+-3 代表RBC central pale zone的比例
RDWCV 正常值13+-1.5
RDWCV 正常值13+-1.5
Ret 正常<2%
IRF(Immature
Retic Fraction)=(HFR+MFR)/Reticulocyte 正常<20%
------------
遇到Platelet EDTA agglutination
改用citrate
MDS plt沒有granule會不準確
------------
NTUH每天6000個CBC 常規35項
1200要做WBC differential
300機器會自動染色觀看
60個需要人工染色
NTUH是大宗的
所以NHI打七折給付
Positive: 異常
- count
- differential
- morphology
------------
Chédiak–Higashi syndrome[1] is a rare autosomal
recessive disorder that arises from a mutation of a lysosomal trafficking
regulator protein,[2] which leads to a decrease in phagocytosis. The decrease
in phagocytosis results in recurrent pyogenic infections, partial albinism and
peripheral neuropathy. It occurs in humans, cattle, blue Persian cats,
Australian blue rats,[3] mice,[4] mink,[4] foxes,[4] and the only known captive
albino orca.[5]
<http://www.pathpedia.com/education/eatlas/histopathology/blood_cells/chediak-higashi_syndrome.aspx>
------------
