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Talk CBC Vol.7 CBC‚Ì’PˆÊ‚Æ•W€‰»Talk CBC Vol.5 Ž©“®ÔŒŒ‹…‘ª’è‚ƃqƒXƒgƒOƒ‰ƒ€•ªÍ

CBC‚ðŒê‚낤@Talk CBC@CBC ‘ª’è‚Ì’PˆÊ‚Æ•W€‰»

CBC ‘ª’è‚Ì’PˆÊ

€–Ú SI’PˆÊ Šµ—p’PˆÊ
RBC 1012/L 106/ƒÊL,104/ƒÊL
Hb”Z“x g/L,mmol/L(Fe) g/dL
WBC 109/L 103/ƒÊL,102/ƒÊL
MCV fL ƒÊm3AfL
MCH pg,fmol(Fe) pg
MCHC g/L,mmol/L(Fe) g/dL
PLT 109/L 103/ƒÊL,104/ƒÊL

ŠCŠOA“Á‚ɃnƒƒC‚âƒAƒƒŠƒJ‚ɍs‚Á‚½‚Æ‚«‚É•¨‚Ì’PˆÊ‚Å”Y‚ñ‚¾‚±‚Æ‚Í’N‚Å‚àŒoŒ±‚µ‚Ä‚¢‚é‚©‚ÆŽv‚¢‚Ü‚·BƒŒƒ“ƒ^ƒJ[‚ðŽØ‚è‚é‚ƃ[ƒ^[‚̓}ƒCƒ‹i1.6kmj’PˆÊB§ŒÀ‘¬“x‚Ì•WŽ¯‚àƒ}ƒCƒ‹‚¾‚©‚牽‚Æ‚©‚È‚é‚Ì‚Å‚·‚ªA‚±‚±‚Åkm‚ÉŠ·ŽZ‚µ‚Ä‚¢‚é‚ÆŒð’ÊŽ–ŒÌ‚ÌŒ³‚É‚È‚Á‚½‚肵‚Ü‚·BƒKƒ\ƒŠƒ“ƒXƒ^ƒ“ƒh‚àƒŠƒbƒ^[‚Å‚Í‚È‚­ƒKƒƒ“i3.785LjB‚Ü‚½AƒX[ƒp[‚Ŋʃr[ƒ‹‚â•r‹l‚߂Ȃǂ𔃂¨‚¤‚Æ‚µ‚Ä‚àŒ©Šµ‚ê‚È‚¢‹L†‚ª‘‚¢‚Ä‚ ‚è‚Ü‚·BIbƒpƒEƒ“ƒhi454gj‚âozƒIƒ“ƒXi28gj‚Å‚·B’PˆÊ‚ªˆÙ‚È‚é‚ÆŠ¨ˆá‚¢‚ÌŒ³‚Æ‚È‚èA‘å‚«‚ȊԈႢ‚ÌŒ´ˆö‚É‚à‚È‚Á‚½‚肵‚Ü‚·BiƒpƒEƒ“ƒhAƒ|ƒ“ƒhŽGŠwFƒƒ\ƒ|ƒ^ƒ~ƒA’n•û‚ő唞1—±‚̏d‚³‚ðŒ³‚ÉƒOƒŒ[ƒ“‚ª’è‚ß‚ç‚êA‚»‚Ì”{—Ê’PˆÊ‚Æ‚µ‚ă|ƒ“ƒh‚ª’è‚ß‚ç‚ꂽBl‚ª1 “ú‚ɏÁ”ï‚·‚éH—Æ‚Æ‚µ‚Ä‚Ì’PˆÊj
CBC‘ª’è‚́AŠeŒŒ‹…‚̍זEŽZ’肪Šî–{‚Å‚·‚©‚çAŒvŽZŠÔˆá‚¢‚Í–³‚¢‚Ì‚Å‚·‚ªA’PˆÊ‚Ì•\Ž¦•û–@‚ªˆÙ‚Ȃ邱‚Æ‚ª‚ ‚èAŒ…”‚ÌŠ¨ˆá‚¢‚ÌŒ³‚É‚È‚è‚Ü‚·B

ã‹L‚ª‘“à‚ÌCBC‚ÌSI’PˆÊ‚ÆŠµ—p’PˆÊ‚Å‚·‚ªADxH‚Å‘I‘ð‚Å‚«‚éCBC‚Ì’PˆÊ‚ðŒ©‚é‚ƁAUS’PˆÊ‚âSI’PˆÊ‚È‚Ç•¡”‚Ì’PˆÊ‚ª¢ŠE‚ÅŽg‚í‚ê‚Ä‚¢‚邱‚Æ‚ª‚í‚©‚è‚Ü‚·BŒŸ¸Žº‚ÅŽg‚í‚ê‚Ä‚¢‚é’PˆÊ‚ª‚Ç‚¤‚¢‚Á‚½‚à‚Ì‚È‚Ì‚©A‚Ü‚½A—Տ°‚É•ñ‚³‚ê‚Ä‚¢‚é’PˆÊ‚͉½‚È‚Ì‚©‚ð‚µ‚Á‚©‚è‹L‰¯‚µ‚Ä‚¢‚­‚±‚Æ‚ÍŠ¨ˆá‚¢‚âŠÔˆá‚¢‚Ì–hŽ~‚ɏd—v‚Å‚·BˆãŽt‰ï‚â‹ZŽt‰ï‚Ȃǂ̐¸“xŠÇ—ƒT[ƒxƒC‚É‚¨‚¢‚Ä‚à‚±‚Ì’PˆÊ‚ÌŠm”F‚ª‘åØ‚È‚Ì‚ÍŒ¾‚¤‚Ü‚Å‚à‚ ‚è‚Ü‚¹‚ñB

Parameter US-1 US-2 JAPAN SI-1 SI-2 SI-3 SI-4 SI-5 SI-6
WBC 103/μL 103/μL 102/μL 109/L 109/L 103/μL 109/L 109/L 109/L
RBC 106/μL 106/μL 104/μL 1012/L 1012/L 106/μL 1012/L 1012/L 1012/L
HGB g/dL g/dL g/dL g/L g/L g/dL mmol/L g/L g/L
MCH pg pg Pg Pg pg pg fmol pg pg
MCHC g/dL g/dL g/dL g/L g/L g/dL mmol/L g/L g/L
PLT 103/μL 103/μL 104/μL 109/L 109/L 103/μL 109/L 109/L 109/L

¦‚±‚±‚É•\Ž¦‚³‚ê‚Ä‚¢‚é’PˆÊ‚ª“¯ˆê‚Å‚à‚»‚Ì‘¼‚Ì’PˆÊ‚ªˆÙ‚È‚Á‚Ä‚¢‚邽‚ßUSASI’PˆÊ‚Í•¡”‚ ‚è‚Ü‚·B

CBC‘ª’è‚Ì•W€‰»

CBCŒŸ¸‚́A—Տ°‰»Šw‚â–ƉuŒŸ¸‚Ȃǂ̂悤‚ɍy‘fŠˆ«‚⑪’蕨Ž¿‚Ì”Z“x‘ª’è‚Å‚Í‚È‚­A×–E”‚ÌŒv‘ªAƒJƒEƒ“ƒg‚ðŠî–{‚Æ‚µ‚Ä‚¢‚Ü‚·B¶‰»–ƉuŒŸ¸‚ł́A‘ª’è•û–@‚â•W€•¨Ž¿‚ð’è‚߁AŒŸ¸iŒ‹‰Êj‚Ì•W€‰»‚É“w‚ß‚Ä‚¢‚Ü‚·B‚µ‚©‚µACBCŒŸ¸‚́AŒŒ‹…‚𕪕ʂµ‚čזE”‚ðŽZ’è‚·‚鍀–Ú‚Å‚ ‚èA‘ª’è‘Ώۂ͐¶•¨Šw“IŽŽ—¿‚Ì‚½‚߁A‰»Šw•¨Ž¿‚ðŠî‚Æ‚·‚鐶‰»Šw–ƉuŒŸ¸‚̂悤‚ɁA•W€•¨Ž¿‚̍쐻‚âCRMi”F’èŽQÆ•W€•¨Ž¿j‚Ì‹Ÿ‹‹‚ª‚Å‚«‚Ü‚¹‚ñB‚»‚Ì‚½‚߁AISLHiInternational Society for Laboratory Hematologyj‚âCLSIiClinical and Laboratory Standards Institutej‚ł́AŽQÆ–@‚ð’è‹`‚µ‚Ä•W€‰»‚ði‚ß‚Ä‚¢‚­‚Æ‚µ‚Ä‚¢‚Ü‚·B‚»‚Ì’†‚ÅISLH ‚̍ì‹Æ•”‰ï‚Å‚ ‚éICSHiInternational Council for Standardization in Haematologyj‚ªŒ»Ý’†S‚Æ‚È‚Á‚ÄŠeŽí‚ÌŒŒ‰tŒŸ¸‚Ì•W€‰»‚ði‚ß‚Ä‚¢‚Ü‚·B‚Ü‚½A•W€‰»‚ÌŽè‘O‚Å‚ ‚éŠeŽí‚̃KƒCƒhƒ‰ƒCƒ“‚Í‚±‚ÌICSH‚̃z[ƒ€ƒy[ƒW‚ÅŒöŠJ‚à‚³‚ê‚Ä‚¢‚Ü‚·B

http://icsh.org/guidelines/iŒöŠJ‚³‚ê‚Ä‚¢‚éƒKƒCƒhƒ‰ƒCƒ“—áj

DxH‚É‚¨‚¯‚éƒgƒŒ[ƒTƒrƒŠƒeƒB

‰º•\‚ÍDxH ‚É‚¨‚¯‚éCBC‘ª’è‚ÌŽQÆ–@‚ƃgƒŒ[ƒTƒrƒŠƒeƒB‘ÌŒn}‚Å‚·BWBC/RBC‚́A‘ª’茴—‚̓R[ƒ‹ƒ^[Œ´—‚Å‚·‚ªAŠî€‘ª’èŠí‚ÉCoulter ZƒVƒŠ[ƒY‚ªŽg—p‚³‚ê‚Ä‚¢‚Ü‚·Bƒwƒ‚ƒOƒƒrƒ“‚̓VƒAƒ“ƒƒgƒwƒ‚ƒOƒƒrƒ“–@‚Å‚·B‹ß”N‚Å‚Í”’ŒŒ‹…•ª—Þ–@‚⌌¬”ÂŒv‘ªA–ԏóÔŒŒ‹…‚ÌŽZ’è‚ɂ̓tƒ[ƒTƒCƒgƒƒgƒŠ[‚ð—p‚¢‚½Œv‘ª‚ª—p‚¢‚ç‚ê‚é‚悤‚É‚È‚è‚‚‚ ‚è‚Ü‚·B‚Ü‚½AƒxƒbƒNƒ}ƒ“EƒR[ƒ‹ƒ^[‚ÌŒŒ‹…Œv”‘•’u‚́AZ³•¨Ž¿iS-CALj‚ðŽg—p‚µAŽ©“®Z³‚ðs‚¤‚±‚ƂŃf[ƒ^‚̐³Šm«‚ª‹@ŽíŠÔ·–³‚­“`‚í‚é‚悤‚É‚µ‚Ä‚¢‚Ü‚·B

€–Ú •û–@ Šî€ŽQÆ–@
Hb HiCN–@
iƒVƒAƒ“ƒƒgƒwƒ‚ƒOƒƒrƒ“–@j
  • ICSH. Recommendations for reference method for haemoglobinometry in human bloodiICSH Standard 1995j, J Clin Pathol. 49. 271-274. 1996.
  • NCCLS. Reference and selecyted procedures for the quantitative deter mination of hemoglobin in blood.@H15-A3. 2000.
  • “ú–{—Տ°•a—Šw‰ï•W€ˆÏˆõ‰ïŒŒ‰t¬ˆÏˆõ‰ï. ŒŒ‰tƒwƒ‚ƒOƒƒrƒ“”Z“xŠî€•ªÍ–@. —Տ°•a—, 48.261-267.2000.
HtiPCVj Microhematocrit–@
i‰“Sƒwƒ}ƒgƒNƒŠƒbƒg–@j
  • ICSH. Recommendation for reference method for the packed cell volumeiICSH Standard 2001j, Lab Hematol. 7. 148-170.2001.
  • NCCLS. Procedure for determining packed cell volume by the micro hemato crit method, approved standard-3rd edition.@H7-A3.2000.
RBC Glass chamber–@
ƒVƒ“ƒOƒ‹ƒ`ƒƒƒ“ƒlƒ‹“d‹C’ïR–@
ICSH.@Reference method for the enumeration of erythrocytes and leukocytes. Clin Lab Haem. 16. 131-138.1994.
Plt Phase contrast
RBC/Platelet Ratio–@
iRBC/Plt ”ä–@j
  • Recommended methods for the visual determination of white cell and platelet counts.@WHO LAB. 1988G88F1.
  • ICSH.@Platelet cunting by the RBC/Platelet Ratio method, a reference method.@Am J Clin Pathol. 115. 460-464. 2001.
WBC Glass chamber–@
ƒVƒ“ƒOƒ‹ƒ`ƒƒƒ“ƒlƒ‹“d‹C’ïR–@
ICSH.@Reference method for the enumeration of erythrocytes and leukocytes. Clin Lab Haem. 16. 131-138.1994.
Ret New methylene blue/
Miller disc method
ICSH/NCCLS.@Method for Reticulocyte CountingiFlow Cytometry and Supr avit al DyesjGApproved Guideline H44-A. 1997.
Ž©“®”’ŒŒ‹…•ª—Þ –ÚŽ‹–@ NCCLS.@Reference Leukocyte Diff erential CountiProportionaljand Evalua tion of Instrumental Methods.@H20-A. 1992.


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