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目的提高临床医师和检验人员对临床危急值报告制度的认识,对危急值进行分析,为持续改进危急值报告制度提供科学依据。方法通过对我院两年来临床标本的观察,制定检验项目的危急值范围,认真执行检验项目危急值报告制度,对数据进行分析,处理。结果计算危急值项目发生率,分布,制定我院血细胞检验4个项目、血栓与止血检验3个项目、血气分析6个项目及生化检验13个项目的危急值范围。结论检验人员须认真地执行检验项目危急值报告制度,以便临床医师能够准确、迅速及时地得知危重病患者的检验信息,使患者得到及时有效的救治。
Objective To improve the understanding of clinical critical value reporting system by clinicians and examiners, analyze the critical value and provide a scientific basis for continually improving the reporting system of critical value. Methods By observing the clinical specimens in our hospital for two years, we developed the critical value range of the test items, carefully implemented the critical value reporting system of the test items, and analyzed and processed the data. Results The incidence and distribution of critical value items were calculated. Four items of blood cell test in our hospital, three items of thrombosis and hemostasis test, 6 items of blood gas analysis and 13 items of biochemical tests were set. Conclusion The examiner should seriously implement the critical value reporting system of the test items so that clinicians can accurately, quickly and promptly obtain the test information of the critically ill patients so that the patients receive prompt and effective treatment.