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2/66
2017 3
1968 43 2 20
11,611
249,899
64 11 532
8,348 3,453 4,8952017 6
SYStematical MEdics X
3/66
4/66
&
63.8%
6.4%
4.6%
16.4%
1.8%7.0%
2,4982017 3
63.8%
6.4%
3.2%
1.4%
16.4%
1.8%
7.0%
2017 3
6/66
ISO 17511:2003
7/66
SIa) SI
b) SI
* ISO 17511:2003
ISO 175115
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SIa) SI
b) SI A1c CRM522HDL-
WHO
* ISO 17511:2003
400 7005
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Reference method for the enumeration of erythrocytes and leucocytes,Clin.lab.Haemat 1994;16,131-138
Platelet Counting by the RBC/Platelet Ratio Method, Am J Clin Pathol2001;115:460-464
NCCLS. Reference and Selected Procedures for the Quantitative Determination of Hemoglobin in Blood; Approved Standard-Third Edition. NCCLS document H15-A3 (ISBN 1-56238-425-2). NCCLS, 940 West Valley Road, Suite 14000, Wayne, Pennsylvania 19087-1898, USA 2000.
NCCLS. Procedure for Determining Packed Cell Volume by the MicrohematocritMethod; Approved Standard-Third Edition. NCCLS document H7-A3 (ISBN 1-56238-413-9). NCCLS, 940 West Valley Road, Suite 14000, Wayne, Pennsylvania 19087-1898, USA 2000.
NCCLS National Committee for Clinical Laboratory StandardsCLSI Clinical and Laboratory Standards Institute
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* Reference method for the enumeration of erythrocytes and leucocytes. INTERNATIONAL COUNCIL FOR STANDARDIZATION IN HAEMATOLOGY;PREPARED BY THE EXPERT PANEL ON CYTOMETRY Clin. lab. Haemat. 1994; 16: 131-138
μ μ
μ μ μ μ
( )(
( )
11/66
12/66
14/66 15/66
16/66
ICSH
16 17/66
1 mL
000000 386520Count window
18/66 19/66
21/66
RBC WBC PLTHGB HCT
1. ICSH,CLSI
22/66 26/66
RBC WBC PLT HGB HCT
(k=2)0.9% 1.2% 2.6% 1.8% 1.2%
(k=2)1.5% 3.6% 4.3% 2.2% 1.7%
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JCCLS
4.3 - 5.6106/μL
3.8 - 5.03.3 - 8.6 103/μL150 - 350 103/μL
13.5 - 17.0g/dL
11.5 - 15.040 - 51
%35 - 45
4.4
6.3340
13.6
42
0.066
0.2315 ↑
0.30 ↓
0.72
29/66 30/66
31/66 32/6632
•
•
(Quality Control)
33/66
33
( )
(product)
(
(((
(
Quality Control /
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( )
34, P2
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Internal Quality Control( )
External Quality Assessment
36/66
37/6637 38/66
( )
x-R
x-Rs, x-Rs-R
Westgard
Twin plot
Cm
39/66 40/6640
41/66 42/66
43/66
( ( ))EQA
45/66
External Quality Assessment Proficiency Testing
46/66
College of American Pathologists (CAP)
SNCS/eQAPi
( )
47/66 48/66
ISO/IEC17043 SNCS/eQAPi
54/66
( )
( )ISO17043
ISO/IEC 17043
SNCS/eQAPi ISO15189
SNCS/eQAPiISO/IEC 17043
2014/2
55/66
ISO/IEC 17043
6/21
JAB(
SNCS/eQAPi
ISO/IEC 17043
ISO/IEC 17043(
56/66
Web
QC
SNCS1999
SNCS
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eQAPi 1975
eQAPi
58/66
1975 1 2001 9ISQC(International Symposium QC)
1999 QC/ 20032004 eQAPi 2006 SNCS/eQAPi
60/66
8,200
55 CRP
96 CBC( )DIFF( ), RET
10 APTT, PT,FIBFDP,D
4 HBA1C
51 HBs , HCV , HIV
32 CRP, IgG,
( ) 18 ( , , )19 mRNA
- -
2017 9
61/66
eQAPiexternal
EQAinternal
IQC
62/66
SDI PI
A
B
C
D
4Inter Lab SD
4Intra Lab SD
PI
INTRA-SDSD
SDI
INTER-SD
65/66