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Digitally signed by

Cng ty TNHH
Cng ty TNHH
SYSMEX Vit Nam
SYSMEX Vit Nam Date: 2017.05.23
10:10:30 +07'00'

My Xt Nghim Huyt Hc T ng

XN-1000/2000
Hng Dn S Dng

CHNG 1 c tnh k thut ca my huyt hc XN-1000.


CHNG 2 Quy trnh thc hin phn tch.
CHNG 3 Hng dn x l cc li thng thng.
CHNG 4 Bo tr v thay th.
CHNG 5 Gii hn h thng.

Cng ty TNHH Sysmex Vietnam


Ti liu ny c s dng nh mt hng dn b sung trong cc kha hun luyn chnh
hng ca Sysmex ti Vit Nam. Sysmex s khng chu trch nhim i vi bt c thit hi
no c th xy ra khi s dng ti liu ny mt cch khng ph hp hoc khi cha c s chp
thun v gim st ca Sysmex Vit Nam.
Mc lc
MC LC

CHNG I C TNH K THUT.5


1.1 Kch thc ca my ................................................................................................................ 5
1.2 Mi trng v nguyn l hot ng ca my .......................................................................... 5
1.3 Mn hnh hin th v cc biu tng chc nng ...................................................................... 9
1.4 Ha cht .............................................................................................................................. 10
2.1 KIM TRA TRC KHI BT MY ............................................................................................ 14
2.1.1 Kim tra thit b ................................................................................................................... 14
2.1.2 Kim tra thuc th ............................................................................................................... 14
2.1.3 Kim tra bnh nc thi ....................................................................................................... 14
2.1.4 Kim tra b phn mu .................................................................................................... 14
2.2 M MY .............................................................................................................................. 14
2.3 CHY QC .............................................................................................................................. 15
2.3.1 Chy QC ch Manual ....................................................................................................... 15
2.3.2 Chy QC ch t ng ...................................................................................................... 17
2.3.3 Nhp gi tr cho l QC mi ................................................................................................... 17
2.4 NG K V CHY MU ........................................................................................................ 20
2.4.1 Chun b mu ....................................................................................................................... 20
2.4.2 Chy mu ch thng (Manual Mode) .......................................................................... 21
2.4.3 Chy mu ch t ng (Sampler Mode .......................................................................... 23
2.4.4 Chy mu ch pha long ................................................................................................. 23
2.4.5 Chy mu ch Body Fluid............................................................................................. 25
2.5 KT QU PHN TCH ............................................................................................................ 27
2.5.1 Hin th kt qu phn tch .................................................................................................... 27
2.5.2 Tm kt qu phn tch ..................................................................................................... 29
2.5.3 Chnh sa thng tin bnh nhn trn kt qu phn tch ................................................. 30
2.5.4 In kt qu v chuyn d liu v my ch............................................................................. 30
2.6 TT MY CUI NGY ............................................................................................................ 36
CHNG III HNG DN X L CC LI THNG THNG ....................................................... 37
3.1 HNG GII QUYT ............................................................................................................. 37
3.2 CC LI THNG GP V CCH KHC PHC ........................................................................ 38
3.2.1 Pressure and vacuum Error .................................................................................................. 38

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Mc lc
MC LC

3.2.2 Temperature Errors.............................................................................................................. 39


3.2.3 Aspiration Errors .............................................................................................................. 39
3.2.4 Reagents Replacement ........................................................................................................ 40
3.2.5 Chambers Errors .................................................................................................................. 40
3.2.6 Motor Errors: ....................................................................................................................... 40
3.2.7 Sampler Operation Error ...................................................................................................... 41
3.2.8 Analytical Error..................................................................................................................... 42
3.2.9 Errors related to the laser. .................................................................................................. 43
3.2.10 Errors relate to quality control ........................................................................................ 43
3.2.11 Errors relate to user maintenance and warnings. ............................................................. 43
4.1 Bo tr hng ngy ................................................................................................................. 45
4.2 Bo tr khi cn thit .............................................................................................................. 45
4.2.1 nc thi ........................................................................................................................ 45
4.2.2 Ra bung thi ..................................................................................................................... 46
4.2.3 Ra bung m hng cu .................................................................................................... 47
4.2.4 Loi b bt kh...................................................................................................................... 48
4.2.5 Ra bung o (Flowcell) ...................................................................................................... 48
4.2.6 Loi b tc nghn trong ng ng o RBC ........................................................................ 48
4.2.7 Kim tra v loi b dch tn ng trong Trap Chamber ...................................................... 49
4.2.8 iu chnh p sut (0.25 MPa) ............................................................................................. 49
4.2.9 iu chnh p sut (0.16 MPa) ............................................................................................. 50
4.2.10 iu chnh p sut (0.07 MPa) ........................................................................................... 51
4.3 THAY TH ............................................................................................................................. 52
4.3.1 Thay ha cht ....................................................................................................................... 52
4.3.2 Mi ha cht ........................................................................................................................ 53
GII HN H THNG/ KH NNG GY NHIU MU .................................................................... 54
5.1 WBC ..................................................................................................................................... 54
5.1.1 Trng hp h thng s bo gi s lng bch cu thp ................................................... 54
5.1.2 Trng hp h thng s bo gi s lng bch cu cao ..................................................... 54
5.2 RBC ...................................................................................................................................... 54
5.2.1 Trng hp h thng s bo gi s lng hng cu thp................................................... 54
5.2.2 Trng hp h thng s bo gi s lng hng cu cao .................................................... 54

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Mc lc
MC LC

5.3 HBG ..................................................................................................................................... 54


Trng hp h thng s bo gi nng HGB cao ...................................................................... 54
5.4 HCT .......................................................................................................................................... 55
5.4.1 Trng hp h thng s bo gi gi tr HCT thp ................................................................ 55
5.4.2 Trng hp h thng s bo gi gi tr HCT cao ................................................................. 55
5.5 PLT ....................................................................................................................................... 55
5.5.1 Trng hp h thng s bo gi s lng tiu cu thp .................................................... 55
5.5.2 Trng hp h thng s bo gi s lng tiu cu cao ...................................................... 55
5.6 RET ...................................................................................................................................... 55
Trng hp h thng s bo gi s lng hng cu li cao ...................................................... 55

Cng ty TNHH Digitally signed by Cng ty TNHH


SYSMEX Vit Nam
SYSMEX Vit Nam Date: 2017.05.26 17:42:34 +07'00'

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 4


CHNG I C TNH K THUT

1.1 Kch thc ca my

Width Depth Height


Component Weight (kg)
(mm) (mm) (mm)
XN-1000/
XN-2000
645 mm 755 mm 855 mm Approx.78 kg
Analyzer and
sampler included
B nn kh 280 mm 355 mm 400 mm Approx.17 kg

1.2 Mi trng v nguyn l hot ng ca my


Mi trng hot ng:
Nhit mi trng t 10oC 30oC.
m bin thin trong khong 30 95%.
S dng my trong mi trng thng thong, trnh nh nng trc tip.
Khng t my gn cc thit b to sng cao tn hoc ni b nhiu sng Radio.
Trnh khu vc qu nng, qu lnh, v bi bm.
Nguyn l hot ng:
Nguyn l m t bo dng chy s dng laser bn dn
Phng php m t bo dng chy s dng laser bn dn v phn loi
t bo bng cch chiu chm laser c bc sng 633nm v phn tch
cng nh sng tn x thng (FSC), nh sng tn x bn (SSC), v nh
sng hunh quang bn (SFL). Cng ca hai loi nh sng tn x (FSC
v SSC) phn nh c cu trc b mt t bo, hnh dng ht, cu trc
nhn t bo, ch s khc x, v phn x ca t bo. Nhn chung, tn
hiu FSC s mnh hn vi cc t bo c kch thc ln, v tn hiu SSC tr
nn mnh hn vi t bo c cu trc nhn bn trong phc tp hn.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 5


C TNH K THUT

Cng nh sng hunh quang ch yu phn nh loi v s lng axit


nucleic v cc bo quan ca t bo. Ba loi tn hiu ny c dng
m v phn loi cc t bo bch cu, hng cu nhn, hng cu li, tiu
cu, v pht hin nhng t bo bt thng v nhng t bo cha trng
thnh vi s tr gip ca cng ngh k thut v cc thut ton tin tin.

Nguyn l o tr khng tp trung dng chy ng hc


Knh o : RBC/PLT
Ha cht : Cellpack DCL/DST
Knh o RBC/PLT m cc t bo hng cu v tiu cu bng phng
php tr khng s dng dng chy ng hc. Mu pha long c a
qua khe m v cc t bo mu s c to p lc i vo gia khe m
nh dng chy tp trung. Khi t bo i qua chnh gia khe m, cc
thng tin th tch ca t bo phn nh qua xung in s c ghi nhn
chnh xc. Cc tn hiu ca t bo thu c rt nhy nh s i mi
trong cng ngh phn tch dng sng c o.

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C TNH K THUT

Nguyn l o ca phng php SLS-hemoglobin


Knh o: HGB
Ha cht: Cellpack DCL/DST, SULFOLYSER
Phng php SLS-hemoglobin s dng sodium lauryl sulfate (SLS) o
nng ca hemoglobin. C ch phn ng ca phng php SLS-
hemoglobin bao gm cc bc sau:
(1) Bc 1 (Phn ng ly gii gia SLS v mng t bo hng cu)
SLS lin kt vi mng ca cc t bo hng cu bng cch hp th,
ch yu l thng qua lin kt ion v mt phn qua s lin kt k
nc.Vic hp th-lin kt ng thi ha tan phospholipid xy ra
trn mng t bo hng cu. iu ny nh hng n cu trc
protein ca mng t bo, v hemoglobin s c gii phng ra t
cc t bo hng cu (ly gii).
(2) Bc 2 (Thay i trong cu trc ca globin gy ra bi SLS)
Hemoglobin c gii phng ti thi im ly gii, tri qua thay i
v hnh dng v nhng lin kt gia cc nhm k nc ca SLS v
globin.

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C TNH K THUT

(3) Bc 3 (Oxy ha Fe2+ thnh Fe3+ )


ng thi vi s thay i hnh dng trong globin, phn t st ha
tr hai c th d dng oxy ha chuyn i sang st ha tr ba do
oxy ha tan kt hp vi st.
(4) Bc 4 (nh v ca SLS)
Nhm a nc ca SLS lin kt vi phn t st ha tr ba to
thnh mt phc hp SLS-hemoglobin n nh. Tng thi gian phn
ng t khi bt u n khi hnh thnh phc hp n nh l 10 giy
khi s dng SULFOLYSER.
SLS-hemoglobin cho thy mt ng cong hp th vi nh ti
bc sng 535 nm v b ti bc sng 560 nm. My phn tch s
chiu x bc sng 555nm v o hp th nh sng.

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C TNH K THUT

1.3 Mn hnh hin th v cc biu tng chc nng


Mn hnh hin th

Cc biu tng chc nng

Trng thi hin th n LED


Xanh/Cam Sn sng phn tch

Xanh/Cam nhp nhy ang phn tch/ang kt ni

Xanh ang ch tin hnh bo tr/ tt my


Xanh nhp nhy ang bo tr
Bo li khng c alarm/ ang khi ng
nhp nhy Bo li c alarm

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C TNH K THUT

1.4 Ha cht
C 13 loi ha cht c s dng cho my huyt hc XN-1000

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C TNH K THUT

Tiu hao cho cc ch chy mu:

Tiu hao ha cht cho cc ch chy mu:

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C TNH K THUT

Tiu hao ha cht cho 1 mu (mL)

CBC+DIFF+RET
Tn ha cht CBC
+ WPC + PLT-F
start-up * shutdown auto rinse *

CELLPACK DCL 27.90 53.70 286.50 71.90 236.20

SULFOLYSER 0.50 0.50 1.50 2.00

LYSERCELL WNR 1.50 2.50 7.50 10.00

FLOUROCELL WNR 0.02 0.02 0.06 0.08

LYSERCELL WDF 1.50 4.50 6.00

FLOUROCELL WDF 0.02 0.06 0.08

LYSERCELL WPC 1.50 4.50 6.00

FLOUROCELL WPC 0.02 0.06 0.08

CELLPACK DFL 3.00 9.00 12.00

FLOUROCELL RET 0.02 0.06 0.08

FLOUROCELL PLT-F 0.02 0.06 0.08

CELLCLEAN AUTO 4.00


(* Khng bao gm ch chy background)

M t hng ha cht.

M hng Tn ha cht ng gi VT
CELLPACK DCL Thng
ZPPCT661628 (1 x 20L)
SULFOLYSER Chai
BJ350971 (2 x 1.5L)
LYSERCELL WNR Chai
AN577063 (2 x 4L)
FLOUROCELL WNR Chai
CP066715 (2 x 82ml)
LYSERCELL WDF Chai
AW993605 (2 x 4L)

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C TNH K THUT

FLOUROCELL WDF Chai


CV377552 (2 x 42ml)
LYSERCELL WPC Chai
CS412800 (2 x 1.5L)
FLOUROCELL WPC Chai
BU306227 (2 x 12ml)
CELLPACK DFL Chai
BT965910 (2 x 1.5L)
FLOUROCELL RET Chai
BN337547 (2 x 12ml)
FLOUROCELL PLT-F Chai
CD994563 (2 x 12ml)
Ha cht chun
BV661822 XN Check Level 1 (8 x 3ml) L

AK060533 XN Check Level 2 (8 x 3ml) L

BR875289 XN Check Level 3 (8 x 3ml) L

BY698063 XN Check BF Level 1 (3 x 3ml) L

BY698063 XN Check BF Level 2 (3 x 3ml) L

Ha cht ra
CF579595 CELLCLEAN AUTO (20 x 4ml) Hp

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 13


C TNH K THUT

2.1 KIM TRA TRC KHI BT MY

2.1.1 Kim tra thit b


Kim tra ng ng v dy cp bn ngoi
m bo rng ng ng khng b tc nghn hoc b un cong
Dy cp ngun lun c gn vo ngun in

2.1.2 Kim tra thuc th


Kim tra lng thuc th c s dng hay khng. Trng hp
khng ha cht, cn chun b thay th ha cht.
Nu trong qu trnh phn tch ht ha cht, my s ngng hot ng
sau khi hon tt mu cui cng, ng thi cnh bo ngi vn hnh
cn thay th ha cht. Qu trnh chy mu s khng th thc hin cho
n khi thuc th c thay xong.

2.1.3 Kim tra bnh nc thi


b nc thi trong bnh thi.

2.1.4 Kim tra b phn mu


Ly khay ng mu bn tri v bn phi ca my ra ngoi
Kim tra v ly gi ng ng mu (nu c) ra ngoi.

2.2 M MY
Khi ng IPU, my tnh s t ng ng nhp vo phn mm XN
G tn ng nhp v mt khu

Khi my c khi ng, s t ng thc hin qu trnh kim tra nh


sau:
Self-check: My s tin hnh kim tra tt c cc b phn
bn trong, ra my, v ch cho nhit t ti mc n
nh.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 14


CHNG II QUY TRNH PHN TCH

Background check: Qu trnh kim tra background s


c tin hnh 3 ln nu nh kt qu khng nm trong
gii hn o.

Khi tt c cc yu cu t, biu tng tnh trng kt ni gc di


bn tri ca my chuyn sang mu xanh >>>>>my sn sng hot
ng (mn hnh Ready).

2.3 CHY QC
My huyt hc XN-1000 hin th QC trn biu X-Bar v biu
Levey Jenning.
Nn chy QC du ngy, trc khi tin hnh o mu, sau 8 gi vn
hnh, sau khi thay th ha cht v cc ph kin, sau khi thc hin bo
tr, v nht l khi c nghi ng v chnh xc ca kt qu o mu
bnh.

2.3.1 Chy QC ch Manual


1. Khi my trng thi n xanh (Ready).
2. Trn thanh controll menu, click QC analysis.

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QUY TRNH PHN TCH

3. Hp thoi cho php chn File QC s xut hin

4. Chn l QC cn thc hin v nhn OK hoc Cancel quay tr li QC


Menu.
5. a l QC vo gi cha mu v nhn phm Start Switch.
6. Sau chy xong, my s hin thi mn hnh kt qu trn hp thoi
[Execute L-J].

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 16


QUY TRNH PHN TCH

7. Nu kt qu khng b bo li (kt qu
ngoi gii hn s c t ) thi
chn [Accept] xc nhn kt qu
chy QC. Cancel hy b kt qu
QC.

2.3.2 Chy QC ch t ng
1. Ly QC ra khi kho lu tr v t nhit phng khong 15 pht
QC c n nh trc khi chy.
2. t cc l QCs c barcode vo khay cha mu.
3. t khay cha mu c cc l QCs vo khu vc ti mu, my s t ng
c barcode v tin hnh chy QC, sau a kt qu vo biu .

2.3.3 Nhp gi tr cho l QC mi


Nhp s l QC (Lot No)
1. ng nhp vo account Admin ca my tnh v chng trnh phn
mm XN.
2. Chp d liu QC c hng cung cp vo D\QC\Assay file trn
my tnh.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 17


QUY TRNH PHN TCH

3. Trn thanh cng c, chn


[QC File] >>>> [Regist.],
mn hnh s hin th hp
thoi [Input Lot
Information].

4. Chn control level v nhp vo s l.


5. Nhn chn [Clear Date] nhp vo Exp. Date mi.
6. Sau khi chn [Read File] s xut hin hp thoi cho php nhp
ng dn n ni cha d liu QC.

7. Xc nhn li s l v ngy ht hn v nhn OK.

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QUY TRNH PHN TCH

8.3.1 Performing lot registration manually

Nhp Target v Limit


1. T hp thoi [Input Lot Information], phn [Target/Limit].

2. Nhn chn tt c cc thng s trong danh sch, sau nhn


Autosetting, s xut hin hp thoi khc
3. Sau khi click vo [Select Data], cc gi tr ngng v gii hn s
c t ng tnh ton v hin th pha bn phi hp thoi.
Chn OK.

4. Sau nhn Read Assay nhp ng dn

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QUY TRNH PHN TCH

5. Xc nhn li s l v ngy ht hn v nhn OK.


Thay i s l QC
1. T mn hnh QC File, nhn chn [Modify] trn thanh cng c.
2. Hin th hp thoi [Input Lot Information]

3. Hp thoi ny cho php thay i s l mi, ngy ht hn v


gi tr Target v Limit. Sau khi hon tt, nhn Read File.
4. Nhp ng dn v xc nhn s l, ngy ht hn. Nhn OK.

2.4 NG K V CHY MU

2.4.1 Chun b mu
Ly mu vo ng EDTA theo th tch ghi trn ng.

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QUY TRNH PHN TCH

Mu phi c phn tch trong vng 4 gi, nu hn 4 gi th mu phi


c bo qun 2oC 8oC.

2.4.2 Chy mu ch thng (Manual Mode)


1. T Control Menu, nhn chn Change Analysis Mode

2. Nhn chn Whole Blood(WB) mode v chn OK.

3. Trn Control Menu, chn Manual Analyze.


4. Nhp thng tin v s th t ca bnh nhn (Sample No v Patient ID).
5. Nhn chn Decrete tests mun tin hnh v OK.

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QUY TRNH PHN TCH

6. Lc u mu bnh nhn v a mu vo v tr gi cha mu thng (1).

7. Nhn Start Switch v qu trnh ht mu c tin hnh.

8. Sau khi hon tt, tube holder s t ng a mu ra ngoi

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QUY TRNH PHN TCH

9. Sau khi ly mu bnh, nhn mode switch tube holder v v tr ban


u.
10. ch manual, my s ht 88uL mu.
2.4.3 Chy mu ch t ng (Sampler Mode)

Vi ch chy mu t ng thi qu trnh lc mu, ht mu, v phn


tch mu u c thc hin t ng.
ng cha mu phi c y np v t trong gi ng mu.
Barcode dn ln thn ng phi c nhn thy r khe c khi t
ng mu vo rack.
a rack vo khe ca b ti mu, my s t ng pht hin rack v
tin hnh chy mu.
B ti mu c th cha ti a 5 racks.
Sau khi chy mu hon tt, rack s c a ra ngoi, bn tri b ti
mu.

2.4.4 Chy mu ch pha long


Mu pha long s c chy ch Manual mode.
Thc hin pha long mu bn ngoi theo t l 1:7 trong ng eppendorf
(ti thiu 60uL mu + 360 uL cellpack).
1. T Control Menu, nhn chn Change Analysis Mode
2. Nhn chn Dilution mode v chn OK.

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QUY TRNH PHN TCH

3. Trn Control Menu, chn Manual Analyze

4. Nhp thng tin v s th t ca bnh nhn (Sample No v


Patient ID).
5. Nhn chn Decrete tests mun tin hnh v nhn chn Cap Open
cho ch pha long.
6. Lc u mu bnh nhn v a mu vo v tr gi cha mu
thng (1)v v tr s (2) gi cha mu c nh hoc eppendorf
(nu s dng) gim th tch cht.
7. ch pha long, my s ht 70uL mu.
8. Nhn Start Switch v qu trnh ht mu c tin hnh.
9. Sau khi hon tt, tube holder s t ng a mu ra ngoi.
10. Sau khi ly mu bnh, nhn mode switch tube holder v v tr
ban u.

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QUY TRNH PHN TCH

2.4.5 Chy mu ch Body Fluid


1. T Control Menu, nhn chn Change Analysis Mode
2. Nhn chn Body Fluid mode v chn OK.

3. My s t ng thc hin background check cho ch Body Fluid

Nu kt qu nm trong gii hn o th n xanh s c sng ln


v sn sng cho qu trnh phn tch mu Body Fluid.
4. Sau khi mu c lc u, t mu vo v tr gi cha mu thng.
5. Nhn nt start switches v vic ht mu d c tin hnh.
7. Sau khi ly mu bnh, nhn mode switch gi cha mu v v tr ban
u.

2.4.6 Ch WORK LIST


Ch Worklist cho php ng k, hin th, chnh sa, v xa cc phn tch
ng k.
Kh nng lu tr n 2000 mu ng k.
Ngi s dng c th sp xp, lc, tm mu ng k.

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QUY TRNH PHN TCH

Quy trnh ng k mu bng WorkList:

1. T thanh cng c, nhn chn [Regist], hp thai bn di


s hin th:

2. Nhp d liu vo cc hin th thng tin


[Sample No]: Nhp s th t mu (nu c) hoc my c
ch t ng tng dn. C th nhp n
22 k t.
[Rack No]: Nhp vo s Rack v v tr ng mu. C th
nhp n 6 k t. Ch c th nhp thng
tin nu Analysis Ordering c ci t
[Rack No./Tube Pos.]. Trong hp thai
Modify, [Rack No.] b m i, khng th
chnh sa.

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QUY TRNH PHN TCH

[Tube Pos]: C 10 v tr c th nhp cho mt rack. Ch


c th nhp thng tin nu Analysis
Ordering c ci t [Rack No. /Tube
Pos.]. Trong hp thai Modify, [Rack No.]
b m i, khng th chnh sa.
[Rack unit
registration]: Tch chn nu ng k theo rack. Khng th
ng k nu c t hn 10 mu. Ch c
th nhp thng tin nu Analysis Ordering
c ci t [Rack No./Tube Pos.].
[Discrete] : C th chn CBC, CBC+DIFF, hoc c th
t do chn tng thng s ring l.
[Sample
Comment] Nhp vo ghi ch. C th nhp n 40 k
t.
[Pat. ID] : Nhp vo ID bnh nhn. C th nhp n
16 k t .
Khi nhp vo Pat.ID ph hp th thng
tin bnh s c tm t ng hin th.
[Pat. Infor.] : Thng tin bnh nhn

3. Nhn OK.
[Continuous Registration] : Khi chc nng ny c bt, mu s
c ng k t 1-10. Sau khi han tt th hp thai [Regist Oder] s
hin th tip theo.

2.5 KT QU PHN TCH

2.5.1 Hin th kt qu phn tch


Nhn chn Explorer trn thanh cng c, mn hnh hin th kt qu nh
sau.

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QUY TRNH PHN TCH

Thng tin hin th sau khi phn tch mu:

Validate V Mu c xc nhn
Sample I - Initial T ng
information M - Manual ng k bng tay
A - Auto incremented T dng tng dn

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 28


QUY TRNH PHN TCH

B - Barcode C barcode
C - Host computer C kt ni mng
Analysis WB : Wholeblood Mu ton phn
mode LW : Low WBC Wbc thp
PD : Pre dilution Pha long
BF : Body Fluid Dch c th
P/N D : DIFF Bt thng v cc thnh
M : Morphology phn t bo
C : Couting Bt thng v hnh thi
Bt thng v s lng
Action Check Kim tra
Review Xem li kt qu khi cn
Error Function Li c barcode
Result Li ht mu, thiu mu.
Printed D : Data printer In d liu
G : Graphic printer In hnh nh, biu
H : Host Kt ni mng

Mn hnh hin th cho Body Fluid mode

2.5.2 Tm kt qu phn tch


1. T mn hnh Explorer, nhn chn Find trn thanh cng c.
2. Nhp kt qu hoc chn PREV./ NEXT n kt qu cn tm.
3. Close ng hp thoi

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 29


QUY TRNH PHN TCH

2.5.3 Chnh sa thng tin bnh nhn trn kt qu phn tch


Trc khi chnh sa thng tin bnh nhn cn m bo kt qu cha
c validate, nu kt qu c xc nhn th khng th chnh sa.
hy b xc nhn, nhn chn [Validate] trn thanh cng c, sau
tin hnh chnh sa thng tin.
Nu mn hnh explorer ch hin th 20 kt qu gn nht th thng tin
bnh nhn cng khng th c chnh sa >>>>>> Nhn chn biu
tng [Last 20] hin th c nhiu kt qu hn.
1. Nhn chn [Modify] trn thanh cng c, ca s chnh sa thng
tin s hin th.
2. Nhp s ID mi ca bnh nhn vo pat ID.
3. Sample No s mc nh theo s c trc .
4. Sau click OK xc nhn. Cn validate li kt qu trc khi in
ra hoc chuyn v h thng my ch.

2.5.4 In kt qu v chuyn d liu v my ch


T mn hnh Explorer, chn nhng kt qu ( c Validate)
cn in ra hoc chuyn v my ch.
Nhn chn Printed trn thanh cng c.
Chn GP report in kt qu hoc chn HC chuyn kt qu v
my ch.

2.5.5 Lu tr kt qu

Chn mt hoc nhiu kt qu cn lu tr (back up).

Nhn File >>> Backup trn thanh cng c.

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QUY TRNH PHN TCH

Lu tr theo ng dn t chn.

Nhn Save lu tr kt qu chn.

2.5.6 Phc hi kt qu

Nhn File >>> Restore trn thanh cng c.

Chn kt qu cn phc hi (restore).

Nhn Open phc hi kt qu chn.

2.5.7 Hin th kt qu chi tit (mn hnh Browser)

Mn hnh Browser
Mn hnh Browser c th m theo nhiu cch khc nhau:

- Nhn biu tng Data Browser trn mn hnh Menu

- Nhn biu tng Data Browser trn thanh cng c.

Mn hnh Browser bao gm:

- Thng tin mu (khung mu ): Bnh thng, bt thng, s th t


mu, ngy gi phn tch.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 31


QUY TRNH PHN TCH

- Kt qu phn tch (khung mu xanh dng)

- C bo tng ng cho WBC, RBC, PLT v cch x l (khung mu tm)

Mn hnh chnh (ch WB/ Low WBC/ PD/ HPC*)

* Nu c
Item Hin th cc thng s phn tch

Data Hin th kt qu phn tch

Unit n v

LL & UL Hin th gii hn ca tng thng s


Hin th c bo bt thng hoc/v c bo nghi ng ca WBC
WBC Flags nu c

RBC Flags Hin th c bo bt thng hoc/v c bo nghi ng ca RBC


nu c

PLT Flags Hin th c bo bt thng hoc/v c bo nghi ng ca PLT nu


c

Action Hin th hng x l nu c

Error/Rule Hin th li hoc/v cc iu kin c ci t trn my


Comments

K hiu i cng kt qu phn tch:

K hiu Ngha

@ Kt qu vt qu gii hn tuyn tnh

* Kt qu thiu tin cy

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 32


QUY TRNH PHN TCH

+, - Kt qu vt qu gii hn cho php (thp/cao)

-------
Kt qu khng th xut do li phn tch
Analyis ipossible

++++
Vt qu gii hn hin th
Out of Range

(Blank) Khng c ng k

Mn hnh chnh (ch Dch c th -Body Fluid)

Biu (ch WB/ Low WBC/ PD/ HPC*)

(* Nu c)

- Scattergram: biu tn x knh DIFF ( mu cam)

- Distribution: Biu cho thy phn b ca RBC/PLT (mu vng)

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 33


QUY TRNH PHN TCH

Biu (ch Dch c th -Body Fluid)

- Scattergram: biu tn x phn b theo 2 chiu knh DIFF (mu cam)

- Distribution: Biu cho thy phn b ca RBC (mu xanh l cy)

C bo
C BO BT THNG ABNORMAL FLAGGING

WBC BCH CU

WBC Abn Scattergram Biu tn x bch cu bt thng

Neutropenia S lng bch cu Neutro thp

Neutrophilia S lng bch cu Neutro cao

Lymphopenia S lng bch cu Lympho thp

Lymphocytosis S lng bch cu Lympho cao

Monocytosis S lng bch cu Mono cao

Eosinophilia S lng bch cu Eo cao

Basophilia S lng bch cu Baso cao

Leukocytopenia Tng s m bch cu thp

RBC- HNG CU

RBC Abn Distribution Biu phn b hng cu bt thng

Dimorphic Population Biu phn b hng cu c hai nh

Anisocytosis Hng cu c kch thc khng ng u

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 34


QUY TRNH PHN TCH

Microcytosis Hng cu nh

Macrocytosis Hng cu ln

Hypochromia Hng cu nhc trng

Anemia Thiu mu

Erythrocytosis Tng s lng hng cu

PLT- TIU CU

PLT Abn Distribution Biu phn b tiu cu bt thng

PLT Abn Scattergram Biu tn x tiu cu bt thng

Thrombocytopenia S lng tiu cu thp

Thrombocytosis S lng tiu cu cao

C BO NGHI NG SUSPECT FLAGGING ?

WBC BCH CU

Blasts? Nghi ng c xut hin t bo khu vc Blast

Abn Lympho? Nghi ng c xut hin t bo khu vc Blast

Left Shift? Nghi ng c xut hin t bo khu vc Left Shift

Nghi ng c xut hin t bo khu vc atypical


Atypical Lympho?
Lymp

RBC- HNG CU

RBC
Nghi ng c ngng kt hng cu
Agglutination?

Turbidity/HGB
Nghi ng HGB b nh hng bi mu c c cao
Interf?

Iron
Nghi ng thiu mu thiu st
Deficiency?

HGB Defect? Bt thng HGB

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 35


QUY TRNH PHN TCH

Fragments? Nghi ng c mnh v hng cu

PLT- TIU CU

PLT Clumps? Nghi ng c tiu cu kt cm (Knh DIFF)

2.6 TT MY CUI NGY


Nn khi ng li my sau 24 gi s dng, sau khi phn tch c 500 mu v
t nht 1 ln vo cui ngy.
1. T Control Menu, Chn Shutdown >>>>hp thoi s xut hin.

2. Cho 4ml dung dch Cellclean vo tube, sau t tube vo v tr gi cha


mu (1) v m np.
3. Nhn Start switch , vic ra mys bt u. Qu trnh shutdown c
tin hnh trong vng 15 pht. Khi hon tt, dung dch cellclean s c
a ra ngoi.
4. ng phn mm IPU, nhn chn [Exit IPU].
5. Chn [YES] v tt my.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 36


QUY TRNH PHN TCH

CHNG III HNG DN X L CC LI THNG THNG

3.1 HNG GII QUYT


Khi c li xy ra, my s bo alarm v ng thi mn hnh s hin th
bng hng dn tr gip.

[Accept]: Xc nhn li c bo, thc hin theo hng dn


x l li. Khi qu trnh x l li hon tt, li cnh bo
s mt i.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 37


HNG DN X L LI

[Close]: ng mn hnh tr gip v khng thc hin qu


trnh chy li.
[Reset Alarm]: Tt m cnh bo.
[Action] : Cch x l li.

3.2 CC LI THNG GP V CCH KHC PHC

3.2.1 Pressure and vacuum Error

LI HIN TH CCH KHC PHC NGUYN NHN


Chn [execute] kim tra
bung kh nn, kim tra nm
-0.04 MPa error p sut bm gim, ng
iu chnh, v thng thong
0.07 MPa error ng b r r, nm iu chnh
cht lng trong bung kh
0.16 MPa error cha chc chn, c cht lng
nn.
0.25 MPa error. trong bung kh nn ca b
Nu vn bo li >>> lin h vi
phn by kh.
Sysmex.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 38


HNG DN X L LI

3.2.2 Temperature
Errors

RH thermistor/temp.
FCM react. chamber i cho nhit n nh hoc Nhit tng ng ca cc
temp. nm trong gii hn cho php ( n v phn ng ngoi gii
FCM detector temp. ti a 30 pht). hn cho php.
FCM sheath temp. Nu sau 30 pht vn bo li
FCM react. chamber >>>lin h vi Sysmex.
thermistor
APD thermistor
FCM detector therm.
FCM sheath therm.
Env.Temp. therm.

3.2.3 Aspiration
Errors

CELLPACK DFL
CELLPACK DCL Kim tra li ng ng v ng ng dn t thng ha
SULFOLYSER chn [Execute] mi li ha cht b nghn hoc c bt
Lysercell WNR cht kh.
Lysercell WDF R r t ng ng.
FCM sheath
RBC sheath fluid
Fluorocell WNR ng np ha cht nhum. Np y ha cht nhum m
Fluorocell WDF
Fluorocell WPC
Fluorocell RET
Fluorocell PLT

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 39


HNG DN X L LI

3.2.4 Reagents
Replacement

CELLPACK DCL
SULFOLYSER Kim tra li ng ng v ng ng dn t thng ha
Lysercell WNR chn [Execute] mi li ha cht b nghn hoc c bt
Lysercell WDF cht kh.
Lysercell WPC R r t ng ng.
CELLPACK DFL
CELLPACK DST
Fluorocell WNR ng np ha cht nhum. Np y ha cht nhum m
Fluorocell WDF
Fluorocell WPC Ht ha cht.
Fluorocell RET Kim tra li ng ng v mi Cc ng ng b nghn
Fluorocell PLT li ha cht. hoc r r.

3.2.5 Chambers Errors

RBC/HGB chamber not Chn [Execute] thc hin ng ng dn bung o


draining. qu trnh loi b tc nghn. RBC/HGB n thng ha
cht b tc nghn.

CELLPACK DCL air Kim tra thng ha cht. Chn C bt kh trong ng ng


bubble sensor error. [Execute] mi ha cht. dn dung dch Cellpack DCL.

Waste chamber 1 Chn [Execute] loi b ng ng thot nc t


Waste chamber 2 nc cn ng li bung bung thi 1 v 2 b tc
thi. nghn.

Exchange waste tank Thc hin nc thi. Nc thi y

3.2.6 Motor Errors:

FCM sheath motor Kim tra li tnh trng my Do ma st vi b phn bm


RBC sheath motor bm, sau nhn chn ht mu ton phn v
WB aspiration motor [Execute] my thc hin FCM(or RBC).
motor operation test. Piston y dung dch sheath
b li.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 40


HNG DN X L LI

3.2.7 Sampler
Operation Error

Blood Asp Sensor Error Trn u mu v chy li. Cm bin ht mu b li


Thc hin auto rinse hoc Mt ca mu khng
cleaning hoc thay mi piercer ph hp
nu nh error cn tn ti. Piercer v ng ng ht
Nu thit b cn sa cha mu b nghn.
>>>lin h vi Sysmex.

Short Sample Chy mu bng ch manual


hoc pha long. Th tch mu khng .
Thc hin auto rinse hoc B phn cm bin khng
cleaning hoc thay mi piercer pht hin c mc th
nu nh error cn tn ti. tch mu nht nh.
Nu thit b cn sa cha Piercer v ng ng ht
>>>lin h vi Sysmex. mu b nghn.

Rack Movement Errors

Rack feed-in home


position error Loi b bi bn v bt c vt
Rack feed-in error cn no khc. Rack vo khay ti mu
Rack ejection error t rack li v tr ban u v khng hp l hoc c vt
Rack ejection home chy li khi my Ready cn tn khat ti mu
position error trong qu trnh di chuyn.
Thit b cm bin dch
chuyn v v tr ban u b
hng hoc d v bi bn.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 41


HNG DN X L LI

3.2.8 Analytical Error

PLT sampling error


RBC sampling error
PLT-F sampling error Trn u mu v chy li. Mt ca mu khng ph
RET sampling error hp
WDF sampling error
WNR sampling error
WPC sampling error

RET channel error


WDF channel error
PLT-F channel error Loi b tc nghn v tin hnh Nghn trong b phn
WNR channel error rinse Flowcell trong detector FCM
WPC channel error Maintenance.
PLT channel error
RBC channel error

Background check error Chy auto rinse C bt kh.


Thay mi ha cht. Nght, d, v tc nghn.
Loi b tc nghn. Ha cht b h.

HGB error Thc hin Auto Rinse Gi tr HGB sau khi chy
background nm ngoi gii
hn cho php.
C bt kh trong ng ng
o HGB

ng ng o RBC b tc
RBC detector clog Loi b tc nghn ng ng. nghn do cc ng hoc c
Bubbles in RBC detector cuy hin bt kh trong
ng ng.
Li trong qu trnh o mu.

Low count error Tin hnh qu trnh ra Auto Kim ht b nght.


Rinse. Nght ti ng ng WB.
Ra hoc thay mi kim ht.

Data Errors Kim tra li kt qu phn tch. Kt qu phn tch nm ngoi


Chn Removed RBC Detector gii hn (cao hn hoc thp
Clogs trong ca s hn) do mng m b d
Maintenance ra t ng. hoc do mu bt thng.
Sau chy li mu.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 42


HNG DN X L LI

3.2.9 Errors related to


the laser.

FCM detector cover Khi d quang hc ang m.


ng np khi d quang hc. Cm bin khi d quang hc
Nu vn bo li, b phn cm b li.
bin c th b h >>> thay mi
b cm bin. Lin h cng ty
Sysmex.

Tt ngun in v bt li. Lin Thi gian s dng laser sp


Laser life h cng ty Sysmex. ht.
(Vn c th phn tch c).

Sn lng laser vt qu
Cn thay mi laser. mc cho php.
Laser output error

3.2.10 Errors relate to


quality control

L-J Control Error Da trn biu QC, kim tra Kt qu QC bt thng.


X-barM control error nhng thng s vt qu gii
X-bar control error hn cho php,
Sau chn [Accept].
Tin hnh Calib nu cn thit.

Thay l QC mi v nhp mi
Control has expired. gi tr l QC . QC ht hn s dng.

Control is not entered. Nhp gi tr l QC mi v s L QC ang chy cha c


dng ng k trn my.

3.2.11 Errors relate to


user maintenance and
warnings.
Tt my phn tch v thay kim Thi gian cn thay th kim
Piercer replacement is ht mi. ht mu.
required.
Nhn chn [Execute] trong Thi gian cn tin hnh
Cleaning hp thoi Help, sau tin Cleaning.
hnh Cleaning.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 43


CHNG IV HNG DN BO TR

Bo Tr Khi Cn Thit Thay Th

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 44


HNG DN BO TR

4.1 Bo tr hng ngy


Tt my cui ngy: Tt my theo quy trnh shutdown v rt dy in ngun.
Tt my in.

4.2 Bo tr khi cn thit

4.2.1 nc thi

1. Vn np bnh thi theo hng mi tn (1).

2. Ko np bnh thi theo hng mi tn (2).

3. Rt ng v np ra ngoi, sau phn nc thi bn trong.

4. Gn bnh vo li v tr c v vn np bnh thi theo hng ngc chiu vi


chiu mi tn (1).

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 45


HNG DN BO TR

4.2.2 Ra bung thi


1. Trong ca s Mantenance, nhn chn [Rinse
Waste Chamber]. Hp thoi s xut hin.

2. Cho 4 mL CellClean vo ng nghim.

3. a ng nghim c cha CellClean vo v tr t


mu v m np.

4.Nhn nt Start Switch trn my phn tch, qu trnh


ra s c tin hnh trong 15 pht.

5.Ch khi qu trnh ra hon tt, ly ng CellClean ra


ngoi v nhn nt Mode Switch.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 46


HNG DN BO TR

4.2.3 Ra bung m hng cu


1. TtIPU v my phn tch. M np mt
trc my phn tch v m n mc cao
nht.

2. Vn m nt kha np b phn o theo


hng mi tn.

3. y nh np b phn o
v ko ra ngoi theo
hng mi tn.

4. Vn v ly np bung
m ra ngoi theo hng
mi tn.

5. Ngm bn chi vo dung


dch CellClean, sau
pht nh nhng ln khe
m.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 47


HNG DN BO TR

6.t np bung m vo li v tr c v xoay theo chiu ngc li vi chiu


mi tn bc 4.
7.Lp np y ca b phn o v vn nt kha cht v ng np mt trc
my phn tch.
8.Bt cng tc ngun.

4.2.4 Loi b bt kh
1. Trn thanh Menu, nhn chn Maintenance.
2. Chn [Remove Air Bubbles]. Ca s xut hin v qu trnh y kh s c
tin hnh. Sau khi hon tt, ca s s t ng ng li.

4.2.5 Ra bung o (Flowcell)


1. Trong ca s [Rinse Flowcell]. Hp thoi s
xut hin.

2. Cho 4 mL CellClean vo ng nghim. Sau a ng nghim c cha


CellClean vo v tr t mu v m np.
3. Nhn nt Start Switch trn my phn tch, qu trnh ra s c tin
hnh trong 10 pht.
4. Ch khi qu trnh ra hon tt, ly ng CellClean ra ngoi v nhn nt
Mode Switch.

4.2.6 Loi b tc nghn trong ng ng o RBC


1. Trn thanh Menu, nhn chn Maintenance.
2. Chn [Remove Clogs]. Ca s xut hin v qu trnh loi b tc nghn s
c tin hnh. Sau khi hon tt, ca s s t ng ng li.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 48


HNG DN BO TR

4.2.7 Kim tra v loi b dch tn ng trong Trap Chamber


1. M np mt trc my phn tch.
2. Tho g bung by kh nn bng cch quay
theo hng mi tn.

3. nc ng li trong bung.
4. Tho g phao v t vo bung by kh.
5. nh bung by kh nn vo v tr c, quay
n ngc chiu vi hng mi tn bc 2.

6.ng np my phn tch.

4.2.8 iu chnh p sut (0.25 MPa)

1. Trong Maintenance menu, chn


[Pressure Adjustment]. Mn hnh s
hin th ca s Pressure Adjustment.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 49


HNG DN BO TR

2. Ni lng vt an ton ca nm iu chnh p


sut 0.25 MPa pha trc b phn kh
nn.

3. iu chnh p sut 0.25 MPa cao hay thp


bng cch xoay nt vn theo hng dn
ca mi tn.

4. Kha vt an ton ca nm iu chnh p sut 0.25 MPa, lu nm iu


chnh vn v tr va iu chnh.
5. Nhn [Close] trong ca s [Pressure adjustment] ng hp thoi.

4.2.9 iu chnh p sut (0.16 MPa)


1. Trong Maintenance menu, chn [Pressure Adjustment].
2. M np pha mt trc my phn tch.

3. Ko nm iu chnh theo hng mi


tn m kha.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 50


HNG DN BO TR

4. iu chnh p sut cao hay thp bng


cch xoay nm ii chnh theo hng
dn ca mi tn.
5. y nm iu chnh v li v tr ban u
kha li v ng np my phn tch.
6. Nhn [Close] ng ca s li.

4.2.10 iu chnh p sut (0.07 MPa)


1. Trong Maintenance menu, chn [Pressure Adjustment].
2. M np pha mt trc my phn tch.
3. Ko nm iu chnh theo hng mi tn
m kha.

4.iu chnh p sut cao hay thp bng


cch xoay nm ii chnh theo hng
dn ca mi tn.

5.y nm iu chnh v li v tr ban u


kha li v ng np my phn tch.
6. Nhn [Close] ng ca s li.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 51


HNG DN BO TR

4.3 THAY TH

4.3.1 Thay ha cht


Hp thoi [Reagent Replacement] cho php ngi vn hnh kim tra th
tch cn li ca ha cht. Nu ha cht ht trong qu trnh phn tch, my
s dng hot ng v thng bo li s hin th trn Control Menu.

1.Nhn chn Help trong Control Menu.

2. Chn [Execute].

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 52


HNG DN BO TR

4.3.2 Mi ha cht
1.Trong Maintenance menu, nhn chn
[Reagent Replenishment]. Hp thoi s
xut hin.

2. Chn tn ha cht cn mi, sau


nhn [Execute].
Qu trnh mi s c tin hnh, sau
khi hon tt hp thoi s t ng ng
li.

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 53


CHNG V GII HN H THNG

GII HN H THNG/ KH NNG GY NHIU MU

5.1 WBC

5.1.1 Trng hp h thng s bo gi s lng bch cu thp:


Kt dnh bch cu
5.1.2 Trng hp h thng s bo gi s lng bch cu cao:
Tiu cu kt cm
Hng cu khng ly gii
Ngng kt lnh
Si huyt
Cryoprotein
Cryoglobulin
Tiu cu khng l (tiu cu > 1,000,000/uL)
(Essential Throbocytosis- tng tiu cu cn thit: S lng tiu cu
thng mc cao hn 1,000,000/uL hoc thp hn 450,000/uL, do
ti6e3u cu khng l thng xut hin trong ti bn mu.)

5.2 RBC

5.2.1 Trng hp h thng s bo gi s lng hng cu thp:


Ngng kt lnh
Hng cu kch thc nh
Hng cu b phn mnh
5.2.2 Trng hp h thng s bo gi s lng hng cu cao:
Tng bch cu (> 100,000/uL)
Tiu cu khng l (tiu cu > 1,000,000/uL)

5.3 HBG
Trng hp h thng s bo gi nng HGB cao:
Tng bch cu (> 100,000/uL)
Lipemia ( M mu)
(Lipemia lm tng nng HGB do c ca huyt thanh. Khi c
nh hng n gi tr HGB, h thng s bo li H&H check Fail.
Protein bt thng

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 54


GII HN H THNG

5.4 HCT
5.4.1 Trng hp h thng s bo gi gi tr HCT thp:
Ngng kt lnh
Hng cu kch thc nh
Hng cu b phn mnh
5.4.2 Trng hp h thng s bo gi gi tr HCT cao:
Tng bch cu (>100,000/uL)
Tiu ng mc nghim trng
Sherocytosis ( chng tng hng cu hnh cu)
Ure mu.

5.5 PLT

5.5.1 Trng hp h thng s bo gi s lng tiu cu thp:


Tiu cu kt cm
Gim tiu cu gi to (psseudothrombocytopenia) do tiu cu kt cm.
Khuyn co trng hp ny nn ly mu li v lc u mu sau khi ly
mu v trc khi phn tch.
Tiu cu khng l.
5.5.2 Trng hp h thng s bo gi s lng tiu cu cao:
Hng cu kch thc nh
Hng cu b phn mnh
Bch cu phn mnh
Cryoglobulin
Cryoprotein

5.6 RET
Trng hp h thng s bo gi s lng hng cu li cao:
Ngng kt lnh
Tiu cu khng l
Tiu cu kt cm
Bch cu phn mnh
Th Howell-Jolly
Malaria (vi trng st rt)

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 55


We Believe the Possibilities

XN-1000 Hng Dn S Dng Phin Bn Thng 1-2016 Trang 56

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