检验科标本采集手册 参考

2025-10-22 999+ 598.5KB 39 页 海报
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标本采集手册目录
1 申请单（医嘱单）-----------------------------------------------------------------------------------------------------------------1
2 标本容器的标识--------------------------------------------------------------------------------------------------------------------1
3 患者准备-----------------------------------------------------------------------------------------------------------------------------1
3.1 患者状态-------------------------------------------------------------------------------------------------------------------------1
3.2 饮食-------------------------------------------------------------------------------------------------------------------------------1
3.3 药物-------------------------------------------------------------------------------------------------------------------------------2
3.4 体位--------------------------------------------------------------------------------------------------------------------------------2
3.5 时间-------------------------------------------------------------------------------------------------------------------------------2
4 采集时间-----------------------------------------------------------------------------------------------------------------------------2
5 血液采集-----------------------------------------------------------------------------------------------------------------------------2
5.1 采血注意事项--------------------------------------------------------------------------------------------------------------------2
5.2 采集过程-------------------------------------------------------------------------------------------------------------------------2
5.3 采集部位-------------------------------------------------------------------------------------------------------------------------3
5.4 真空采血方法-------------------------------------------------------------------------------------------------------------------3
5.5 真空管采血顺序----------------------------------------------------------------------------------------------------------------3
6 尿液采集-----------------------------------------------------------------------------------------------------------------------------3
6.1 临床根据检测的需要选择留尿的方式--------------------------------------------------------------------------------------3
6.2 采集注意事项和要求-----------------------------------------------------------------------------------------------------------4
7 粪便采集-----------------------------------------------------------------------------------------------------------------------------4
7.1 患者准备--------------------------------------------------------------------------------------------------------------------------4
7.2 标本采集--------------------------------------------------------------------------------------------------------------------------4
7.3 标本送检--------------------------------------------------------------------------------------------------------------------------4
7.4 标本处理--------------------------------------------------------------------------------------------------------------------------4
7.5 标本拒收--------------------------------------------------------------------------------------------------------------------------4
8 阴道分泌物标本采集--------------------------------------------------------------------------------------------------------------5
8.1 患者准备--------------------------------------------------------------------------------------------------------------------------5
8.2 标本采集--------------------------------------------------------------------------------------------------------------------------5
8.3 标本运送--------------------------------------------------------------------------------------------------------------------------5
8.4 标本处理--------------------------------------------------------------------------------------------------------------------------5
8.5 标本拒收--------------------------------------------------------------------------------------------------------------------------5
9 前列腺液标本采集-----------------------------------------------------------------------------------------------------------------5
9.1 患者准备--------------------------------------------------------------------------------------------------------------------------5
9.2 标本采集--------------------------------------------------------------------------------------------------------------------------5
9.3 标本运送--------------------------------------------------------------------------------------------------------------------------5
9.4 标本拒收--------------------------------------------------------------------------------------------------------------------------5
10 脑脊液标本采集-------------------------------------------------------------------------------------------------------------------5
10.1 腰椎穿刺的适应症-------------------------------------------------------------------------------------------------------------5
10.2 腰椎穿刺的主要禁忌症-------------------------------------------------------------------------------------------------------5
10.3 患者准备-------------------------------------------------------------------------------------------------------------------------6
10.4 标本采集-------------------------------------------------------------------------------------------------------------------------6
10.5 标本运送-------------------------------------------------------------------------------------------------------------------------6
11 浆膜腔积液标本采集-------------------------------------------------------------------------------------------------------------6
11.1 患者准备-------------------------------------------------------------------------------------------------------------------------6
11.2 标本采集-------------------------------------------------------------------------------------------------------------------------6
12 临床血液检验标本的采集-------------------------------------------------------------------------------------------------------6
12.1 血液常规检查-------------------------------------------------------------------------------------------------------------------6
12.2 网织红细胞----------------------------------------------------------------------------------------------------------------------7
12.3 红细胞沉降率-------------------------------------------------------------------------------------------------------------------7
12.4 骨髓细胞检查-------------------------------------------------------------------------------------------------------------------7
12.5 血清铁、总铁结合力、血清铁蛋白、运铁蛋白-------------------------------------------------------------------------7
12.6 尿含铁血黄素检测-------------------------------------------------------------------------------------------------------------8
12.7 血红蛋白电泳-------------------------------------------------------------------------------------------------------------------8
12.8 凝血和抗凝血筛选试验-------------------------------------------------------------------------------------------------------8
12.9 血流变检测----------------------------------------------------------------------------------------------------------------------9
13 临床生化检验标本的采集-------------------------------------------------------------------------------------------------------9
13.1 常规生化项目-------------------------------------------------------------------------------------------------------------------9
13.2 血气标本的采集-------------------------------------------------------------------------------------------------------------10
14 临床免疫检验标本的采集-----------------------------------------------------------------------------------------------------11
14.1 体液免疫、细胞免疫--------------------------------------------------------------------------------------------------------11
14.2 病毒性肝炎血清标志物、HIV 抗体的检测-----------------------------------------------------------------------------11
14.3 抗“O”、类风湿因子------------------------------------------------------------------------------------------------------11
14.4 TORCH、呼吸道疾病抗体、生殖道感染抗体、自身免疫抗体谱---------------------------------------------------12
15 临床微生物学检验标本的采集-----------------------------------------------------------------------------------------------12
15.1 下呼吸道标本的采集、运送和验收--------------------------------------------------------------------------------------12
15.2 尿液标本的采集、运送和验收-------------------------------------------------------------------------------------------13
15.3 血液标本的采集、运送和验收-------------------------------------------------------------------------------------------14
15.4 粪便标本的采集、运送和验收-------------------------------------------------------------------------------------------16
15.5 脑脊液标本的采集、运送和验收----------------------------------------------------------------------------------------17
15.6 脓液及病灶分泌物标本的采集、运送和验收-------------------------------------------------------------------------18
15.7 穿刺引流液标本的采集、运送和验收-----------------------------------------------------------------------------------20
15.8 生殖道标本的采集、运送和验收----------------------------------------------------------------------------------------21
15.9 临床深部真菌感染标本的采集-------------------------------------------------------------------------------------------21
16 分子生物学标本采集-----------------------------------------------------------------------------------------------------------22
16.1HBV-DNA 血清采集-------------------------------------------------------------------------------------------------------------22
16.2 HCV-DNA 血浆采集-----------------------------------------------------------------------------------------------------------23
16.3 性病标本采集-----------------------------------------------------------------------------------------------------------------23
16.4 结核标本的采集程序-------------------------------------------------------------------------------------------------------23
17 输血科标本采集及要求--------------------------------------------------------------------------------------------------------24
18 标本验收--------------------------------------------------------------------------------------------------------------------------24
18.1 标本输送流程-----------------------------------------------------------------------------------------------------------------24
18.2 不合格及拒收标本-----------------------------------------------------------------------------------------------------------24
19 已检测样本的材料存放和处置-----------------------------------------------------------------------------------------------24
19.1 血液样本-----------------------------------------------------------------------------------------------------------------------24
19.2 体液标本-----------------------------------------------------------------------------------------------------------------------25
19.3 微生物标本--------------------------------------------------------------------------------------------------------------------25
20 申请附加检验项目的时间限制和复检要求-----------------------------------------------------25
21 分析失败的再检验或对同一原始样品做进一步检验---------------------------------------------25
附件 1 成都中医药大学附属医院检验科标本采集指南---------------------------------------------------------------------26
附件 2 检验科检验项目目录------------------------------------------------------------------------------------------------------27
附件 3 申请附加检验的项目及时限---------------------------------------------------------------------------------------------29
附件 4 检测项目报告时间和生物参考区间-----------------------------------------------------------------------------------33
附件 5 检验项目危急值及报告时间--------------------------------------------------------------------------------------------40
附件 6 知情同意书------------------------------------------------------------------------------------------------------------------41
摘要：

标本采集手册目录1申请单（医嘱单）-----------------------------------------------------------------------------------------------------------------12标本容器的标识--------------------------------------------------------------------------------------------------------------------13患者准备---------------------------------------...

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