{"id":140360,"date":"2019-04-30T05:23:14","date_gmt":"2019-04-30T05:23:14","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e5%87%9d%e8%a1%80%e5%92%8c%e5%85%92%e7%a7%91%e6%aa%a2%e6%b8%ac%ef%bc%9a%e4%bd%bf%e5%9f%ba%e6%96%bc%e5%b9%b4%e9%bd%a1%e7%9a%84%e5%8f%83%e8%80%83%e5%80%bc%e6%9b%b4%e6%98%93%e6%96%bc%e5%af%a6%e9%a9%97\/"},"modified":"2026-01-19T06:00:58","modified_gmt":"2026-01-19T06:00:58","slug":"coagulation-and-paediatric-testing-make-age-based-reference-values-easier-for-your-lab","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhtw\/disease-area\/coagulation\/coagulation-and-paediatric-testing-make-age-based-reference-values-easier-for-your-lab\/","title":{"rendered":"\u51dd\u8840\u548c\u5152\u79d1\u6aa2\u6e2c\uff1a\u4f7f\u57fa\u65bc\u5e74\u9f61\u7684\u53c3\u8003\u503c\u66f4\u6613\u65bc\u5be6\u9a57\u5ba4\u4f7f\u7528"},"content":{"rendered":"<h2 style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u5152\u79d1\u51dd\u8840\u6aa2\u6e2c\uff1a\u57fa\u65bc\u5e74\u9f61\u7684\u53c3\u8003\u7bc4\u570d<\/h2>\n<p>\u4efb\u4f55\u5152\u79d1\u91ab\u5e2b\u90fd\u6703\u544a\u8a34\u60a8\uff0c\u5b69\u5b50\u4e0d\u53ea\u662f\u300c\u5c0f\u6210\u4eba\u300d\uff0c\u4ed6\u5011\u6210\u9577\u548c\u767c\u80b2\u7684\u4e8b\u5be6\u610f\u5473\u8457\u4ed6\u5011\u7684\u8eab\u9ad4\u7cfb\u7d71\u8655\u7406\u4e8b\u60c5\u7684\u65b9\u5f0f\u8207\u6210\u4eba\u8eab\u9ad4\u4e0d\u540c\u3002\u5152\u7ae5\u548c\u6210\u4eba\u4ee3\u8b1d\u4e4b\u9593\u7684\u9019\u7a2e\u5dee\u7570\u6703\u5f71\u97ff\u5be6\u9a57\u5ba4\u503c\uff0c\u9019\u662f\u5408\u7406\u7684\u3002\u8a31\u591a\u5e38\u898b\u7684\u5be6\u9a57\u5ba4\u6aa2\u6e2c\u5c0d\u65bc\u5152\u7ae5\u548c\u6210\u4eba\u4e4b\u9593\u7684\u6b63\u5e38\u503c\u5177\u6709\u4e0d\u540c\u7684\u7406\u60f3\u81e8\u754c\u503c\uff0c\u5305\u62ec\u5168\u8840\u7d30\u80de\u8a08\u6578\u3001\u51dd\u8840\u3001\u8840\u6db2\u5316\u5b78\u548c\u00a0\u964d\u9223\u7d20\u539f\u3002\u5728\u8a31\u591a\u60c5\u6cc1\u4e0b\uff0c\u6709\u5e7e\u500b\u5e74\u9f61\u7d44\u7684\u622a\u6b62\u503c\u4e0d\u540c\uff0c\u56e0\u6b64\u6ce8\u610f\u60a3\u8005\u5e74\u9f61\u5c0d\u65bc\u78ba\u5b9a\u7d50\u679c\u662f\u5426\u7570\u5e38\u81f3\u95dc\u91cd\u8981\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u51dd\u8840<\/h2>\n<p>\u6709\u4e9b\u8cc7\u6e90\u5c07\u53c3\u8003\u7bc4\u570d\u503c\u5206\u70ba\u516d\u500b\u6216\u66f4\u591a\u500b\u5e74\u9f61\u7d44\uff0c\u4ee5\u8a55\u4f30\u5152\u7ae5\u7684\u6b63\u5e38\u6aa2\u6e2c\u503c<strong>\u3002<\/strong>\u5152\u7ae5\u6b63\u5e38\u5be6\u9a57\u5ba4\u503c\u4e4b\u4e0d\u540c\u7bc4\u570d\u4e4b\u4e3b\u8981\u4f8b\u9805\u53ef\u898b\u65bc\u51dd\u8840\u6e2c\u8a66\u4e2d\uff0c\u8af8\u5982\u51dd\u8840\u9176\u539f\u6642\u9593(PT)\u53ca\u6d3b\u5316\u90e8\u5206\u51dd\u8840\u6d3b\u9176\u6642\u9593(aPTT)\u3002\u5982\u679c\u5c07\u6210\u4eba\u53c3\u8003\u7bc4\u570d\u7528\u65bc\u8af8\u5982PT\u53caaPTT\u4e4b\u51dd\u8840\u6aa2\u6e2c\uff0c\u5247\u591a\u905430%\u76841\u81f310\u6b72\u5152\u7ae5\u5c07\u88ab\u6a19\u7c64\u70ba\u7570\u5e38\uff0c\u00a0\u5f9e\u800c\u5c0e\u81f4\u4e0d\u5fc5\u8981\u7684\u8ffd\u8e64\u6aa2\u6e2c\u6216\u8a3a\u65b7\u3002<strong>-\u7279\u5225\u662f\u5c0d\u65bc\u9019\u4e9b\u6aa2\u6e2c\uff0c\u6b63\u5e38\u503c\u4e0d\u50c5\u53d6\u6c7a\u65bc\u6b63\u5e38\u7684\u7522\u5f8c\u5e74\u9f61\uff0c\u9084\u53d6\u6c7a\u65bc\u65e9\u7522\u5b30\u5152\u7684\u5b55\u9f61[1]\u3002<\/strong><\/p>\n<p><figure style=\"width: 975px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-83527 size-full\" src=\"https:\/\/labinsights.com\/wp-content\/uploads\/2019\/04\/ds2-1b7.png\" alt=\"\u8868\" width=\"975\" height=\"706\" data-caption=\"Sosothikul D, Kittikalayawong Y, Aungbamnet P, Buphachat C, Seksarn P. &lt;a href=&quot;https:\/\/www.google.com\/url?q=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F22322138&amp;amp;sa=D&amp;amp;sntz=1&amp;amp;usg=AFQjCNH2fO0yCMLlLHgdt8sYDCVxC9wwHw&quot;&gt;Reference values for thrombotic markers in children.&lt;\/a&gt; &lt;em&gt;Blood Coagul Fibrinolysis&lt;\/em&gt;. 2012 Apr;23(3):208-11.\u200b\u200b\u200b\u200b\u200b\" data-entity-type=\"file\" data-entity-uuid=\"6021e357-2700-444f-bcb1-25f55d77ebc1\" title=\"\" srcset=\"https:\/\/labinsights.com\/app\/uploads\/2019\/04\/ds2-1b7.png 975w, https:\/\/labinsights.com\/app\/uploads\/2019\/04\/ds2-1b7-278x201.png 278w, https:\/\/labinsights.com\/app\/uploads\/2019\/04\/ds2-1b7-768x556.png 768w\" sizes=\"(max-width: 975px) 100vw, 975px\" \/><figcaption class=\"wp-caption-text\">\uff1a\u8207\u6210\u4eba\u6c34\u6e96\u76f8\u6bd4\uff0c\u5152\u79d1\u5929\u7136\u6297\u51dd\u8840\u5f15\u6578\u53c3\u8003\u503c[2]<\/figcaption><\/figure><strong>\u6297\u51dd\u8840\u6a19\u8a8c\u7269\u6309\u5e74\u9f61\u7d44\u5177\u6709\u76f8\u4f3c\u7684\u5dee\u7570\u3002\u4f8b\u5982\uff0c1\u6b72\u4ee5\u4e0b\u5152\u7ae5\u7684\u5929\u7136\u6297\u51dd\u86cb\u767dC\u6297\u539f\u6d3b\u6027\u5e73\u5747\u503c\u70ba63.0%\uff0c\u4f46\u6210\u4eba\u5e73\u5747\u503c\u9ad8\u905490.7% [3]\u3002\u6578\u503c\u4e5f\u4e0d\u7e3d\u662f\u7dda\u6027\u8b8a\u5316\u2014\u5f88\u591a\u6642\u5019\uff0c\u6578\u503c\u548c\u6b63\u5e38\u7bc4\u570d\u6703\u6839\u64da\u5b30\u5152\u671f\u6216\u9752\u6625\u671f\u7b49\u751f\u547d\u968e\u6bb5\u800c\u4e0a\u4e0b\u8b8a\u5316\u3002\u70ba\u4e86\u6b63\u78ba\u89e3\u8b80\u4efb\u4f55\u4eba\u7684\u8840\u6813\u6a19\u7c64\u7269\uff0c\u77ad\u89e3\u60a3\u8005\u7684\u5e74\u9f61\u81f3\u95dc\u91cd\u8981\u3002<\/strong><\/p>\n<h2 id=\"h.p_pEicrCvRSOAp\" class=\"text-align-justify\" tabindex=\"-1\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u8840\u6db2\u5316\u5b78<\/h2>\n<p id=\"h.p_YxFnLg94e68D\">\u8840\u6db2\u5316\u5b78\u6aa2\u6e2c\u53ef\u70ba\u8a31\u591a\u75be\u75c5\u7684\u5f8c\u7e8c\u6aa2\u67e5\u548c\u984d\u5916\u6aa2\u6e2c\u63d0\u4f9b\u8cc7\u8a0a\u3002\u7531\u65bc\u6b63\u5e38\u503c\u53ef\u80fd\u56e0\u5152\u7ae5\u5e74\u9f61\u800c\u5177\u6709\u76f8\u7576\u5927\u7684\u814e\u529f\u80fd\u3001\u809d\u529f\u80fd\u3001\u9435\u8cea\u53ca\u5176\u4ed6\u6aa2\u67e5\u5dee\u7570\uff0c\u56e0\u6b64\u6839\u64da\u60a3\u8005\u5e74\u9f61\u4f7f\u7528\u6e96\u78ba\u7684\u622a\u6b62\u503c\u81f3\u95dc\u91cd\u8981\u3002<\/p>\n<p id=\"h.p_lMTTJCWqb2-0\">\u5c0d\u65bc\u65b0\u751f\u5152\uff0c\u4e00\u4e9b\u5e38\u898b\u7684\u6aa2\u67e5\uff0c\u4f8b\u5982\u7121\u6a5f\u78f7\u548c\u9240\u7684\u6aa2\u67e5\uff0c\u751a\u81f3\u5728\u6b63\u5e38\u7bc4\u570d\u5167\u6bcf\u5929\u90fd\u6709\u6240\u4e0d\u540c\u3002\u4f8b\u5982\uff0c\u9240\u542b\u91cf\u70ba3.2 mmol\/L\u7684\u5b30\u5152\u5728\u51fa\u751f\u5f8c\u7b2c\u4e00\u9031\u662f\u6b63\u5e38\u7684\uff0c\u4f46\u5230\u51fa\u751f\u5f8c\u7b2c\u4e8c\u9031\u4f4e\u65bc\u4e0b\u9650\u3002<\/p>\n<p id=\"h.p_M3mUdpF5b2-0\">\u6b64\u5916\uff0c\u6210\u4eba\u4e2d\u7537\u6027\u8207\u5973\u6027\u53c3\u8003\u7bc4\u570d\u4e4b\u9593\u7684\u5171\u540c\u5340\u5225\u6709\u6642\u4e5f\u9069\u7528\u65bc\u5152\u7ae5\u3002\u4f8b\u5982\uff0c10\u5929\u9f61\u5b30\u5152\u7684\u4e19\u80fa\u9178\u8f49\u80fa\u9176(ALT)\u503c\u70ba8U\/L\uff0c\u5c0d\u65bc\u5973\u6027\u800c\u8a00\u662f\u6b63\u5e38\u7684\uff0c\u4f46\u4f4e\u65bc\u7537\u6027\u65b0\u751f\u5152\u7684\u53c3\u8003\u5e74\u9f61\u3002<\/p>\n<h2 id=\"h.p_PqcFDqJwu24-\" class=\"text-align-justify\" tabindex=\"-1\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u8b93\u57fa\u65bc\u5e74\u9f61\u7684\u53c3\u8003\u503c\u66f4\u6613\u65bc\u5be6\u9a57\u5ba4\u6aa2<\/h2>\n<p id=\"h.p_-n4um1nffyY3\">\u6e2c\u5982\u679c\u5c1a\u672a\u6210\u70ba\u5be6\u9a57\u5ba4\u5728\u5831\u544a\u7d50\u679c\u524d\u6aa2\u67e5\u60a3\u8005\u5e74\u9f61\u7684\u6a19\u6e96\u505a\u6cd5\uff0c\u4ee5\u4e0b\u662f\u4e00\u4e9b\u63d0\u793a\uff1a<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li id=\"h.p_v5Yr8cDYcFdr\">\u8acb\u8aee\u8a62\u60a8\u6240\u5728\u570b\u5bb6\u7684\u5be6\u9a57\u5ba4\u54c1\u8cea\u7d44\u7e54\u6216\u5c08\u696d\u57f7\u696d\u5718\u9ad4\uff0c\u77ad\u89e3\u60a8\u6240\u5728\u5be6\u9a57\u5ba4\u57f7\u884c\u7684\u6240\u6709\u6aa2\u6e2c\u7684\u6700\u65b0\u5152\u79d1\u53c3\u8003\u7bc4\u570d\u3002<\/li>\n<li id=\"h.p_6VdzjoZKcFdr\">\u6709\u95dc\u5168\u7403\u5152\u79d1\u53c3\u8003\u7bc4\u570d\u5021\u8b70[3]\u7684\u66f4\u65b0\uff0c\u8acb\u6aa2\u8996\u5152\u79d1\u5be6\u9a57\u5ba4\u91ab\u5b78\u5de5\u4f5c\u968a\uff08\u570b\u969b\u81e8\u5e8a\u5316\u5b78\u8207\u5be6\u9a57\u5ba4\u91ab\u5b78\u806f\u5408\u6703\u7684\u4e00\u90e8\u5206\uff09\u63d0\u4f9b\u7684\u8cc7\u6e90\u3002<\/li>\n<li id=\"h.p_6DOd1Y7UcFds\">\u4e00\u822c\u6aa2\u6e2c\u4e4b\u57fa\u65bc\u5e74\u9f61\u4e4b\u5f8c\u53c3\u8003\u7bc4\u570d\u8868\u4ee5\u7c21\u55ae\u6aa2\u8996\u986f\u793a\u3002\u4f8b\u5982\uff0c\u5c07\u5b83\u5011\u653e\u5728\u5be6\u9a57\u5ba4\u88dd\u7f6e\u6216\u5831\u544a\u7ad9\u9644\u8fd1\u7684\u7246\u4e0a\u3002\u958b\u653e\u53d6\u7528\u51fa\u7248\u7269\u63d0\u4f9b\u4e86\u6578\u5341\u7a2e\u5e38\u898b\u6e2c\u8a66\u7684\u5152\u79d1\u6b63\u5e38\u7bc4\u570d\u7684\u5b8c\u6574\u4e14\u6700\u65b0\u7684\u8868\u683c[4]\u3002<\/li>\n<li id=\"h.p_xSJz-6O0cFdt\">\u5982\u679c\u60a8\u6709\u81ea\u52d5\u5316\u7684\u7d50\u679c\u5831\u544a\u7cfb\u7d71\uff0c\u8acb\u78ba\u4fdd\u8a72\u7a0b\u5f0f\u6839\u64da\u57fa\u65bc\u5e74\u9f61\u7684\u53c3\u8003\u7bc4\u570d\u5831\u544a\u767c\u73fe\u9805\u3002<\/li>\n<li id=\"h.p_Z6vi6qgGcFdu\">\u5c0d\u60a8\u7684\u5de5\u4f5c\u4eba\u54e1\u9032\u884c\u5152\u79d1\u548c\u6210\u4eba\u53c3\u8003\u7bc4\u570d\u5dee\u7570\u8a13\u7df4\u3002\u60a8\u53ef\u4ee5\u6559\u5c0e\u4ed6\u5011\u5982\u4f55\u8207\u773e\u4e0d\u540c\uff0c\u4e26\u5411\u4ed6\u5011\u5c55\u793a\u622a\u6b62\u5716\uff0c\u4ee5\u5354\u52a9\u4ed6\u5011\u638c\u63e1\u9019\u500b\u4e3b\u984c\u3002<\/li>\n<li id=\"h.p_eElmsq_vcFdv\">\u5728\u60a8\u7684\u5be6\u9a57\u5ba4\u7684\u54c1\u8cea\u4fdd\u8b49\u8a66\u9a57\u8a08\u756b\u66f8\u6216\u5831\u544a\u6aa2\u67e5\u6e05\u55ae\u4e2d\u589e\u52a0\u5e74\u9f61\u6aa2\u67e5\uff08\u4f8b\u5982\u4e16\u754c\u885b\u751f\u7d44\u7e54\u7684\u9019\u4efd\u6aa2\u67e5\u6e05\u55ae[5]\uff09\u9019\u5c07\u78ba\u4fdd\u91dd\u5c0d\u60a3\u8005\u5e74\u9f61\u5be9\u67e5\u6240\u6709\u7d50\u679c\u3002\u5982\u679c\u60a3\u8005\u662f\u5152\u7ae5\uff0c\u5728\u81f4\u96fb\u91ab\u5e2b\u6216\u90f5\u5bc4\u7d50\u679c\u4e4b\u524d\uff0c\u9084\u61c9\u6839\u64da\u5152\u79d1\u53c3\u8003\u7bc4\u570d\u6aa2\u67e5\u7d50\u679c\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p id=\"h.p_Y1n3uz79cFdw\">\u900f\u904e\u5be6\u65bd\u9019\u4e9b\u7c21\u55ae\u7684\u5152\u7ae5\u51dd\u8840\u6aa2\u6e2c\u7b56\u7565\uff0c\u60a8\u53ef\u4ee5\u70ba\u75c5\u60a3\u548c\u91ab\u5e2b\u7bc0\u7701\u4e0d\u5fc5\u8981\u7684\u8cbb\u7528\u3001\u58d3\u529b\u548c\u6642\u9593\u3002\u6b64\u5916\uff0c\u60a8\u5b8c\u5168\u53ef\u4ee5\u653e\u5fc3\uff0c\u81ea\u5df1\u80fd\u5920\u9075\u5faa\u6700\u65b0\u7684\u5152\u79d1\u5be6\u9a57\u5ba4\u5831\u544a\u6a19\u6e96\uff0c\u4e26\u7bc0\u7701\u5be6\u9a57\u5ba4\u8cc7\u6e90\uff0c\u7528\u65bc\u771f\u6b63\u9700\u8981\u7684\u8ffd\u8e64\u6aa2\u6e2c\u3002<\/p>\n<p><em>\u53c3\u8003\u6587\u737b\uff1a<\/em> <a href=\"https:\/\/www.elsevier.com\/books\/lanzkowskys-manual-of-pediatric-hematology-and-oncology\/lanzkowsky\/978-0-12-801368-7\" target=\"_blank\" rel=\"noopener\">[1]<\/a> Lanzkowsky&#8217;s Manual of Pediatric Hematology and Oncology 6th edition <a href=\"https:\/\/journals.lww.com\/bloodcoagulation\/fulltext\/2012\/04000\/reference_values_for_thrombotic_markers_in.6.aspx\" target=\"_blank\" rel=\"noopener\">[2]<\/a> Sosothikul, D.et al., 2012. Reference values for thrombotic markers in children.<em>Blood Coagulation &amp; Fibrinolysis, <\/em>23(3), pp. 208-211. <a href=\"https:\/\/www.ifcc.org\/ifcc-emerging-technologies-division\/etd-committees\/c-etplm\/paediatric-reference-range-initiatives\/\" target=\"_blank\" rel=\"noopener\">[3]<\/a>\u00a0IFCC Paediatric Reference Range Initiatives\u00a0https:\/\/www.ifcc.org\/ifcc-emerging-technologies-division\/etd-committees\/c-etplm\/paediatric-reference-range-initiatives\/ <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/9781444345186.app2\" target=\"_blank\" rel=\"noopener\">[4]<\/a> Paediatric normal laboratory values, Appendix B.<a href=\"https:\/\/extranet.who.int\/lqsi\/sites\/default\/files\/attachedfiles\/Checklist%20for%20validation%20of%20test%20results.pdf\" target=\"_blank\" rel=\"noopener\">[5]<\/a> World Health Organisation Laboratory Quality Stepwise Implementation tool checklist<\/p>\n<hr \/>\n<p><em>\u672c\u6587\u4f9d\u65bc\u6cf0\u570bDusit Thani Hua Hin\u8209\u884c\u4e4bRoche Scientific Days 2018: Empowering Lab Leadership to the Next Level \u767c\u8868\u4e4b<\/em>Value of Laboratory for Pediatrics<em>\u4f5c\u6210\u3002<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5152\u79d1\u51dd\u8840\u6aa2\u6e2c\uff1a\u57fa\u65bc\u5e74\u9f61\u7684\u53c3\u8003\u7bc4\u570d 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\u900f\u904e\u5be6\u65bd\u9019\u4e9b\u7c21\u55ae\u7684\u5152\u7ae5\u51dd\u8840\u6aa2\u6e2c\u7b56\u7565\uff0c\u60a8\u53ef\u4ee5\u70ba\u75c5\u60a3\u548c\u91ab\u5e2b\u7bc0\u7701\u4e0d\u5fc5\u8981\u7684\u8cbb\u7528\u3001\u58d3\u529b\u548c\u6642\u9593\u3002\u6b64\u5916\uff0c\u60a8\u5b8c\u5168\u53ef\u4ee5\u653e\u5fc3\uff0c\u81ea\u5df1\u80fd\u5920\u9075\u5faa\u6700\u65b0\u7684\u5152\u79d1\u5be6\u9a57\u5ba4\u5831\u544a\u6a19\u6e96\uff0c\u4e26\u7bc0\u7701\u5be6\u9a57\u5ba4\u8cc7\u6e90\uff0c\u7528\u65bc\u771f\u6b63\u9700\u8981\u7684\u8ffd\u8e64\u6aa2\u6e2c\u3002 \u53c3\u8003\u6587\u737b\uff1a [1] Lanzkowsky&#8217;s Manual of Pediatric Hematology and Oncology 6th edition [2] Sosothikul, D.et al., 2012. Reference values for thrombotic markers in children.Blood Coagulation &amp; Fibrinolysis, 23(3), pp. 208-211. 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