2013, Número 01-02
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Medicina & Laboratorio 2013; 19 (01-02)
Interpretación del hemograma automatizado: claves para una mejor utilización de la prueba
Campuzano MG
Idioma: Español
Referencias bibliográficas: 303
Paginas: 11-68
Archivo PDF: 1518.24 Kb.
RESUMEN
El hemograma es una de las pruebas que más se solicita al laboratorio clínico y, sin duda,
una de las que más aporta al clínico en la evaluación del paciente. Desde el punto de vista técnico, se
reconocen seis tipos de hemograma y el tipo VI es el que ofrece mayor cantidad de parámetros de utilidad
clínica, los cuales se obtienen a partir de una amplia combinación de tecnologías, como el enfoque
hidrodinámico y la citometría de flujo. En este módulo se describen los parámetros que componen el
hemograma tipo VI, la utilidad clínica, los valores de referencia y algunos aspectos que se deben tener
en cuenta al interpretar los resultados y tomar decisiones médicas; además, se hace énfasis en los
nuevos parámetros disponibles en el hemograma tipo VI, como el recuento de reticulocitos y los índices
derivados, el recuento de granulocitos inmaduros y de plaquetas reticuladas, entre otros, los cuales
son parámetros de gran utilidad en diferentes escenarios clínicos y hacen que este hemograma sea el
de elección para la práctica médica actual.
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