์ „์šฉ์šฉ๊ธฐ์•ˆ๋‚ด
์šฉ๊ธฐ๋ช… ๊ฒ€์‚ฌํ•ญ๋ชฉ ๊ฒ€์ฒด์ทจ๊ธ‰ ๋ฐฉ๋ฒ• ์ฒจ๊ฐ€์ œ
EDTA Tube CBC, PB Morphology, ํ˜ˆ๊ตฌ๊ณ„์‚ฐ,ํ˜ˆ๊ตฌํ˜•ํƒœ ๊ฒ€์‚ฌ, ์„ธํฌ๋ฉด์—ญ ๊ฒ€์‚ฌ * ํ˜ˆ์•ก์„ ์šฉ๊ธฐ์— ์ฑ„ํ˜ˆํ•œ ํ›„ ํ•ญ ์‘๊ณ ์ œ(EDTA)์™€ ๊ฒ€์ฒด๊ฐ€ ์ถฉ๋ถ„ํžˆ ํ˜ผํ•ฉ๋˜๋„๋ก 6~8ํšŒ ํ˜ผํ•ฉํ•œ๋‹ค. ์ขŒ - Spray-dried K2 EDTA, 3 mL ์šฐ - Liquid K3 EDTA(์œ ๋ฆฌ๊ด€), 10 mL
Plain Tube (๋ฉธ๊ท ์‹œํ—˜๊ด€) LE cell, ์•ฝ๋ฌผ๊ฒ€์‚ฌ, ํ™”ํ•™ ๋ฐ ํ˜ˆ์ฒญํ•™์  ๊ฒ€์‚ฌ์— ์ด์šฉ๋˜๋Š” Serum * ์‚ฌ์šฉ์‹œ ๋šœ๊ป‘์ด ์˜ค์—ผ๋˜์ง€ ์•Š๋„๋ก ์ฃผ์˜ ์—†์Œ
SST (Serum Separating Tube) ๋Œ€๋ถ€๋ถ„์˜ ์ž„์ƒํ™”ํ•™๊ฒ€์‚ฌ, ํ˜ˆ์ฒญ, ๋ฉด์—ญํ•™ ๊ฒ€์‚ฌ ์ค‘๊ธˆ์†๊ฒ€์‚ฌ 16์ข…(4626) * ํ˜ˆ์•ก์„ ์šฉ๊ธฐ์— ์ฑ„ํ˜ˆํ•˜์—ฌ ์•ฝ 8~10ํšŒ ํ˜ผํ•ฉ ํ›„ ์ตœ์†Œํ•œ 30๋ถ„๊ฐ„ ๋ฐฉ์น˜ํ•˜์—ฌ ์‘๊ณ  * ์›์‹ฌ๋ถ„๋ฆฌ๋Š” ์ฑ„ํ˜ˆ 2์‹œ๊ฐ„ ์•ˆ์— 3000 rpm์—์„œ 10๋ถ„๊ฐ„ ์ง„ํ–‰ * ์šฉ๊ธฐ๋‚ด๋ฒฝ์— silica particles (์‘๊ณ  ์ด‰์ง„์ œ)๊ฐ€ ์ฒจ๊ฐ€๋˜์–ด ์žˆ์œผ๋ฏ€๋กœ ์ฑ„ํ˜ˆ ํ›„ ๊ผญ ์œ„์•„๋ž˜๋กœ ํ˜ผํ•ฉํ•˜์—ฌ ์ค€๋‹ค. ํ˜ˆ์ฒญ๋ถ„๋ฆฌ๋ฅผ ์œ„ํ•œ ์‘๊ณ ์ด‰์ง„์ œ์™€ Gel ์ขŒ(์œ ๋ฆฌ๊ด€): 8.5 mL, ์šฐ(Gel) 5 mL
Sodium Citrate Tube ํ˜ˆ์•ก์‘๊ณ  ๊ด€๋ จ๊ฒ€์‚ฌ * ํ˜ˆ์•ก : SC = 9 : 1์˜ ๋น„์œจ๋กœ ์ฑ„ํ˜ˆํ•ด์•ผ ํ•˜๊ณ  ์ฑ„ํ˜ˆ ํ›„ 3~4ํšŒ ํ˜ผํ•ฉํ•˜์—ฌ ์ •ํ™•ํ•œ coagulation value ๋ฅผ ์œ ์ง€ํ•˜๊ฒŒ ํ•œ๋‹ค. * vacutainer ๋กœ ์ฑ„ํ˜ˆ ์‹œ ์ •ํ™•ํ•œ ์šฉ๋Ÿ‰ ์ฑ„ํ˜ˆ * ์ผ๋ฐ˜ ์ฃผ์‚ฌ๊ธฐ๋กœ ์ฑ„ํ˜ˆ ์‹œ ํ˜ˆ์•ก๋Ÿ‰์€ 2.7 mL Sodium citrate (2.7 mL)
Heparin โ€“ Na Tube Amino acid, Organic acid, ์—ผ์ƒ‰์ฒด ๊ฒ€์‚ฌ, ํ™”ํ•™ ๊ฒ€์‚ฌ *ํ˜ˆ์•ก์„ ์šฉ๊ธฐ์— ์ฑ„์ทจ ํ›„ ์‘๊ณ ๋˜์ง€ ์•Š๋„๋ก ์ถฉ๋ถ„ํžˆ ํ˜ผํ•ฉํ•œ๋‹ค. Heparin Na (์ขŒ: 10 mL, ์šฐ: 4 mL)
NaF Tube Glucose-Serum(0388) GTT-Glucose Tolerance Test(4310), Lactic acid(0384)์ „์šฉ์šฉ๊ธฐ * ํ˜ˆ์•ก์„ ์šฉ๊ธฐ์— ์ฑ„ํ˜ˆํ•œ ํ›„(3 mL) ํ•ญ ์‘๊ณ ์ œ์™€ ๊ฒ€์ฒด๋ฅผ ์ถฉ๋ถ„ํžˆ ํ˜ผํ•ฉํ•˜๋˜ ๊ฑฐํ’ˆ์ด ์ƒ๊ธฐ์ง€ ์•Š๋„๋ก ํ•œ๋‹ค. Sodium fluoride Potassium oxalate
Capillary Tube Total bilirubin(0340), ์‹ ์ƒ์•„ ํ˜ˆ์•กํ˜• ๊ฒ€์‚ฌ(ABO, Rhํ˜•), HBs Ag(0528,0571) HBs Ab(0572,0529) ๋“ฑ capillary๋กœ ์‹œํ–‰๋˜๋Š” ํ˜ˆ์•ก๊ฒ€์‚ฌ ๋ง์ดˆํ˜ˆ์•ก ์ฒœ์ž * ๋ž€์…‹์œผ๋กœ ๊นŠ๊ฒŒ ์ฒœ์žํ•œ ํ›„ ์ฒซ ๋ฐฉ์šธ์€ ๋ฉธ๊ท ๊ฑฐ์ฆˆ๋กœ ๋‹ฆ๊ณ  ๋‘ ๋ฒˆ์งธ ๋ฐฉ์šธ๋ถ€ํ„ฐ ์ฑ„ํ˜ˆ * ํ˜ˆ์•ก์ด ํ˜๋Ÿฌ๋‚˜์˜ค์ง€ ์•Š๋„๋ก ๋ฐ˜๋“œ์‹œ ์•ž, ๋’ค๋ฅผ ๋ฐ€๋ด‰ํ•˜์—ฌ ์šด์†ก Red tip โ€“ Heparin (ํ•ญ์‘๊ณ ์ œ ์ฒจ๊ฐ€) Blue tip โ€“ Plain (ํ•ญ์‘๊ณ ์ œ ๋ฌด์ฒจ๊ฐ€)
NMP22 ์ „์šฉ์šฉ๊ธฐ NMP22-๋ฐฉ๊ด‘์•”๊ฒ€์‚ฌ(3757) * ์ฑ„๋‡จ ํ›„ ๋ฐ˜๋“œ์‹œ ์ „์šฉ์šฉ๊ธฐ์˜ ํŒŒ๋ž€์„  ๊นŒ์ง€ (7 mL)์ฑ„์ทจ * ๋šœ๊ป‘์„ ๋ฐ€๋ด‰ํ•œ ํ›„ ๋ƒ‰์žฅ๋ณด๊ด€ Phosphate buggered saline solution, Bromocresol green, ๋ฏธ์ƒ๋ฌผ ์ฆ์‹์–ต์ œ ์•ˆ์ •์ œ
Blood culture - ํ˜๊ธฐ์„ฑ ์ „์šฉ Microorganism culture-Blood(1214) ๋ฐฐ์–‘์šฉ๊ธฐ ๋‚ด ๋ฐฐ์–‘์•ก๊ณผ ํ˜ˆ์•ก์„ 9 : 1 ๋น„์œจ๋กœ ๋„ฃ์„ ๊ฒƒ * 20 mL์˜ ์†Œ์•„์šฉ์šฉ๊ธฐ๋Š” 2~3 mL์˜ ํ˜ˆ์•ก์„, 50mL์˜ ์„ฑ์ธ์šฉ ์šฉ๊ธฐ๋Š” 5 mL์˜ ํ˜ˆ์•ก์„ ์ ‘์ข… * ๊ฒ€์ฒด๋Š” ์˜ˆ์ƒ ๋ฐœ์—ด ์‹œ๊ฐ„ ์ „, ํ•ญ๊ท ์ œ ํˆฌ์—ฌ ์ „์— ์ฑ„ํ˜ˆํ•˜๋Š” ๊ฒƒ์ด ์ข‹์œผ๋ฉฐ 1์‹œ๊ฐ„ ๊ฐ„๊ฒฉ์œผ๋กœ ์•ฝ 3ํšŒ ์ฑ„ํ˜ˆ Thioglycollate broth ์ขŒ: ํ˜ˆ์•ก 5.0 mL (์„ฑ์ธ), ์šฐ: ํ˜ˆ์•ก 2.0 mL (์†Œ์•„)
Blood culture โ€“ ํ˜ธ๊ธฐ์„ฑ ์ „์šฉ Microorganism culture-Blood(1214) * ๋ฐฐ์–‘์šฉ๊ธฐ ๋‚ด ๋ฐฐ์–‘์•ก๊ณผ ํ˜ˆ์•ก์„ 9 : 1 ๋น„์œจ๋กœ ๋„ฃ์„ ๊ฒƒ * 20 mL์˜ ์†Œ์•„์šฉ์šฉ๊ธฐ๋Š” 2~3 mL์˜ ํ˜ˆ์•ก์„, 50 mL์˜ ์„ฑ์ธ์šฉ ์šฉ๊ธฐ๋Š” 5 mL์˜ ํ˜ˆ์•ก์„ ์ ‘์ข… * ๊ฒ€์ฒด๋Š” ์˜ˆ์ƒ ๋ฐœ์—ด ์‹œ๊ฐ„ ์ „, ํ•ญ๊ท ์ œ์ œ์˜ ํˆฌ์—ฌ ์ „์— ์ฑ„ํ˜ˆํ•˜๋Š” ๊ฒƒ์ด ์ข‹์œผ๋ฉฐ 1์‹œ๊ฐ„ ๊ฐ„๊ฒฉ์œผ๋กœ ์•ฝ 3ํšŒ ์ฑ„ํ˜ˆ Trypticasein soy broth ์ขŒ: ํ˜ˆ์•ก 5.0 mL (์„ฑ์ธ), ์šฐ: ํ˜ˆ์•ก 2.0 mL (์†Œ์•„)
Transport medium Microorganism culture & ID(1202), ๋ฏธ์ƒ๋ฌผ ์ˆ˜์†ก ๋ฐฐ์ง€, ์„ธ๊ท ๋ฐฐ์–‘ ๊ฒ€์‚ฌ ์‹œ ๊ฒ€์ฒด ๋ณด์กด์šฉ * ๋ณด๊ด€์ค‘์ธ ์šฉ๊ธฐ๋ฅผ ์‹ค์˜จ์— 30๋ถ„ ์ด์ƒ ๋ฐฉ์น˜ ํ›„ ์‚ฌ์šฉ * ๊ฒ€์ฒด ์ฑ„์ทจ ํ›„ ์ฆ‰์‹œ ๋ƒ‰์žฅ๋ณด๊ด€ (์ž„๊ท  ๋ฐ ์ˆ˜๋ง‰์—ผ๊ท  ์˜์‹ฌ ์‹œ ์‹ค์˜จ๋ณด๊ด€) Transport medium
ํ˜ˆ์•ก์—ฌ์ง€ (์‹ ์ƒ์•„ ์ฑ„ํ˜ˆ ์—ฌ์ง€) ์„ ์ฒœ์„ฑ๋Œ€์‚ฌ์ด์ƒ ์Šคํฌ๋ฆฌ๋‹ ๊ฒ€์‚ฌ(NST 6์ข…, Tandom mass ๊ฒ€์‚ฌ) ์„ ์ฒœ์„ฑ ๋‚œ์ฒญ์œ ์ „์ž-GJB2(2960) * ์‹ ์ƒ์•„์˜ ๋ฐœ ๋’ค๊ฟˆ์น˜์˜ ์™ธ์ธก ๋ถ€๋ฅผ ๋ž€์…‹(๋ฐ”๋Š˜)์œผ๋กœ ์ฐ”๋Ÿฌ ํฐ ํ˜ˆ์•ก ๋ฐฉ์šธ์ด ํ˜•์„ฑ๋˜๋ฉด ์ฒซ ๋ฐฉ์šธ์€ ๋ฉธ๊ท ๊ฑฐ์ฆˆ๋กœ ๋‹ฆ์•„๋‚ด๊ณ  ๋‘ ๋ฒˆ์งธ ๋ฐฉ์šธ๋ถ€ํ„ฐ ์ฑ„ํ˜ˆ์—ฌ์ง€ ์˜ ํ•œ์ชฝ ๋ฉด์— ๋ฌปํ˜€ ๋’ท๋ฉด๊นŒ์ง€ ์Šค๋ฉฐ๋“ค๊ฒŒ ํ•œ๋‹ค. * ์ฑ„ํ˜ˆ ์—ฌ์ง€์˜ 4๊ฐœ์˜ ์›์ด ์™„์ „ํžˆ ์ฑ„์›Œ์ง€๊ฒŒ ํ•œ๋‹ค. ์—ฌ๊ณผ์ง€๋ฅ˜
Stool ๋ฌด๊ท ์šฉ๊ธฐ Stool parasite(1262), Stool culture, Fat ์ •์„ฑ๊ฒ€์‚ฌ(3012) ๋ถ„๋ณ€์ถฉ๋ž€๊ฒ€์‚ฌ, Rota virus Ag, Stool occult blood(1277,4301), Stool WBC(1245), ๊ธ‰์„ฑ์„ค์‚ฌ์›์ธ๊ท (4495), ๊ธ‰์„ฑ์„ค์‚ฌ๋ฐ”์ด๋Ÿฌ์Šค(4504) * Stool ์šฉ๊ธฐ์— ๋ถ„๋ณ€ 1~2 g์„ ๋‹ด๋Š”๋‹ค. * 24์‹œ๊ฐ„ Stool ๊ฒ€์‚ฌ์ธ ๊ฒฝ์šฐ ๋ฏธ๋ฆฌ ๋ฌด๊ฒŒ๋ฅผ ์žฐ ์šฉ๊ธฐ์— ๊ฒ€์ฒด๋ฅผ ์ฑ„์ทจํ•˜๊ณ  ์ „์ฒด์˜ ๋ฌด๊ฒŒ๋ฅผ ์ธก์ •ํ•˜์—ฌ ๊ฒ€์ฒด์˜ ์ด ๋ถ„๋ณ€๋Ÿ‰์„ ๊ธฐ์ž…ํ•œ๋‹ค. ์—†์Œ
24 ์‹œ๊ฐ„ ์š” ์šฉ๊ธฐ Iodide loading test(4390), Iodine loading test(4493), Creatinine(U,0548) * ์ง€์ •๋œ ์‹œ๊ฐ„(์˜ˆ: ์˜ค์ „ 7:00)์— ํ™˜์ž์—๊ฒŒ ๋ฐฐ๋‡จ์‹œํ‚จ ํ›„ ๋ฒ„๋ฆฌ๊ณ , ๊ทธ ํ›„๋ถ€ํ„ฐ ๋‹ค์Œ๋‚  ์ง€์ •๋œ ์‹œ๊ฐ„(์˜ค์ „ 7:00)์— ๋ฐฐ๋‡จํ•œ ๋ชจ๋“  ์š”๋ฅผ ์šฉ๊ธฐ์— ๋ฐ›๋Š”๋‹ค. (๋Œ€๋ณ€์‹œ์˜ ์š”๋„ ํฌํ•จ) * ์ด ์ถ•๋‡จ๋Ÿ‰์„ ๋ฐ˜๋“œ์‹œ ๊ธฐ์ž…ํ•˜๊ณ  ์ด์ค‘ 50 mL ์ •๋„์˜ ์š”๋ฅผ ์ฑ„์ทจ ๊ฒ€์‚ฌํ•ญ๋ชฉ์— ๋”ฐ๋ผ ์ง€์ •๋œ ๋ณด์กด์ œ๋ฅผ ์šฉ๊ธฐ์— ๋ฏธ๋ฆฌ ๋„ฃ๊ณ , 24์‹œ๊ฐ„ ๋™์•ˆ ๋ƒ‰์žฅ ๋ณด๊ด€ํ•˜๋ฉด์„œ ์ฑ„๋‡จ
Sputum ๋ฌด๊ท  ์šฉ๊ธฐ ๊ฐ๋‹ด์„ ์ด์šฉํ•˜๋Š” ๊ฒ€์‚ฌ, Adeno virus Ag(4402), RSV Ag(1197), Influenza virus A, B Ag(1217,1218), Parainfluenza virus Ag(1198), Mycoplasma pneumonia PCR(1555), ์‹ ์† ํ•ญ์‚ฐ๊ท  ๋™์ •๊ฒ€์‚ฌ MOTT(1268), ๊ฒฐํ•ต์•ฝ์ œ ๋‚ด์„ฑ๊ฒ€์‚ฌ 2์ข…-INH, RFP(3917) * ํƒ€์•ก์ด ํ˜ผ์ž…๋˜์ง€ ์•Š๋„๋ก ์ฑ„์ทจํ•˜์—ฌ ๋ƒ‰์žฅ๋ณด๊ด€ ์—†์Œ
HPV/STD ์ „์šฉ์šฉ๊ธฐ HPV genotype(1564,4560), STD ๊ฒ€์‚ฌ(4239, 4641, ,4492, 4497, 4499, 4501, 4502, 4500, 4503, 4498, 4615, 4618) * ์ „์šฉ์šฉ๊ธฐ์˜ ๋ธŒ๋Ÿฌ์‰ฌ๋ฅผ ์ž๊ถ๋‚ด๋ง‰์— ์‚ฝ์ž…ํ•œ ๋’ค ํšŒ์ „ํ•˜์—ฌ ์ ๋ง‰์˜ ๊ฒ€์ฒด๋ฅผ ์ฑ„์ทจ PBS buffer
Trace element EDTA tube(์ค‘๊ธˆ์† ์ „์šฉ์šฉ๊ธฐ) ์ค‘๊ธˆ์†๊ฒ€์‚ฌ, AS(4295), Cd(1763), Cr(1765), Hg(1767), Pb(Lead), ์ค‘๊ธˆ์† ๊ฒ€์‚ฌ 5์ข…(4620) * ์ฒจ๊ฐ€์ œ๊ฐ€ ํ˜ผํ•ฉ๋  ์ˆ˜ ์žˆ๋„๋ก 10ํšŒ์ด์ƒ ํ”๋“ค์–ด ํ˜ผํ•ฉ K2 EDTA 10.8mg
Trace element Serum tube(์ค‘๊ธˆ์† ์ „์šฉ์šฉ๊ธฐ) ์ค‘๊ธˆ์†๊ฒ€์‚ฌ, Cu(1766), Zn(1772), ์ค‘๊ธˆ์† ๊ฒ€์‚ฌ 5์ข…(4620), ์ค‘๊ธˆ์†๊ฒ€์‚ฌ 16์ข…(4626) * ์ฒจ๊ฐ€์ œ๊ฐ€ ํ˜ผํ•ฉ๋  ์ˆ˜ ์žˆ๋„๋ก 10ํšŒ์ด์ƒ ํ”๋“ค์–ด ํ˜ผํ•ฉ Clot activator
๊ฒฐํ•ต๊ท ํŠน์ดํ•ญ์› ์ „์šฉ์šฉ๊ธฐ ๊ฒฐํ•ต๊ท ํŠน์ดํ•ญ์›(0853) * ์ „์šฉ์šฉ๊ธฐ(3๊ฐœ์˜ tube)์— ํ™˜์ž ์ด๋ฆ„๊ณผ ์ฑ„์ทจ์‹œ๊ฐ„์„ ๊ธฐ์ž…. ๊ฐ 1.0ml์”ฉ ์ฑ„ํ˜ˆ ํ›„ (Gray->Red->purple ์ˆœ์„œ๋กœ ํ˜ˆ์•ก ๋„ฃ๊ธฐ)์ „์šฉ์šฉ๊ธฐ ๋ฒฝ๋ฉด์˜ ๋‚ด์šฉ๋ฌผ์ด ํ˜ˆ์•ก๊ณผ ์ž˜ ํ˜ผํ•ฉ๋  ์ˆ˜ ์žˆ๋„๋ก 10ํšŒ์ด์ƒ ์ „๋„ํ˜ผํ•ฉ. 16์‹œ๊ฐ„ ์ด๋‚ด ๋ณธ์›์— ๋„์ฐฉ. Nil antigen(Gray cap) TB antigen(Red cap) Mitogen(Purple cap)
VTM ์ „์šฉ์šฉ๊ธฐ ํ˜ธํก๊ธฐ๋ฐ”์ด๋Ÿฌ์Šค(91366, 1365, 4455, 4571, 4627) * ๋ชฉ๊ณผ ์ฝ”๋ฅผ ์ด์–ด์ฃผ๋Š” ์ธํ›„๋ถ€๊นŒ์ง€ ๋ฉด๋ด‰์ด ์‚ฝ์ž…๋˜์–ด ์ฑ„์ทจํ•˜์—ฌ์•ผ ์ •ํ™•ํ•œ ๊ฒ€์‚ฌ๊ฐ€ ๊ฐ€๋Šฅํ•˜๋ฉฐ ๊ฒ€์ฒด ์ฑ„์ทจ ํ›„์—๋Š” ๋ฉด๋ด‰์„ ์ฆ‰์‹œ ์šฉ๊ธฐ์— ๋„ฃ์–ด ์˜๋ขฐ. ์„ธ๊ท ์ฆ์‹ ์–ต์ œ์ œ
Conical Tube ๋ฉธ๊ท ์šฉ๊ธฐ(์–‘์ˆ˜, ์†Œ๋ณ€, PCR๊ฒ€์‚ฌ ๊ฐ์ข… ํ•ญ๋ชฉ์˜ ๊ฐ€๊ฒ€๋ฌผ) Iodide(4390) bromide(4391) Fluoride(4392) ์œ ๊ธฐ์‚ฐ๊ท ํ˜•๊ฒ€์‚ฌ(1819) *์˜ค์—ผ๋˜์ง€ ์•Š๋„๋ก ์ฃผ์˜ 15ml/50ml ์—†์Œ
์š”์†Œํ˜ธํก๊ฒ€์‚ฌ(UBT) ์ „์šฉ์šฉ๊ธฐ ์š”์†Œํ˜ธํก๊ฒ€์‚ฌ Urea breath test(0013) * ๊ฒ€์‚ฌ์ „ 4์‹œ๊ฐ„์ด์ƒ ๊ธˆ์‹ํ•˜๊ณ  ์•ฝ 50ml ๋ฌผ๊ณผํ•จ๊ป˜ Helicap ๋ณต์šฉ. 10๋ถ„ํ›„ breathcard์— ์ˆจ์„ ๋‚ด์‰ฐ๋‹ค. ํ‘œ์‹œ๋ง‰์ด ์˜ค๋ Œ์ง€์ƒ‰ โ˜ž ๋…ธ๋ž€์ƒ‰์œผ๋กœ ๋ณ€ํ• ๋•Œ๊นŒ์ง€ ๋‚ ์ˆจ์„ ๋ถˆ์–ด ๋„ฃ๋Š”๋‹ค. ์ฑ„์ทจํ›„ : ์‹ค์˜จ ์—†์Œ