[求助]XS-800i HGB错误

机器型号：sysmex XS-800i

故障现象：平均每日报警“HGB错误”3次左右。 有的时候不报警，但是同样一个标本做出来的HGB有的时候是150多有的时候是90多。质控没问题（可能是没捕捉到）

解决：两个半月之前更换过空气泵正负压均正常。（老泵动作过5万多次，所以换掉了），两个半月前更换过SV29-30阀儿。坚持两个月左右没出现问题。最近发现此问题后所做的处理：互换0.1mL DP泵。 互换0.5mL DP泵。清洗限流管儿。

求助郑老大和各位高手~~~等待！下面的是故障代码~~~

103,XS-800i^05347211^11655,2010/08/30,14:27:11,415000,-2147483648,-2147483648 104,XS-800i^05347211^11655,2010/08/30,14:33:20,-415000,0,0 105,XS-800i^05347211^11655,2010/08/30,16:00:23,141001,-2147483648,-2147483648 106,XS-800i^05347211^11655,2010/08/30,16:01:07,415000,-2147483648,-2147483648 107,XS-800i^05347211^11655,2010/08/30,16:01:40,-141001,0,0 108,XS-800i^05347211^11655,2010/08/30,16:02:05,-415000,0,0 109,XS-800i^05347211^11655,2010/08/31,06:33:48,131029,-2147483648,-2147483648 110,XS-800i^05347211^11655,2010/08/31,06:36:24,-131029,0,0 111,XS-800i^05347211^11655,2010/08/31,07:32:23,131020,-2147483648,-2147483648 112,XS-800i^05347211^11655,2010/08/31,07:34:18,-131020,0,0 113,XS-800i^05347211^11655,2010/08/31,07:53:27,131020,-2147483648,-2147483648 114,XS-800i^05347211^11655,2010/08/31,07:54:42,-131020,0,0 115,XS-800i^05347211^11655,2010/08/31,15:01:04,131020,-2147483648,-2147483648 116,XS-800i^05347211^11655,2010/08/31,15:04:08,-131020,0,0 117,XS-800i^05347211^11655,2010/08/31,18:58:38,415000,-2147483648,-2147483648 118,XS-800i^05347211^11655,2010/09/01,05:38:10,131020,-2147483648,-2147483648 119,XS-800i^05347211^11655,2010/09/01,05:42:05,-131020,0,0 120,XS-800i^05347211^11655,2010/09/01,08:27:58,-415000,0,0 121,XS-800i^05347211^11655,2010/09/01,08:32:44,131029,-2147483648,-2147483648 122,XS-800i^05347211^11655,2010/09/01,08:33:32,-131029,0,0 123,XS-800i^05347211^11655,2010/09/02,14:25:14,415000,-2147483648,-2147483648 124,XS-800i^05347211^11655,2010/09/02,14:42:48,-415000,0,0 125,XS-800i^05347211^11655,2010/09/02,18:17:33,131100,-2147483648,-2147483648 126,XS-800i^05347211^11655,2010/09/02,18:21:48,-131100,0,0 133,XS-800i^05347211^11655,2010/09/06,15:39:00,415000,-2147483648,-2147483648 134,XS-800i^05347211^11655,2010/09/06,15:40:09,-415000,0,0 135,XS-800i^05347211^11655,2010/09/06,17:04:47,131029,-2147483648,-2147483648 136,XS-800i^05347211^11655,2010/09/06,17:08:44,-131029,0,0 137,XS-800i^05347211^11655,2010/09/07,00:24:16,471140,1201,-2147483648 138,XS-800i^05347211^11655,2010/09/07,00:46:27,-471140,0,0

麻烦你给断一下行，看着太累。

103,XS-800i^05347211^11655,2010/08/30,14:27:11,415000,-2147483648,-2147483648

104,XS-800i^05347211^11655,2010/08/30,14:33:20,-415000,0,0

105,XS-800i^05347211^11655,2010/08/30,16:00:23,141001,-2147483648,-2147483648

106,XS-800i^05347211^11655,2010/08/30,16:01:07,415000,-2147483648,-2147483648

107,XS-800i^05347211^11655,2010/08/30,16:01:40,-141001,0,0

108,XS-800i^05347211^11655,2010/08/30,16:02:05,-415000,0,0

109,XS-800i^05347211^11655,2010/08/31,06:33:48,131029,-2147483648,-2147483648

110,XS-800i^05347211^11655,2010/08/31,06:36:24,-131029,0,0

111,XS-800i^05347211^11655,2010/08/31,07:32:23,131020,-2147483648,-2147483648

112,XS-800i^05347211^11655,2010/08/31,07:34:18,-131020,0,0

113,XS-800i^05347211^11655,2010/08/31,07:53:27,131020,-2147483648,-2147483648

114,XS-800i^05347211^11655,2010/08/31,07:54:42,-131020,0,0

115,XS-800i^05347211^11655,2010/08/31,15:01:04,131020,-2147483648,-2147483648

116,XS-800i^05347211^11655,2010/08/31,15:04:08,-131020,0,0

117,XS-800i^05347211^11655,2010/08/31,18:58:38,415000,-2147483648,-2147483648

118,XS-800i^05347211^11655,2010/09/01,05:38:10,131020,-2147483648,-2147483648

119,XS-800i^05347211^11655,2010/09/01,05:42:05,-131020,0,0

120,XS-800i^05347211^11655,2010/09/01,08:27:58,-415000,0,0

121,XS-800i^05347211^11655,2010/09/01,08:32:44,131029,-2147483648,-2147483648

122,XS-800i^05347211^11655,2010/09/01,08:33:32,-131029,0,0

123,XS-800i^05347211^11655,2010/09/02,14:25:14,415000,-2147483648,-2147483648

124,XS-800i^05347211^11655,2010/09/02,14:42:48,-415000,0,0

125,XS-800i^05347211^11655,2010/09/02,18:17:33,131100,-2147483648,-2147483648

126,XS-800i^05347211^11655,2010/09/02,18:21:48,-131100,0,0

133,XS-800i^05347211^11655,2010/09/06,15:39:00,415000,-2147483648,-2147483648

134,XS-800i^05347211^11655,2010/09/06,15:40:09,-415000,0,0

135,XS-800i^05347211^11655,2010/09/06,17:04:47,131029,-2147483648,-2147483648

136,XS-800i^05347211^11655,2010/09/06,17:08:44,-131029,0,0

137,XS-800i^05347211^11655,2010/09/07,00:24:16,471140,1201,-2147483648

138,XS-800i^05347211^11655,2010/09/07,00:46:27,-471140,0,0

 

我断开发了，可是发不出去啊。

看一下吧，老大……

所有的41500错误都是HGB错误，后面的子码标示空白转换值和样本转换值，不是0就是-2147483648，空白和样本一致，不是比色头坏了就是池子根本没有液体进入，或者根本就没有转移，13、14号阀首先值得怀疑。

131020和131029错误都是稀释液罐错误，规定的时间内没有充满试剂。

471140错误是没有按时清洗和更换泵，或者没有告诉它复位。

鉴于这些错误同时出现，首先要怀疑你的泵换的是否是好的，压力是否足够。然后再依次排查。

那我再看看，完事儿回复。

老大，又打扰你了，泵是两个月前新换的。压力：正压是0.069；负压是-0.0332。 关于您说的SV13、14我还没换呢。您看是不是和正压有点偏高有关系？或是该清洁一下儿白细胞混匀单元下面的过滤器和rbc下面的过滤器？

压力够了就不用管了，滤网是定期要清洗的，这都不用问，再说那也是排空用的。你现在的情况是什么？

现在的现象就是：报警HGB错误，偶尔也伴随着WBC不出值（WBC不报警，当报警HGB错误的时候偶尔也会WBC不出值）。更换过29、30阀。互换过0.1MLDP泵，互换过0.5mlDP泵，清洗过限流管。

HGB出错而RBC没有问题的话，就不需要管隔膜泵，还是要查HGB比色池里有没有液体进入，还是阀的事情。

好，我去换SV13、14，谢谢老大。

今天把13、14阀换了。过了7个小时，做了大概40左右个标本吧，机器没报警。但是同一个血做出来的HGB一个是134，一个是169。郑工……

什么意思这是？HGB和RBC一个混合池，对比RBC啊，都高的话那是样本分配不对，只有HGB高的话那是溶血剂加入不对，接着查呀。不报警说明液体开始进入HGB池了，这么长时间没有液体进去，池子都脏了，手工清洗一下，测试一下空白转换值是多少。样本出来后，看一下服务数据，看看空白和样本值都是多少。这是常识呀，除了换阀就不会别的了？谁家的五分类能受得了这么久的耽搁？