Estimation of PCV by Wintrobe Method

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ESTIMATION OF PCV

BY WINTROBE
METHOD
PACKED CELL VOLUME
• DEFINITION : PCV is defined as the
ratio of volume of RBC’s to that of
whole blood and is expressed as
percentage.
• Also known as hematocrit and
erythrocyte volume fraction.
HAEMATOCRIT
• Earlier PCV and haematocrit were considered synonymous but
now International Committee for Standardazition in
Hematology, has said the term
• PCV= traditional technique by centrifugation
• Haematocrit= derivation on automated hematology analyzers.
For understanding don’t copy in manual
• Blood =plasma + cells.
• This cells quantity in percentage is PCV .
• Cells mostly are RBCs, so we here would be referring to RBCs
only.
REFERENCE RANGES FOR PCV
• Adult Male : 40-50%
• Adult Female : nonpregnant : 38-45%
• Adult Female : pregnant : 36-42%
• Newborn : 44-60%
Uses of PCV
• Diagnosis of anemia or polycythemia
• Estimation of red cell indices(MCV & MCHC)
• Checking accuracy of hemoglobin value
• Smears can be made from buffy coat layer for detection of LE
cells, malaria parasites, microfilaria, trypanosome, or blast
cells
• Supportive evidence for dengue haemorrhagic fever
Methods for Estimation of
PCV
• Wintrobe’s method (Macro method)
• Micro haematocrit method
• Electronic method
WINTROBE METHOD
• PRINCIPLE : Anti-coagulated whole blood is
centrifuged in a Wintrobe tube to
completely pack the red cells.
• The volume of packed red cells is read
directly from tube.
EQUIPMENTS
1. WINTROBE TUBE: 110mm in length and 100 markings, each
at the interval of 1mm, interval diameter 3mm. It can hold
about 1mL of blood.
2. PASTEUR PIPETTE
3. CENTRIFUGATION MACHINE
SPECIMEN
• Venous blood collected in ethylene-di-
amine-tetra-acetic acid (EDTA) vial (1.5 mg
EDTA for 1 mL of blood).
• Performed within 6 hours of collection
METHODS
• Mix the anti-coagulated blood sample throughly
• Draw the blood sample in a Pasteur pipette and
introduce the pipette up to the bottom of the
Wintrobe tube. Fill the tube from the bottom
exactly up to the 100 mark(1mL of blood).
• Centrifuge the sample at 2,300 rpm for
30minutes.
• Take the reading of the length of the column of
red cells.
• After centrifugation layers are noted as :
1. Upper most layer of plasma
2. Platelets (thin white layer )
3. Greyish pink layer of leucocyte
4. Lower most is layer of RBC
Advantages of Macro-method
1. PCV and ESR is estimated simultaneously
2. Buffy coat can be prepared for LE cells.
3. By seeing the colour of the plasma, some
pathological can be known.example :
a) Yellow colour – Jaundice
b) Pink colour – haemolysis
c) Milky colour -- hyperlipidaemia
Causes of raised PCV
• Polycythemia
• Burns
• shock
Causes of low PCV
• Anaemia
• pregnancy
Formula
• PCV = 3 X HAEMOGLOBIN.
(GRAM PER DECILITRE)
• PCV = 9 X RBC COUNT(MILLION
PER CUBIC MM)

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