血常规检查结果分析

血常规检查结果分析 白细胞3.8(正常4.0~10.0) 中性粒细胞数1.5(正常2.0-7.0) 淋巴细胞百分比48.3(正常20-40) 中间细胞百分比12.5(正常3-9) 中性粒细胞百分比39.2(正常50-70) 白细胞总数偏低，白细胞分类大致正常。 白细胞数值减少的常见原因是病毒感染、血液系统疾病，脾功能亢进、身体受到急性或慢性有害放射性物质的照射等等。 血液流变指标检测 全血比粘度(低切) 正常情况:低于男:7.5,10.0女:5.8,8.1 增加:常见于高血压病、脑血管意外、冠心病和心肌梗塞等。 减少:常见于贫血疾病。 全血比粘度(高切) 正常情况:高于男:5.6,6.7女:4.7,6.01 增加:常见于高血压病、脑血管意外、冠心病和心肌梗塞等。 减少:常见于贫血疾病。 血浆比粘度 正常情况:1.64,1.78 增加:常见于高血压、冠心病、心肌梗塞、脑血栓等。 红细胞电泳时间(S) 正常情况:15,17.4s 增加:提示红细胞及血小板聚集性增强、血液粘度增高，易形成血栓性疾病，如闭塞性脉管炎、心肌梗塞、心绞痛、缺血性中风、高血压等。 减少:提示红细胞、血小板带电荷强，血液粘度下降。见于血小板无力症、巨球蛋白血症、肿瘤、坏血病及服用阿司匹林、保泰松、右旋糖酐等。 血小板电泳时间(S) 正常情况:19,22.6s 增加:提示红细胞及血小板聚集性增强、血液粘度增高，易形成血栓性疾病，如闭塞性脉管炎、心肌梗塞、心绞痛、缺血性中风、高血压等。 降低:提示红细胞、血小板带电荷强、血液粘度下降。见于血小板无力症、巨球蛋白血症、肿瘤、坏血病及眼用阿司匹林、保泰松、右旋糖酐等。 纤维蛋白原(Fb)正常情况:2.4,3.7(g,L) 增高:感染，炎症，风湿、经期，手术后，DIC代偿期等。 减低:播散性血管内凝血，胎盘早期剥离，分娩时羊水渗入血管形成栓塞等。 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 全血还原比粘度(低切) 正常情况:低于男:14,20女:12,21 当血细胞比积浓度为1时的全血粘度值。以全血粘度与血细胞比积浓度之比表示。即(全血粘度,1),血细胞比积。其中(全血粘度,1)为增比粘度，还原粘度则实际反映单位血细胞比积产生增比粘度的量，使血液粘度校正到同一血细胞比积浓度的基础上，以之比较。 红细胞电泳时间(S)正常情况:15,17.4s 增加:提示红细胞及血小板聚集性增强、血液粘度增高，易形成血栓性疾病，如闭塞性脉管炎、心肌梗塞、心绞痛、缺血性中风、高血压等。 减少:提示红细胞、血小板带电荷强，血液粘度下降。见于血小板无力症、巨球蛋白血症、肿瘤、坏血病及服用阿司匹林、保泰松、右旋糖酐等。 全血还原比粘度(高切) 正常情况:高于男:10,13女:9,13 当血细胞比积浓度为1时的全血粘度值。以全血粘度与血细胞比积浓度之比表示。即(全血粘度,1),血细胞比积。其中(全血粘度,1)为增比粘度，还原粘度则实际反映单位血细胞比积产生增比粘度的量，使血液粘度校正到同一血细胞比积浓度的基础上，以之比较。 红细胞沉降率(ESR、血沉) 正常情况:男:0,21mm,h女:0,38mm,h 贫血或血液被稀释血沉增快，是红细胞下降逆阻力减低，并不是红细胞聚集增强而增快。通过红细胞比积的血沉方程K值，可排除贫血或血液稀释对血沉的影响。K值高反映红细胞聚集性增强。若血沉快，K值大，血沉一定是快;血沉快，K值正常，是由于红细胞比积低而引起血沉增快。 红细胞压积正常情况:男:0.42,0.47女:0.39,0.40 红细胞压积是指红细胞在血液中所占的容积比值。是影响血液粘度的重要因素，血液粘度随红细胞压积的增加，而迅速增高，反之则降低。 增高:各种原因所致血液浓缩如大量呕吐、腹泻、大面积烧伤后有大量创面渗出液等，测定红细胞压积以了解血液浓缩程度，可作为补液量的依据。真性红细胞增多症有时可高达80%左右。继发性红细胞增多症系体内氧供应不足引起的代偿反应如新生儿，高山居住者及慢性心肺疾患等。 减少:各种贫血或血液稀释，由于贫血类型不同，红细胞计数与红细胞比积的降低不一定成比例，故可以根据红细胞比积和红细胞计数血红蛋白的量计算红细胞三种平均值，以有助于贫血的鉴别和分类。 红细胞变形能力 正常情况:男:3.9,5.0女:3.0,4.2 降低提示溶血性贫血、血管性疾病、糖尿病、肝脏病。 红细胞刚性指数正常情况:男:7.16女:7.14 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 红细胞刚性指数越大，表明红细胞变性性越小，是高于变率下，血液粘度高的原因之一。 血常规检查 红细胞(RBC) 正常情况: 男性:(4-5)*1012/L; 女性:(3.5-4.5)*1012/L 增高:真性红细胞增多症，严重脱水，肺原性心脏病，先天性心脏病，高山地区的居民，严重烧伤,休克等。 降低:贫血,出血 血红蛋白(Hg) 正常情况:男性:(120-150)g/L;女性:(105-135)g/L 增高:真性红细胞增多症，严重脱水，肺原性心脏病，先天性心脏病，高山地区的居民，严重烧伤,休克等。 降低:贫血，出血 白细胞(WBC) 正常情况:(4-10)*109/L 升高:各种细胞感染，炎症，严重烧伤。明显升高时应除外白血病。 降低:白细胞减少症，脾功能亢进，造血功能障碍，放射线，药物，化学毒素等引起骨髓抑制，疟疾，伤寒，病毒感染，副伤寒。 中性粒细胞 正常情况:(50-70)% 增高:细菌感染,炎症; 降低:病毒性感染 嗜酸性粒细胞 正常情况:(0-00.75)% 增高:慢性粒细胞白血病及慢性溶血性贫血。 淋巴细胞正常情况:(20-30)% 增高:百日咳,传染性单核细胞增多症，病毒感染，急性传染性淋巴细胞增多症，淋巴细胞性白血病; 降低:免疫缺陷 单核细胞 正常情况:(3-8)% 增高:结核,伤寒,疟疾,单核细胞性白血病。 血小板(PLT) 正常情况:(100-300)% for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 升高:原发性血小板增多症,真性红细胞增多症,慢性白血病,骨髓纤维化,症状性血小板增多症,感染,炎症,恶性肿瘤,缺铁性贫血,外伤,手术,出血,脾切除后的脾静脉血栓形成,运动后. 降低:原发性血小板减少性紫癜,播散性红斑狼疮,药物过敏性血小板减少症,弥漫性血管内凝血,血小板破坏增多,血小板生成减少,再生障碍性贫血,骨髓造血机能障碍,药物引起的骨髓抑制,脾功能亢进. 血沉 正常情况:男性:(0-15)mm/h;女性:(0-20)mm/h 增快:急性炎症,结缔组织病,严重贫血,恶性肿瘤,结核病. 减慢:红细胞增多症,脱水. 网织红细胞计数 正常情况:(00.5-1.5)% 增高:溶血性贫血,大量出血,缺铁性贫血,恶性贫血应用维生素B12时. 降低:骨髓造血功能低下,再生障碍性贫血,白血病 1.红细胞(RBC)计数 正常男性为400万~550万/μL，女性为350万,500万/μL，新生儿为600万,700万/μL。 增高: 真性红细胞增多症，严重脱水，肺原性心脏病，先天性心脏病，高山地区的居民，严重烧伤，休克等;降低: 贫血，出血. 2.血红蛋白(Hb) 正常男性为120,160g/L，女性为110,150g/L，新生儿 170~200g/L。 增高:真性红细胞增多症，严重脱水，肺原性心脏病，先天性心脏病，高山地区的居民，严重烧伤，休克等，降低:贫血，出血 3.红细胞沉降率。 westergren法:男性0~15mm/h，女性0~20mm/h; iahinhkob法:男性0~8mm/h，女性0~12mm/h。 增快: 急性炎症,结缔组织病,严重贫血,恶性肿瘤,结核病，减慢: 红细胞增多症，脱水 文章看不懂,点此直接咨询专家～ 4. 网织红细胞计数:正常情况为00.5%~1.5%。 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 增高:溶血性贫血,大量出血,缺铁性贫血,恶性贫血应用维生素B12时，降低:骨髓造血功能低下,再生障碍性贫血,白血病 5.白细胞(WBC)计数: 正常成人为4000,10000/μL，新生儿为15000,20000/μL，6个月至2岁婴儿为11000,12000/μL。 增高:各种细胞感染，炎症，严重烧伤，明显升高时应排除白血病，降低:白细胞减少症，脾功能亢进，造血功能障碍，放射线、药物、化学毒素等引起骨髓抑制，疟疾，伤寒，病毒感染，副伤寒。 6.白细胞分类计数(DC，以比值计): 中性粒细胞(Gran)，正常为0.50,0.70，增高或减少的原因与白细胞计数相同; 增高:细菌感染，炎症，降低:病毒性感染 7.血小板(PLT):正常情况为100%~300% 。 增高: 原发性血小板增多症,真性红细胞增多症,慢性白血病,骨髓纤维化,症状性血小板增多症,感染,炎症,恶性肿瘤,缺铁性贫血,外伤,手术,出血,脾切除后的脾静脉血栓形成，运动后，降低: 原发性血小板减少性紫癜,播散性红斑狼疮,药物过敏性血小板减少症,弥漫性血管内凝血,血小板破坏增多,血小板生成减少,再生障碍性贫血,骨髓造血机能障碍,药物引起的骨髓抑制,脾功能亢进。 1、血清蛋白 血清总蛋白:60-80 g/L(克/升) 血清白蛋白:正常情况:40~55g/L 血清球蛋白:正常情况:20~30g/L 白蛋白/球蛋白比值(A/G):1.-2.? 血清总蛋白和白蛋白检测是反映肝脏功能的关键指标。因为肝脏有很强的代偿能力，以及白蛋白半衰期较长等原因，所以只有当肝脏损害达到一定程度时才能并发血清总蛋白和白蛋白的变化，而急性或局部肝损害时这两个指标多为正常。因此，血清总蛋白和白蛋白检测大都用在反映慢性肝损害，并可反映肝实质细胞的储备功能。总蛋白减低常与白蛋白减低一同出现，总蛋白增高常同时伴有球蛋白增高。 2、常用血清酶 谷丙转氨酶(ALT):5-40 U/L(单位/升) 谷草转氨酶(AST):8-40U/L(单位/升) for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet ALT /AST?1 二者升高见于:急、慢性病毒性肝炎、肝硬化活动期、肝癌、脂肪肝、胆囊炎、胆管炎，急性心肌梗融死、心肌炎、多发性肌炎、酒精性肝炎(AST升高明显); 肝炎时二者均可明显升高;黄疸前期，往往AST > ALT，不久AST < ALT;恢复期一般ALT恢复较慢; 二者持续增高，说明有慢性肝炎;AST/ALT比值小于1，可能是慢性迁延性肝炎;酶活性增高且AST/ALT比值大于1，可能为慢性活动性肝炎。 3、碱性磷酸酶(ALP) ALP:40-110 U 各种肝内、外胆管阻塞性疾病，ALP明显升高;肝炎等累及肝实质细胞的肝胆疾病，ALP仅轻度升高。 4、γ-转肽酶(γ-GT) γ-GT< 50 U 5、血清胆红素 总胆红素(STB):1.71-17.1μmol/L(微摩尔/升) 直接胆红素(CB):1.71-7μmol/L(1-4mg/L)。 间接胆红素(UCB):1.7-13.7μmol/L 血清胆红素是重要的判断肝细胞损伤程度的预后情况的指标。 1、当肝病患者的胆红素明显升高时，表明有较严重的肝细胞损伤;若长期异常时，提示有转为慢性肝病的可能;短期内急剧升高，表明病情危重; 2、慢性活动性肝炎、病毒性肝炎、急性黄疸性肝炎、原发性胆汁性肝硬化、阻塞性黄疸、溶血性黄疸、新生儿黄疸、胆石症、胰腺疾病、输血等均可增高。 3、TBIL可结合DBIL及症状等鉴别溶血性黄疸、肝细胞性黄疸、阻塞性黄疸或家族性高胆固醇血症。 6、CB/STB 胆红素总量(STB)正常情况:脐血<34μmol/L0~1天<103μmol/L3~5天<205μmol/L其后<34μmol/L 成人:1.7~17.1μmol/L 胆红素总量增高、间接胆红素增高:溶血性贫血，血型不合输血，恶性疾病，新生儿黄疸等。胆红素总量增高、直接与间接胆红素均增高:急性黄疸型肝炎，慢性活动性肝炎，肝硬变，中毒性肝炎等。 胆红素总量增高、直接胆红素增高:肝内及肝外阻塞性黄疸，胰头癌，毛细胆管型肝炎及其他胆汁瘀滞综合征等。 注意:临床上STB、CB和UCB测定基本上用在黄疸的确诊和黄疸类别的辨别。 7、丙氨酸氨基转移酶 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 正常情况:改良穆氏法<500nmol.s-1/LReitman法2~30U。 增高:急慢性肝病，胆道感染，胆石症，急性胰腺炎，急性心肌梗塞，心肌炎，心衰，肺梗塞，流脑，SLE等。儿童，寒冷，过度劳累，剧烈运动，溶血反应亦可升高。 8、门冬氨酸氨基转移酶 正常情况:改良穆氏法<667nmol.s-1/LReitman法3~30U 增加:心肌梗塞(发病后6h明显升高，48h达高峰，3~5天后恢复正常)，各种肝病、心肌炎、胸膜炎、肾炎、肺炎等亦可轻度升高。GOT有两种同工酶，存在于胞浆内的称s-GOT，存在于线粒体内的称为m-GOT.GOT同工酶测定有助于瞭解组织损伤程度，心肌、肝、肾病变时。s-GOT升高;组织损伤时m-GOT才能在血清中测得。心肌梗塞时，m-GOT先于s-GOT而升高。 9、谷氨酰转移酶(GGT) 健康人血清中GGT水平甚低，一般小于40单位。 10、总胆固醇(Ch) 总胆固醇包括游离胆固醇和胆固醇酯，正常值是:成人胆固醇2.86,5.98毫摩/升(110,230毫克/分升);儿童胆固醇3.12,5.20 mmol/L(120,200mg/dl)。 肝脏是合成和贮存胆固醇的主要器官。胆固醇是合成肾上腺皮质激素、性激素、胆汁酸及维生素D等生理活性物质的重要原料，也是构成细胞膜的主要成分，其血清浓度可作为脂代谢的指标。国内外专家推荐成人理想胆固醇值为<5.2mmol/L。 11、血氨 正常人体内游离血氨含量极低(血氨正常值20,60μmol/L)。 12、甲胎蛋白(AFP) 甲胎蛋白是一种糖蛋白，英文缩写AFP。主要在胎儿肝中合成，分子量6.9万，在胎儿13周AFP占血浆蛋白总量的1/3。在妊娠30周达最高峰，以后逐渐下降，出生时血浆中浓度为高峰期的1%左右，约40mg/L，在周岁时接近成人水平(低于30μmg/L)。 凝血酶原活动度(PTA)和凝血酶原时间(PA) 凝血酶原活动度正常值75%,100%。凝血酶原时间正常值为12-14秒。凝血酶原时间主要反映外源性凝血是否正常。 13、铁蛋白(SF) 正常人血清中含有少量铁蛋白，但不同的检测法有不同的正常值，一般正常均值男性约80-130ug/L(80-130ng/ml)女性约35-55ug/L(35-55ng/ml) for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 14、前白蛋白(PA) 正常值:25-38ug/dl。由肝细胞合成，在电泳分离时，常显示在白蛋白的前方，其半衰期很短，仅约12小时。因此，测定其在血浆中的浓度对于了解蛋白质的营养不良、肝功能不全、比之白蛋白和转铁蛋白具有更高的敏感性。病越重，值越低。 15、甘胆酸(CG) 正常人血清甘胆酸含量:1.3?0.8mg/L，范围0.4~2.98mg/L，肝炎诊断低限值为<3.18mg/L。 16、透明质酸(HA) 正常值:2-110ug/dl。由肝内皮细胞摄取分解，肝功能受损时，血清中HA升高，对预测肝纤维化有一定的参考价值。 17、胆碱酯酶 正常范围:比色法:130,310U/L; 酶法:儿童和成人男性、女性(40岁以上)5410,32000U/L;女性(16,39岁)4300,11500U/L。 18、胆汁酸(TBA) 正常值:血清总胆汁酸(TBA)<10μmol/L;血清氨胆酸(CG)<2.6mg/L; 鹅脱氧胆酸(CDCA)<1.61μmol/L; 胆汁酸是肝排泄的主要有机阴离子，其代谢情况主要受肝脏控制，当肝功能损害时，其升高往往比胆红素早而明显。因此能更敏感地反映肝损害。 编辑本段喝酒伤肝 喝酒伤肝这一观点目前已被医学界所公认。不过仍有一些人以为只有喝了白酒或喝得大醉时才会对肝脏造成损害，这种观点是错误的。酒的主要成分是乙醇。乙醇进入人体后会代谢成乙醛，乙醛能直接损害肝细胞的结构与功能，导致肝功能下降，特别是肝脏对糖、脂肪和蛋白质的代谢影响较大。另外乙醇还能增加对肝脏有毒害作用的氧自由基的合成，使肝纤维化的进程加快。这样肝功能受损会更严重。 编辑本段正常指标 肝的生理功能非常复杂，因此肝功能正常指标也很多，每项指标都有各自的意义，通过肝功能正常指标的数据结果来进行分析，判断人们是否患有哪种肝病。指标的上下波动也各有含义，代表患病程度不相同。 反映肝细胞蛋白合成代谢功能的指标:总蛋白(TP)、白蛋白(ALB)、前白蛋白(PA)、胆碱酯酶(CHE)、凝血酶原时间(PT)。由于它们都是由肝脏合成的，一旦肝脏合for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 成功能下降，以上肝功能正常指标在血液中浓度随之降低，其降低程度与肝脏合成功能损害程度呈正相关。反映肝细胞有无受损及严重程度的肝功能正常指标:谷丙转氨酶ALT(GPT)、谷草转氨酶AST(GOT)、腺苷脱氨酶(ADA)、胆碱酯酶(CHE)、乳酸脱氢酶(LDH)等。以上各项酶在肝细胞中均有存在，当肝细胞膜受损或细胞坏死时，这些酶进入血清便增多。通过测定血清或血浆中酶的活性，肝功能正常指标即可反映肝细胞受损情况及损伤程度。反映肝脏胆排泄、分泌及解毒功能的肝功能正常指标:总胆红素(TBIL)、直接胆红素(DBIL)、总胆酸(TBA)、血氨(NH3)。 肝细胞损害时，其排泄、分泌、运输及解毒功能出现障碍，造成血液中TBIL、DBIL、TBA和NH3浓度升高。对诊断胆汁淤积指示酶(包括同工酶)有帮助的肝功能正常指标有:碱性磷酸酶(ALP);r谷氨酸转肽酶(GGT)、5′-核苷酸酶(5′-NT)等，以AKP及γ-GT应用较多。这些酶在肝内胆管上皮层的浓度较高。当上皮层受损及胆管内压力增高时，便有这些酶增多进入血清中。反映肝脏间质成分增生(肝纤维化和肝硬化)的肝功能正常指标:胶原或其末端多肽——?型前胶原氨基端肽(P?P)、?型原胶原(PC?)、?型胶原C端原肽(?/PC);糖蛋白——层黏蛋白(LN);蛋白聚糖——透明质酸(HA)。对肝肿瘤诊断有意义的血清标志物:甲胎蛋白(AFP)。 编辑本段原因 肝功能检查必须空腹，空腹时间一般为8-12小时，对于初次检验肝功能者，尤应如此。 肝病患者在进行抽血检查前一天最好禁酒类，这是因为肝功能检查多项内容测定值与饮食有一定关系，如饮酒易使某些血清酶值升高，进食油腻食物后可以使血脂增高等。因此，肝病患者在做检查时一定要注意空腹，以保证能做出科学的诊断结果。 肝功能检查前一天晚上最好不要吃太油腻、太辛辣的食物，此类食物可使血脂试验明显增加，因此需在抽血前10小时禁止食用含脂肪类多的食物为佳。 肝功能检查前若患有感冒，最好在感冒治愈后7天再做检查，因为感冒可能影响肝功能检测结果。 检验前宜进食一些清淡的食物;最好不要吃含有丰富胡萝卜素、叶黄素的食物，因为可能会使血清呈黄色，影响黄疸指数测定结果。 检验前最好不饮酒;禁服某些药物，因为服用药物可能会影响肝功能检验的准确性。 肝功能检查是衡量肝脏是否有肝细胞坏死或炎症存在的重要检查，感染了乙肝一定不可忽视定时检查。 编辑本段临床意义 体检知识:去体检的时候，当要检查肝功能的时候，你了解肝功能正常值的临床意义吗,下面，为你介绍选择肝功能检查的及临床意义: 1、当临床怀疑肝炎或已确诊为急性肝炎需进一步了解病变的程度时，可检测GPT(谷丙转氨酶)或复方碘试验。尿三胆试验、血清凡登白试验和胆红素定量。如为慢性肝炎，除以上试验外还可检测A/G(白蛋白与球蛋白比值)，必要时检测血清蛋白电泳。如病人无黄疸、且其他肝功能正常而不能排除轻度肝脏损害者，可检测碱性磷酸酶。对原发性肝癌，除一般的肝功能试验外，可进行AFP(甲胎for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 蛋白)、γ- GT(γ-谷氨酸转肽酶)、AKP等测定以帮助临床诊断。在各项较大手术前，一般检查血清GPT、A/G，必要时检测血浆凝血酶原时间以了解肝脏情况，做好术前准备。 2、根据病情选择某几项肝功能试验并定期复查作动态观察，可在一定程度上反映治疗是否有效。如急性肝炎病情好转时，GPT由增高恢复到正常;如GPT长期波动或持续升高，则提示肝炎有转慢趋势等。某些肝脏功能试验有肝外疾病时，检查结果也可见异常，如肾病综合征、恶性肿瘤等导致血浆总蛋白和白蛋白减少;甲状腺机能亢进等可有血清胆固醇减低。而某些药物、外伤等，均可导致血清转氨酶升高。因此在选择肝脏功能试验及分析结果时应结合临床具体分析。当临床怀疑肝炎或已确诊为急性肝炎需进一步了解病变的程度时，可检测GPT(谷丙转氨酶)或复方碘试验。尿三胆试验、血清凡登白试验和胆红素定量。如为慢性肝炎，除以上试验外还可检测A/G(白蛋白与球蛋白比值)，必要时检测血清蛋白电泳。如病人无黄疸、且其他肝功能正常而不能排除轻度肝脏损害者，可检测碱性磷酸酶。对原发性肝癌，除一般的肝功能试验外，可进行AFP(甲胎蛋白)、γ- GT(γ-谷氨酸转肽酶)、AKP等测定以帮助临床诊断。在各项较大手术前，一般检查血清GPT、A/G，必要时检测血浆凝血酶原时间以了解肝脏情况，做好术前准备。 3、根据病情选择某几项肝功能试验并定期复查作动态观察，可在一定程度上反映治疗是否有效。如急性肝炎病情好转时，GPT由增高恢复到正常;如GPT长期波动或持续升高，则提示肝炎有转慢趋势等。某些肝脏功能试验有肝外疾病时，检查结果也可见异常，如肾病综合征、恶性肿瘤等导致血浆总蛋白和白蛋白减少;甲状腺机能亢进等可有血清胆固醇减低。而某些药物、外伤等，均可导致血清转氨酶升高。因此在选择肝脏功能试验及分析结果时应结合临床具体分析。 编辑本段四种肝酶 1.谷丙酶主要分布在肝细胞的周边和胆管细胞，当肝细胞或胆管有急性炎症时，大量渗漏到血液中，所以急性肝胆炎症血清谷丙酶的水平最高; 2.谷草酶只有1/5存在于肝细胞浆中，约有4/5在线粒体(线粒体是细胞内管理氧化和能量的细胞器，你可把它想像是一个车间)。线粒体损伤时谷草酶明显升高，反映肝细胞病变的程度，所以肝硬化时，谷草酶会超过谷丙酶。许多器官组织都有谷草酶，如心肌、心脏、肾脏、胰腺、骨骼肌等，所以谷草酶升高不一定是肝病; 3.碱性磷酸酶存在于肝外更多，孕妇增高来自胎盘;儿童和老人此酶升高，显然与骨骼的改变相关; 4.转肽酶是胆汁淤滞最灵敏的血清酶，在胆管和胆囊炎症损伤时转肽酶升高超过转氨酶。 编辑本段指标分析 1、血清转氨酶检查:通常检查血清谷氨酸丙酮酸转氨酶，简称谷丙转氨酶ALT，与谷氨酸草酰乙酸转氨酶，简称谷草转氨酶AST。ALT和AST的正常值参考范围为0—40u/l，超过正常值说明肝细胞受损。 2、血清胆红素:胆红素主要了解黄疸的有无、程度及变化动态，总胆红素的正常值为1.71-17.1μmol/L(1-10mg/L)，直接胆红素的正常值为 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 1.71-7μmol/L(1-4mg/L)。胆红素偏高的患者会出现眼黄、尿黄、皮肤黄的黄疸症状。 3、谷氨酰转移酶:当肝炎恢复期时，ALT和AST恢复正常后，GGT仍异常升高。常以此酶作为患者是否可恢复正常的标志。 4、血清蛋白检测:包括血清总蛋白、白蛋白与球蛋白比值及蛋白电，血清白蛋白的正常值为35-50g/L，球蛋白为20-30 g/L，A/G比值为1.3-2.5。血液中蛋白的含量可以反映肝脏功能，如果蛋白质降低就表示肝脏合成功能受损害，是病情比较严重的表现，如慢性活动性肝炎、肝硬化、肝功能衰竭等。一些非肝脏疾病也可以使血液中蛋白质发生变化，所以分析结果时要注意一些生理性的影响因素。 5、其它肝功能检查指标:血氨(严重肝细胞损害时，血氨可升高);凝血酶原活动度(凝血酶原活动度降低时，常反映肝细胞的损害程度);甲胎蛋白(简称AFP，持续升高，提示原发性肝癌的可能性)，以及碱性磷酸酶等指标。 编辑本段白蛋白偏高 对于乙肝患者来说，白蛋白偏高不是个好事，血清中白蛋白的浓度可反映肝脏是否受损以及受损的严重程度，同时白蛋白水平的改变还能引起一系列的病理性继发症，因此患者要积极治疗才好。肝功能检测白蛋白为什么偏高?对于乙肝患者来说，白蛋白偏高不是个好事，血清中白蛋白的浓度可反映肝脏是否受损以及受损的严重程度，同时白蛋白水平的改变还能引起一系列的病理性继发症，因此患者要积极治疗才好。 为什么肝功能检测白蛋白偏高: 为什么肝功能检测白蛋白偏高?白蛋白由肝实质细胞合成，是球蛋白的一种，白蛋白和球蛋白都是蛋白质。血浆中含有大量的白蛋白，其含量占到血浆总蛋白的50%。在奶类制品和蛋类中含量比较高。白蛋白的主要作用是维持体内的的胶体渗透压，当胶体渗透压过低时，血液中的水分会进入组织液，身体症状表现为水肿。 那究竟肝功能检测白蛋白偏高是什么原因呢?肝功能检查白蛋白的正常值为:新生儿28,44g/L;14岁后38,54g/L;成人35,50g/L;60岁后34,48g/L。慢性肝炎，肝硬化时常出现白蛋白减少而球蛋白增加，使A/G比例倒置。 肝功能检测白蛋白偏高是什么原因?白蛋白偏高主要见于血液浓缩而导致相对性的增高，比如:严重的脱水和休克，严重的烧伤、肾脏疾病、大量出血等。腹泻、呕吐、高热时急剧失水也可导致血清中白蛋白浓度增高，从而引起白蛋白偏高。此外白蛋白偏高也可受到饮食中蛋白质摄入量影响。 对于乙肝患者来说，白蛋白偏高不是个好事，应当引起重视，血清中白蛋白的浓度可反映肝脏是否受损以及受损的严重程度，同时白蛋白水平的改变还能引起一系列的病理性继发症，因此，乙肝患者白蛋白高一定要去正规的医院进行全面检查，确定病因以便及时有效的采取治疗措施。 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet