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Ý nghĩa các xét nghiệm Lâm Sàng
Ý nghĩa các xét nghiệm Lâm Sàng
STT
3
4
XT NGHIM
GI TR BNH
THNG
- Amylase
Huyt tng:
20 - 220 U/L
Nc tiu:
< 1000 U/L
Apo-AI
Nam: 104-202 mg/dL
N: 108-225mg/dL
Apo-B100
Nam: 66-133 mg/dL
N: 60-117mg/dL.
T s Apo-B
100/ Apo AI: < 1
Glucose
Huyt tng:
4,2-6,4 mmol/L
Nc tiu: m tnh
HbA1c
4,2-6,4%
Insulin mu
5-20 mU/mL
NGHA LM SNG
TNG
GIM
Cholesterol
3,6 - 5,2 mmol/L
Triglycerid
0,46-2,2 mmol/L
10
HDL-C
0,9 - 2 mmol/L
11
LDL-C
1,8 - 3,9 mmol/L
12
13
14
15
ng nng.
16
Albumin
38 -51 g/L
17
T s A/ G
1,2-1,8
18
Acid uric
Nam 140-420 mol/L
N 120-380 mol/L.
19
20
21
22
23
24
km),...
Trong hi chng thn c protein
niu, cc bnh gan nng, thn
h nhim m, vim thn mn,
bng, eczema, dinh dng km,
ph n c thai, ngi gi, ...
T s A/G gim < 1 thng do
gim albumin hoc tng globulin
hoc do phi hp c hai.
Albumin gim trong suy dinh
dng, suy kit, lao, ung th;
tng globulin trong a u ty,
nhim khun,bnh collagen;
gim albumin v tng globulin
gp trong x gan, vim thn cp,
hi chng thn h nhim m.
Trong bnh Wilson, teo gan vng
da cp, suy thn, ...
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
7. Glucose (GLU)
m tnh
Glucose xut hin trong nc tiu khi: gim ngng thn, bnh l
ng thn, i tho ng, vim tu, glucose niu do ch n
ung.
8. Th ceton (KET:
ketonic bodies)
m tnh
9. Bilirubin (BIL)
m tnh
10. Urobilinogen
(UBG)
m tnh
Pht hin cc t bo, tr niu, ... trong vim nhim thn, ng tit
niu, si ng tit niu, ...
Cc xt nghim Huyt hc
Tng phn tch mu
Tng trong vim nhim, bnh
Gim trong thiu mu do bt sn
mu c tnh, cc bnh bch cu,
(gim sn xut), thiu ht vitamin
v d nh: bnh bch cu dng
1. S lng bch
B12 hoc folate (khng trng
cu (white blood cells: tu cp, bnh bch cu lympho thnh c), nhim khun (gim
cp, bnh bch cu dng tu
WBC):
s sng st). Vic s dng mt
mn, bnh bch cu lympho
40-10 Giga / L
s thuc cng c th gy gim
mn, bnh u bch cu. Vic s
s lng bch cu: cc
dng mt s thuc cng c th
phenothiazine, chloramphenicol,
gy tng s lng bch cu, v
aminopyrine.
d: corticosteroid
2. S lng hng
cu (red blood cell
Tng trong mt nc, chng
Gim trong thiu mu
count: RBC):
tng hng cu
3,8-5,8 Tera / L.
3. Lng huyt sc
Gim trong thiu mu, chy
Tng trong mt nc, bnh tim
t (hemoglobin: Hb):
mu v cc phn ng gy tan
v bnh phi.
12-16,5 g / dL.
mu.
Tng trong cc ri lon d ng,
4. Khi hng
chng tng hng cu, ht thuc
cu (HCT: hematocrit): l, bnh phi tc nghn mn tnh Gim trong mt mu, thiu mu,
nam: 39-49%;
(COPD), bnh mch vnh, trn thai nghn.
n: 33-43%.
ni cao, mt nc, chng gim
lu lng mu (hypovolemia.
Gim trong thiu ht st, hi
5. Th tch trung bnh Tng trong thiu ht vitamin B12, chng thalassemia v cc bnh
ca mt hng
thiu acid folic, bnh gan, nghin hemoglobin khc, thiu mu
cu(mean corpuscular ru, chng tng hng cu, suy trong cc bnh mn tnh, thiu
volume: MCV) :
tuyn gip, bt sn tu xng, mu nguyn hng cu
85-95 fL
x ho tu xng.
(sideroblastic anemia), suy thn
mn tnh, nhim c ch.
6. Lng Hb trung
MHC tng trong thiu mu tng MCH gim trong bt u thiu
Soi cn nc tiu
50
cu (plateletcrit: Pct):
0,1-0,5 %
12. phn b tiu
cu (platelet
disrabution width:
PDW): 6-18 %
13. T l % bch cu
trung tnh (%
neutrophils: NEUT%):
43-76 %
14. T l % bch cu
lympho (%
lymphocytes: LYM%):
17-48%
15. T l % bch cu
mono (% monocytes:
MON%): 4-8%
16. T l % bch cu
i toan (% eosinophils:
EOS%): 0,1-7%
17. T l % bch cu
i kim (% basophils:
BASO%): 0,1-2,5%
18. S lng bch
cu trung
tnh(neurophil count
hoc neutrophils:
Neut ): 2-6,9 Giga/ L
19. S lng bch
cu
lympho(lymphocyte
count hoc
lymphocytes: LYM ) :
0,6-3,4 Giga/ L
trng.
ni c t.
51
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57
58
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60
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65
66
67
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69
70
71
72
73
Von-Kaulla, FDP
Thi gian Cephalin
kaolin
Co cc mu
Mu chy, mu ng
Cc yu t
ng mu
(VIII, IX)
74
T bo hc
75
M bnh hc
76
Hormon
(Tuyn gip)
- T3
- Free T3
- T4
- Free T4
- TSH
- TPO
- Anti TPO
- TG
- Anti TG
Hormon
sinh dc
LH
Estradion
Corticoid
Testosteron
Progesteron
Androstenedion
HBsAg
HBV DNA
77
HBeAg
HBeAb
(Anti HBe)
HBsAb
(Anti HBs)
78
HBcAb
(Anti HBc)
79
HAVAb
(Anti HAV)
HAV-IgM
80
81
HCVAb
(Anti HCV)
HDVAb
(Anti HDV)
82
CEA
0-10 ng/ ml
83
AFP
0-7 ng/ ml
84
PSA
0-10 U/ L
85
CA 125
0-35 U/ ml
86
CA 15-3
0-32 U/ ml
87
CA 72-4
0-5,4 U/ ml
88
CA 19-9
0-33 U/ ml
89
CT
(Calcitonin)
hoc hCT (Human
90
91
Calcitonin)
0,2 - 17 pg/ ml
TG
(Thyroglobulin)
1,4 - 78 ng/ ml
2-M
89 (2-Microglobulin)
0 - 2000 g/ L
92
-hCG
0 - 5 U/ L
93
SCC (SCCA)
0- 3 g/ L
94
MCA
0-15 U/ ml
95
MSA
121-128,9 U/ml
96
CYFRA 21-1
0 - 3,3 U/ L
97
Opiate
(thuc phin, heroin,
98
99
100
101
102
103
104
morphin, codein)
Soi dch m o
Giang mai (cc k
thut : RPR, TPHA,
VDRL)
105
106
107
108
109
110
111
112
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114
115
116
117
118
119
120
121
Soi nm
Nm da, nm tc, nm c t cung.
Cy nc tiu, cy
mu, dch cc loi lm Tm vi khun gy bnh, dng khng sinh thch hp.
khng sinh ,
Cy phn, lm khng Tm vi khun gy tiu chy, ri lon tiu ho, dng khng sinh
sinh , vi khun ch, thch hp.
Xt nghim vi sinh - virus - vi khun
St xut huyt
Pht hin chng Dengue trong mu iu tr c hiu.
"Dengue"
Tm mu trong phn Gip xc nh chy mu ng tiu ho.
K sinh trng ng
Chn on giun a, giun mc, giun tc.
rut
K sinh trng st rt Chn on st rt.
Tm u trng giun ch Chn on bnh giun ch.
Sn l gan nh gy bnh cho ngi v ch mo.
Sn l gan nh
ngi, sn l gan nh lm tc, vim ng mt v ti mt ; nu
(huyt thanh)
qu nhiu c th gy vim gan, x gan, c th gy vim ty.
ngi, sn l gan ln k sinh h thng tnh mch ca, con
Sn l gan to
ci i ngc dng mu, chy ti nhng huyt qun nh v
( huyt thanh)
tnh mch ca .
Soi m tm BK
Chn on bnh lao phi.
Phn ng: Mantoux,
Pht hin khng th chng lao.
TB test
Soi m, phn, tm
Chn on bnh sn l phi.
trng sn l phi
Dch no tu:
Gip chn on bnh vim mng no, vim no, xut huyt no, u
phn ng Pandy,
tu.
protein, ure, glucose.
Nhum ho hc t bo
- Esterase c hiu
- Myelo peroxidase
- Periodic acid Schiff
(PAS)
Xc nh cc dng t bo ung th mu.
- Soudan en
- Granulocyte alkaline
phosphatase (GAP)
Cc marker bch cu: - Bit c gim min dch trong HIV (AIDS), CD4 gim nng, t
CD4, CD8,
l CD4/CD8 gim nng.
Cc enzym chng oxy ha
SOD: 876-1328 U/ gHb - nh gi kh nng chng oxy ho ca c th trong nhiu bnh
GPx: 41-76 U/ gHb
l v hi chng ton th: tui gi, ung th, nhim bt, ng c
GR: 5,4-10,0 U/ gHb
thuc, ung ru nhiu, qu ti st, bnh min dch, suy dinh
TAS:1,07-1,96 mmol/L dng,...
MDA:1,75-3,07 nmol/ml - nh gi kh nng chng oxy ho ca c th trong nhiu bnh
l v hi chng c quan: bnh tim mch, thn, gan, rut, khp,
W - Trung tm dch v Khoa hc k thut v y t d phng 131 L c - Hai B Trng - H Ni. Thng tin ch mang tnh tham kho, vui l
723173 & Fax: 043.9724124 Email: tinh@nihe.org.vn c c nhng thng tin cp nht hn, chnh xc hn.