Ghid De Interpretare A Unor Analize De Sange

Capitolul 13

GHID DE INTERPRETARE A UNOR ANALIZE

DE SÂNGE 13.•. DETERMINARI HEMATOLOGICE

Analiza 1-3% 54-62% 3-5% ra leucemii Valori Debutul Scade bolilor 25-33% 4.500-1O-eXX)fmm3 normale intoxicatii, 0-0,75% TBC lacorticodebut, scarInfectii, virale tumori, si bacStari Carenta Creste Infectii intoxicatii, postcorticoterapie colagenoze, infectioase, teriene, alergice, de grave, parazitoze, proparaintodupa terapie bo~la Hodgkin, ofile cronica leucocit mie convul- de teine, tumori, leucemie unele mal arie forme si de Hodgkin, i, tii

xicatii

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-42-52% cardiaca 3-7% 3-10 mrn/l ora Anemii Valori Reumatism cancer de arti35-49% 49-54% 37-48% Mononucleoza 6-12 mrn/l mii!mm3 oraprostII/il, 4,6-6,2 anumite fOrnll\ lil'Anemii 4,25normale 4,5-5,lmillmm3 Scade Hemodilulii, insuficienl.i1 talasemie, linemii, cancer evo- anemll 0,2-2% Anemii hemolitice,

Analiza 11,2-16,5 150-350 ,2millmm3 mil/mm3 Hemoconcentratii Iutiv, ca, Hepatita TBC, epidl'1I1i infarct, Anemii apla~l jCl'Infectii, 250-450 Insuficienti.l tica grava, mg% lellcellIII, hepll Creste 16,5-19,5 12-16 13-18 g/dlpolicitemic, roza, lupus, sarcina, septicemie, leptospiPoliglobulii stari alergicc, disglobug/dl Coagulare intraV/lN

eticulocite aec.I.D.) unei anemii cui ara cardita, bmcelm:n. infectioasa, leucemii, paludi~1I1 endo trombocitopclllrll de pancreas purplll'li faza dedisemilllllll, regenerare

Ghid de interpretare

Analiza tratamentul sau de C.I.D. tumori e a factoulburari rive,avi- anticoagulantecu larii

nogenemie, C.I.D., 50 sec.-1min. 20crescuta de vitamina Valori hemosideroza 12-14 saumin. sec. utilizare 5-15 normale Scade Medicatie anticoHemofilie, hemolitice, K, icter agulanta, deficiente Anemia anemii hepatite, simecanic, Biermer, ictere hipofibriafectare hepatica Creste hipofibrinogenemie, 50-150 Anemii f.lg/dl posthemoAport, absorbtie

13.2. DETERMINARI BIOCHIMICE DIN SÂNGE Analiza 5-35 Valori D/I miocardic, 7-40 normale Scade Creste infarct infarcte miocardic, Infarct infarcte Hepatite virale, ciroze, hepatite virale,pulcreas litiaza de coledoc, necroze musculare, carcinom monare pulmonare sidede renale, sipancreas renale, pan-

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Analiza Valori tumori testiculare Coma diabeticli 25-125 VI/ml VII sub Acidoza Alcaloze 10mg/dl metabolidin varsaturi le intense normale Scade zaharat Acidoze dezech din dilllwl iD, IlIII Hepatite torie, metabolicl\, Pancreatita acuta, Guta, taminoza nemte, D, leucemii tellllll(\ Creste 3,5-5,5 4,5-19,8 0,3-1,1 22-26 11-35 190-420 mielom Cancer tom, Hipervitaminoza Glicogenoze, Hipoparatiroidic, hitism Alcaloza Insuficienta obezitate, mecanic mEq/1 J..ImolJl g/dl mg/dl multiplu, hepatic, mg/dl grav, respirahi[loyl glicoprin renlllK tugenoze, alcoolism, 0,1-0,4 0,2-0,7 mg/dl 2,3-8;5 4,5-5,5 8-25 mg/dl Diabet Icter prin zaharat, mEq/l hemoliza: hiperacute ~i

acidoza sau renala tumori medicamentoase stres,uremica, sarcina cronice, boli sindrom infectioase, malnut:ritiu, nefrotic, nala hepatite, ciroza dillll'l\ tumori, alcoolism, intoxicatii cirozil brat, tiroidie, fistule insuficienlllll' pancrca feocromociIirI' ase calculi gastro-enteropal il,

me abet ere

Ghid de interpretare Analiza68-76%96-106 hepatite sub acute, Valori din total Cancerul de normale Boli Scade renale 30-170 U/i 20-90 U/I Diabet, obezi tate, Insolatie, varsaturi, 2,25-7,0 Nefroza, alcoolism, ciroza, Forme Ciroze, UliI de metastaze cancer boli mixeleucemie, infectide monie, endocardita Infarct miocardic,distrofii Creste 150-200 oase grave, mg/dl pneu70-155 Degenerescenta I1g/ml si trauma0,11-0,60 maligna, U/i hipertiroidie mEq/1 0,6-1,2 Boli renale, mg/dl guta, Boala Paget, hiperparatiroidism, cronica cromce boli hepatice,miozite tomiozite, hemodiaree, insuficienta infectii tisme musculare, acute sau osteomalacie, colestaza, tumori osoase, rahitism, suprarenaliana hepatice, proteinelor alimentatie lipsa din ragii xicatii (boala cerebrale, cu Wilson), somnifere intopolimiozite, hepato-lenticulara dermaprostata hepatice

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Diferite forme de depresive, normale Valori tulburari demari tratament cu anti100-190 VII Scade 1-60 Ciroza Sindrom VII biliara, nefrotic, icter Ateroscleroza, naliana, tiroidian~, Hepatite Hepatita Acromegalie, crestere cronica, acute, giganCreste cortico-suprarehepatica dupa Insuficienta hipofizara, doze grava, Hiperparatiroidii, tumori, 70-115 hepatite toxice, 2,6-4,5 450-850 6-12 mg/dl mg/dl mg/dl infarct ciroza, pulmonar, pancreatita, 30-80 mg/dl ciroza biliara ebrale antidiabeticc infarct arterita miocardic mori, oxid de mecanic, nefrotic, acuta, mixedem, diabet sindrom zaunele anemii, i,nte itahipoparatiroidii tumori maligne harat, hipercolesterolemie icter diabet, mecanic, hiperlipemie, pancreatita ciroza hipercorticism, hepatica,

Ghid de interpretare

Analiza 9-15% Ciroze Infarct miocardic reumatism articular 7-14% Deshidratare, insu11-21% 2-5% cromce tetanie normale A Valori terosc1 eroza, tratament cu Nefroza Varsaturi, insuficienta lipoidica, diaree, cor- Clroze Stari demEq/ soc, arsuri, hepatite, Colagenoze, ciroze, Hipertiroidie, insuficiente Scade Hemoconcentratii, tico-suprarenala Diaree, varsaturi, Rahitism, mixedem, nefroza, renale, ciroza, 0,2-0,4 Creste g/dl 3,5-5 denutritie, stari g/dl de soc, boli hemoNefroza lipoidica, 0,5-0,9 0,6-1,1 0,7-1,7 3,5-5,0 boala g/dl g/dl mEq/1 Cushing, 60-180 1,5-2,5 mg/dl ragii, intoxicatii 6-8 Hemodilutii, g/dl tumori suprarenale, 1,2-1,5 136-145 mEq/l bulina cortizon 2 Sodiu oze bet saturi, mielom dez- inflamatii nefrita infectii, ictere de ne, infarct, tite infectioase infarct miocardic, dian, rdiaca, acut, TBC, hepanala cor-

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Analiza

hepatice cancer BoIi renale acute unele forme de normale Valori Scade Afectiuni Infectii cronice, 21-43 mg/dl Sarcina, hipertiroidie, hiperCreste 40-150 mg/dl

otic iala,

13.3. DETERMINARI HORMONALE DIN SÂNGE

Analiza 0-28 corticoterapie viriIism Tumori corticosunormale Valori Scade Boala Addison, Addisson, 0-20 3-10 ng/dl 5-30 pg/ml ng/dl 3-15 70-1700 0-140 0-30 6-76 neuroblastom insuficienta pg/ml pg/ml pg/ml pg/ml Cancer medular, Creste 6-23 prarenaIiene, mo-hipofizare, ficiente hipotalainsu 0-10 Jlg/dl Feocromocitom, Sindrom Conn, tumori bronsice, cardiaca, feocromocitom, ciroza, tumori carcinoide, hipofizara insuficienta Boala Cushing, boli Boala hepatice, Cushing, stres diuretice laxative ana bronsice cu imice, tratament

Ghid de interpretare

Analiza luteale 5-22 VI/l 40-250 UliI de 3ovariana Tetanie ori bazal testiculara Cicluri anterioara 4-25 4-30 sub Insulinom Diabet Pubertate anovulatorii fizara: mintala cicluri 15-20 nanism UliI zaharat anovulaîntârnormale Valori 6-18 UI/l Scade peste 30 VI/l torii,estrogeni administrare ziata, infantilism Sarcina, tumori sub 0,45 ree, anoreXle !lg/l insuficienta 10-60 Adenom pg/ml paratiroinsuficienta 0-10 Adenom Insuficienta nglml hipofizar: gonaficienta de ovariana, 0,9-3,04 0,02-0,8 0,2-1,8 8-18 5-25 Hiperplazie hipofizar, si talamo-hipofizara, !lg/dl !lU/ml hipofizara !lg/l !lg/l amenocorticosuprarenaliana, Creste polichistic hipofizara, ovar Hiperfunctie dica hipotalamoprimara hipohipoMenopauza, acromegalie, insugicorticosuprarenaiiana onadidezechilibrat emuonul uteal olicular ntral, opauza minale m pulmonar, nefropatii si lehing, ul

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Analiza 275-875 normale amenoree, de bromergocrip0-7 mU/I Valori Scade 38-190 Insuficienta precoce ng/dl intoxicatii sindrom Turner Cancer testicular, supraalimentatie tiroidiana primara, galactoree, virilism, tina, hormoni pubertate unele Adenom hipofizar, 1,0-2,1 Hipertiroidism, insuficienta alcoolism, ng/dl tiroidieni, B6 Hipotiroidism, Creste 23-75 1-20 ng/ml ng/dl ng/dl hipotalamohipofizara J..lg/dl Hipertiroidism, Cancer prostatic, 1-25 4,4-9,9 150-250 ng/ml ng/dl Dupa administrare

atice ale prin onul

13.4. DETERMINARIIMUNOLOGICE

DIN SÂNGE

hemolitice, Antigenul medul Sindroame are Boli autoimune: Hepatita acuta, neoplazice, hepatita Cuma Ciroza diseminat, lupus alcoolica,glohepatica, eritematos acuta aplazii glomc-Infectii acute, boli 83-177 15-45 mg/dl mg/dl 45-145 60-333 550-1.900 mg/dl sub 5 ng/ml mg/dl I nefrotice, upus rionar lo-nefrita autoimuna rulonefrita, anemii ciroza biliara, necroielom mielom, pielonefrite, boli pielonefrita, glomerulupus, Complement hepatite cronice

Bibliografie selectiva 1. *** Guide to Alternative Medicine, Brockampton Press, 1996. 2. *** Diabetes: Microsoft® Encarta® Online Encyclopedia 3. *** Revista Viata + Sanatate, colectia 2001-2002. 4. *** Stroke, Microsoft® Encarta® Online Encyclopedia 2001. 5. *** The Heartburn, WebMD Corporation, Oct. 2001. 6. *** The National Cancer Institute of The National Institutes of Health. What You Need to Know about Cancer Series: Melanoma. October 21, 1998. 7. *** What is hepatitis? National Institute of Diabetes and Digestive and Kidney Diseases, 2001. 8. Allen lG., Coping with Trauma: A Guide to Self Understanding, American Psychiatric Press, 1995. 9. Andersson G.B., (1999), Epidemiologicalfeatures ofchronic low-back pain, Lancet, 354: 581585. 10. Annas G., Killing machines, Hastings Cent Rep 33,1991. 11. Anonymous, Its AU Over, Debbie, JAMA 259:272,1998.

12. Azamfirei L., Valori de referinta în explorarile de laborator, în Medicina Intensiva (editor M. Chiorean), Ed. Prisma, Tg. Mures, 1999, 382-397.

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41. Vogin G.D., Heartburn Basics, Cleveland Clinic Procedures, 2002. 42. Vogin G.D., A Guide to Diabetes Warning Signs, WebMed, 2001. 43. Wanzer S.H., Federman D.D., Edelstein SJ. et alI, The physicians responsability toward hopelessly il! patients: A second look, N Engl J Med 320: 844,1984. 44. Watts c., Fat-modified diet for tretament of cardiovascular diseases, Heart Center, April 2002. 45. Watts G., "Effects on coronary artery disease of lipid-Iowering diet, or diet plus cholestyramine", in the St. Thomas' Artherosclerosis Regression Study (STARS), Lancet 339:563-569, 1992.