Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Analizy.doc
Скачиваний:
4
Добавлен:
14.11.2019
Размер:
338.43 Кб
Скачать

Давление в камерах сердца и сосудах

Site

Normal pressure range (in mmHg)[2]

Central venous pressure

3–8

Right ventricular pressure

systolic

15–30

diastolic

3–8

Pulmonary artery pressure

systolic

15–30

diastolic

4–12

Pulmonary vein/

Pulmonary capillary wedge pressure

2–15

Left ventricular pressure

systolic

100–140

diastolic

3-12

Нормальный уровень гемоглобина

  • Newborns: 17-22 gm/dl

  • One (1) week of age: 15-20 gm/dl

  • One (1) month of age: 11-15gm/dl

  • Children: 11-13 gm/dl

  • Adult males: 14-18 gm/dl

  • Adult women: 12-16 gm/dl

  • Men after middle age: 12.4-14.9 gm/dl

  • Women after middle age: 11.7-13.8 gm/dl

BMP/ELECTROLYTES:

Na+=140

Cl=100

BUN=20

/

Glu=150

K+=4

CO2=22

PCr=1.0

\

ARTERIAL BLOOD GAS:

HCO3-=24

paCO2=40

paO2=95

pH=7.40

ALVEOLAR GAS:

pACO2=36

pAO2=105

A-a g=10

OTHER:

Ca=9.5

Mg2+=2.0

PO4=1

CK=55

BE=−0.36

AG=16

SERUM OSMOLARITY/RENAL:

PMO = 300

PCO=295

POG=5

BUN:Cr=20

URINALYSIS:

UNa+=80

UCl=100

UAG=5

FENa=0.95

UK+=25

USG=1.01

UCr=60

UO=800

PROTEIN/GI/LIVER FUNCTION TESTS:

LDH=100

TP=7.6

AST=25

TBIL=0.7

ALP=71

Alb=4.0

ALT=40

BC=0.5

AST/ALT=0.6

BU=0.2

AF alb=3.0

SAAG=1.0

SOG=60

CSF:

CSF alb=30

CSF glu=60

CSF/S alb=7.5

CSF/S glu=0.4

АНАЛИЗ КРОВИ:

Test

Reference Range (conventional units*)

17 Hydroxyprogesterone (Men)

0.06-3.0 mg/L

17 Hydroxyprogesterone (Women) Follicular phase

0.2-1.0 mg/L

25-hydroxyvitamin D (25(OH)D)

8-80 ng/mL

Acetoacetate

<3 mg/dL

Acidity (pH)

7.35 - 7.45

Alcohol

0 mg/dL (more than 0.1 mg/dL normally indicates intoxication) (ethanol)

Ammonia

15 - 50 µg of nitrogen/dL

Amylase

53 - 123 units/L

Ascorbic Acid

0.4 - 1.5 mg/dL

Bicarbonate

18 - 23 mEq/L (carbon dioxide content)

Bilirubin

Direct: up to 0.4 mg/dL Total: up to 1.0 mg/dL

Blood urea nitrogen

7–21 mg/dL

Blood Volume

8.5 - 9.1% of total body weight

Calcium

8.2 - 10.6 mg/dL (normally slightly higher in children)

Carbon Dioxide Pressure

35 - 45 mm Hg

Carbon Monoxide

Less than 5% of total hemoglobin

CD4 Cell Count

500 - 1500 cells/µL

Ceruloplasmin

15 - 60 mg/dL

Chloride

98 - 106 mEq/L

Complete Blood Cell Count (CBC)

Tests include: hemoglobinhematocritmean corpuscular hemoglobinmean corpuscular hemoglobin concentrationmean corpuscular volumeplatelet countwhite Blood cell count  Please click each to view an individual test value.

Copper

Total: 70 - 150 µg/dL

Creatine Kinase (CK or CPK)

Male: 38 - 174 units/L  Female: 96 - 140 units/L 

Creatine Kinase Isoenzymes

5% MB or less

Creatinine

0.6 - 1.2 mg/dL

Electrolytes

Test includes: calciumchloridemagnesiumpotassiumsodium Please click each to view an individual test value.

Серологическое железо

норма - 50 - 150 H-g/dL

Железосвязывающая способность

норма 250 - 370 ig/dL

Erythrocyte Sedimentation Rate (ESR or Sed-Rate)

Male: 1 - 13 mm/hr Female: 1 - 20 mm/hr

Glucose

Tested after fasting: 70 - 110 mg/dL

Hematocrit

Male: 45 - 62% Female: 37 - 48%

Hemoglobin

Male: 13 - 18 gm/dL Female: 12 - 16 gm/dL

Iron

60 - 160 µg/dL (normally higher in males)

Iron-binding Capacity

250 - 460 µg/dL

Lactate (lactic acid)

Venous: 4.5 - 19.8 mg/dL Arterial: 4.5 - 14.4 mg/dL

Lactic Dehydrogenase

50 - 150 units/L

Lead

40 µg/dL or less (normally much lower in children)

Lipase

10 - 150 units/L

Zinc   B-Zn

70 - 102 µmol/L

Lipids:

   Cholesterol

Less than 225 mg/dL (for age 40-49 yr; increases with age)

   Triglycerides

10 - 29 years  

53 - 104 mg/dL

30 - 39 years  

55 - 115 mg/dL

40 - 49 years  

66 - 139 mg/dL

50 - 59 years  

75 - 163 mg/dL

60 - 69 years  

78 - 158 mg/dL

   >  70 years  

83 - 141 mg/dL

Liver Function Tests

Tests include bilirubin (total)phosphatase (alkaline)protein (total and albumin)transaminases (alanine and aspartate)prothrombin (PTT)  Please click each to view an individual test value.

Magnesium

1.9 - 2.7 mEq/L

Mean Corpuscular Hemoglobin (MCH)

27 - 32 pg/cell

Mean Corpuscular HemoglobinConcentration (MCHC)

32 - 36% hemoglobin/cell

Mean Corpuscular Volume(MCV)

76 - 100 cu µm

Osmolality

280 - 296 mOsm/kg water

Oxygen Pressure

83 - 100 mm Hg

Oxygen Saturation (arterial)

96 - 100%

Phosphatase, Prostatic

0 - 3 units/dL (Bodansky units) (acid)

Phosphatase

50 - 160 units/L (normally higher in infants and adolescents) (alkaline)

Phosphorus

3.0 - 4.5 mg/dL (inorganic)

Platelet Count

150,000 - 350,000/mL

Potassium (калий)

3.5 - 5.4 mEq/L

Prostate-Specific Antigen (PSA)

0 - 4 ng/mL (likely higher with age)

Proteins:

   Total

6.0 - 8.4 gm/dL

   Albumin

3.5 - 5.0 gm/dL

   Globulin

2.3 - 3.5 gm/dL

Prothrombin (PTT)

25 - 41 sec

Pyruvic Acid

0.3 - 0.9 mg/dL

Red Blood Cell Count (RBC)

4.2 - 6.9 million/µL/cu mm

Sodium

133 - 146 mEq/L

Thyroid-Stimulating Hormone (TSH)

0.5 - 6.0 µ units/mL

Transaminase:

   Alanine (ALT)

1 - 21 units/L

   Aspartate (AST)

7 - 27 units/L

Urea Nitrogen (BUN)

7 - 18 mg/dL

BUN/Creatinine Ratio

5 - 35

Uric Acid

Male   

2.1 to 8.5 mg/dL (likely higher with age)

Female   

2.0 to 7.0 mg/dL (likely higher with age)

Vitamin A

30 - 65 µg/dL

WBC (leukocyte count and white Blood cell count)

4.3-10.8 × 103/mm3

White Blood Cell Count (WBC)

4,300 - 10,800 cells/µL/cu mm

CSF

Reference ranges in CSF

Substance

Lower limit

Upper limit

Unit

Glucose

50[3]

80[3]

mg/dL

Protein

15[3]

40[4]–45[3]

mg/dL

RBCs

n/a[3]

0[3] / negative

cells/µL or cells/mm3

WBCs

0[3]

3[3]

cells/µL cells/mm3

Cause

Appearance

Polymorphonuclear cell

Lymphocyte

Protein

Glucose

Pyogenic bacterial meningitis

Yellowish, turbid

Markedly increased

Slightly increased or Normal

Markedly increased

Decreased

Viral meningitis

Clear fluid

Slightly increased or Normal

Markedly increased

Slightly increased or Normal

Normal

Tuberculous meningitis

Yellowish and viscous

Slightly increased or Normal

Markedly increased

Increased

Decreased

Fungal meningitis

Yellowish and viscous

Slightly increased or Normal

Markedly increased

Slightly increased or Normal

Normal or decreased

МОЧА

Ions and trace metals

Target

Lower limit

Upper limit

Unit

Comments

Nitrite

n/a

0 / negative[3]

The presence of nitrites in urine indicate the presence of coliform bacteria. This may be a sign of infection, however, the other parameters such as leukocyte esterase, urine white blood cell count, and symptoms such as dysuriaurinary_urgency, fevers and chills must be correlated to diagnose an infection.

Sodium(Na) - per day

150[4]

300[4]

mmol / 24hours

The sodium levels are frequently ordered during the workup of acute renal failure. The fractional excretion of sodium, abbreviated as FeNa is an important marker in distinguishing pre-renal from post-renal failure.

Potassium(K) - per day

40[4]

90[4]

mmol / 24hours

Urine potassium may be ordered in the workup of hypokalemia. In case of GI loss of potassium, the urine potassium will be low. In case of renal loss of potassium, the urine potassium levels will be high. Decreased levels of urine potassium are also seen in hypoaldosteronism and adrenal insufficiency.

Urinary calcium(Ca) - per day

15[5]

20[5]

mmol / 24hours

An abnormally high level is called hypercalciuria and an abnormally low rate is called hypocalciuria.

Further information and more detailed ranges: Urinary calcium

100[5]

250[5]

mg / 24 hours

Phosphate(P) - per day

n/a[4]

38[4]

mmol / 24hours

Phosphaturia is the hyperexcretion of phosphate in the urine. This condition is divided into primary and secondary types. Primary hypophosphatemia is characterized by direct excess excretion of phosphate by the kidneys, as from primary renal dysfunction, and also the direct action of many classes of diuretics on the kidneys. Additionally, secondary causes, including both types of hyperparathyroidism cause hyperexcretion of phosphate in the urine.

Proteins and enzymes

Target

Lower limit

Upper limit

Unit

Comments

Protein

0

trace amounts[3] / 20

mg/dL

Proteins may be measured with the Albustix Test. Since proteins are very large molecules (macromolecules), they are not normally present in measurable amounts in the glomerular filtrate or in the urine. The detection of protein in urine, called proteinuria may indicate that the permeabilityof the glomerulus is abnormally increased. This may be caused by renal infections or it may be caused by other diseases that have secondarily affected the kidneys such as diabetes mellitusjaundice, or hyperthyroidism.

Further information: Proteinuria

hCG In non-pregnant adults

-

50[7]

U/L

This hormone appears in the urine of pregnant women. Home pregnancy tests commonly detect this substance.

Blood cells

Target

Lower limit

Upper limit

Unit

Comments

Red blood cells(RBCs) / erythrocytes

0[3][8]

2[3] - 3[8]

per High Power Field (HPF)

RBC casts

n/a

0 / negative[3]

White blood cells(WBCs) / leukocytes

0[3]

2[3] / negative[3]

Further information: Pyuria

-

10

per µlor mm3

"Significant pyuria" at greater than or equal to 10 leucocytes per microlitre (µl) or cubic millimeter (mm3)

Blood

n/a

0 / negative[3]

May be present as intact RBC which indicates bleeding or discoloration. Note that a very small amount of blood is enough to give the entire urine sample or the foley bag a red/pink hue, and it is difficult to judge the amount of bleeding from a gross examination. The urine color may also be red due to excretion of pigment such as myoglobin and hemoglobin, in which case the urine dipstick shows presence of blood but there are no RBC seen on microscopic examination. Always check INR/PT/PTT and send a fresh urine sample for urinalysis when blood is detected. A case can also be made for urine cytology, especially for elderly patients.

Further information: Hematuria

Other molecules

Target

Lower limit

Upper limit

Unit

Comments

Glucose

n/a

0 / negative[3]

Glucose can be measured with Benedict's Test. Although glucose is easily filtered in the glomerulus, it is not present in the urine because all of the glucose that is filtered is normally reabsorbed from the renal tubules back into the blood. Presence of glucose in the urine is called glucosuria.

Further information: Glucosuria

Ketone bodies

n/a

0 / negative[3]

When there is carbohydrate deprivation, such as starvation or high protein diets, the body relies increasingly on the metabolism of fats for energy. This pattern is also seen in people with the disease diabetes mellitus, when a lack of the hormone insulin prevents the body cells from utilizing the large amounts of glucose available in the blood. This happens because insulin is necessary for the transport of glucose from the blood into the body cells. The metabolism of fat proceeds in a series of steps. First, triglycerides are hydrolyzed to fatty acids and glycerol. Second the fatty acids are hydrolyzed into smaller intermediate compounds (acetoacetic acid, betahydroxybutyric acid, and acetone). Thirdly, the intermediate products are utilized in aerobic cellular respiration. When the production of the intermediate products of fatty acid metabolism (collectively known as ketone bodies) exceeds the ability of the body to metabolize these compounds they accumulate in the blood and some end up in the urine (ketonuria).

Further information: Ketonuria

Bilirubin

n/a

0 / negative[3]

The fixed phagocytic cells of the spleen and bone marrow destroy old red blood cells and convert the heme groups of hemoglobin to the pigment bilirubin. The bilirubin is secreted into the blood and carried to the liver where it is bonded to (conjugated with) glucuronic acid, a derivative of glucose. Some of the conjugated bilirubin is secreted into the blood and the rest is excreted in the bile as bile pigment that passes into the small intestine. The blood normally contains a small amount of free and conjugated bilirubin. An abnormally high level of blood bilirubin may result from: an increased rate of red blood cell destruction, liver damage, as in hepatitis and cirrhosis, and obstruction of the common bile duct as with gallstones. An increase in blood bilirubin results in jaundice, a condition characterized by a brownish yellow pigmentation of the skin and of the sclera of the eye.

Further information: Bilirubinuria

Urobilinogen

0.2[3]

1.0 [3]

Ehrlich units or mg/dL

Creatinine - per day

4.8[4]

19[4]

mmol / 24hours

Freecatecholamines, dopamine - per day

90 [9]

420 [9]

μg / 24hours

Free cortisol

28[10]or 30[11]

280[10] or 490[11]

nmol/24h

Values below threshold indicate Addison's disease, while values above indicate Cushing's syndrome. A value smaller than 200 nmol/24h (72 µg/24h[12]) strongly indicates absence of Cushing's syndrome.[11]

10[13]or 11[12]

100[13] or 176[12]

µg/24h

Phenylalanine

30.0

mg/L[14]

In neonatal screening, a value above upper limit defines phenylketonuria.[14]

Other urine parameters

Test

Lower limit

Upper limit

Unit

Comments

Urine specific gravity

1.003[1][3]

1.030[1][3]

no unit

This test detects the ion concentration of urine. Small amounts of protein or ketoacidosis tend to elevate the urine's specific gravity (SG). This value is measured using a urinometer and indicates whether you are hydrated or dehydrated. If the SG of your urine is under 1.010 you are hydrated. If your urine SG is above 1.020, you are dehydrated.

Osmolality

400[4]

n/a[4]

mOsm/kg

pH

5[3]

7[3]

(unitless)

Bacterial cultures

by urination

-

100,000

colony forming units per millilitre (CFU/mL)

Bacteriuria can be confirmed if a single bacterial species is isolated in a concentration greater than 100,000 colony forming units per millilitre of urine in clean-catch midstream urine specimens (one for men, two consecutive specimens with the same bacterium for women).

Further information: Bacteriuria

by bladder catheterisation

-

100

For urine collected via bladder catheterisation, the threshold is 100 colony forming units of a single species per millilitre.

Further information: Bacteriuria

Соседние файлы в предмете [НЕСОРТИРОВАННОЕ]