Capitolul 13

GHID DE INTERPRETARE
A UNOR ANALIZE

DE SNGE
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

288

E bine sa stii!

-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 SNGE

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-

289

290

E bine sa stii!

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

291

292
Analiza

E bine sa stii!

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-

293

294

E bine sa stii!

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 SNGE

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
anovulantrnormale
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

295

296

E bine sa stii!

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 SNGE

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

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300

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