Capitolul 13

GHID DE INTERPRETARE A UNOR ANALIZE

DE SNGE
13.. DETERMINARI HEMATOLOGICE
xicatii

Analiza 1-3% Creste cortico- scar54-62% 3-5% bo~la Hodgkin, ra dupa virale intoleucemii tumori,intoxicatii, Valori Debutul proScade 25-33% la debut, si bac4.500-1O-eXX)fmm3 normale parazitoze, 0-0,75% alergice, paraTBC Infectii, grave, Stari Carenta debolilor Infectii intoxicatii, postcorticoterapie colagenoze, infectioase, teriene, terapie ofile cronica leucocit de leucemie forme mie convul- tumori, mal si Hodgkin, teine, unele ariede i, tii

288

Analiza 11,2-16,5 policitemic,jCl' 150-350lupus, sarcina, Iutiv, g/dl infarct,Hemoconcentratii ca, mil/mm3 Hepatita Anemii 250-450TBC, lellcellIII, Insuficienti.l tica Creste mg% 16,5-19,5 grava, epidl'1I1i Coagulare intraV/lN 12-16Poliglobuliileptospi13-18,2millmm3 apla~l Infectii, disglobug/dl roza, alergicc,hepll septicemie, stari

-6-12normaleora prostII/il, anemll fOrnll\ lil'Anemii cardiaca 3-7%linemii, cancer evo- anumite 3-10Valori hemolitice, Mononucleoza mrn/l 42-52% Anemii Reumatism cancer 35-49% 49-54% 37-48% mrn/l 4,2- 4,6-6,2 mii!mm3 5Anemii ora 4,5-5,lmillmm3 artiScade Hemodilulii, insuficienl.i1 talasemie, 0,2-2% de

E bine sa stii!

eticulocitedisemilllllll, a pancreas cui ara regenerare cardita, anemii leucemii,bmcelm:n. infectioasa, endo trombocitopclllrll deunei purplll'li ec.I.D.) faza de paludi~1I1

Ghid de interpretare
nogenemie, hepatica 50Anemiideposthemosec.-1min. cuta Valori utilizare20creshemosideroza 12-14 sec. mecanic, sau 5-15 min. absorbtie hipofibrinogenemie, normalef.lg/dlC.I.D., Scade Medicatie vitaminaagulanta, deficiente Hemofilie, Biermer, hemolitice,ictere K, anemii Anemia anticohepatite, afectare Creste 50-150icter sihipofibriAport,

289

Analiza tratamentul cu sau de tumori ea facto- C.I.D. ulburari anticoagulante rive,avilarii

13.2. DETERMINARI BIOCHIMICE DIN SNGE

Analiza 5-35 Valori 7-40 D/I miocardic, hepatiteinfarcte pulnormale virale, ciroze, miocardic, Scade Creste infarct infarcte Infarct Hepatite virale, creas litiaza si de renale, coledoc, necroze dederenale, musculare, carcinom si panmonare pulmonare pancreas

290

E bine sa stii!

Analiza Valori Coma 25-125 prindiabeticliiD, subCrestemultiplu, tuAcidozamg/dl dilllwl Alcaloze hemoliza: normale D, Scade zaharat Acidoze torie, Pancreatita Guta, grav, taminoza 0,3-1,1 nemte,respira-III 4,5-19,8J..ImolJl hiper22-26 VI/mldin tellllll(\ 11-35 g/dldezech varsaturi le acute 190-420 VII din renlllK mielom hepatic, Hipervitaminoza Icter tom, Cancer mg/dl Glicogenoze, Hipoparatiroidic, hitism Alcaloza Insuficienta 0,1-0,4 mg/dl mg/dlmetaboli-tumori testiculare ~i 0,2-0,7 3,5-5,5obezitate, hi[loyl Hepatite intense 4,5-5,5 mEq/1 leucemii 2,3-8;5 mecanic glico8-25 10 zaharat, prinIl mg/dl mEq/l acuta,genoze, alcoolism, Diabet metabolicl\,

acidoza pancrca IirI' tumori medicamentoase stres, boli uremica, cronice, malnut:ritiu, sindrom renala nala infectioase, hepatite, feocromociciroza tumori, sau cirozilil, alcoolism,nefrotic, brat, insuficienlllll' tiroidie, intoxicatii fistule ase calculisarcina dillll'l\ gastro-enteropal

Ghid de interpretare
Analiza68-76%150-200 U/imetastaze hepatite hipertiroidie Valori cancer din Cancerulobezi normale U/i Boli Scade 30-170 U/Img/dl pneu20-90 renale, leucemie, Diabet, I1g/ml acute, Insolatie, 2,25-7,0 mg/dlmixe-de Nefroza,miocardic,distrofii si traumaalcoolism,endocardita ciroza, Forme Ciroze, monie, Infarct UliI Creste boli oase 70-155 renale varsaturi, Degenerescenta 0,11-0,60Paget, guta, maligna, de 96-106 totaldesubtate,hiperparatiroidism, 0,6-1,2 mEq/1 infectiBoli Boala grave, cronica insuficienta cromce cu lipsasau boli hepatice,miozite tomiozite, rahitism, hemodiaree, osoase, infectii Wilson), tismecerebrale, acutedermatumori musculare, osteomalacie,dinintocolestaza, somnifere suprarenaliana proteinelor hepatice, alimentatie ragii xicatii (boala polimiozite, hepato-lenticulara prostata hepatice

291

me abet ere

292
Analiza

E bine sa stii!

Diferite nefrotic, normale Valori tulburari 100-190 mg/dl giganScade 1-60 Ciroza acute, tratament cu antiSindrom naliana, Hepatita forme Hepatite VII de de ciroza, Acromegalie, crestere Creste cortico-suprarehepatica dupa Insuficienta hipofizara, Hiperparatiroidii, tumori, 70-115 mg/dlgrava, depresive,toxice, 450-850 biliara, icter 2,6-4,5 mg/dl tiroidian~, Ateroscleroza, 6-12 mg/dlcronica, hepatite pancreatita, 30-80VII doze mari infarct pulmonar, ciroza ebrale harat, mecanic, infarct hiperlipemie, arterita hepatica, mori, de antidiabeticc zanefrotic,miocardic mecanic,pancreatita acuta, diabet sindrom nte unele anemii, i,oxid hipercolesterolemie itahipoparatiroidii tumori mixedem, diabet, maligne icter hipercorticism, ciroza biliara

Ghid de interpretare

293

Analiza 7-14%Creste miocardic Ciroze Infarct reumatism Deshidratare, boli 9-15%renale, intoxicatii Clroze lipoidica, 11-21%g/dl mEq/ articular Nefroza 2-5% denutritie, nefroza, tetanie AVarsaturi, normale soc, Valori varsaturi, terosc1 tratament Nefroza ciroze, insuficienta Stari hepatite, ciroza, Colagenoze, Hipertiroidie, insuficiente Scade Hemoconcentratii, tico-suprarenala Diaree, Rahitism, mixedem, 0,2-0,4 g/dlmg/dl diaree, 3,5-5 ragii, desoc,cuhemostari g/dl 0,5-0,9 g/dl mEq/l insu0,6-1,1 g/dl Cushing, 0,7-1,7 de eroza, cor3,5-5,0 boala 60-180 mEq/1 arsuri, 1,5-2,5 6-8cromce suprarenale, Hemodilutii, tumori 1,2-1,5 136-145 lipoidica, bulina cortizon miocardic, 2mielom infarctTBC, hepaSodiu ozede bet dez- tite infectioase saturi, nefrita infectii, ne, cor- inflamatiiictere infarct, acut, dian, rdiaca, nala

294
Analiza hepatice cancer BoIi unele normaleforme de Valori mg/dl Scade Afectiuni Infectii 21-43 mg/dl Sarcina, hiperhipertiroidie, Creste cronice, 40-150 renale acute

E bine sa stii!

otic iala,

13.3. DETERMINARI HORMONALE DIN SNGE

Analiza 0-28 6-76pg/mlAddison, tumori bronsice, corticoterapie viriIism Tumori normale corticosuScade Boala 0-20 boli pg/mlciroza,insu hipofizara 3-10pg/ml ng/dl 5-30 Jlg/dl ng/dl 3-15 cardiaca, Addisson, Boala Cushing, 70-1700 hepatice, 0-140Crestecarcinoide, Feocromocitom, 0-30Valori neuroblastom insuficienta pg/ml 6-23 tumori Cushing,stres prarenaIiene, mo-hipofizare, ficiente 0-10 Boala pg/ml feocromocitom, Sindrom Conn, insuficientahipotala-Cancer medular, diuretice cu laxative a na bronsice imice, tratament

Ghid de interpretare

295

Analiza 5-22 Crestehipotalamo-ficientaestrogeni VI/l 40-250 30pg/ml ovaracromegalie, desubree,!lg/l paratiro- Menopauza, gi3 Insuficienta ori Cicluri anterioara 4-25 0,45bazal ntr- Sarcina, ovariana, 4-30 polichistic hipoInsulinom Diabet Pubertate anovulatorii fizara: mintala cicluri normale Valori anoreXle 6-18 Tetanie UliIcorti-luteale Scade pestehipofizara, gonaziata,!lg/l subtesticulara zaharat cosuprarenaliana, 10-60 UliI hipofizar: Adenom insuficienta 0-10 nglmlanovulaAdenom 0,9-3,04!lg/dl nanism insuficienta insu0,02-0,8!lU/ml ameno- de tumori 0,2-1,815-20infantilism torii, administrare 8-18UI/l !lg/lprimara 5-25 hipofizara hipoHiperplazie hipofizar, si talamo-hipofizara, Hiperfunctie ovariana dica VI/l corticosuprarenaiiana onadiemuonulleuteal olicular dezechilibrat ntral, opauza monar, nefropatii minale msipulhing, ul

296

E bine sa stii!

Analiza 275-875Insuficienta B6 amenoree,Turner demU/I Valori prostatic, intoxicatii 38-190normale ng/dlunele Adenomtesticular, precoce ng/dl sindrom supraalimentatie primara, galactoree,pubertate virilism, tina, 1,0-2,1 J..lg/dl Hipertiroidism, insuficienta alcoolism, tiroidieni, Hipotiroidism, Creste 23-754,4-9,9 hormoni 1-20 0-7Scadeadministraretiroidiana hipofizar, ng/dl ng/dl hipotalamohipofizara Hipertiroidism, Cancer 1-25 ng/ml bromergocrip- Cancer 150-250 ng/dl ng/ml Dupa

atice ale prin onul

13.4. DETERMINARIIMUNOLOGICE

DIN SNGE

hemolitice, Antigenul mg/dl 60-333ng/mlmg/dl Infectii acute, boli medul acuta, Sindroame Boli Hepatita acuta hepatitahepatica, neoplazice, glomcCiroza eritematos Cuma mg/dl nefrotice, diseminat, lupus 83-177 mg/dl 550-1.900are aplazii 15-45 sub 5 autoimune: 45-145 alcoolica,gloupus lo-nefrita autoimuna I rionar pielonefrita, anemii rulonefrita, ciroza cronice necro- mielom, glomeruielom hepatitebiliara,boli pielonefrite, lupus, Complement

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 n explorarile de laborator, n Medicina Intensiva (editor M. Chiorean), Ed. Prisma, Tg. Mures, 1999, 382-397.

300

E bine sa stii!

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.