Analize de Laborator
description
Transcript of Analize de Laborator
Analize de laborator valori normale
Analize de laborator valori normale Brumaretchi Corina si Cosau Nicusor 1. Hemoglobina - barbat: 14-17 g /100 ml
- femeie: 12-15 g /100 ml
2. Hematocrit - barbat: 46% +/- 5 %
-femeie: 41% +/- 5 % 3 .VEM (volum eritrocitar mediu) - 82 92 4. CHEM(concetratia hemoglobinei eritrocitare medii) - 32 - 36 g/dl
5. Sideremie - 80 145 gama/100 ml
6. Reticulocite - 5 15 retic./1000 hematii - 20 80.000/mmc sange
7. Leucocite - 4000 9000/mmc
8. Formula leucocitara :
- neutrofile nesegmentate :1- 4%
- neutrofile segmentate : 50 -70%
- eozinofile :1- 4%
- bazofile : 0 -1%
- limfocite : 20 - 40%
- monocite : 4 8%
9. Trombocite :150.000 300.000 mm/
10. Medulograma : Maduva hematopoietica :
Produce / 24h: - 100 250 mld. GR
- 70 150 mld. Plachete
- 50 60 mld. GA Punctia medulara : in stern (punctie sternala)
creasta tibiei
SIPS Indicatii in Dg :
anemiilor hipo si aregenerative
anemiilor megaloblastice
anemiilor hipocrome Normo/ hipersideremice11. Glicemie : glicemia jeun (plasma venoasa): 60 100 mg/100 ml 12. TTGO : glicemia initiala sub 100 mg/100 ml
glicemia la 2 ore sub 140 mg/100 ml
13. Uree : 15 - 35 g/l (urina) 20 40 mg/100 ml (sange) 14. Creatinina: 0,5 1 g/l (urina)
0.6 1,8 mg/100 ml (sange) 15. Acid uric : 0.25 0.8 g/24h (urina)
1.5 6.7 mg/100 ml (sange)
16. TGP : 2 16 UI/ml 17. TGO : 2 20 UI/ml 18. GGT : femei : 9 31 UI/l
barbati: 12 38 UI/l 19. LDH : 40 160 U/l 20. CPK : 20 200 UI/l
21. Bilirubina : 0,2 1,1 mg/100 ml (totala)
< 0,3 mg /100 ml (directa)
22 Fosfataza alcalina : 35 125 UI/l
23. Proteinele totale : 6 8.5 g/dl
24. Colesterolul : total 180 - 200 mg/dl
LDL 100 130 mg/dl
HDL 30 70 mg/dl
25.Trigliceride :40 150 mg/dl
26.Electroforeza proteinelor : albuminele - 4 -5 g/100 ml (60 %)
globuline 2.5 3 g/100 ml (40%)
Alfa1 - 0,3 g/100 (6%) Alfa2 - 0.5 g/100% (9%)
Beta - 1g/100 ml (12%)
Gama -1,2 g/100 ml (15-18%)
27.Fibrinogen : 200 -400 mg/dl
28.Proteina C Reactiva : 0.7 2.3 mg/l
29.Examen sumar de urina : volum : 1000 - 1600 ml/24h Aspect : clar,transparent
Culoare :galbena,citrin
Miros : migdale amare
Sediment urinar : 1 hematie
3-5 leucocite
1 cilindru
Rari cristali
Rare celule epiteliale
Densitate : 1015- 1025
PH : 4.6 8
30. Urocultura : recoltare 10 -15 ml de urina din jetul mijlociu intr-o eprubeta sterila si insamantare pe diferite medii de cultura.
Patologic: bacteriurie :>100 mii germeni/ml
31.Clearence-ul creatininei : 91 130 ml/min
32. Hemocultura : Ex de microbiologie clinica ce urmareste cultivarea bacteriilor circulante la nivel sanguin (eventual, fungi)
Bacterii patogene, conditionat patogene
Bacteriemii tranzitorii
Infectii mixte aerobi si anaerobi
Se practica in:
Frison, T, prostratie, alterarea senzoriului si starii generale
Asigura un dg etio. mai bun decat prin prelucrarea unor produse patologice recoltate din focar (sputa, bila, urina - polimicrobiene) 33.Examenul lichidelor biologice(ascita,pleural,pericardic) :
Ascita: punctie peritoneala:
Macrosopic:transparent,galbui,serosanguinolent(eritocite >10.000 /microL),purulent in infectii bacteriene Microscopic : PMN uri >250/microL - peritonita bacteriana
Limfocite : peritonita TBC
Hematii : >50.000 microL ascite neuplazice
Biochimic : Amilaze crescute - ascita pancreatica
Trigliceride crescute ascite chiloase
Glucoza scazuta - infectii bacteriene
Proteine>3g/dl exudat