以下值来自我的医院实验室,仅供参考。
各医院、各实验室的值会有些差别,请参照自己的血液检查报告的正常值。
4. Liver Function Tests(肝功能检查):
Standard Liver Panel (标准肝功能检查):
test | 中文 | Reference range | Reference Range |
Albumin (Alb) | 白蛋白 | 3.5--5.0 g/dL | 35--50 g/L |
Alanine transaminase (ALT) or (SGPT) | 谷丙转氨酶/谷氨酸转氨酶 | 9--60 U/L | 9--60 U/L |
Aspartate transaminase (AST) or(SGOT) | 天冬氨酸氨基转移酶 | 10--40 U/L | 10--40 U/L |
Alkaline phosphatase (ALP) | 碱性磷酸酶 | 30--120 U/L | 30--120 U/L |
Total bilirubin (TBIL) | 总胆红素 | 0.1--1.2 mg/dL | 1.7--20.4 µmol/L |
Direct bilirubin | 直接胆红素 | 0--0.3 mg/dL | 0--5.1 µmol/L |
Gamma glutamyl transpeptidase (GGT) | γ-谷氨酰转肽酶 | 0--51 U/L | 0--51 U/L |
5. Protein Tests(蛋白质检查):
test | 中文 | Reference range | Reference Range |
Human serum albumin | 人血白蛋白 | 3.5--5.0 g/dL | 35--50 g/L |
Serum total protein | 血清总蛋白 | 6.5--8.5 g/dL | 65--85 g/L |
6. Comprehensive Metabolic Panel (CMP)(综合代谢检查):
是一组有十四项的常规血液化学检查。BMP(八项)+ Protein Tests(Human serum albumin,Serum total protein)+ Liver Function Tests(ALP,ALT,AST,Bilirubin)。目的是检查肝肾功能、电解质和体液平衡。具体请看1. BMP, 4. Liver Function Tests 和 5. ProteinTests 表里相关的值,这里不再列表赘述。
7. Iron Tests(检查血中的铁):
是测定血中铁的含量、血液运输铁的能力和铁的儲存量。用于各型贫血的鉴别诊断(如:缺铁性贫血、再生障碍性贫血、铁粒幼红细胞贫血和慢性溶血性贫血等)。需空腹12小时抽静脉血检查。
test | 中文 | Reference range | Reference Range |
Serum iron | 血清铁(血液内游离的铁离子) | Male: 65-177 μg/dL; | Male: 11.6-31.7 µmol/L; Female: 9.0-30.4 μmol/L |
TIBC(Total iron-binding capacity) | 血清总铁结合力/血清运铁容量 | 240--450 µg/dL | 43.0--80.6 µmol/L |
UIBC(Unsaturated iron-binding capacity) | 未饱和铁结合力 | The UIBC is calculated by subtracting the serum iron from the TIBC. | UIBC= TIBC- Serum iron |
Transferrin saturation (= Serum iron/ TIBC) | 运铁蛋白饱和度 | Male: 20-50%; Female: 15-50% | |
Serum Ferritin | 血清铁蛋白(血液内结合状态的铁,检查体内铁缺乏的最灵敏的指标) | Males: 20--250 ng/mL; Females: 12--250 ng/mL | Males: 20--250 µg/L; Females: 12--250 µg/L |
8. Lipid profile(Lipid panel)(血脂检查) :
高血脂增加心血管疾病的风险。需空腹12小时抽静脉血检查。
test | 中文 | Reference range | Reference Range |
Total cholesterol | 总胆固醇 | recommended <200 mg/dL; moderate risk 200--239 mg/dL; high risk >240 mg/dL. | <5.2 mmol/L; 5.2--6.2 mmol/L; >6.24 mmol/L |
High density lipoprotein cholesterol (HDL-C) (good cholesterol ) | 高密度脂蛋白胆固醇 (好胆固醇) | major risk factor <40 mg/dL; negative risk factor >59 mg/dL | x 0.026=mmol/L |
Low density lipoprotein cholesterol (LDL-C) (bad cholesterol ) | 低密度脂蛋白胆固醇 (坏胆固醇) | recommended <129 mg/dL; moderate risk 130--159 mg/dL; high risk >159 mg/dL. | x 0.026=mmol/L |
Triglycerides | 三酸甘油酯/甘油三酯 | recommended 30--149 mg/dL (<160) | x 0.011=mmol/L |
9.Thyroid function test(甲状腺功能检查):
test | 中文 | Reference range | Reference Range in SI Units | Interpretation |
TSH (Thyroid-stimulating hormone)/Serum thyrotropin | 甲状腺刺激激素/促甲状腺素 | 0.4--6 mIU/L 0.3 to 3.0 mIU/L(as of 2003 ) | 0.4--6 mIU/L | <0.4(低) ---possible hyperthyroidism(甲亢) ; >6(高) ---hypothyroidism(甲减). Note: the American Association of Clinical Endocrinologists has revised these guidelines as of early 2003, narrowing the range to .3 to 3.0. |
T3 / Serum triiodothyronine | 血清三碘甲状腺素 | 80 to 220 ng/dL | 1.23--3.39 nmol/L | <80(低)---hypothyroidism(甲减); >220(高)---Pregnancy,hyperthyroidism(甲亢) |
Total T4 / Serum thyroxine | 血清甲状腺素 | 4.5--12.5 µg/dL | 58.5--162.5 nmol/L | <4.5 can be indicative of an underfunctioning thyroid when TSH is also elevated. >12.5(高)---hyperthyroidism(甲亢). Low T4 with low TSH can sometimes indicate a pituitary problem. |
Free T4 / Free Thyroxine | 游离甲状腺 | 0.7 to 2.0 ng/dL | 9.0--25.8 pmol/L | <0.7 ---possible hypothyroidism(甲减) |
10.Clotting factor(凝血因子):
test | 中文 | Reference range | Clinical significance |
Prothrombin time | 凝血酶原时间 | 12–15 seconds | Prolonged by deficiency of factors I,II,V,VII, and X, fat malabsorption, severe liver disease, coumadin anticoagulant therapy. |
INR (international normalized ratio ) | 国际标准化比值 | 1.0 2--3 for therapy in atrial fibrilation,deep vein thrombosis,and pulmonary embolism; 2.5--3.5 for therapy in prosthetic heart valves | INR used to standardize the prothrombin time and anticoagulation therapy. |
Partial thromboplastin time (activated) | 活化部分凝血激酶时间 | 25--30 seconds | Prolonged in deficiency of fibrinogen,factors II,V,VIII, IX,X,XI, and XII,and in heparin therapy. |
Thrombin time | 凝血酶时间 | 10--15 seconds | Prolonged by heparin, fibrin degradation products, lupus anticoagulant. |
11.Cardiac marker(心脏病指标) :
虽然仍有医院、有医生在做CPK-MB test,但这里只介绍一个目前被认为是检测急性心肌梗塞(Acute Myocardial Infarction)最灵敏的检测法---Troponin test (Troponin I onset: 4-6 hrs, peak: 12-24 hrs, return to normal: 4-7 days).
Troponin I Reference Range | Interpretation (判读) |
0.00--0.09 | Normal |
0.10--0.60 | Possible indication of myocardial damage, unstale angina, congestive heart failure, myocarditis, cardiac surgery or invasive testing. Clinical correlation is required. |
>0.60 | May indicate significant myocardial injury. Clinical correlation is required. |
12.Cancer marker(癌症指标):
test | 中文 | Reference range | Clinical significance |
AFP (Alpha fetoprotein) | 甲胎蛋白 | <10 µg/L | Often elevated in liver cancers (hepatocellular) and testicular cancers (non-seminomatous). Raised levels are also present during pregnancy or some gastrointestinal cancers. |
CA 15-3 | CA 15-3 | <30 IU/L | Increased in metastatic breast. Raised levels are also present in other non-malignant conditions (eg. cirrhosis, benign diseases of ovaries & breast). |
CA 19-19 | CA 19-19 | <37 IU/L | Increased in pancreatic,hepatobiliary,gastric,and colorectal cancer,gallstones .Its level is best evaluated along with CEA marker test. |
CA125 | CA125 | <35 IU/L | Increased in colon, upper gastrointestinal(GI),ovarian, and other gynecologic cancers; during menstruation,pregnancy or individuals with ovarian cysts,pericarditis,hepatitis,cirrhosis of the liver or peritonitis. |
Carcinoembryonic antigen (CEA) | 癌胚抗原 | 0-2.5 µg/L(nonsmoker); 0-5 µg/L(smoker) | CEA was first identified in colon cancer. Elevated CEA levels are found in a variety of cancers other than colonic, including pancreatic, gastric, lung, and breast. It is also detected in benign conditions including cirrhosis, inflammatory bowel disease, chronic lung disease, and pancreatitis. |
PSA (Prostate-Specific Antigen) | 前列腺特异性抗原 | 0-4 ng/ml | PSA is prostate-specific, not cancer-specific. A variety of conditions can raise PSA levels: prostatitis (prostate inflammation), benign prostatic hypertrophy (prostate enlargement), and prostate cancer. |
*本系列专为新移民而写。都是网友发QQH到我的信箱里常问的问题。因悄悄话的版面有限,把答复的内容写在自己的博客里,并公开贴在健康养生坛里。到目前为止已完成六篇。感谢网友、健康坛版主和亲爱的网管大人的热心支持(上半部分未完成时已被贴出),这一集分上下两部分。这是最费时费力的一篇---要制表,要核对数据和单位。无高深的医学知识,只是把它们归类整理出来,供参考之用。但请参照自己的检验报告里的正常范围,因为各实验室的检验方法和仪器会有误差,而且需要医生结合你的情况来判读你的检验结果。千万不要只看到自己的某一项指标偏高就心慌了---单方面一个指标的偏高有时是没有临床意义的。请咨询你的医生,由医生来下结论。
谢谢大家,特别是给我留QQH的网友的信任。下一篇的题目是:各种疼痛的英文表达(5th vital sign---pain)(也是一网友要求的。尽量一星期后完成。)*