保健 - 第96期 - page 21

21
ቮ͛ʘ༸
檢驗結果“異常”時如何步步行事
ୋɓdІ ݟ jІʉર ݟ ί פ А ۃ ձ פ АࣛϞӚϞ
¨͕஝©dνභ࠮e؂ᖹe༶ਗഃfν ؈ Ϟ¨͕
஝©dϾ˲Ꮸ᜕ഐ ؈ ̥ϞჀ ܓ ҷᜊdʔɓ֛Ϟʡჿ
ਪᕚf
ୋɚdూݟ jν؈ Ꮸ᜕ᅰኽϞ10% א ˸ɪٙᜊʷd
1 ä 2 մʘܝ ూ ݟ݊̀ࠅ ٙf௰λʥίΝɓ࢕ᔼ৫Ꮸ
ݟ fʔˇɛึ౬ɓ࢕ᔼ৫Ύ ݟ dՉྼԨ ڢ ၚ׼ʘ
ᑘfΪ މ ʔΝٙྼ᜕܃ձʔΝٙྼ᜕ૢ΁ձ˙ ج
ɨdਂ̈ٙഐ ؈ ึϞࢨйfϤ̮dʔ၍Ꮸ᜕ഐ ؈
¨͍੬©ᒔ݊¨ମ੬©dί޴Νٙྼ᜕܃e˸޴Ν
ٙૢ΁e͜޴Νٙ˙ ج dεϣూ ݟ dਗ࿒ᝈ࿀dˢ
ܝۃ༰ᜊʷd̙ܓڦһɽdᑗґᄆ࠽ɰһɽf
ୋɧdᔼݟ j௰୞຅್̀඲Աቦᔼ͛j1 ᆽ֛Ꮸ᜕
ഐ ؈ ͍੬ᒔ݊ମ੬i2 ੽̻Б€ਂ޴ ڐ ٙՉ˼ධ
ͦձଉɝ€ਂආɓӉ֛Σ֛׌ٙධͦɚ ࡈ ˙Σ
ΎਂᏨݟ i 3ഐΥष̦e᜗ࣸᏨ ݟeεධͦᏨ ݟ ഐ
؈ dЪ̈ᑗґΙ൥eкᓙdא ᆽ֛ൢᓙf
Seven Confusing Blood Test Results: How an Elderly Decipher His “Report Card”
An elderly Uncle Chang wasted time and funds by shopping around clinical laboratories over a borderline abnormal blood tumor
marker test result and had various unnecessary procedures performed, only to find that it was normal after all when repeated at the
same laboratory. Blood test items may be confusing and these seven top the list: blood sugar, lipid profile, liver & kidney functions,
BNP: a new heart failure index is sensitive but may well have false positive results, thyroid function and anemia. If a blood test is
“abnormal” try to: (1) Rule out any oversight on fasting / withholding relevant medications for the test (2) Repeat the same test at the
same laboratory upon a 10% or more deviation from normal; different laboratories have diverse test results even if testing on exactly
the same blood specimen; serial comparisons are best done in the same laboratory (3) Ask your doctor to ensure if there is really a
physical abnormality; perhaps to perform related tests in parallel or more specific tests; for the best definitive clinical diagnosis, better
correlate the clinical manifestations with the test results!
௅ʱАᏨܸᅺ͍ٙ੬ਞϽ࠽ ᇍఖ
٤໖Аጟ Glu 3.9~5.6 mmol/L
᎛ ܝɚʃࣛАጟ Ö 7.8 mmol/L
ጟʷАߎஐͣ GHb Ö 6 %
ᐼᑔոቐ Ch Ö 5.2 mmol/L
͚ ذɧ◐ TG Ö 1.7 mmol/L
Э੗ܓ ইஐͣ LDL Ö 3.2 mmol/L
৷੗ܓ ইஐͣ HDL × 1.1 mmol/L
˯ऄაᔷऄ㺛 ALT Ö 40 U/L
ژ ̆ऄაᔷऄ㺛 AST Ö 40 U/L
҇९ಢ BUN 3.2~7.1 mmol/L
Єḩ Cr 44~115 DŽ mol/L
໘ඒ㹻 BNP Ö100 pg/mL
໘ඒ㹻ۃ᜗͋၌ NT-ProBNP Ö300 pg/mL
༷ᕎً͠໗९ FT4 12~23 pmmo/L
༷ᕎɧຢ͠໗ࡡऄა FT3 2.8~7.1 pmmo/L
൴ઽڮ ً͠໗ዧ९ s-TSH 0.27~4.2 uIU/mL
ߎ ୚ࠇߤᅰ RBC 4.0~5.5 X 10¹²/L
А ߎஐͣўඎ Hb 120~170 g/L
ၣᔌߎ ୚ࠇߤᅰ Ret 0.5~1.5 %