20xx年醫(yī)學(xué)專題—肝功能化驗(yàn)異常的分析與解釋-預(yù)覽頁
【正文】 ī)淤積,–Viral hepatitis –Etoh hepatitis –EBV,CMV –Anabolic, steroids,Contraceptives,TPN –Primary biliary sclerosis –Primary sclerosing cholangitis,24,第二十四頁，共五十一頁。,＋甘氨酸，?；撬?總膽汁酸 TBA,28,第二十八頁，共五十一頁。ng)功能,白蛋白 Malnutrition Nephrotic syndrome Protein losing enteropathy (Sprue,Crohn’s) 凝血酶原活動(dòng)度 60% 40~60% 40% 膽堿(dǎn jiǎn)脂酶,30,第三十頁，共五十一頁。i) ChildPugh,Grade A 16。i) ChildPugh,33,第三十三頁，共五十一頁。sh236。o)前后肝功能,36,第三十六頁，共五十一頁。,Globulin is one of the two types of serum proteins, the other being albumin. Protein electrophoresis: Alpha 1 globulins Alpha 2 globulins Beta globulins Gamma globulins (one group of gamma globulins are immunoglobulins, that function as antibodies),Globulin,38,第三十八頁，共五十一頁。,Hyperglobulinemia,Hyperglobulinemia: Polyclonal Gammopathy Chronic viral diseases Neoplasia ? Lymphoma ? Mast cell tumor ? Other tumors Autoimmune disorders ? Systemic lupus erythematosus ? Chronic polyarthritis ? Others,40,第四十頁，共五十一頁。,Serum Protein ElectrophoresisNephrotic Pattern,alpha2macroglobulin,Loss of lower molecular weight proteins (Examples: albumin, IgG) Retention of higher molecular weight proteins (example alpha2macroglobulin.),SLE,44,第四十四頁，共五十一頁。,Serum Protein ElectrophoresisMonoclonal (M) Protein Present,IgG kappa,multiple myeloma,48,第四十八頁，共五十一頁。 肝臟合成功能可反應(yīng)肝臟功能儲(chǔ)備。 球蛋白高首先區(qū)分是單克隆性還是多克隆性。ng)總結(jié),肝功能化驗(yàn)異常的 分析與解釋。膽汁酸增加ALP脂溶性,刺激ALP合成。n)膽紅素升高，以間接膽紅素為
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