Traditional Culture Encyclopedia - Traditional culture - What do you think of the results of liver function test?
What do you think of the results of liver function test?
What do you think of the results of liver function test?
1, and the normal value of total bilirubin TbiL is 1.7- 17.5438+0? Molar/liter
Acute icteric hepatitis, active hepatitis, liver necrosis, liver cancer and pancreatic head cancer are all extremely high.
2. Is the normal value of direct bilirubin DbiL 0-6.84? Molar/liter
Stones, liver cancer and pancreatic head cancer are all closely related to this abnormally high proportion.
3. The normal value of indirect bilirubin IPIL is1.71-1.97.
Hemolytic anemia, blood group incompatibility, transfusion reaction, neonatal jaundice and malaria are all abnormally high.
4. The normal value of aspartate aminotransferase AST is 8-40U/L.
Liver cirrhosis caused by various liver diseases, early myocardial infarction, hepatocyte necrosis and degeneration is extremely high.
5. The normal value of alanine aminotransferase is 5-40u/L.
Hepatitis, drug poisoning, obstructive jaundice, liver cirrhosis, cholangitis and cholangiocarcinoma are all abnormally high.
6. The normal value of the ratio of cereal to cereal C is 1.5 ~ 2.5: 1.
When the ratio is less than 1, it is called inversion, which is one of the characteristics of chronic hepatitis or cirrhosis.
7、? -Glutamyl transpeptidase? The normal value of -GGTP is 5-50U/L.
Primary or metastatic liver cancer, biliary tract infection, liver cirrhosis and myocardial infarction will appear abnormally high.
8. The normal value of alkaline phosphatase AKP is 20-110u/L.
Obstructive jaundice, acute and chronic icteric hepatitis and liver cancer are all extremely high.
9. The normal value of serum total protein TP is 60-80g/L.
Abnormal high or low may reflect abnormal liver function, liver cell damage and liver cirrhosis.
10, and the normal value of albumin a is 35-55g/l.
The increase of total protein and globulin, and the normal or low or high albumin indicate liver cirrhosis and liver injury.
Normal value of liver function test
Alanine aminotransferase: 0-40;
ast:0 ~ 37;
ast/alt:0.80 ~ 1.5;
Glutamyl transferase (GGP): 7-32;
Alkaline phosphatase: 53 ~128;
Total bilirubin (tbili): 5.1~19.0;
Direct bilirubin (dbili): 0.0 ~ 5.1;
Indirect bilirubin (ibili): 5.0 ~12.0;
Total protein (TP): 60 ~ 80;
Albumin (ALB): 35-55;
Globulin (GLB):15.0 ~ 35.0;
White ball ratio (ALB/GLB):1.20 ~ 2.00;
Glucose (Glu): 3.89 ~ 6.11;
BUN: 1.7 ~ 8.3;
Creatinine (CRE): 53 ~108;
Lactate dehydrogenase (LDH-L):109 ~ 245;
Creatine kinase (CK): 24.0 ~195.0;
Total cholesterol (CHOL): 3.35 ~ 6.45;
Triglyceride (trig): 0.48 ~1.17;
Uric acid (UA):202~4 16.
Clinical significance of liver function examination
1, alanine aminotransferase increased.
Acute and chronic viral hepatitis, liver injury caused by drinking, liver injury caused by drugs, ALT abnormality caused by other factors (fatty liver, liver cancer, etc.). ).
2, aspartate aminotransferase
AST increase >: 60u/L: acute myocardial infarction, acute hepatitis, drug-induced hepatocyte necrosis, chronic active hepatitis, active cirrhosis, liver cancer, myocarditis, nephritis and myositis.
3. Analysis of the ratio of alanine aminotransferase/aspartate aminotransferase.
A large increase in AST means that liver cells are seriously damaged. Therefore, ALT/AST ratio is often used as a diagnostic index and a disease monitoring index in clinic.
4、? Analysis of results of transglutaminase (GGT)
GGT mainly comes from the hepatobiliary system, so it is mainly a monitoring project of hepatobiliary diseases.
GGT of liver inflammation increased slightly and moderately.
Other hepatobiliary diseases such as liver cancer, obstructive jaundice, biliary cirrhosis, cholangitis, gallbladder polyps, gallstones, pancreatitis, pancreatic head cancer, biliary tract cancer, etc. GGT increased significantly.
5. Analysis of bilirubin results
When liver cells are damaged, such as hepatitis, direct and indirect bilirubin will increase significantly.
Biliary tract diseases, especially gallbladder stones, gallbladder polyps, cholecystitis, etc. Direct bilirubin in the blood increased significantly.
Hemolytic disease increases the source of bilirubin in blood, which the liver can't handle, resulting in a significant increase in indirect bilirubin.
6. Analysis of the results of total protein, albumin and globulin.
The content of protein in blood can reflect the function of liver. If protein decreases, it means that the liver can be damaged, which is a serious manifestation of the disease, such as chronic active hepatitis, cirrhosis, liver failure and so on. Some non-liver diseases can also change protein in blood, so we should pay attention to some physiological factors when analyzing the results.
It is necessary to examine patients with impaired liver function or in health examination.
Small coup of daily nourishing liver
1, drink plenty of water to replenish body fluids, enhance blood circulation and promote metabolism. Drinking plenty of water can also promote the secretion of glands, especially digestive glands, pancreatic juice and bile, so as to facilitate digestion, absorption and waste elimination and reduce the damage of metabolites and toxins to the liver.
2, to maintain a cheerful mood, if you want to have a strong liver qi, you must first learn to control your anger, even if you are angry, don't exceed 3 minutes, try to be calm, optimistic and carefree, so that the liver fire will be extinguished and the liver qi will grow normally and smoothly. Violation of this natural law will hurt the liver qi. Therefore, keeping a cheerful mood can protect the liver.
3, the diet should be balanced, and the protein, carbohydrates, fats, vitamins and minerals in the food should maintain a corresponding proportion; At the same time, we should keep the balance of five flavors and try to eat less spicy food. Reasonable diet and balanced nutrition are also beneficial to protect the liver and avoid liver damage caused by excessive drinking for entertainment.
4. Chinese medicine believes that the liver can't make up. Once supplemented, it will get angry, and spleen and kidney can nourish the liver. For patients with spleen deficiency, take Ginseng Jianpi Pill, Coix Seed, Yam and Euryale Semen to cook porridge. People with kidney deficiency can eat Liuwei Dihuang Pills and stewed chicken with Lycium barbarum and Gastrodia elata. For people with big liver fire, Danzhi Xiaoyao Pills and Chrysanthemum Tea can protect the liver.
5. Keep moderate exercise, strengthen exercise and improve immunity. Chinese medicine experts point out that exercise can prevent fatty liver and consume excess fat in the body. People who already have fatty liver should insist on physical exercise and do some aerobic exercises such as jogging, brisk walking and cycling, which can consume calories in the body and control weight gain.
People who are not suitable for liver function examination
Patients who have taken birth control pills, thyroid hormones, steroid hormones, etc. Because the drug will cause certain damage to the liver and may affect the test results, it is forbidden to take the above drugs in the near future.
Special diseases: patients with hematopoietic diseases, such as leukemia, anemia, myelodysplastic syndrome, etc. Unless examination is necessary, blood should be drawn as little as possible.
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