Xt nghim huyt hc bnh nhn x gan

Ch s

ngha

1/11/2014,
3:10:22
G

1/11/2014,
22:34:32
G

3/11/2014,
10:22:13
G

4/11/2014,
1:28:49
G

RBC

s lng
hng cu

HGB

nng
huyt sc t

HCT

nng
hematocrit.

MCV

th tch trung
bnh ca
hng cu

MCH

MCHC

lng huyt
sc t 1 hng
cu
nng
huyt sc t
trung bnh
mt th tch
hng cu..

Bt

Bt

Bt

Bt

PLT

s lng tiu
cu

PDW-CV

phn b
tiu cu

MPV

th tch trung
bnh tiu cu

WBC
NEUT%

SL Bch cu
t l % BC
trung tnh

G
T

G
Bt

G
G

G
G

EO%

t l % BC i
toan

Bt

Bt

BASO%

t l % BC i
kim

Bt

Bt

Bt

MONO%

t l % BC
mono

Bt

LYM%

t l % BC
lympho

Bt

Bt

NEUT#

SL BC trung
tnh

Bt

Bt

Bt

EO#

SL BC i
toan

Bt

Bt

Bt

Bt

BASO#

SL BC i
kim

Bt

Bt

Bt

Bt

Mono#
LYM#

SL BC Mono
SL BC
lympho

Bt
G

Bt
G

Bt
G

Bt
G

Gii thch:
Gan l c quan tng hp cc yu t ng mu. Ngoi ra x gan giai on mt b c hi
chng tng p lc tnh mch ( mu v tnh mch gnh b ng ( gan to chn p gy
ng) gy tng p lc tnh mch -> tun hon bng h ca ch. Xut hin 4 vng ni: ( ni
1 TM thuc h ca vi 1 TM thuc h ch)
+ tm v - thc qun
+ quanh rn
+ hu mn-trc trng
+ thnh bng sau
*Cc vng ni ny rt d rn, v khi p lc tng n 1 mc no qu mc chu ng th
cc vn ni s b v. Gy xut huyt tiu ha gy mt mu -> gim s lng, nng BC,
TC, HC.
*St c d tr trong cc t bo gan l yu t to Hb, gan x -> huyt sc t gim
*x gan c chng, xut huyt tiu ha gy mt mu nhiu, c chng l dch, mu b pha
long nn phn b tiu cu tng.

XT NGHIM SINH HA
*AST, ALT: tng cao. C nhiu trong bo tng ca t bo gan. Trong x gan cc t bo
gan b tn tng hoc cht i gii phng cc men gan, ngoi ra t bo gan b tn thng
gy tng tnh thm t bo gan nn men gan thm nhiu hn vo mu nn men gan tng
cao.
*glucose tng: do c i tho ng.
*billirubin ton phn tng cao:
Billirubin do t lin vng v t bo kuffer ca t bo gan sx t Hb trong qu trinhf tiu hy
hng cu gan. Billirubin t do c to ra gan kt hp a.glucuronic -> billirubin lin hp.
x gan gy tng tnh thm t bo gan -> billirubin khng c a xung rut, thm vo
mu nhiu hn gy tng billirubin ton phn.

*cholesterol gim: do gan gip cho s hp thu m nh dch mt m n bi tit ra. Gan cn
c nhim v chuyn ha m hp thu qua ng mu. X gan suy gim chc nng gan
nn cholesterol ton phn gim.
*Hba1C tng: do c bnh i km l i tho ng.
* Albumin gim: gan l c qua chnh sn xut albumin. X an chc nng gan suy gim do
albumin gim.
*AFP ( xt nghith gan) xt nghim nh gi kh nng tng sinh ca t bo gan. Ch s
gim mnh do bnh nhn x gan giai on mt b khng cn khn nng tng sinh.
*ALP: xt nghim phosphatase kim. nh gi tnh trng mt. mt, nng acid mt
tng kch thch t bo gan tng tng hp ALP. ALP tng km theo GGT tng do x gan.
*NH3 tng do bnh nhn x bin chng tin hn m gan.
*SG: t trng. tng
*LEU: Bch cu
*NIT: nitrit
*ERY: hng cu
*PRO: protein
*GLU: glucose
*BIL: billirubin
*UBG: urobilliogen. tng
*KET: th ceton.
*PH:
*PT: prothrombin gim.