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This page (revision-17) was last changed on 25-Dec-2012 16:59 by 1614216108

This page was created on 16-Apr-2012 16:17 by UnknownAuthor

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%%tab-皮质醇
  中文名称:血浆总皮质醇、尿游离皮质醇\\
  英文名称:[plasma total cortisol hydrocortisone,PTC,C-F;urinary free cortisol,UFC;cortisol;compound F,C-F。]\\__项目介绍 :__\\
%%tab-血皮质醇
  中文名称:血皮质醇\\
  英文名称:[blood plasma total cortisol hydrocortisone,PTC,C-F;urinary free cortisol,UFC;cortisol;compound F,C-F。]
  \\__项目介绍 :__\\
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增多\\
  见于垂体ACTH肿瘤、异位ACTH分泌肿瘤,肾上腺皮质增生、腺癌或腺瘤,各种应激、情绪激动、体力活动、妊娠、口服避孕药,肥胖也可见升高。\\
增多见于:垂体ACTH肿瘤、异位ACTH分泌肿瘤,肾上腺皮质增生、腺癌或腺瘤,各种应激、情绪激动、体力活动、妊娠、口服避孕药,肥胖也可见升高。\\
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减少\\
  见于肾上腺皮质功能减退症,也见于慢性疲劳综合征(CFS)。尿游离皮质醇小于10ug/24h可排除Cushing综合征,但低值不能确认皮质功能低下,因留取标本、肾脏疾病因素可导致错误,应做兴奋试验。\\
减少见于:肾上腺皮质功能减退症,也见于慢性疲劳综合征(CFS)。尿游离皮质醇小于10ug/24h可排除Cushing综合征,但低值不能确认皮质功能低下,因留取标本、肾脏疾病因素可导致错误,应做兴奋试验。\\
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  *因雌激素使用和CBG减少的血浆皮质醇减少,尿皮质醇不减少。\\
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  尿液:\\
  成人30-100 ug/24h(82.8-275.9nmol/d),或不超过200ug/24h(551.8nmol/d)。儿童低于成人。\\
  注:1ug/24h=2.759nmol/d,1nmol/d=0.3625ug/24h。\\
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  血浆:有日分泌节律,分别在上午8时和下午4时取静脉血,必要时可取夜半0时血。采血前至少安静休息30分种。不抗凝或肝素、EDTA抗凝,应尽快分离血浆,4-25摄氏度或稳定一周,长期保存须零下20度以下冷冻。\\
  尿液:避免应激和抗醛固酮利尿剂使用。准确留取24小时尿记尿量,混合后用有塞试管取约10ml送检。4摄氏度稳定一周,零下20摄氏度冷冻可长期保存。\\
  推荐使用超速离心清除脂血样本。\\
溶血样本提示样本在送达实验室之前处理不当,因此检测结果将受到影响,应予以注意。\\
  血清样本在未充分凝集前离心将导致纤维蛋白的存在。为避免纤维蛋白对结果的影响必须确定离心处理前样本已经完全充分凝集。对于正在接受抗凝剂治疗的病人样本,需要延长凝集时间。\\
  血浆:有日分泌节律,分别在上午8时和下午4时取静脉血,必要时可取夜半0时血。采血前至少安静休息30分种。不抗凝或肝素、EDTA抗凝,应尽快分离血浆,4-25摄氏度或稳定一周,长期保存须零下20度以下冷冻。推荐使用超速离心清除脂血样本。溶血样本提示样本在送达实验室之前处理不当,因此检测结果将受到影响,应予以注意。\\
  血清:样本在未充分凝集前离心将导致纤维蛋白的存在。为避免纤维蛋白对结果的影响必须确定离心处理前样本已经完全充分凝集。对于正在接受抗凝剂治疗的病人样本,需要延长凝集时间。\\
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[肾上腺功能]
[血.肾上腺皮质激素]\\[肾上腺功能]
Version Date Modified Size Author Changes ... Change note
17 25-Dec-2012 16:59 2.416 kB 1614216108 to previous 血.肾上腺皮质激素 ==> 血.肾上腺轴功能和激素
16 25-Dec-2012 16:56 2.414 kB 1614216108 to previous | to last 肾上腺功能 ==> 血.肾上腺皮质激素
15 25-Dec-2012 16:36 2.41 kB 1614216108 to previous | to last
14 25-Dec-2012 16:35 2.408 kB 1614216108 to previous | to last
13 19-Dec-2012 17:55 2.407 kB 1614216108 to previous | to last
12 19-Dec-2012 17:19 2.44 kB 1614216108 to previous | to last 血皮质醇 ==> 血浆皮质醇
11 05-Dec-2012 16:50 2.44 kB 1614216108 to previous | to last
10 05-Dec-2012 16:50 2.449 kB 1614216108 to previous | to last 血.皮质醇 ==> 血皮质醇
9 05-Dec-2012 16:49 2.449 kB 1614216108 to previous | to last
8 19-Jul-2012 13:03 2.447 kB 1614216108 to previous | to last 血皮质醇 ==> 血.皮质醇
7 19-Jul-2012 13:03 2.447 kB 1614216108 to previous | to last 皮质醇 ==> 血皮质醇
6 19-Jul-2012 13:03 2.447 kB 1614216108 to previous | to last
5 19-Jul-2012 13:03 2.699 kB 1614216108 to previous | to last
4 03-May-2012 16:52 2.711 kB 1614216108 to previous | to last
3 20-Apr-2012 14:55 2.711 kB 1614216108 to previous | to last
2 20-Apr-2012 14:06 2.69 kB 1614216108 to previous | to last
1 16-Apr-2012 16:17 2.737 kB UnknownAuthor to last
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