6. 임상검사결과의 이해(성인)
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
RBC |
M:4.6-6.2×106/㎕ F:4.2-5.4×106/㎕ |
심한설사, 탈수, 급성약중독,폐섬유증, Polycythemia, Secondary polycythemia |
빈혈, 골수기능부전, 용혈성 빈혈, Addison's disease, 출혈, Rheumatic fever |
|
WBC |
4.5-11×10/㎕ |
급성감염, Measles, 외상, Pertussis, 악성종양, Serum sickness, 순환장애 |
세균감염, 약이나 급성 백혈병 등에 의한 골수 기능저하 |
|
Hb |
M:13.5-18.0g/dl F:12.0-16.0g/dl |
만성폐색성폐질환 (COPD), Polycythemia, 울혈성 심부전 |
빈혈, 임신, 간경화, 심한 출혈, Hyperthyroidism |
|
HCT |
M:40-54% F:38-47% |
Erythrocytosis, Polycythemia, Dehydration |
Anemia, Leukemia, Hyperthyroidism, Hemolysis anemia of pregnancy, Acute massiveblood loss, Cirrhosis |
|
PLT |
150-400×10³/㎕ |
암, 외상, 만성백혈병, Polycythemia vera, 류마티스관절염, 심장병, 만성췌장염, 경화, 결핵 |
감염, 폐렴, 알러지, 급성 백혈병, 재생불량성 빈혈, 암화학요법중,대형수술후 |
|
Neutro- phils (Seg) |
전체 WBC의 54-62% 2000-7000/㎕ |
세균감염시 |
독소적 항원, 호르몬 질병, 혈액질병시 |
|
Band |
전체 WBC의 2-4% 100-400/㎕ |
감염상태, 화학요법, 세포 생성의 장애, Toxemia |
|
|
Lympho- cytes |
전체 WBC의 25-35% 1000-4000/㎕ |
세균성 상기도 감염, 호르몬 질환 |
Hodgkin's disease, 화상, 외상, Cushing syndrome, 초기급성 radiation syndrome |
|
Basophils |
전체 WBC의 0-0.75% |
Granulocytic or basophi- lic, Leukemia, Myeloid metaphasia, 알러지 질환 |
|
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
Monocytes |
전체 WBC의 3-5% 100-600/㎕ |
감염시, Collagen disease, Hematologic disorder |
|
|
Eosino- phils |
전체WBC의 1-4% 0-450/㎕ |
과면역 알러지, Addison's disease |
Adrenal의 증가 |
|
ESR |
M:0-10mm/hr F:0-20mm/hr |
Active Tb, Rheumatic fever, Myocardial infarction |
채혈시 응혈된 것이 섞 일때, cortisone, ACTH주 사를 맞는 경우, 혈당이 높은경우, 다혈구증, fibrinogen이 적을때 |
|
Reticulocy- te(망상적혈 구) |
0.5-1.5% |
급성 출혈, 용혈성 빈혈, 골수외 조혈이있는경우, 비장 적출후 |
재생불량성 빈혈, 철분결핍성 빈혈, Vit B12 빈혈 |
|
MCV |
80-96n(μ³) |
비타민 B12결핍성 빈혈 화학요법 |
철분결핍성 빈혈 지중해성 빈혈 |
|
MCH |
27-31pg(μμg) | ||
|
MCHC |
32-36% | ||
2) 뇨․임상검경(L-2)
|
검 사 |
정 상 치
|
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
Color |
Amber yellow color |
|
|
|
S.G. (specific gavity) |
Random ⓤ1.003-1.030 24hr ⓤ1.015-1.025 |
Diabetes mellitus, Nephrosis, Excessive fluid loss |
Severe renal damage, Increasetourine amount |
|
pH |
4.6-8.0 |
Infection of urethra, Pyloric obstruction |
Dysfunction of renal, High-protein diet |
|
Glucose |
Negative |
Diabetes mellitus, Pituitary disorders, Intracranial pressure, Lesion in floor of fourth ventricle |
|
|
검 사 |
정 상 치
|
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
Protein |
Negative |
Renal disease, Trauma, Severe anemia, Abdominal mass, Hyperthyroidism, Heart disease, Intestinal obstruction |
|
|
O.B. (occult blood) |
Negative |
Severe burns, Malaria, Hemolysis, Type이 다른 blood의 수혈, 독성 약물 복용 |
|
|
Ketone |
Negative |
Preoperative patient, Pregnancy, Diabetes mellitus, Acidosis |
|
|
Bilirubin |
Negative |
Hepatitis, Liver dysfunction, Hepatocellular disease, Biliary obstruction, |
|
|
Urobilinogen |
0.2-1 Ehrlich unit/dl |
Cirrhosis, Hemolytic disease, Biliary tract disease |
Complete or nearly complete biliary, Diarrhea, Renal insufficiency |
|
RBC |
0-3/HPF |
Kidney disease |
|
|
WBC |
0-5/HPF |
Pyelonephritis |
|
|
Ep.cell |
occasional renal ep.cell found |
Nephrosis, Amyloidosis, Poisoning |
|
|
Bence-Jones protein |
Negative |
Myeloma가 있을 때 골수에서 생성되어 요중 에 나타나는 특수한 단백 체이다. |
|
3) 일반응급검사(L-5)
(1)ABGA
|
검 사 |
정 상 치 (Aterial) |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
pH |
7.35-7.45 |
Vomiting, Hyperpnea, Fever, Intestinal obstruction |
Uremia, Diabetic acidosis, Hemorrhage, Nephritis |
|
PCO₂ |
32-45mmHg |
Respiratory acidosis |
Respiratory alkalosis |
|
PO₂ |
75-100mmHg |
Directly related to oxygen saturation |
|
|
HCO₃ |
21-28mmol/L |
Metabolic alkalosis |
Metabolic acidosis |
|
O₂SAT |
95-98% |
Polycythemia Anhydremia |
Anemia, Cardiac decompensation, Chronic obstructive pulmonary disease |
|
TCO₃ |
21-28mmol/L |
Metabolic alkalosis |
Metabolic acidosis |
(2)전해질 검사
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
Sodium (Na) |
ⓢ135-150mEq/L ⓤ40-220 mEq/L |
Hemoconcentration, Nephritis, Pyloric obstruction |
Alkali deficit Addison's disease Myxedema |
|
Potassium (K) |
ⓢ3.5-5.5 mEq/L ⓤ25-120 mEq/L |
Addison's disease, Oliguria, Anuria, Tissue breakdown or hemolysis |
Diabetic acidosis Diarrhea Vomiting |
|
Chloride (Cl) |
ⓢ98-110 mEq/L ⓤ110-250mEq/L |
Nephritis, Urinary obstruction, Cardiac decompensation, Anemia, Ether anesthesia |
Diabetes, Diarrhea, Vomiting, Pneumonia, Heavy metal poisoning Cushing's syndrome, Burns, Intestinal obstruction, Febrile conditions |
4) 일반화학검사(L-6)
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
Calcium, total |
ⓢ8.2-10.7mg/dl ⓤ100-300mg/dl |
Tumor of hyperplasia of parathyroid, Hyperparathyroidism, Hypervitaminosis D, Multiple myeloma, Nephritis with uremia |
Hypoparathyroidism, Diarrhea, Celiac disease, Richets, Osteomalacia, Maluntrition, Nephrosis, After parathyroidectomy |
|
Inorganic phosphorus |
ⓢ2.6-5.0mg/dl ⓤ700-1300mg/dl |
Chronic nephritis, Hypoparathyroidism, Uremia |
Hyperinsulinism, Hyperparathyroidism, Richets |
|
Glucose |
ⓢ55-105mg/dl ⓤ9.5-10.5mg/dl |
Diadetes, Nephritis, Hyperthyroidism, Early hyperpituitarism, Cerebral lesions, Infections, Pregnency, Uremia |
Hyperinsulinism, Hypothyroidism, Late hyperpituitarism, Pernicious vomiting, Addison's disease, Extensive hepatic damage |
|
BUN |
ⓢ6-21mg/dl ⓤ12-20mg/dl |
Acute glomerulonephritis, Obstructive uropathy, Mercury poisoning, Nephrotic Syndrom, |
Severe hepatic failure, Pregnancy |
|
Creatinine |
ⓢ 0.9-2.2mg/dl ⓤ M:1.0-2.0g/dl F:0-100mg/dl |
Nephritis, Chronic renal disease |
Muscle dystrophy |
|
Total protein
Albumin Globulin
|
ⓢ6.6-8.4g/dl ⓤ25-70mg/dl
4.4-5.5g/dl 1.5-3.0g/dl |
Hemoconcentration, Shock, Multiple myeloma, Chronic infection, Liver disease, Rheumatic arthritis, Chronic hepatitis |
Malnutrition, Hemorrhage, Loss of plasma from burns, Proteinuria, Liver내의 합성기전 파괴 |
|
Bilirubin Total Direct Indirect |
0.2-1.2mg/dl 0.2mg/dl
0.1-0.8mg/dl
|
Hemolytic anemia (indirect), Biliary obstruction, Hepatocellular damage, Pernicious anemia, Hemolytic disease of newborn, Exlampsia |
|
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
ALP |
39-119U/L |
Liver disease, Bone disease |
|
|
AST (SGOT) ALT (SGPT) |
13-51U/L 5-57U/L
|
Acute hepatitis, Obstructive jaundice, Skeletal muscle disease, Liver disease, Myocardial infarction |
|
|
Amylase |
ⓢ30-110U/dl ⓤ1500-6000U/dl |
Acute pancreatitis, Mumps, Duodenal ulcer, Carcinoma of head of pancreas, Pseudocyst of pancreas |
Chronic pancreatitis, Pancreatic fibrosis and atrophy, Liver cirrhosis, Acute alcoholism, Toxemias of pregnancy |
|
Lipase |
<1U/ml |
Lipase and chronic, pancreatitis, Biliary obstruction, Cirrhosis, Hepatitis, Peptic ulcer |
|
|
LDH (Latic dehydro- genase) |
70-200U/L |
Untreated pernicious anemia, Myocardial infarction, Pulmonary infarction, Liver disease |
|
|
γ-GT |
M:3-39U/L F:1-27U/L |
alcohol성 간염, 활동성 만성간염, 간경변증, 지방간, 간암, 각종 간담도 질환, |
|
|
CPK (CK; Creatine phospho -kinase) |
M:50-325mu/ml F:50-250mu/ml |
Skeletal muscle disease, Intramuscular injection, Crush syndrome, Hypothyroidism, Delirium tremens, Cerebrovascular disease |
갑상선 기능항진증 SLE 화학요법 류마티스 관절염 Alkaline phosphatase 혈증 고 Bililubin혈증 |
|
CK-MB |
< 5% |
심근경색 시작후 3-6시 간에 오르기 시작하여 12-24시간후 최고에 이 르고 12-48시간후 정상 으로 돌아옴 |
|
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
CK-BB |
< 1% |
악성종양(위암, 폐암, 전립 선암)에 출현, Virus성 수막염 |
|
|
CK-MM |
< 5% |
Duchenne형근 dystrophy |
|
|
Creatine Cx |
80-120ml/min |
|
kidney disease |
|
Creatine |
ⓢM:0.2-0.5mg/dl F:0.4-0.9mg/dl ⓤM:0-40mg/dl F:0-100mg/dl |
Biliary obstruction, Pregnancy, Nephritis, Renal destruction, Trauma to muscle, Pseudohypertrophic muscular dystrophy |
|
|
Uric acid |
ⓢM:3.5-8.0mg/dl F:2.5-7.0mg/dl ⓤ 250-750mg/dl |
Gouty arthritis, Obstructive uropathy, Murcury poisoning, Nephrotic syndrome |
Severe hepatic failure, Pregnancy |
|
Iron |
M:73-117μg/dl F:82-136μg/dl |
Pernicious anemia, Aplastic anemia, Hemolytic anemia, Hepatitis, Hemochromatosis |
Iron deficiency anemia |
|
TIBC (Total iron binding capacity) |
M:281-354μg/dl F:281-361μg/dl |
Iron deficiency anemia |
Chronic infection disease |
|
Copper |
ⓢ M:70-140μg/dl F:80-155μg/dl ⓤ 15-30 μg/dl |
Liver cirrhosis Pregnancy |
Wilson's disease |
|
Mg |
1.8-3.0mEq/l |
Ingestion of Epson salts, Parathyroidectomy |
Chronic alcholism, Toxemia of pregnancy, Severe renal disease |
|
Ammonia |
30-86μg/dl |
Severe liver disease, Hepatic decompensation |
|
|
Total lipid |
400-700mg/dl |
Hypothyroidism, Diabetes, Nephrosis, Glomerulonephritis |
Hyperthyroidism |
|
Triglyce- ride |
40-190mg/dl |
Diabetes, Nephrosis, Acute cholangitis, Hypothyroidism |
Hypothyroidism, Liver cirrhosis |
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
Phospho- lipid |
150-250mg/dl |
|
|
|
Free fatty acid (FAA) |
0.3-0.8mEq/L |
Diabetes, 비만, Cushing 증후군, Hyperthyroidism, 갈색세포종, 간염, 간경변, TSH 과잉증 |
신증후군, Hypothyroidism, 약물복용(glucose, PGE₁ lactate, β-blocker, insulin) |
|
HDL(high density lipoprote- in)-chole seterol |
M:35-50mg/dl F:45-65mg/dl |
혈중에 증사하는 것은 좋 은 상태, 사춘기이후 여성, 운동, 체중감소, 적당한 음주 후 |
허혈성 심질환, 뇌동맥 경화, 비만, 흡연 |
|
Total choleste- rol |
120-200mg/dl |
Lipemia, Obstructive jaundice, Diabetes, Hyperthyroidism, Coronary artery disease, Atherosclerosis |
Pernicious anemia, Hemolytic anemia, Hyperthyroidism, Severe infection, Terminal states of debilitating disease, The esterified fraction decreases in liver disease, Nerve gas intoxication, Insecticides, Organic phosphates |
|
ACE |
M:30.2±17.6U/L F:26.2±6.0U/L |
Liver disease Sarcoidosis, Leprocy Primary billiary cirrhosis Amyloidosis |
|
5) 혈액․응고 검사(L-8)
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
BT (Bleeding time) |
1-4mm |
Purpura hemorrhagica, PLT 감소, Chlorohorm and phosphorus poisoning |
|
|
CT (Coagula- tion time) |
6-13mm |
Hemorrhagic disease, Various coagulation factor deficiencies |
|
|
PT (Prothrombi -ntime) |
10-15sec (100-80%) |
Hemorrhagic disease, Vit K 결핍, Hepatitis, Cirrhosis, Acute toxic necrosis of the liver |
|
|
APT |
20-38sec |
Hemophilia, Vit K 결핍, Liver disease, DIC disease |
Extensive Cancer, DIC의 초기증상, 급성 출혈 직후 |
|
Fibrinogen |
200-400mg/dl |
Pregnancy, Pneumonia, 백혈구 증가되는 감염시 |
Acute atrophy of liver, Cirrhosis,Thyphoid fever, Chloroform poisoning, |
6) 당부하․위액검사(L-9)
|
검 사 |
정 상 치 |
임 상 적 의 의 | ||
|
증 가 |
감 소 | |||
|
FBS 60min
120min
180min |
B.Glucose |
U.Glucose |
당뇨병 갑상선 기능항진증 말단비대증 감염 암 |
|
|
70-110mg/dl 20-50mg/dl above fasting level 5-15mg/dl above fasting level Fasting level below |
Negative Negative
Negative
Negative
| |||
|
Glycosylated HbA₁ |
5-9% | |||
|
Urine glucose 24hr |
130mg/d | |||
|
Glucose fasting |
70-110mg/dl | |||
|
Glucose pp.2hr |
5-15mg/dl above fasting level | |||
|
Gastric juice |
BAO:〈2 mEq/hr MAO: 5-40 mEq/hr |
십이지장 궤양 Zoillinger-Ellison syndrome |
위궤양 | |
7) 체액검사(L-10) CSF
|
검 사 |
정상치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
Appearance |
colorless |
화농성 수막염, 일본뇌염 :농성혼탁 |
|
|
S.G. |
1.006-1.008 |
|
|
|
Cell count RBC WBC |
0 0-5 |
Virus성 수막염, 결핵성 수막염 화농성 수막염, 지주막하출혈 뇌척수 매독, 유행성 수막염 뇌종양 |
일본뇌염 |
|
Differential count |
Lympo |
Virus성 수막염, 결핵성 수막염 지주막하 출혈, 뇌척수 매독 |
|
|
Protein |
15-45mg/dl |
Virus성 수막염, 결핵성 수막염 화농성 수막염, 지주막하출혈 뇌척수 매독, 유행성 수막염 뇌종양, 외상, 출혈, 요붕증, 다발성 신경염 |
신속한 뇌척수액 생산 |
|
Glucose |
50-80mg/dl |
일본뇌염 |
결핵성 수막염 화농성 수막염, 지주막하출혈 유행성 수막염 뇌종양 |
8) 혈액은행검사(L-12)
|
검 사 |
정 상 치 |
검 사 |
정 상 치 |
|
Whole blood |
용량/1Unit:400ml |
Direct Coombs' test (SLE, 자가면역성 용혈성 빈혈 면역성 범혈구 감소증) |
Negative |
|
Fresh whole blood |
용량/1Unit:400ml | ||
|
Packed red cell |
용량/1Unit:200ml | ||
|
WBC poor red cell |
용량/1Unit:160ml |
Indirect Coombs' test (수혈로 인한 불규칙 항체 생산, SLE 혈액형부적합) |
Negative |
|
Washed red cell |
용량/1Unit:400ml | ||
|
Fresh frozen plasma |
용량/1Unit: 140-180ml | ||
|
Cryoprecipitate |
용량/1Unit:40ml |
Isoagglutinin titer |
Negative |
|
Leukocyte concentrate |
용량/1Unit:60ml |
Rh Ab. titer |
Negative |
|
Platelet concentrate |
용량/1Unit:40ml |
Transfusion recation study |
Negative |
|
Platelet rich plasma |
용량/1Unit:180ml |
|
|
9) 혈청 면역검사
|
검 사 |
정 상 치 |
임 상 적 의 의 ( 증가/ Positive ) |
|
ASO (Anti- streptolysin O) tilter |
〈200 Unit |
A군 연쇄상구균 감염. : 사구체 신염, 류마티스성 발열, 박테리아성 심내막염, 성홍열 |
|
CRP(C-reaetive protein) test |
〈0.5 mg/dl |
염증성 질환, 체내 조직의 괴사 류마티스성 발열, Malignancy |
|
RA test |
Negative |
RA의 진단 |
|
Widal test |
≤1:80 |
Salmonella(thyphoid균, parathphoid균)균의 혈청학적 진단법 |
|
Anti-HAV(IgM) |
Negative |
A형 간염 |
|
HBs (Hepatitis B surface) Ag. |
Negative |
B형 간염 |
|
Anti-HBs Ag. |
Negative | |
|
HBc (Hepatitis B core) Ag. |
Negative | |
|
Anti-HBc |
Negative | |
|
HBe Ag. |
Negative |
HBV 감염에서 초기활동성 질환이나 감염력이 높은 상태를 의미 |
|
Anti-HBe |
Negative |
감염력이 감소됨을 의미 |
|
AFP (α-fetoprotein) |
8.5ng/ml |
간암, Hepatoblastoma, Teratoblastoma, 성인 생식선의 embryonic tumor |
|
CEA |
Smoker :5ng/ml이하 Nonsmoker :3ng/ml이하 |
수술전 대장, 직장 종양의 단계를 결정 대장, 직장 종양의 재발 |
|
Antinuclear Ab. |
Negative |
SLE 진단 |
10) 면역화학검사(L-14)
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
Transfer- rin |
230-320mg/dl |
Pregnency, Iron-deficiency anemia, due to hemorrhaging, Acute hepatitis, Polycythemia, Oral contraceptives |
Pernicious anemia in relapse, Thalassemic and sickle cell anemia chromato- sis, Neoplastic and hepatic disease |
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
Ferritin |
M: 29-371ng/ml F:pre-menopau- sal:5-96ng/ml post-menopau sal:5-277ng/ml |
Hemochromatosis, Certain neoplastic, Acute myelogenous leukemia, Multiple myeloma, |
Iron deficiency |
|
Ig A |
M:100-490mg/dl F:85-450mg/dl |
Gamma A myeloma, Autoimmune disease, Hepatic cirrhosis, |
Ataxia telangiectasis, Agammaglobulinemia, Hypogammaglobulinemia, Dysgammaglobulinemia, Protein-losing entero- pathies |
|
Ig D |
0-3mg/dl |
IgD multiple myeloma, Chronic infectious disease |
|
|
Ig E |
20-740ng/ml |
Allergic patient, Parasitic infestations 있는 patient |
|
|
Ig G |
800-1750mg/dl |
IgG myeloma, Following hyperimmu- nization, Autoimmune disease states, Chronic infections |
Congenital and acquired hypogammaglobulinemia, IgA myelomas, Some malabsorption syndrome, Extensive protein loss |
|
Ig M |
M:50-320mg/dl F:60-370mg/dl |
Parasitic infections, Hepatitis, Waldenstrom's macroglo bulinemia |
Some IgG and IgA myel -omas, Chronic lymphatic leukemia, Agammaglobuliemias |
|
C₃ |
50-90mg/dl |
SLE, 사구체 신장염, 화농성 신장염 |
|
|
C₄ |
10-40mg/dl | ||
11) 세포 면역· 세포화학 검사(L-15)
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
T cell subtype |
T4 :35.4-66.8% T8 :16.2-34.4% T4/T8 ratio: 1.08-3.08 |
Lymphoprolifeative disorder Chronic Lymphocytic leukemia Multiple myeloma Waldenstrom's macroglobulinemia Non-Hodgkin's lymphoma Hyperspleenism |
Bone marrow disease Sepsis Malignancy Malnutrition 화학요법의 부작용 |
|
T&B cell count |
Tcell: 80.2-94.4% Bcell: 9.7-13.6% Null : 8.4-13.4% | ||
|
HLA typing (A, B, C) HLA typing(DR) HLA cross matching |
|
Transplatation에서 유전 상태 진단시 |
|
|
Karyo- typing |
|
Chromosom 배열 확인시 |
|
12) 핵의학 검사
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
T₃-uptake RIA |
30-40 % |
Hyperthyroidism Androgens and anabolic steroids |
Hypothyroidism,Pregnancy Estrogens and antiovul- atory drugs |
|
T₃RIA |
100-200ng/dl |
Pregnancy Hyperthyroidism |
Hypothyroidism |
|
T₄hyro- xine RIA |
5-12μg/dl |
Hyperthyroidism Thyroiditis Cases of elevated thyroxine-binding proteins caused by oral contraceptivs Pregnancy |
Primary and pituitary hypothyroidism Idiophathic involvement Cases of diminished thyroxine-binding proteins caused by androgenic and anabolic steroids, Hypoproteinemia |
|
검 사 |
정 상 치 |
임 상 적 의 의 | |
|
증 가 |
감 소 | ||
|
TSH RIA |
5↓uU/ml |
Primary hypothyroidism |
|
|
Rennin RIA |
0.2-2.5ng/ml/hr |
Renovascular hyperten- sion Malignant hypertension Untreated addison's disease Primary salt-losing nephropathy Low salt diet Diuretic therapy Hemorrhage |
Frank primary aldoster- onism Increased salt intake Salt-retaining steroid therapy Antidiuretic hormone therapy Blood transfusion |
|
Aldosterone |
50-194ng/ml |
Primary(Conn's syndrome) Secondary aldosteronism |
Addison's disease |
|
ACTH RIA |
80↓ng/ml |
Pituitary-dependent Cushing's syndrome Ectopic ACTH syndrome Primary adrenal atrophy |
Adrenocortical tumor Adrenal insufficiency secondary to hypopitu- itarism |
|
Cortisol RIA |
8AM:7-25μg/dl 4PM:2-9μg/dl |
Stress:infectious disease Surgery, burns,etc. Pregnancy Cushing's syndrome Pancreatitis Eclampsia |
Adrenocortical tumor Anterior pituitary hypofunction |
|
Folic acid |
4-16ng/ml |
|
Megaloblastic anemias of infancyand pregnancy Inadequate diets Liver disease Malabsorption syndrome Severe hemolytic anemia |
7. 상용약어
|
Abbrev- iation |
Full Term |
Abbrev- iation |
Full Term |
|
AA AAA AAS
AB ABA Abd ABE ABG ABGA ABI ABR AC
ACA
ACBG ACD ACEI
ACG ACH A COM A ACT ACTH AD ADE ADF ADH ADI ADL ADR AE AED AEDH AEP A/F AF AFB ∝FP AG AGE AGN |
Artificial abortion Abd.aortic aneurysmectomy Acute abdominal series Aortic arch syndrome Antibody Atopic bronchial asthma Abdomen Acute bacterial endocardits Arterial blood gases Arterial blood gas analysis Atherothrombotic brain infarction Absolute bed rest Anterior chamber of the eye Abodminal circumference Adenocarcinoma Anterior communicating artery Aortocoronary bypass graft Absolute cardiac dullness Angiotensin-converting enzyme inhibitor Angiocardiography Adrenal cortical hormone Anterior Communicating artery activated clotting time Adrenocorticotrophic hormone Admitting diagnosis Acute disseminated encephalitis Antidiarrheal formula Antidiuretic hormone Acute drug intoxication Activity of daily living Adriamycin Above elbow Antiepileptic drug Acute epidural hemorrhage Auditory evoked potential Amniotic fluid Atrial fibrillation, flutter Acid-fast bacilli Alpha fetoprotein Antigen, Abdominal girth Acute gastroenteritis Acute glomerulonephritis |
AGTT AHA AHJ AI AK AKA AL ALL ALP ALT ALS AMI Amino- TPN AML AMML ANA AOD AP A-P repair APE Appe AR ARA-C ARDS ARF
AROM AS ASD ASDH ASO ASO titer AST AVM AVR B all C BAD BaE BAE BAVP BBBB |
Abnormal glucose tolerance Acquired hemolytic anemia Artificial hip joint Aortic valve insufficiency syndrome Above knee Alcoholic ketoacidosis acute leukemia, axial length Acute lymphocytic leukemia Alkaline phosphatase Alanine aminotransaminase Amyotrophic lateral sclerosis Acute myocardial infarction Aminofusion total parenteral nutrition Acute myelogenous leukemia Acute myelomonocytic leukemia Antinuclear antibodies Arterial occlusive disease Anterior posterior(chest AP) Anterior-posterior repair Acute pulmonary edema Appendicitis Aortic regurgitation Cytarabine Adult respiratory distress syndrome Acute renal failure Acute rheumatic fever Artifical rupture of membrane Aortic valve stenosis Atrial septal defect Acute subdural hemorrhage Arteriosclerotic occlusion Antistreptolysin-O titer
Aspartate transaminase Atriovenous malformation Aortic valve replacement Vitamin B com & Cantan Bipolar affective disorder Barium enema Bronchial artery embolization Ballon aortic valvuloplasty Bilateral bundle branch block |
|
Abbrev- iation |
Full Term |
Abbrev- iation |
Full Term |
|
BC BCBR BCA BCC BCL BCT BDL BE
Beta sol BEA BEC BEF BF BFS B.glucose BGC BGCT BGDC b.i.d BIH BIP Bivon BK BLR BM BOM BOMA BOO BP BPLD BPH BR BRP BS BSO B.sugar BSV BTV BTL BT |
Birth control Bilateral carotid body resection Brachiocephalic artery Basal cell carcinoma Basic cycle length Blood coagulation time Bile duct ligation Barium enema Below elbow Breast examination Betadin gargle solution Below elbow amputation Bacterial endocarditis Bronchoesophageal fistula Breast feeding Blood fasting sugar Blood glucose Basal-ganglion calcification Benign Glandular cell tumor Bartholin gland duct cyst Twice a day Bilateral inguinal hernia Bipolar affective disorder Sodium bicarbonate injection Below Knee Blood flow rate Bone marrow Bilateral otitis media Bilateral otitis media,acute Bladder outlet obstruction Blood pressure Bilateral pelvic lymphnode Benign prostatic hypertrophy Bed rest Brief reactive psychosis Bowel sound Bilateral salpingo oophorectomy Blood sugar Bisolvon Bilateral Truncal vagotomy Bilateral tubal ligation Bleeding time |
B/T BW Bx C Ca CA CABG CAD CAH CAHD CAOD Ca/P CAPD CAVH CBA CBC CBD Cbll Cbr CC C/C CCF Ccr CCT CDH CE CEA CEG CG CHD CHEMO CHF CIBD CIN
CIC CIS CIU CLL CLT CM CMI |
Body temperature Body weight Biopsy Cervical vertebra (C1C2.....) Carcinoma Coronary angioplasty Coronary artery bypass graft Coronary artery disease Chronic aggressive hepatitis Coronary atherosclerotic heart disease Coronary artery obstructive disease Calcium/Phosphorus Chronic ambulatory peritoneal dialysis Contineous atriovenous hemofiltration Chronic bronchitis and asthma Complete blood count Common bile duct Cerebellum Cerebrum Chief complaint Colony count Carotid cavernous fistula Creatinine clearance Closed cerebral trauma Congenital diaphragmatic hernia Cardiac enlargement Carcinoembryonic antigen Cardiac electrogram Cholecystogram Congenital heart disease Chemotherapy Congestive heart failure Chronic inflammatory bowel disease Cervical intraepithelial neoplasia (neoplasm) Clean Intermittent Catheterization Carcinoma in situ Chronic idiopathic urticaria Chronic lymphocytic leukemia Chronic lymphocytic thyroiditis Chloramphenicol, Helocetin Cell mediated immunity |
|
Abbrev- iation |
Full Term |
Abbrev- iation |
Full Term |
|
CML CMML CNF CNS
CoA COPD CP C-P CPD CPE CPR CPZ Cr CRF CRIF CRP CRT C/S CSDH CSF CT CT CTX CVA CVA CVP CVVH CX DAI DBE D & C DC DCG DCM DDST DDP D & E DES DEX DGI DI DIC
DIVA |
Chronic myelogenous leukemia Chronic myelomacrocytic leukemia Cranial nerve function Central nervous system Chronic nasal sinusitis Coarctation of aorta complex Chronic obstructive pulmonary disease Cerebral palsy Crystalline penicillin G. Cephalopelvic Disproportion Chronic pulmonary emphysema Cardiopulmonary resuscitation Chlorpromazine Creatinine (BUN/Cr) Chronic renal failure Closed reduction and internal fixation C-reactive protein Cadaver renal transplant Cesarean section Chronic subdural hemorrhage Cerebrospinal fluid Coagulation time Computed tomography Cytoxan Cerebrovascular accident Costovertebral angle Central venous pressure Contineous venous vein hemodialysis Cervix . Cancel Diffuse axonal injury Deep breathing exercise Dilation and curettage Discontinue Doppler cardiography Dilated cardiomyopathy Denver developmental screening test Cisplantin Dilation and evacuation Diffuse esophageal spasm Dexamethazone Disseminated gonococcal infection Diabetes insipidus Disseminated intravascular coagulation Digital intravenous angiography |
DL DM DOA DOE Dopa D/S DT DTO DTR DUB D&V D/W Dx E&B Echo EDC EDH EEG EDTA(c)
EH EH fever EKG E-M EMB EMG
ENT EO E.R ERBD
ERCP
ESR ESRD EST EVD EXT F FBS FCCD
FD |
Decilliter Diabetes mellitus Dead on arrival Dyspnea on exertion Dopamine Dextrose and saline Delirium tremens Distal tubal obstruction Deep tendon reflex Dysfunctional uterine bleeding Diarrhea and vomiting Dextrose in water Diagnosis Excision and biopsy Echocardiogram Estimated date of confinement Epidural hematoma Electroencephalogram edetic acid (ethylenediamine- tetraacetic acid) Enlarged heart Epidemic hemorrhage fever Electrocardiogram Erythromycin Ethambutol Electromyograph Emergency Ears, nose, throat Elbow orthosis Emergency room Endoscopic retrograde biliary drainage Endoscopic retrograde cholangiopancreaticography Erythrocyte sedimentation rate End stage renal disease Electroshock therapy Exterventricular drain Extremity Fahrenheit Fasting blood sugar Fracture compound, communited, depressed Forcep delivery |
|
Abbrev- iation |
Full Term |
Abbrev- iation |
Full Term |
|
FD
FDA FFP FHS FHT F.Hx FNT Foley Cath FTSG
5-FU F/U FUO Fx G+ G- GABA GB GBA GB stone GCA GDM GE GER GFR GG GH GI G-M G/S GTC GTT GU Gyn. HA HAAB Hb HBAB HBIG HBP HCC |
DM (Diluted milk) FF (Formular feeding) RF (Regular feeding) Ferrus deficiency anemia Fresh frozen plasma Fetal heart sound Fetal heart tone Family history Finger to nose test Foley catheterization
Full thickness skin graft
5-Fluorouracil Follow up Fever unknown origin Fracture Gram-positive Gram-negative Gamma-aminobutyric acid Gallbladder Ganglionic-blocking agent Gallbladder stone Giant cell arteritis Gestational diabetes mellitus Gastroesophageal Gastroesophageal reflux Glomerular filtration rate Gamma globulin Growth hormone Gastrointestinal tract Gentamicin Gomco suction Generalized tonic clonic attack Gestational trophoblastic tumor Genitourinary Gynecology Headache Hepatitis A antibody Hemogloin Hepatits B antibody Hepatitis B immune globulin High blood pressure Hepatocellular carcinoma |
HCG HCVD Hct HEENT HFD H/D HD Hb HCD HHD HIV HLD HMD H mole HN
HNS HNP HP HPD HR HRI HRP HS
HRV H/S HSB HSV Ht HUS Hx HZV IBBB IBD ICA ICB ICH ICP ICU I & D IDA IDDM |
Human chorionic gonadotropin Hypertensive cardiovascular disease Hematocrit Head, eyes, ears, nose, throat High fiber diet Hartmann's dextrose solution Hemodialysis Hemoglobin Herniated cervical disc Home hemodialysis Human immunodeficiency virus Herniated lumbar disc Hyaline membrane disease Hydatidiform mole Head and neck Head nurse Head and neck surgery Herniated nucleus pulposus Hot packs High protein diet Heart rate High risk infant High-risk pregnancy Bedtime Heart sounds Human rotavirus Hartman's solution Hot sitz bath Herpes simplex virus Height Hemolytic uremic syndrome History Herpes zoster virus Intra-blood-brain barrier Inflammatory bowel disease Internal carotid artery Intracranial bleeding Intracerebral hemorrhage Intracranial pressure Intensive care unit Incision and drainage Iron deficiency anemia Insulin dependent diabetes mellitus |
|
Abbrev- iation |
Full Term |
Abbrev- iation |
Full Term |
|
IHD IHPS
IHSS
IIOC
IK IM IMP I/O IOC IOP IPD
IPPB
ITP
IUD IUFD IUP IV IVC IVF & ET
IVH IVP K-M KOH KUB KVO KWIS
LA LAM LFA LFT LDH LIH LLL LLQ LMC LMP LN |
Ischemic heart disease Infant hypertrophic pyloric stenosis Idiopathic hypertrophic subaortic stenosis Incompetent internal os of cervix Immobilized knee Intramuscular Impression intake and output Intern on call Intraocular pressure Inflammatory pelvic disease Intermittent peritoneal dialysis Intermittent positive pressure breathing Idiophatic thrombocytopenic purpura Intrauterine device Intrauterind fetal death Intrauterine pregnancy Intravenous Inferior vena cava Invitro Fertilization & Embryo Transplantation Intraventricular hemorrhage Intravenous pyelogram Kanamycin Potassium hydroxide Kidney,ureter,bladder Keep vein open Korean Wechsler Intelligence scale Left atrium Laminectomy Left femoral artery Liver function test Lactic dehydrogenase Left inguinal hernia Left lower lobe(lung) Left lower quadrant Local medical center Last menstrual period Lymph node |
LOC LOM LP LSO LSD LTS LUQ LUL LV LVH M MA-tube MCA MCNS
MD MI M.M MMPI
MR MRI M/S MS
MTD MTS MTO MTX MVR NCV ND NEC NHL NICU NIDDM
NPO NS NSR NSVD
NVD OB |
Loss of conscious Limitation of motion Lumbar puncture Left salpingo-oophorectomy Low salt diet Laparoscopic tubal sterilization left upper quadrant left upper lid Left ventricle Left ventricular hypertrophy Murmur Miller-Abbott tube Middle cerebral artery aneurysm Minimal change nephrotic syndrome Mid day Myocardial infarction Multiple myeloma Minnesota Multiphasic Personality Inventory Mitral regurgitation Magnetic resonance imaging Morning stiffness Mitral stenosis Multiple sclerosis Right ear drum Left ear drum Middle tubal obstruction Methotrexate Mitral valve replacement Nerve conduction velosity Normal delivery Necrotizing enterocolitis Non Hodgkin's lymphoma Neonatal intensive care unit Non insulin dependent diabetes mellitus Nothing by mouth Nephrotic syndrome Normal sinus rhythm Normal spontaneous vaginal delivery Nausea,vomiting,and diarrhea Obstetrics |
|
Abbrev- iation |
Full Term |
Abbrev- iation |
Full Term |
|
OBS OD OMPA OMPC OP OPD OR ORIF
OS mOsm OU oz PA PAC Pan-F PAT PAWP Pb PCA P.com. artery Pd PDA PDX PE PEG PFT PHx PI PIH PID PLT PND PNS PMB PMC
PMP PO POD Postop. PPBP PPBS |
Organic brain syndrome Right eye Otitis media,purulent,acute Otitis media,purulent,chronic Operation Out-patient depatrment Operating room Open reduction internal fixation Left eye milliosmole Both eyes ounce Posterior anterior Premature atrial tachycardia Pancreon-F Paroxysmal atrial tachycardia Pulmonaryartery wedge pressure Phenobarbital Posterior cerebral artery Posterior communicating artery
Peritoneal dialysis Patent ductus arteriosus Pyridoxin Physical examination Pneumoencephalogram Pulmonary function test Past history Present illness Pregnancy induced hypertension Pelvic inflammatory disease Platelet Paroxysmal nocturnal dyspnea Peripheral nervous system Postmenopausal bleeding Premature mitral closure pseudomembranous colitis Premenstrual period By mouth Post operative day Postoperative Postpartum blood pressure Postprandial blood sugar |
PR Premed PROM PS PSVT
P/T PT PTBD
PTC
PTCA
PTR PTT PVC PVR PZA q qd q.i.d q.m q.n q.q.h RA RAD RAEBT
RBBB RBC RD RDS
RF
R.G.P RHB RHD R-I RIH RIND
RMP R/O |
Pulse rate Premedication Premature rupture of membrane Pulmonary stenosis Paroxysmal supraventricular tachycardia Physical therapy Prothrombin time Percutaneous transhepatic biliary drainage Percutaneous transhepatic cholangiogram Percutaneous transluminal coronary angioplasty Patella tendon reflex Partial thromboplastin time Prematureventricular contraction Paroxysmal ventricular rhythm Pyrazinamide Each/every Every day Four times a day every morning every night every four hours Rheumatoid arthritis Right axis deviation Refractory anemia excess blast transformation Right bundle branch block Red blood cell Raynaud's disease resporatory distress syndrom of new born Rheumatic fever Renal failure Retrograde pyelogram Regular heart beat Rheumatic heart disease Regular insulin Right inguinal hernia Reversible ischemic neurologic defect Rifampin Rule out |
|
Abbrev- iation |
Full Term |
Abbrev- iation |
Full Term |
|
RSO ROM RR RSR RT RTC RX SA SAB SAH SB tube SCA SCLC SCr SD SDH SEP SG SGA SLE S-M SMR SOB SOC S-S enema STD STSG Supp SVC SVD Sx Synd T TA TACE
TAH Tbc TBLB T-C THR TIA TIBC t.i.d T-M |
Right salpingoophorectomy Range of motion Respiratory rate Regular sinus rhythm Radiotherapy Return to clinic prescription Spontaneous abortion Subarachnoid block Subarachnoid hemorrhage Sengstaken-Blakemore tube Sickle cell anemia Small cell lung cancer Serum creatinine Spontaneous delivery Subdural hematoma Somatosensory evoked potential Specific gravity Small gestational age Systemic lupus erythematosus Streptomycin Submucosal resection Shortness of breath State of consciousness Soap-solution enema
Sexually transmitted disease Split thickness skin graft Suppository Superior vena cava Spontaneous vaginal delivery Symptoms Syndrome Thoracic vertebra(T1 T2......) Traffic accident Trans-catheter artery chemoembolizat -ion Total abdomino hysterectomy Tuberculosis Transbronchial lung biopsy Tetracycline Total hip replacement Transient ischemic attack Total iron binding capacity Three times a day Terramycin |
TOF TPM TPN TPR TR TS TSA TSH TTP
TURP
TVH TURP
TV TVH Tx
UA UC UGI U.glucose U/O URI VCUG U/S USG U.sugar UST UTI UV VB insuffi -ciency VCR VD VDRL VER VHD vit VP shunt V/S VSD VV fistula WNL X-mat. |
Tetralogy of Fallot Temporary pacemaker Total parenteral nutrition Temperature pulse respiration Tuberculin test Tricuspid stenosis, regurgitation Transsphenoidal approach Thyroid stimulating hormone Thrombotic thrombocytopenic purpura Transurethral resection of the prostate Total vaginal hysterectomy Transurethral resection of prostate Tidal volume Total vaginal hysterectomy Therapy Treatment Urine analysis Uterind contraction Upper gastrointestinal series Urine glucose Urine output Upper respiratory infection Voiding cystourethrogram Ultrasound Ultrasonogram Urine sugar Urine sugar test Urinary tract infection Ultraviolet Vertebrobasillar insufficiency Vincristine (Oncovin) Vaccum delivery Venereal disease research laboratory Ventricular escape rhythm Ventricular hypertensive dz. Vitamin Ventriculoperitoneal shunt Vital sign Ventricular septal defect Vesicovaginal fistula
Within normal limits Cross matching |