院长教你看懂产检报告单

admin

                    

                    

                    
                    
                    <p style="">　　<span style="margin: 0px; padding: 0px; max-width: 100%; color: rgb(255, 0, 0); font-size: 36px; box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">在</strong></span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">初诊建大卡以后，你会拿到一大堆的化验和检查报告，这些化验和检查报告上会有很多的高高低低的改变和箭头（异常改变的提示），以及读起来很拗口，看起来很陌生的专业名词。这会对准妈妈和婆婆妈妈们带来不少的困扰，也有不少的移动医疗的APP专门来帮助大家解读化验和检查报告，帮忙的不少，靠谱的不多。为了让大家放心，我把一些主要的常见问题罗列出来给大家解读一下，本解读仅供参考，你的具体情况和处理还是要你和自己的产检医生去商量。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　产检化验和检查报告中为什么会出现那么多的高高低低？</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　在怀孕以后，女性的血液系统指标会出现一些和孕前不同的变化，这些变化是正常改变，不用担心。另外，女性怀孕以后，特别是进入中晚期，会出现随着血容量增加和血液稀释而带来的化验检查指标的改变，这些改变只要在正常范围之内就不用担心。目前产科临床上采用的血液指标体系是正常非怀孕妇女的标准，因此出现一些高高低低的改变也就不足为怪了。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style=""><img data-s="300,640" data-type="png" src="http://mmbiz.qpic.cn/mmbiz/a1xwNbPmyorAKzj0EnscKlK8WClZHEnzZERmxlhYbtibelsw7zhTAiaPufcq2lIDlHpvSYsR2GEGeEKSElkeK9vg/0?wx_fmt=png" data-ratio="0.7066974595842956" data-w="433" src="http://mmbiz.qpic.cn/mmbiz/a1xwNbPmyorAKzj0EnscKlK8WClZHEnzZERmxlhYbtibelsw7zhTAiaPufcq2lIDlHpvSYsR2GEGeEKSElkeK9vg/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5" style="margin: 0px; padding: 0px; box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;"  /><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　<span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; color: rgb(255, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">血常规</strong></span></span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　在血常规的报告中，经常会出现白细胞总数升高，有人担心会不会有感染？其实多数怀孕妇女都会出现白细胞的升高，一般为（5—12）x109/L，有时可以达15x109/L。临产及产褥期白细胞也会显著升高，一般为（14—16）x109/L，有时可以高达25x109/L。这些改变主要为中性粒细胞增多，淋巴细胞增多不明显，单核细胞及酸性粒细胞几乎没有改变。因此，只要没有感染的病史和相应的症状与体征的改变，根本不用担心，这是正常的变化。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　在血常规中，最常见的异常变化是血色素的降低，同时出现下降的还有红细胞压积和平均红细胞体积等贫血相关指数，孕妇中贫血的发生率可以高达20%-30%，及时发现贫血和补铁很重要。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　在血常规中，医生最看中的另外一个指标是血小板，如果血小板数量低于100x109 /L，必须引起重视和进行进一步的检查和处理。必要时还要请血液科医生会诊。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　<span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; color: rgb(255, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">铁蛋白水平下降</strong></span></span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　在部分医院，除了检查血常规看血色素水平以外，还会检测血清铁蛋白。血清铁蛋白降低说明铁储存下降，即使还没有达到临床贫血的诊断，也可以考虑补铁了。中华医学会围产医学分会的妊娠期贫血的指南推荐有条件的医院可以检查孕妇血清铁蛋白，如果血清铁蛋白低于20μg，为铁缺乏。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　<span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; color: rgb(255, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">尿常规</strong></span></span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　怀孕以后每次产检都需要检查尿常规，在尿常规报告中经常会出现白细胞、红细胞、尿蛋白“＋”。遇到这种情况不必担心，多数是送化验时留小便不规范，有污染所致。遇到这种情况后，建议下次出门去医院之前清洁外阴，在医院留小便时先把前面一段小便小掉，留取中间一段小便（清洁中段尿）。对于尿路感染来讲，除了尿液中出现白细胞、红细胞、尿蛋白以外，还会有尿急、尿频、尿痛等临床症状，尿液细菌培养会呈阳性。如果连续的清洁中段尿检查还是出现尿蛋白“＋”，就要引起重视，需要排除肾脏疾病或子痫前期的可能。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　至于尿常规中经常出现的尿糖“＋”，也不必担心，因为怀孕之后“肾糖阈”下降，即使血糖水平正常，尿液里也会出现尿糖“＋”。究竟是不是妊娠期糖尿病，还是要看孕24——28周的糖尿病筛查结果。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　<strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; color: rgb(255, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">胆固醇与甘油三酯</span></strong></span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　多数孕妇怀孕之后胆固醇与甘油三酯的水平会明显升高，这是正常的生理性改变，主要是因为临床目前采用的标准是正常非孕女性的标准，如果是按照孕妇的标准去衡量的话，就不会被标注为异常升高了。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　<strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; color: rgb(255, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">肝肾功能</span></strong></span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　肝肾功能结果中有很多指标，临床上主要看谷丙转氨酶和肌酐两个指标，产检报告中最常见的异常改变是谷丙转氨酶升高，如果是轻度升高，没有超过正常上限数值的2倍以上，就不需要担心。对于这种“妊娠期肝损”，一般随访就可以了，不必干预，如果超过正常上限数值的2倍以上，建议到肝脏科进行进一步的检查与处理。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　在肝肾功能的检查报告中，另外一个常见的改变是肌酐水平下降，这更不需要担心。肾脏功能受损会导致肌酐水平升高，肌酐水平下降是怀孕后的正常生理性改变，不是肾脏受损。</span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><img data-s="300,640" data-type="png" src="http://mmbiz.qpic.cn/mmbiz/a1xwNbPmyorAKzj0EnscKlK8WClZHEnzYb4Wgd0OjHjmiaS0fz0jbsvmsFLKLwUCng0fBQhaKnaReJafFTFNYcA/0?wx_fmt=png" data-ratio="0.6906906906906907" data-w="333" src="http://mmbiz.qpic.cn/mmbiz/a1xwNbPmyorAKzj0EnscKlK8WClZHEnzYb4Wgd0OjHjmiaS0fz0jbsvmsFLKLwUCng0fBQhaKnaReJafFTFNYcA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5" style="margin: 0px; padding: 0px; box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;"  /><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; color: rgb(255, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">EKG（心电图）</strong></span></p><p style=""><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　即使是怀孕前身体健康的孕妇，怀孕之后做心电图也会出现“ST段改变”，和提示“心脏缺血”等改变。只要怀孕之前没有过心脏病，孕期心功能正常，就不必担心。如果有“心脏不适”的症状，还是建议做24小时心电图检查来排除异常。</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: normal; color: rgb(62, 62, 62); line-height: 24px; font-family: Arial, Verdana, sans-serif; font-size: 12px; background-color: rgb(249, 249, 249); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">广州市设备维修有限公司<br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">地址：广州市天河区银利街银利茶叶博览中心E栋4楼E4030室       邮编：510507</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电话：(+86)020-8722 8723    8764 5360    8764 2943     传真：020-8722 8623</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">全国统一免费服务热线：400-020-6788</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">微信公众帐号：</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><img src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvfCZvZq5PcthnDKlnnq3AalhbichW77J3B70osicTickklZybNKUZqc44DZ0oaWaHm2p0TaA9478icwPg/0" data-ratio="1" data-w="120" width="auto" xhe_src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvfCZvZq5PcthnDKlnnq3AalhbichW77J3B70osicTickklZybNKUZqc44DZ0oaWaHm2p0TaA9478icwPg/0?tp=webp&amp;wxfrom=5" width="auto" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvfCZvZq5PcthnDKlnnq3AalhbichW77J3B70osicTickklZybNKUZqc44DZ0oaWaHm2p0TaA9478icwPg/0?tp=webp&amp;wxfrom=5" style="margin: 0px; padding: 0px; box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;"  /></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">维修咨询：QQ:  712638 404</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">设备咨询:   QQ:  712638 405</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">软件咨询：QQ: 712638 406</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">配件咨询：QQ:   712638 407</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">交流Q群：1106 11074</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">网址：http://www.yiliaoshebeiweixiu.com</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; background-color: rgb(255, 255, 255); font-family: Arial, Verdana, sans-serif; font-size: 12px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电子邮箱：service@yiliaoshebeiweixiu.com</span></p><p><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></span></p><p><br  /></p>