中英文解读-ESR 红细胞沉降率-生理与意义.docxVIP

目录 TOC \o 1-3 \h \z \u ESR 1 Used for 1 红细胞沉降率 1 参考值 2 影响因素 2 Results mean 2 临床意义 3 ESR The erythrocyte sedimentation rate ( ESR or sed rate) is the rate at which red blood cells in anticoagulated whole blood descend in a standardized tube over a period of one hour. It is a common hematology test, and is a non-specific measure of inflammation. Other names: ESR, SED rate sedimentation rate; Westergren sedimentation rate Used for An ESR test can help determine if you have a condition that causes inflammation. These include arthritis, vasculitis, or inflammatory bowel disease. An ESR may also be used to monitor an existing condition. 红细胞沉降率 红细胞沉降率(erythrocyte sedimentation rate,ESR）是指红细胞在一定条件下沉降的速度而言，简称血沉。 在健康人血沉数值波动于一个较狭窄范围内。在许多病理情况下血沉明显增快。红细胞沉降是多种因素互相作用的结果。将抗凝的血静置于垂直竖立的小玻璃管中，由于红细胞的比重较大，受重力作用而自然下沉，正常情况下下沉十分缓慢，常以红细胞在第一小时末下沉的距离来表示红细胞沉降的速度，称ESR。 参考值 男性0-15mm/1h末；女性0-20mm/1h末。 影响因素 血浆中各种蛋白的比例改变，如血浆中纤维蛋白原或球蛋白增加或清蛋白减少； ②红细胞数量和形状：红细胞减少时血沉加快，球形红细胞增多血沉变慢。 Results mean If your ESR is high, it may be related to an inflammatory condition, such as: Infection Rheumatoid arthritis Rheumatic fever Vascular disease Inflammatory bowel disease Heart disease Kidney disease Certain cancers Sometimes the ESR can be slower than normal. A slow ESR may indicate a blood disorder, such as: Polycythemia Sickle cell anemia Leukocytosis, an abnormal increase in white blood cells If your results are not in the normal range, it doesnt necessarily mean you have a medical condition that requires treatment. A moderate ESR may indicate pregnancy, menstruation, or anemia, rather than an inflammatory disease. Certain medicines and supplements can also affect your results. These include oral contraceptives, aspirin, cortisone, and vitamin A. Be sure to tell your health care provider about any drugs or supplements you are taking. 临床意义 血沉加快 （1）生理性加快：12岁以下儿童，60岁以上高龄者，妇女月经期，妊娠三个月以上血沉皆可加快。 （2）病理性加快 1）各种炎症性疾病：急性细菌性炎症，风湿热，结核病等。 2）组织损伤及坏死：如急性心肌梗死，心绞痛时则无改变。 3）恶性肿瘤 4）各种原因导致血浆球蛋白相对或绝对增高时，血沉可加快。