小三阳 谷丙转氨酶高

2025-03-11 10:27:22
推荐回答(3个)
回答1:

您好:你提供的肝功能结果,结果异常的比正常值上限并没有高出很多,单从肝功能结果来看不是很严重,但是还需要看HBV-DNA定量、肝脏B超、肝纤三项的结果如何,如果这几项也正常,则不用太担心。请遵医嘱。祝你早日痊愈!

给你提供肝功能各项意义:

胆红素总量(STB) 正常情况:脐血<34μmol/L 0~1天<103μmol/L 3~5天<205μmol/L 其后<34μmol/L 成人:1.7~17.1μmol/L
胆红素总量增高、间接胆红素增高:溶血性贫血,血型不合输血,恶性疾病,新生儿黄疸等。 胆红素总量增高、直接与间接胆红素均增高:急性黄疸型肝炎,慢性活动性肝炎,肝硬变,中毒性肝炎等。 胆红素总量增高、直接胆红素增高:肝内及肝外阻塞性黄疸,胰头癌,毛细胆管型肝炎及其他胆汁瘀滞综合征等。
直接胆红素(SDB) 正常情况: 0~3.4μmol/L
临床意义同上

间接胆红素(SIB) 正常情况:1.7~13.7μmol/L
临床意义同上

总蛋白(TP) 正常情况: 60~80g/L
增加:高渗性失水,多发性骨髓瘤,阿狄森病,某些急慢性感染所致高球蛋白血症等。减少:慢性肝病,肝硬变,慢性感染,慢性消耗性疾病,长期腹泻,肾病综合征,营养不良等。

白蛋白(Alb) 正常情况:40~55g/L
增加:偶见于脱水所致的血液浓缩。减低:肝病,肾病,营养不良等。

球蛋白(G) 正常情况:20~29g/L
增高:失水,结核病,黑热病,血吸虫病,疟疾,麻风,SLE,硬皮病,风湿热,类风湿性关节炎,肝硬变,骨髓瘤,淋巴瘤等。减少:皮质醇增多症,长期应用糖皮质类固醇激素。出生后至3岁,球蛋白呈生理性降低。

丙氨酸氨基转移酶(ALT,GPT) 正常情况:改良穆氏法 <500nmol.s-1/L Reitman法 2~30U
增高:急慢性肝病,胆道感染,胆石症,急性胰腺炎,急性心肌梗塞,心肌炎,心衰,肺梗塞,流脑,SLE等。儿童,寒冷,过度劳累,剧烈运动,溶血反应亦可升高。

门冬氨酸氨基转移酶(AST,GOT) 正常情况:改良穆氏法 <667nmol.s-1/ LReitman法 3~30U
增加:心肌梗塞(发病后6h明显升高,48h达高峰,3~5天后恢复正常),各种肝病、心肌炎、胸膜炎、肾炎、肺炎等亦可轻度升高。GOT有两种同工酶,存在于胞浆内的称s-GOT,存在于线粒体内的称为m-GOT。GOT同工酶测定有助于了解组织损伤程度,心肌、肝、肾病变时。s-GOT升高;组织损伤时m-GOT才能在血清中测得。心肌梗塞时,m-GOT先于s-GOT而升高。

回答2:

谷丙转氨酶 67,虽有点高,但不一定是乙肝病毒活动引起的,脂肪肝等也可有稍许增高,请结合自己情况或B超待排.如其他原因可排除,那么考再虑是乙肝病毒活动引起的,建议检查个HBV-DNA,并建议适当隔一段时间再行肝功能检查.如有反复或总是有点偏高,建议服一些降酶和护肝类中草(中成)药,另外,要注意控制烟酒,注意休息.

回答3:

乙肝小三阳对自身的危害性是大的。必须要保持肝功的正常和稳定。
这个阶段的用药是要采用中草药为主治疗的。

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