increased erythrocyte sedimentation rate
Introduction
Introduction "ESR" is an abbreviation for erythrocyte sedimentation rate, abbreviated as "ESR" in English. ESR refers to the rate at which red blood cells settle under certain conditions. The erythrocyte sedimentation rate of healthy people fluctuates in a narrow range, that is, 0 to 15 mm/hr for men and 0 to 20 mm/h for women. Regardless of men and women, if the blood sedimentation is faster than 25 mm / hour, it is a slight increase in erythrocyte sedimentation rate. If it exceeds 50 mm / hour, it will increase severely.
Cause
Cause
(1) Physiological increase ESR varies with age and gender, and women are generally higher than men. A rough estimate of the normal upper limit of erythrocyte sedimentation rate: men divide their age by 2, while women add 10 to their age and divide by 2.
(2) Pathologically rapid erythrocyte sedimentation rate is one of the indicators of acute phase. After the stress-responsive protein such as C-reactive protein, most of the pedicle tissue disease arthritis activity may have an increase in erythrocyte sedimentation rate. Such as systemic lupus erythematosus, rheumatoid arthritis, dry syndrome, juvenile rheumatoid arthritis, etc., may be caused by autoimmune inflammatory reaction and hyperglobulinemia, often reduce or recover when the disease is relieved normal.
Examine
an examination
Related inspection
Urine -glutamyltransferase ESR equation K value blood routine
ESR increases both physiologically and pathologically.
Physiological erythrocyte sedimentation rate is common in women's menstrual period, pregnancy, high temperature work, heavy physical labor and strenuous exercise.
Pathological erythrocyte sedimentation rate is common in the following situations:
(1) rheumatism or acute infectious diseases such as rheumatic heart disease, rheumatoid arthritis, measles, etc.;
(2) various inflammations such as pneumonia, cholecystitis, sepsis, etc.;
(3) Tuberculosis, such as tuberculosis, lymphatic tuberculosis, bone tuberculosis, etc.;
(4) Circulatory and blood system diseases such as acute endocarditis, myocardial infarction, anemia, and hemorrhagic diseases;
(5) Other diseases, such as malignant tumors, hypercholesterolemia, lupus erythematosus, syphilis, and black fever.
Diagnosis
Differential diagnosis
Symptoms of disease that are confusing and confusing:
The erythrocyte sedimentation rate measurement is non-specific and cannot be used as a diagnosis for all diseases. It can only help the differential diagnosis of certain diseases or to understand the course of the disease, providing a clinical reference.
Pathological erythrocyte sedimentation rate is common in the following situations:
(1) rheumatism or acute infectious diseases such as rheumatic heart disease, rheumatoid arthritis, measles, etc.;
(2) various inflammations such as pneumonia, cholecystitis, sepsis, etc.;
(3) Tuberculosis, such as tuberculosis, lymphatic tuberculosis, bone tuberculosis, etc.;
(4) Circulatory and blood system diseases such as acute endocarditis, myocardial infarction, anemia, and hemorrhagic diseases;
(5) Other diseases, such as malignant tumors, hypercholesterolemia, lupus erythematosus, syphilis, and black fever.
