ESR rate
Introduction
Introduction ESR is the abbreviation of erythrocyte sedimentation rate, which refers to the rate of erythrocyte sedimentation under certain conditions. The erythrocyte sedimentation rate is tested by the Wei's method at home and abroad. The normal value of men should be 15mm/h or less, and the female should be 20mm/h or less. In many physiological and pathological conditions, such as menstrual period, less than 3 months of pregnancy, older than 60 years old, etc., erythrocyte sedimentation rate will increase, so the erythrocyte sedimentation test is non-specific, but the erythrocyte sedimentation rate that continues to increase shows pathological conditions, such as infection. , inflammation, tumors, etc.
Cause
Cause
1, inflammatory diseases, such as acute bacterial inflammation, erythrocyte sedimentation rate will occur in 2 to 3 hours;
2, various acute systemic or local infections, such as active tuberculosis, nephritis, myocarditis, pneumonia, purulent encephalitis, pelvic inflammatory disease, etc.;
3, a variety of collagen diseases, such as rheumatoid arthritis, systemic lupus erythematosus, scleroderma, arteritis, etc.;
4, tissue damage and necrosis, such as a wide range of tissue necrosis or injury, major surgery-induced damage, myocardial infarction, pulmonary infarction, fractures, severe trauma, burns and other diseases can also accelerate erythrocyte sedimentation rate;
5, suffering from severe anemia, blood disease, chronic hepatitis, cirrhosis, multiple myeloma, hyperthyroidism, heavy metal poisoning, malignant lymphoma, macroglobulinemia, chronic nephritis and other diseases, ESR can also show a significant acceleration trend.
Examine
an examination
Related inspection
ESR equation K value blood routine
ESR increased, common diseases are: tuberculosis rheumatism malignant tumor myocardial infarction anemia local abscess acute infection sepsis collagen disease and visceral hemorrhage. ESR is the rate of erythrocyte sedimentation, which refers to the rate of red blood cells falling at rest every hour. Normal people's blood sedimentation is about 12 mm per hour. Under normal circumstances, there is no significant difference in the rate of erythrocyte sedimentation between normal people. It is only that children's blood sedimentation is slower. Adult males and pregnant women have a slightly faster erythrocyte sedimentation rate. However, in certain diseases, the erythrocyte sedimentation rate can change significantly. Anyone who causes an increase in immunoglobulin, fibrinogen, cholesterol, triglycerides or certain diseases in the blood of the body can cause changes in erythrocyte sedimentation rate. Such as tuberculosis, rheumatoid arthritis, malignant tumors, acute and chronic hepatitis, cirrhosis and various infections, etc., will increase ESR. But in addition, there are many factors that affect the change of erythrocyte sedimentation rate. Therefore, when a certain disease is diagnosed clinically, it is not possible to raise an index by erythrocyte sedimentation rate alone. A comprehensive medical examination, such as medical history and illness, is required to make an accurate diagnosis.
Diagnosis
Differential diagnosis
ESR is seen in:
1. Physiological, female menstrual period, 3 months after pregnancy to 1 month after delivery, children and elderly people over 50 years old.
2. Acute inflammation, such as pneumonia, sepsis, appendicitis, etc.
3. Connective tissue diseases, such as systemic lupus erythematosus, rheumatoid arthritis, etc.
4. Blood diseases such as severe anemia, leukemia, multiple myeloma, etc.
5. Syphilis, malaria, lead, sputum poisoning, hyperthyroidism, nephritis and kidney disease.
6. Seen in tuberculosis and rheumatism and active period, if the condition improves and tends to be static, the erythrocyte sedimentation rate slows down and returns to normal; the erythrocyte sedimentation rate increases rapidly in the case of myocardial infarction, but there is no significant change in angina pectoris; the acute septicemia in the first 24 hours of acute appendicitis Normal, even if the appendix purulent or gangrene is the same, but when the appendix perforation, abscess formation or concurrent peritonitis, the erythrocyte sedimentation rate increases rapidly; acute pelvic inflammatory disease or ectopic pregnancy bleeding, rapid increase in erythrocyte sedimentation rate at the early stage of the disease; and simple ovarian cysts do not increase Fast; within one week after surgery, erythrocyte sedimentation rate increases due to tissue damage. If the erythrocyte sedimentation rate increases within one week after surgery, it indicates a complication. Slowing down in polycythemia, severe liver damage, dehydration, and the use of anti-inflammatory drugs.
