什麼是血沈澱?

正常ＥＳＲ(紅血球沉降速率)

成人(Westergren method):

Men under 50 years old: less than 15 mm/hr.

Men over 50 years old: less than 20 mm/hr.

Women under 50 years old: less than 20 mm/hr.

Women over 50 years old: less than 30 mm/hr.

小孩(Westergren method):

Newborn: 0 to 2 mm/hr.

Neonatal to puberty: 3 to 13 mm/hr.

Note: mm/hr. = millimeters per hour.




以下情形ESR會上升

Kidney disease

Pregnancy

Rheumatic fever

Rheumatoid arthritis

Severeanemia

Syphilis

Systemic lupus erythematosus

Thyroid disease

Tuberculosis

Other inflammatory conditions

Markedly elevated values occur with:

以下情形ESR 會大幅上升

Giant cell arteritis

Multiple myeloma

Macroglobulinemia - primary

Hyperfibrinogenemia (elevated fibrinogen levels in the blood)

Necrotizing vasculitis

Polymyalgia rheumatica

Lower-than-normal levels occur with:

這些情形下ESR會小幅下降

Congestive heart failure

Hyperviscosity

Hypofibrinogenemia (decreased fibrinogen levels)

Low plasma protein (due to liver or kidney disease)

Polycythemia

Sickle cell anemia

2008-04-20 17:12:39 補充：
Erythrocyte Sedimentation Rate (ESR), 紅血球沉降速率。定義為 RBC 在重力 1G 的狀態下，一小時的沉積量。為一間接評估急性期反應物 (acute phase reactants) 總量的檢驗，並不非常 specific，與 CRP 比較起來，對病人狀況的改變反應較慢。