书城医学妇产科门急诊手册(第2版)
2245000000059

第59章 附录四妇产科内分泌测定参考值

激素分泌及

测定时间标本旧制单位正常值旧→新

系数法定单位正常值新→旧

系数

雌激素总量(E0)

青春前期尿0~5μg/24h0~5μg/24h

卵泡期尿4~25μg/24h4~25μg/24h

排卵期尿28~100μg/24h28~100μg/24h黄体期尿22~80μg/24h22~80μg/24h

妊娠期尿<45000μg/24h<45000μg/24h

绝经期尿<10μg/24h<10μg/24h

雌酮(E1)青春期血0~80pg/ml3.70~296pmol/L0.27

卵泡期血20~150pg/ml3.774~555pmol/L0.27

绝经期血31.4~36.2pg/ml3.7116~134pmol/L0.27

妊娠晚期血0.5~0.9pg/ml3.718.5~33.3μmol/L0.027

排卵期尿11~31μg/24h3.741~115nmol/24h0.27

黄体期尿10~23μg/24h3.737~85nmol/24h0.27

绝经期尿1~7μg/24h3.74~26nmol/24h0.27

雌二醇(E2)

卵泡期血10~90pg/ml3.6737~330pmol/L0.272

排卵期血100~500pg/ml3.67367~1835pmol/L0.272

黄体期血50~240pg/ml3.67184~881pmol/L0.272

绝经期血10~30pg/ml3.6737~110pmol/L0.272

妊娠晚期血0.2~1.7mg/dl36.77.34~62.4μmol/L0.0272

卵泡期尿0~3μg/24h3.670~11nmol/24h0.272

排卵期尿4~14μg/24h3.6715~51nmol/24h0.272

续表

激素分泌及

测定时间标本旧制单位正常值旧→新

系数法定单位正常值新→旧

系数

黄体期尿4~10μg/24h3.6715~37nmol/24h0.272

绝经期尿0~4μg/24h3.670~15nmol/24h0.272

雌二醇(E3)

孕26周血5.45±0.5ng/ml3.4719.2±1.7nmol/L0.288

孕27~28周血5.99±1.36ng/ml3.4720.8±4.7nmol/L0.288

孕29~30周血6.14±1.1ng/ml3.4721.3±3.8nmol/L0.288

孕31~32周血6.37±1.66ng/ml3.4722.0±5.8nmol/L0.288

孕33~34周血7.59±1.44ng/ml3.4726.3±5.0nmol/L0.288

孕35~36周血10.16±2.29ng/ml3.4735.2±7.9nmol/L0.288

孕37~38周血13.05±2.29ng/ml3.4745.3±7.9nmol/L0.288

孕39~40周血15.52±3.3ng/ml3.4753.8±11.4nmol/L0.288

孕41~42周血16.25±3.17ng/ml3.4756.4±11.0nmol/L0.288

孕43周以后血13.61±3.93ng/ml3.4747.2±13.6nmol/L0.288

孕28~29周尿8.9±2.6mg/24h3.4730.9±9.0μmol/24h0.288

孕30~31周尿11.5±3.9mg/24h3.4739.9±13.5μmol/24h0.288

孕32~33周尿15.1±5.3mg/24h3.4752.4±18.4μmol/24h0.288

孕34~35周尿17.9±6.1mg/24h3.4762.1±21.2μmol/24h0.288

孕36~37周尿22.0±5.2mg/24h3.4776.3±18.0μmol/24h0.288

孕38~39周尿25.6±6.9mg/24h3.4788.8±23.9μmol/24h0.288

孕40~41周尿25.9±6.9mg/24h3.4789.8±23.9μmol/24h0.288

孕42~43周尿24.0±6.5mg/24h3.4783.2±22.5μmol/24h0.288

孕44周以后尿19.5±6.5mg/24h3.4767.6±22.5μmol/24h0.288

孕≤24周羊水75±84mg/24h3.47260.3±291.5μmol/24h0.288

孕25~28周羊水158±74mg/24h3.47548.3±256.8μmol/24h0.288

孕29~32周羊水122±117mg/24h3.47891.0±406.0μmol/24h0.288

孕33~36周羊水384±125mg/24h3.471332.5±433.8μmol/24h0.288

孕37~39周羊水745±371mg/24h3.472585.0±1287μmol/24h0.288

孕40周以后羊水847±330mg/24h3.472939.0±1145.0μmol/24h0.288

足月妊娠羊水游离56.1ng/ml3.47194.6nmol/L0.288

结合932ng/ml3.473232nmol/L0.288

续表

激素分泌及

测定时间标本旧制单位正常值旧→新

系数法定单位正常值新→旧

系数

孕酮(P)

卵泡期血0.2~0.6ng/ml3.180.6~1.9nmol/L0.3145

黄体期血6.5~32.2ng/ml3.1820.7~102.4nmol/L0.3145

孕7周血24.5±7.6ng/ml3.1276.4±23.7nmol/L0.32

孕8周血28.6±7.9ng/ml3.1289.2±24.6nmol/L0.32

孕9~12周血38.0±13.0ng/ml3.12118.6±40.6nmol/L0.32

孕13~16周血45.5±14.0ng/ml3.12142.0±43.7nmol/L0.32

孕17~20周血63.3±14.0ng/ml3.12147.5±43.7nmol/L0.32

孕21~24周血110.9±35.7ng/ml3.12346.0±111.4nmol/L0.32

孕25~34周血165.3±35.7ng/ml3.12514.8±111.4nmol/L0.32

孕35周以后血202.0±47.0ng/ml3.12630.2±146.6nmol/L0.32

绝经期血<1.0ng/ml3.18<3.2nmol/L0.3145

孕13~36周羊水55ng/ml(约)3.12171.6nmol/L0.32

足月妊娠羊水26ng/ml3.1281.8nmol/L0.32

孕二醇(P2)

卵泡期尿<1.0mg/24h3.12<3μmol/24h0.32

黄体期尿2~7mg/24h3.126~22μmol/24h0.32

孕16周尿5~21mg/24h3.1216~65μmol/24h0.32

孕24周尿12~32mg/24h3.1237~100μmol/24h0.32

孕32周尿22~66mg/24h3.1269~205μmol/24h0.32

孕36周尿13~77mg/24h3.1240~240μmol/24h0.32

孕40周尿23~63mg/24h3.1272197μmol/24h0.32

绝经后尿0.2~1.0mg/24h3.120.6~3.1μmol/24h0.32

孕三醇(P3)

成年女性尿0.5~2.0mg/24h2.971.5~5.9μmol/24h0.3365

睾酮(T)成年女性血59±22ng/ml0.03472.1±0.8nmol/L28.8

卵泡期血<0.4ng/ml3.47<1.4nmol/L0.288

排卵期血<0.6ng/ml3.47<2.1nmol/L0.288

续表

激素分泌及

测定时间标本旧制单位正常值旧→新

系数法定单位正常值新→旧

系数

黄体期血<0.5ng/ml3.47<1.7nmol/L0.288

绝经期血<0.35ng/ml3.47<1.2nmol/L0.288

成年女性尿2~12μg/24h3.477~42nmol/24h0.288

>50岁女性尿2~8μg/24h3.477~28nmol/24h0.288

雄烯二酮(A)

成年女性血151±38ng/ml0.0355.28±1.33nmol/L28.57

绝经后血831±54pg/ml0.00352.91±0.2nmol/L285.7

脱氢表雄酮(DHA)

成年女性血2.0~5.2ng/ml3.476.9~18.0nmol/L0.288

成年女性尿0~1.2mg/24h3.470~4.2μmol/24h0.288

硫酸脱氢表雄酮(DHAS)

成年女性血82~338μg/dl0.0262.1~8.8μmol/L38.24

绝经后血11~61μg/dl0.0260.3~1.6μmol/L38.24

卵泡刺激素(FSH)

卵泡期血0.66~2.20ng/ml10.66~2.20μg/L1

排卵期血1.38~3.80ng/ml11.38~3.80μg/L1

黄体期血0.41~2.10ng/ml10.41~2.10μg/L1

月经期血0.50~2.50ng/ml10.50~2.50μg/L1

正常女性血5~20mU/ml15~20U/L1

青春期前血<5mU/ml1<5U/L1

绝经后血>40mU/ml1>40U/L1

卵泡期尿5~20U/24h15~20U/24h1

排卵期尿15~16U/24h115~16U/24h1

黄体期尿5~15U/24h15~15U/24h1月经期尿50~100U/24h150~100U/24h1

黄体生体激素(LH)

卵泡期血5~30mU/ml15~30U/L1

排卵期血75~150mU/ml175~150U/L1

黄体期血3~30mU/ml13~30U/L1

续表

激素分泌及

测定时间标本旧制单位正常值旧→新

系数法定单位正常值新→旧

系数

绝经期血30~130mU/ml130~130U/L1

卵泡期尿7.2~23.5U/24h17.2~23.5U/24h1

β绒毛膜促性腺激素(βHCG)

定性血/尿阴性-阴性-

非孕时血<3.1ng/ml1<3.1ng/ml1

孕7~10天血>5.0mU/ml1>5.0U/L1

孕30天血>100mU/ml1>100U/L1

孕40天血>2000mU/ml1>2000U/L1

孕10周血50~100U/ml150~100kU/L1

孕14周血10~20U/ml110~20kU/L1

滋养细胞疾病血>100U/ml1>100kU/L1

HCG

非孕时尿<312U/L1<312U/L1

胎盘生乳素(HPL)

非孕时血<0.5μg/ml1<0.5mg/L1

孕22周血1.0~3.8μg/ml11.0~3.8mg/L1

孕30周血2.8~5.8μg/ml12.8~5.8mg/L1

孕42周血3.0~8.0μg/ml13.0~8.0mg/L1催乳激素(PRL)

青春期前血8ng/ml18μg/L1

育龄期血9~14ng/ml19~14μg/L1

孕早期3个月血<80ng/ml1<80μg/L1

孕中期3个月血<160ng/ml1<160μg/L1

孕末期3个月血<400ng/ml1<400μg/L1

孕早期3个月羊水血浓度的5~10倍

生长激素(GH)

脐带血10~50ng/ml110~50μg/L1

新生儿血15~40ng/ml115~40μg/L1

儿童血<20ng/ml1<20μg/L1

续表

激素分泌及

测定时间标本旧制单位正常值旧→新

系数法定单位正常值新→旧

系数

成年女性血<10ng/ml1<10μg/L1

皮质醇(C)非孕时血9~24μg/dl27.6248~660nmol/L0.036

非孕时尿18.47±5.44μg/24h27.6509±150nmol/24h0.036

孕时尿46.89±34.02μg/24h27.61293±938nmol/24h0.036

孕10~15周羊水0.5μg/dl27.613.8nmol/L0.036

孕35~37周羊水1.0μg/dl27.627.6nmol/L0.036

临产时羊水2.0~3.0μg/dl27.655.2~82.8nmol/L0.036

17羟类固醇(17OH)

非孕时血9~21μg/dl27.6248~580nmol/L0.0362

17酮类固醇(17KS)

非孕时尿6~15mg/24h3.4721~52nmol/L0.288

孕时尿比非孕时高20%~100%

促肾上腺皮质激素(ACTH)

上午8时血5~50pg/ml0.221.1~11.0pmol/L4.54

甲状腺素(T4)

非孕时(>10岁)血5~12μg/dl12.965~155nmol/L0.0777

孕5个月后血6.1~17.6μg/dl12.979~227nmol/L0.0777

>60岁女性血5.5~10.5μg/dl12.971~135nmol/L0.0777

三碘甲状腺原氨酸(T3)

非孕时(>15岁)血115~190ng/dl0.01541.8~2.9nmol/L65.1

孕时血140~275ng/dl0.01542.15~4.22nmol/L65.1

>60岁女性血108~205ng/dl0.01541.7~3.2nmol/L65.1

醛固酮(ALD)

非孕时血0.015μg/dl2.80.042nmol/L0.357

抗利尿激素(ADH)

非孕时血5mU/ml15U/L1

甲胎蛋白(AFP)

非孕时血2~16ng/ml12~16μg/L1

续表

激素分泌及

测定时间标本旧制单位正常值旧→新

系数法定单位正常值新→旧

系数

孕20~21周血80.5±41.6ng/ml180.5±41.6μg/L1

孕22~23周血85.8±47.8ng/ml185.8±47.8μg/L1

孕24~25周血91.2±38.3ng/ml191.2±38.3μg/L1

孕26~27周血152±86.0ng/ml1152±86.0μg/L1

孕28~29周血137.4±51.2ng/ml1137.4±51.2μg/L1

孕30~31周血143.9±29.4ng/ml1143.9±29.4μg/L1

孕32~33周血154.3±51.7ng/ml1154.3±51.7μg/L1

孕34~35周血148.0±60.9ng/ml1148.0±60.9μg/L1

孕36~37周血121.8±59.0ng/ml1121.8±59.0μg/L1

孕38~39周血116.4±67.4ng/ml1116.4±67.4μg/L1

孕40周以后血104.6±66.4ng/ml1104.6±66.4μg/L1

癌胚抗原(CA125)

成年女性血<60U/ml1<60kU/L1

(张建平)