请教几个体检报告中的问题。

[QQ2011]

1.Degenerative disc margin spurring is seen in the thoracic spine.

2.验血 creatinine 49

3.验血 MPV 11.9

请明白的给解释一下都是什么意思。下面两项验血是超出正常指标的。我在网上查查，好像一般都是MPV偏低。我这个怎么偏高呢。

4.FERRITIN 40 好像含铁也有点偏低吧。明白的人讲讲，这个值需要注意么？


我在walk-in检查的，医生就在报告上写了个ok。我想不是有什么大毛病。但不正常的总想明白是怎么回事。谢谢了。

 

[Anakin]

医生都说OK...你还担心啥..真要有啥医生就会再开张单子让你去查...

 

[QQ2011]

就是想弄明白。

而且这里的医生也不怎么负责人。小毛病不当回事，大毛病不知道得等多久。咱还是得自己关心自己。

 

[绿耳坠儿]

不知道是不是检验的是同一种。反正我的医生告诉我铁应该是150才正常
我现在110，他让我吃铁片。 但也有可能做的检查不一样吧。最好拿结果和医生讨论一下比较好

 

[QQ2011]

不知道是不是检验的是同一种。反正我的医生告诉我铁应该是150才正常
我现在110，他让我吃铁片。 但也有可能做的检查不一样吧。最好拿结果和医生讨论一下比较好

我的体检报告上，铁是这样说的：31-79 reduced iron stores
80-300 normal iron stores

不过我的是40，报告并没有把它列到OUTSIDE NORMAL LIMITS里。所以我也有疑问。

 

[QQ2011]

这里没人懂医么？

能不能谁家孩子在学医或者当医生，帮我问一问。

 

[cheerup]

First, I declare I am not a medical doctor, this is just my personal opinion only and I should not be held responsible, in any way, for any consequence.

Here you go:

Degenerative disc margin spurring is seen in the thoracic spine. ==>胸椎骨有"degenerative disc disease(椎间盘退化性疾病?)" 和 "刺骨".

1. Degenerative disc disease is not really a disease but a term used to describe the normal changes in your spinal discs as you age.
2. "刺骨"是沿着骨的边缘发展。骨刺本身并不痛苦，但他们可以对附近的神经和骨骼摩擦，引起疼痛。

If it causes back or neck pain, follow up with doctor. If not, I won't bother about it, everyone will have some wear and tear due to aging


2.验血 creatinine 49 ==> normal
Each laboratory has different normal range, usually
(40-110) is normal so your creatinine is fine

3.验血 MPV 11.9 ==> near upper normal range
should monitor this next time to see if it is increasing. Higher usually is associated with an increased risk of heart attacks and stroke. But yours is not very high, that is why the doctor is not doing anything now

请明白的给解释一下都是什么意思。下面两项验血是超出正常指标的。我在网上查查，好像一般都是MPV偏低。我这个怎么偏高呢。

4.FERRITIN 40 好像含铁也有点偏低吧。明白的人讲讲，这个值需要注意么？==>铁蛋白是血细胞的蛋白质，含有铁。铁蛋白测试可以帮助医生了解你的身体是存储多少铁。==>
NORMAL is around 10-250 µg/L, why you said low??

 

[cheerup]

我的体检报告上，铁是这样说的：31-79 reduced iron stores
80-300 normal iron stores

不过我的是40，报告并没有把它列到OUTSIDE NORMAL LIMITS里。所以我也有疑问。

That lab has a quite different normal range.
Then, we have to consider hemoglobin and hematocrit. Are they normal(you must provide normal range for every test from now on)?

If they are low, then ask doctor to do another iron and TIBC to confirm if you have iron deficiency anemia

 

[QQ2011]

实在非常感谢cheerup。

相信你每一天都会很开心。