本人55歲,女。這是我2013 年以來總膽紅素的數據(mg/dL)。2015 年8月由於膽結石切除膽囊。
5/2013 |
2/2014 |
6/2015 |
6/2016 |
7/2017 |
6/2019 |
6/2021 |
6/2022 |
7/2023 |
8/2024 |
1.4 |
1.8 |
1.5 |
1.2 |
1.3 |
1.1 |
1.0 |
1.6 |
1.1 |
1.5 |
今年8月總膽紅素達到 1.9, 直接膽紅素 是0.3, 間接是1.6。
上周家庭醫生為查明膽紅素高的原因,讓我做了腹部超聲波。結果如下:
LIVER: Normal in size. Normal echogenicity. No focal liver lesion identified. No intrahepatic ductal dilatation.
MAIN PORTAL VEIN: The portal vein is patent with antegrade flow.
GALLBLADDER: Surgically absent.
CBD: Normal measuring up to 9.1 mm. Please note that the distal CBD, in the region of the pancreatic head, is not adequately visualized.
PANCREAS: Evaluation of the pancreas is limited secondary to overlying bowel gas. Visualized portions of the pancreas are unremarkable without significant pancreatic ductal dilatation.
RIGHT KIDNEY: 11.3 cm in length. Normal contour and echogenicity. No hydronephrosis.
IMPRESSION:
Mild biliary ductal dilatation, potentially related to post cholecystectomy state. Given clinical history of jaundice and elevated bilirubin, consider follow-up MRI/MRCP to evaluate for an occult stricture, stone, or mass.
我眼睛不黃,皮膚不黃,沒有jaundice 症狀。除了HDL(56)有點低, LDL(120)和 A1C(5.8)有點高以外,其他檢查結果都正常。 自我感覺良好,身體沒有任何不適。請問膽紅素高是什麽引起的呢?有必要去做MRI 嗎?