TY - CHAP M1 - Book, Section TI - SUERO Y CONSTITUYENTES SANGUÍNEOS A1 - Cunningham, F. Gary A1 - Leveno, Kenneth J. A1 - Dashe, Jodi S. A1 - Hoffman, Barbara L. A1 - Spong, Catherine Y. A1 - Casey, Brian M. Y1 - 2021 N1 - T2 - Williams Obstetricia, 26e AB - Table Graphic Jump Location|Download (.pdf)|PrintHEMATOLOGÍA Adulta no embarazadaa1er trimestre2° trimestre3er trimestreReferenciasEritropoyetinab (U/L)4–2712–258–6714–2228, 11, 58Ferritinab (ng/mL)10–150d6–1302–2300–1168, 11, 46, 52, 56, 58, 73, 82Folato eritrocítico (ng/mL)150–450137–58994–828109–66356, 57, 84Folato sérico (ng(mL)5.4–18.02.6–15.00.8–24.01.4–20.78, 53, 56, 57, 64, 69, 84Haptoglobina (mg/mL)25–250130 ± 43115 ± 50135 ± 6531Hemoglobinab (g/100 mL100 mL)12–15.8d11.6–13.99.7–14.89.5–15.011, 56, 58, 69, 73Hematócritob ((%)35.4–44.431.0–41.030.0–39.028.0–40.07, 8, 11, 52, 56, 69, 77Hierro, capacidad total de unión (TIBC)b (mcg/100 mL)251–406278–403No informada359–60973Hierro séricob (mcg/100 mL)41–14172–14344–17830–19311, 73Hemoglobina globular media (MCH) (pg/célula)27–3230–3230–3329–3252Volumen globular medio (MCV) (fL)79–9381–9682–9781–997, 52, 56, 69Plaquetas (× 109/L)165–415174–391155–409146–4295, 7, 18, 52, 56Volumen plaquetario medio (MPV) (µm3)6.4–11.07.7–10.37.8–10.28.2–10.452Cuenta eritrocítica (RBC) (× 106/mm3)4.00–5.20 d3.42–4.552.81–4.492.71–4.437, 52, 56, 69Anchura de distribución eritrocítica (RDW) (%)< 14.512.5–14.113.4–13.612.7–15.352Recuento de leucocitos (WBC) (× 103/mm3)3.5–9.15.7–13.65.6–14.85.9–16.97, 10, 52, 56, 69Neutrófilos (× 103/mm3)1.4–4.63.6–10.13.8–12.33.9–13.15, 7, 10, 52Linfocitos (× 103/mm3)0.7–4.61.1–3.60.9–3.91.0–3.65, 7, 10, 52Monocitos (× 103/mm3)0.1–0.70.1–1.10.1–1.10.1–1.47, 10, 52Eosinófilos (× 103/mm3)0–0.60–0.60–0.60–0.67, 10Basófilos (× 103/mm3)0–0.20–0.10–0.10–0.17, 10Transferrina (mg/100 mL)200–400c254–344220–441288–53046, 52Transferrina, saturación sin hierro (%)22–46bNo informada10–445–3758Transferrina, saturación con hierro (%)22–46bNo informada18–929–9858COAGULACIÓN Adulta no embarazadaa1er trimestre2° trimestre3er trimestreReferenciasAntitrombina III, funcional (%)70–13089–11478–12682–11617, 18, 47Dímero D (mcg/mL)0.22–0.740.05–0.950.32–1.290.13–1.718, 28, 29, 43, 47, 51, 62Factor V (%)50–15075–9572–9660–8849Factor VII (%)50–150100–14695–153149–211018Factor VIII (%)50–15090–21097–312143–35318, 49Factor IX (%)50–150103–172154–217164–23518Factor XI (%)50–15080–12782–14465–12318Factor XII (%)50–15078–12490–151129–19418Fibrinógeno (mg/100 mL)233–496244–510291–538301–69618, 28, 29, 47, 51, 52, 62Fibronectina (mg/L)290 ± 85377 ± 309315 ± 295334 ± 25733Homocisteína (µmol/L)4.4–10.83.34–112.0–26.93.2–21.453, 56, 57, 64, 84Índice normalizado internacional (INR)0.9–1.04g0.86–1.080.83–1.020.80–1.0917, 51Tiempo parcial de tromboplastina activada (aPTT) (s)26.3–39.423.0–38.922.9–38.122.6–35.017, 18, 51, 52Tiempo de protrombina (PT) (s)12.7–15.49.7–13.59.5–13.49.6–12.918, 51, 52Proteína C funcional (%)70–13078–12183–13367–13517, 27, 49Proteína S total (%)70–14039–10527–10133–10118, 27, 49Proteína S libre (%)70–14034–13319–11320–6527, 49Proteína S, actividad funcional (%)65–14057–9542–6816–4249Tiempo de trombina (TT) (s)17.7 ± 2.816.1 ± 1.515.4 ± 2.716.5 ± 2.433Trombomodulina (ng/mL)2.7 ± 3.14.3 ± 1.34.2 ± 1.23.6 ± 1.333Activador tisular del plasminógeno (ng/mL)1.6–13h1.8–6.02.36–6.63.34–9.2017, 18, 29Inhibidor 1 del activador tisular de plasminógeno (ng/mL)4–4316–3336–5567–9218, 29Enfermedad de von WillebrandFactor de von Willebrand, antígeno (%)75–12562–31890–24784–42247, 55, 85ADAMTS-13, proteasa para división de von Willebrand (%)40–170i40–16022–13538–10547, 55CONSTITUYENTES QUÍMICOS SANGUÍNEOS Adulta no embarazadaa1er trimestre2° trimestre3er trimestreReferenciasAlanina aminotransferasa (ALT) (U/L)7–413–302–332–256, 46, 52, 82Albúmina (g/100 mL)4.1–5.3d3.1–5.12.6–4.52.3–4.23, 6, 30, 35, 46, 52, 84Fosfatasa alcalina (U/L)33–9617–8825–12638–2293, 6, 46, 52, 82Antitripsina α–1 (mg/ 100 mL)100–200225–323273–391327–48752α-fetoproteína (ng/mL)——~130–400~130–59048Amoniaco (μM)31 ± 3.2——27.3 ± 1.639Amilasa (U/L)20–9624–8316–7315–8140, 46, 52, 80Discrepancia aniónica (mmol/L)7–1613–1712–1612–1652Aspartato aminotransferasa (AST) (U/L)12–383–233–334–326, 46, 52, 82Bicarbonato (mmol/L)22–3020–2420–2420–2452Bilirrubina total (mg/ 100 mL)0.3–1.30.1–0.40.1–0.80.1–1.16, 46Bilirrubina no conjugada (mg/100 mL)0.2–0.90.1–0.50.1–0.40.1–0.56, 52Bilirrubina conjugada (mg/ 100 mL)0.1–0.40–0.10–0.10–0.16Ácidos biliares (μmol/L)0.3–4.8j0–4.90–9.10–11.36, 16CA-125 (μg/mL)7.2–272.2–26812–25.116.8–43.84, 37, 79Calcio ionizado (mg/ 100 mL)4.5–5.34.5–5.14.4–5.04.4–5.330, 52, 59, 67Calcio total (mg/100 mL)8.7–10.28.8–10.68.2–9.08.2–9.73, 35, 46, 52, 59, 67, 74Ceruloplasmina (mg/100 mL)25–6330–4940–5343–7852, 54Cloro (meq/L)102–109101–10597–10997–10922, 46, 52Creatinina (mg/100 mL)0.5–0.9d0.4–0.70.4–0.80.4–0.946, 52, 56γ-glutamiltranspeptidasa (GGT) (U/L)9–582–234–223–266, 46, 52, 82Deshidrogenasa láctica (U/L)115–22178–43380–44782–52435, 46, 52, 82Lipasa (U/L)3–4321–7626–10041–11240Magnesio (mg/100 mL)1.5–2.31.6–2.21.5–2.21.1–2.23, 30, 35, 46, 52, 59, 74Osmolalidad (mosm/kg H2O)275–295275–280276–289278–28019, 74Fosfato (mg/100 mL)2.5–4.33.1–4.62.5–4.62.8–4.63, 30, 41, 46, 52Potasio (meq/L)3.5–5.03.6–5.03.3–5.03.3–5.122, 30, 35, 46, 52, 74, 77Prealbúmina (mg/100 mL)17–3415–2720–2714–2352Proteína total (g/100 mL)6.7–8.66.2–7.65.7–6.95.6–6.730, 35, 52Sodio (meq/L)136–146133–148129–148130–14819, 30, 35, 46, 52, 74, 77Nitrógeno ureico (mg/100 mL)7–207–123–133–1122, 46, 52Ácido úrico (mg/100 mL)2.5–5.6d2.0–4.22.4–4.93.1–6.319, 46, 52PRUEBAS METABÓLICAS Y ENDOCRINAS Adulta no embarazadaa1er trimestre2° trimestre3er trimestreReferenciasAldosterona (ng/100 mL)2–96–1049–10415–10123, 42, 81Enzima convertidora de angiotensina (ACE) (U/L)9–671–381–361–3922, 65Cortisol (mcg/100 mL)0–257–1910–4212–5052, 81Hemoglobina A1c (%)4–64–64–64–759, 60, 70Hormona paratiroidea (pg/mL)8–5110–1518–259–263Proteína relacionada con la hormona paratiroidea (pmol/L)< 1.3e0.7–0.91.8–2.22.5–2.83Renina, actividad plasmática (ng/mL/h)0.3–9.0eNo informado7.5–54.05.9–58.822, 42Hormona estimulante de la tiroides (TSH) (µIU/mL)0.34–4.250.60–3.400.37–3.600.38–4.0446, 52, 68Globulina de unión con tiroxina (mg/100 mL)1.3–3.01.8–3.22.8–4.02.6–4.252Tiroxina libre (fT4) (mcg/100 mL)0.8–1.70.8–1.20.6–1.00.5–0.852, ... SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicina.mhmedical.com/content.aspx?aid=1192307009 ER -