What is the remark of "chyle blood" in the test report?What does chyle blood refer to?
The blood of the human body is composed of blood cells (red blood cells, white blood cells, platelets) and plasma, and the blood normally added to the anticoagulant can clearly see the upper yellowish plasma layer after high-speed centrifugation, while some patients will also appear milky white or different degrees of turbidity after the blood is collected from the body, and even appear milk-like appearance.
"chylochet" is what is going on (figure left - normal blood, right - chyle blood).
How is chyle formed?
After the fat in the food is digested and absorbed in the small intestine, it becomes fine chylomicrons into the bloodstream, and when the chylomicrons are large to a certain extent, the serum or plasma changes from a clear and transparent light yellow liquid to a milky white turbid liquid. At this time, it is medically called chyle blood.
To put it simply, chyle blood is "blood slicked with oil". Also known as milk blood, patients with severe chyle blood have abnormally high triglyceride concentrations in their bodies and need to take medication**.
There is a certain difference between lipid blood and chylohaemia, which usually refers to hyperlipidemia, with high blood lipid content.
What conditions can form chylea?
1. A large intake of high-fat foods in a short period of time exceeds the body's ability to metabolize fat, and chyle blood will occur.
2. During pregnancy, endocrine disorders lead to lipid metabolism disorders, and chyle blood will also occur.
3. Taking certain drugs, such as chemotherapy drugs, can lead to lipid metabolism disorders, and chyle blood can also occur, which can be recovered after a period of time after stopping the drug.
4. Clinically, some patients have severe lipid blood or even chylea due to hyperlipidemia and other reasons.
5. Transient chyle blood caused by clinical ** transfusion of lipoemulsion. When the blood lipid concentration increases, it not only changes the viscosity of the blood itself, increases the risk of atherosclerosis and coronary heart disease, but also greatly reduces the accuracy of the test results.
What is the effect of chyle blood on test results?
A effect on blood routine: due to the increase of triglycerides, blood cells contain a large number of fat particles, the instrument will misinterpret the fat particles as red blood cells, white blood cells and other substances, at this time, chyle blood specimens will appear hemoglobin, platelets, red blood cells, white blood cells The results are greatly high.
Effect of B on coagulation function: There are already a large number of fat particles in the plasma, and the PT (plasma prothrombin time) result will be high, and the D dimer result will also be affected to a greater extent.
c. Effect on biochemical test results: chylomicrons and very low density lipoprotein are suspended, and their scattered light produces clouds and turbidity similar to those seen in milk. For example, if triglycerides are high, the four results of related blood lipids may be high, which will also affect the results of carbon dioxide detection.
d Other effects: chemiluminescence detection items such as free T3 and free T4 are abnormally high, including N-terminal brain natriuretic peptide, myoglobin, troponin, creatine kinase isoenzyme and other detection items will be affected.
Morphologically, some globular proteins can be found to be untrustworthy and affected to varying degrees.
Although colloidal gold detection methods are not as difficult as microscopic identification, they will also be affected to varying degrees due to the increase of protein-based substances.
How long after the end of fat emulsion infusion can I take blood?
1.Fat emulsion injection is a sterilized emulsion liquid made from vegetable oil through glycerin for injection. Fatty acids are the main substances in fat emulsions and are found in the form of triglycerides. Fat-soluble vitamins and other fat-soluble substances form the core of lipid emulsion particles together with triglycerides.
2.If blood is collected immediately after the injection of fat emulsion injection, the fat composition will affect the accuracy of some test indicators. Therefore, the blood test results will not be affected by the blood test results only after the blood collection is completed 5 6 hours after the end of the infusion. However, for patients with poor blood circulation and slow metabolism, blood can be collected 8 12 hours after the end of infusion, and blood can be collected slightly earlier in case of emergency.
How to prevent chyle blood?
Celiac blood is caused by long-term unhealthy diet and Xi habits and Xi lifestyle habits, so whether it is short-term or long-term chylocheta, it can be improved by adjusting diet and exercise.
1. Control your weight and reach your ideal weight range
2. Control the total calories in the diet and avoid high-oil foods
3. Avoid excessive intake of starchy and sweet foods, and eat more soybean products, vegetables and fruits and foods with high water-soluble fiber
4. Eat more foods with high water-soluble fiber content;
5. Eat less foods with high saturated fatty acid content (such as sausages, sausages, bacon, fatty meat, chicken feet, etc.);
6. It is not advisable to drink alcohol, most of the calories generated by alcohol metabolism cannot be consumed by the body, and will be converted into triglycerides
7. Strengthen physical exercise to burn fat;
8. Regular health check-up to fully understand the physical health.
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