임상화학 요점정리 및 문제

01. 초자, 시약, 농도, 계산, PH ···················································· 1
1. 초자기구···························································································· 1
2. 단위 및 세척액···················································································· 9
3. 농도 및 계산문제················································································ 10
4. 저울(Balance)···················································································· 13
5. pH 및 완충액···················································································· 14

02. 이론(성분) ·················································································· 45
1.성분변화······························································································ 45
2.항응고제······························································································ 48

03. 비색분석, 자동분석기 ······························································ 75
1.비색분석······························································································ 75

04. 정도관리 ·················································································· 107
1. 정확도 및 정밀도 ················································································ 107

05. 혈당 ·························································································· 135
1. 제단백법(Protein free filtrate) ·························································· 135
2. Blood glucose(혈당) ·········································································· 137
3. 당화헤모글로빈 : HbA1c ··································································· 142
4. 당화단백(Fructosamine) ····································································· 144

06. 비단백질소(NPN) ·····································································165
1. Non Protein Nitrogen ······································································· 165

07. 단백질 ······················································································ 197
1. Protein, Electrophoresis ··································································· 197
2. 전기영동·························································································· 201

08. 전해질, 가스 ··········································································· 227
1. 무기질····························································································· 227
2. Sodium과 Potassium ········································································· 229
3. Chloride························································································· 230
4. Calcium, Inorganic phosphorous ···················································· 231
5. Magnesium···················································································· 234
6. Fe. TIBC························································································ 235
7. Blood gas analysis ·········································································· 237

09. 간 및 신장기능 검사 ····························································· 263
1. 간의 생리적 기능 ················································································ 263
2. 담즙색소 대사················································································· 265
3. 간기능 검사(Liver function test, LFT) ············································· 268
4. 신장기능 검사(Kidney function test) ················································· 271

10. 효소(Enzyme) ········································································ 291
1. 개요································································································· 291
2. Amylase (AMS) ················································································· 295
3. Liapse (LPS)··················································································· 298
4. Phosphatase (ALP, ACP) ································································ 300
5. Transaminase (AST, ALT) ······························································· 303
6. Lactic Dehydrogenase (LDH) ························································· 306
7. Creatine phosphokinase (CPK) ······················································ 310
8. Cholinesterase, γ-GTP, LAP ·························································· 313

11. 지질 호르몬 ············································································ 359
1. 지질(Lipid)······················································································ 359
2. Lipoprotein ···················································································· 367
3. 호르몬(Hormone) ··········································································· 371

12. 복합문제 ·················································································· 401

13. 척수액, 요화학 ······································································· 423
1. 뇌척수액(Cerebrospinal fluid) ·························································· 423
2. 위액검사(Gastric Juice Analysis) ···················································· 426
3. 장액검사 ······················································································ 428
4. 정액검사법 ····················································································· 429
5. 요 화학 ························································································· 430
6. 시험지법 ························································································ 433
7. 요의 색조, 혼탁, 요량 ······································································· 435
8. 요 비중, pH, 삼투압 ········································································· 438
9. 요단백 ··························································································· 440
10. 특수 단백체 ··················································································· 443
11. Bence Jones Protein ····································································· 444
12. Urine glucose(요당) ········································································ 445
13. Mucopolysaccharide ···································································· 448
14. Ketone body ··················································································· 449
15. Bilirubin ························································································ 451
16. 담즙산 ··························································································· 453
17. Urobilinogen ···················································································· 454
18. Urobilin ························································································· 456
19. 혈뇨, 혈색소뇨, haptoglobin, 혈철소 ··············································· 457
20. Occult blood의 측정법 ···································································· 459
21. Porphyrin ······················································································ 460
22. Addis count ···················································································· 462
23. Indican ·························································································· 463
24. Melanin ·························································································· 464
25. 요 중 전해질 검사 ············································································ 465
26. 선천성 대사질환 ················································································ 466
27. 세균뇨 검사 ··················································································· 468
28. 요침사 ···························································································· 469
29. 원주 ······························································································· 473
30. 결정체 ···························································································· 474

14. 동위원소 ··················································································· 581
1. 동위원소 ····················································································· 581
2. 방사선 관련 단위 ··········································································· 585
3. 조직에 대한 방사선 감수성 ······························································ 587
4. 반감기 ························································································· 589
5. 체내 측정에 이용되는 핵종 ······························································· 590
6. 기능검사 ······················································································· 593
7. 방사선 측정장치 ·············································································· 595
8. 분리방법 ······················································································· 597
9. 방사면역측정법 ················································································ 599
10. 방사선 ························································································· 601

실기문제 ······························································································ 637