摘要
目的分析血清转氨酶在腹部闭合性损伤后肝脏受损程度评估中的应用价值。方法将80例腹部闭合性损伤患者分为肝损伤组(38例)和无肝损伤组(42例)。对肝损伤患者分级并检测血清GGT、LDH、AST、ALT、WBC、Bilirubin水平。结果与无肝损伤患者比较,肝损伤Ⅰ、Ⅱ、Ⅲ、Ⅳ级患者AST、ALT、LDH水平明显更高(P<0.05);重度损伤患者ALT、LDH、AST水平显著高于轻度组及无损伤患者(P<0.05),轻度损伤患者ALT、LDH、AST水平显著高于无损伤患者(P<0.05);血清AST>65U/L以及ALT>47 U/L时提示有肝损伤。结论血清AST、ALT可辅助诊断腹部闭合性损伤后肝损伤,评价肝损伤严重程度,为临床治疗提供可靠依据。
Objective To analyze the value of serum transaminase in liver damage assessment induced by closed abdom- inal ingury. Methods Eighty cases of patients with closed abdominal injuries were divided into liver damage group （38 cas- es） and no damage group （42 cases）. Classified patients with damaged, and detected serum level of GGT, LDH, AST, ALT, WBC, Bilirubin. Results Compared with no damaged patients, the level of AST, ALT and LDT in liver damage I, II, III,IV stage patients were increased obviously （P〈0.05）; the lever of AST, ALT and LDT in patients with seriously liver damage were significantly higher in patients with mild liver damage and no damaged （P〈0.05）; the lever of AST, ALT and LDT in patients with mild liver damage were significantly higher in patients no damaged （P〈0.05）; Serum AST〉65 U/L and ALT〉 47 U/L meaned that the liver was damaged. Conclusion Serum AST, ALT can be used for diagnosing liver damage induced by closed abdominal injury, evaluating of the severity of liver damage and providing reliable basis for clinical treatment.
出处
《临床医学研究与实践》
2016年第16期4-5,9,共3页
Clinical Research and Practice
关键词
转氨酶
腹部闭合性损伤
肝脏受损
transaminase
closed abdominal injury
liver damage
