Desmonts J M, Vernant D, Dhumeaux D
Nouv Presse Med. 1975 Apr 19;4(16):1185-98.
Serum glutamic pyruvic transaminase (S.G.P.T.) was measured in a series of 39 patients with multiple injuries in order to test its value in detecting liver lesion. An increase above five times the upper limit of the normal value was found in 15 out of the 20 patients having a liver injury and in all of those in whom S.G.P.T. was measured within the first 24 hours following the trauma. In contrast, a similar elevation was observed only in two out of the 19 patients without liver injury. It is suggested that S.G.P.T. determination should be routinely performed in patients with multiple injuries when abdominal signs are poor or concealed by associated lesions. A marked elevation of S.G.P.T. seems in any case suggestive enough to advise a liver arteriogram if hemodynamic conditions allow to perform it.
为了检测血清谷丙转氨酶（S.G.P.T.）在检测肝脏损伤方面的价值，对39例多发伤患者进行了该项检测。在20例有肝损伤的患者中，15例的S.G.P.T.值升高超过正常值上限的5倍，且所有在创伤后24小时内检测S.G.P.T.的患者均是如此。相比之下，19例无肝损伤的患者中只有2例出现了类似的升高。建议在多发伤患者腹部体征不明显或被相关损伤掩盖时，应常规检测S.G.P.T.。无论如何，S.G.P.T.显著升高似乎足以提示在血流动力学条件允许的情况下进行肝脏动脉造影。
