Mure A J, Josloff R, Rothberg J, O'Malley K F, Ross S E
UMDNJ/Robert Wood Johnson Medical School, Camden, New Jersey 08103.
Am Surg. 1991 Apr;57(4):210-3.
To determine the value of serum amylase sampling as an indicator of intra-abdominal injury, the records of 940 consecutive victims of blunt trauma were retrospectively reviewed. The sensitivity, specificity, and predictive value were poor in the determination of intra-abdominal injury, whether accompanied by craniofacial injury or not. It was concluded that routine serum amylase determination is of no value in the clinical management of the patient suffering blunt injury.
为了确定血清淀粉酶采样作为腹腔内损伤指标的价值，我们回顾性地分析了940例连续钝性创伤患者的记录。无论是否伴有颅面部损伤，血清淀粉酶在诊断腹腔内损伤时的敏感性、特异性及预测价值均较差。由此得出结论，常规血清淀粉酶测定对钝性损伤患者的临床治疗并无价值。
