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[谷氨酸草酰乙酸转氨酶、谷氨酸丙酮酸转氨酶及乳酸脱氢酶升高作为围产期窒息诊断辅助手段的研究]

[Increase in glutamic-oxaloacetic and glutamic-pyruvic transaminases and lactic dehydrogenase as a diagnostic aid in perinatal asphyxia].

作者信息

Sánchez-Nava J, González-Carreño S, Hernández-Martínez J A, Pezzotti y Rentería M A

机构信息

División de Pediatría, Hospital Regional 20 de Noviembre, México, D.F.

出版信息

Bol Med Hosp Infant Mex. 1990 Jun;47(6):372-5.

PMID:2222819
Abstract

In order to determine the behavior of glutamic oxalacetic (GOT), glutamic-pyruvic (GPT) and lactic dehydrogenase (LDH) transaminases after a period of asphyxia, a study was conducted in 120 newborn children which were placed into two groups: group 1 of the asphyxiated children who were given oxygen at intermittent positive pressure for more than a minute and group 2 of healthy children with an Apgar greater than 7 after the first and five minutes and without any apparent pathology. The results showed a real increase in the quantities of all three transaminases among those in the group of asphyxiated children, which on the other hand did not occur in the healthy group of children where levels remained normal. There was statistical differences (P less than 0.001) by which we can conclude that the quantification of these enzymes can be useful as a diagnostic tool in cases of perinatal asphyxia.

摘要

为了确定一段窒息期后谷草转氨酶(GOT)、谷丙转氨酶(GPT)和乳酸脱氢酶(LDH)的变化情况,对120名新生儿进行了一项研究,这些新生儿被分为两组:第1组为窒息儿童,给予间歇正压给氧超过1分钟;第2组为健康儿童,出生后第1分钟和第5分钟阿氏评分大于7分且无明显病理状况。结果显示,窒息儿童组中所有三种转氨酶的量均有实际增加,而健康儿童组中则未出现这种情况,其水平保持正常。存在统计学差异(P小于0.001),由此我们可以得出结论,这些酶的定量测定可作为围产期窒息病例的诊断工具。

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