Farkouh E, Wassef R, Atlas H, Allard M
Can J Surg. 1982 Nov;25(6):626-8.
Possible intra-abdominal injuries were sought in 101 patients admitted with blunt abdominal trauma. The serum amylase level was measured in the first 12 hours after the accident. Twenty-five patients had hyperamylasemia; 18 underwent laparotomy and 7 were treated conservatively. At laparotomy all 18 patients exhibited at least one serious intra-abdominal lesion, and there was a total of 28 lesions in the who group (including only four pancreatic injuries). The mean value of the serum amylase for those who had laparotomy was 1190 IU, while it was only 363 IU for those not operated upon. The authors conclude that hyperamylasemia in blunt abdominal trauma is not specific to pancreatic injury, but may suggest the presence of a serious intra-abdominal lesion.
对101例因钝性腹部创伤入院的患者进行了可能存在的腹腔内损伤检查。在事故发生后的前12小时内测定血清淀粉酶水平。25例患者出现高淀粉酶血症；18例行剖腹手术，7例接受保守治疗。剖腹手术时，所有18例患者均至少有一处严重的腹腔内病变，全组共有28处病变（仅包括4例胰腺损伤）。接受剖腹手术患者的血清淀粉酶平均值为1190 IU，而未接受手术患者的血清淀粉酶平均值仅为363 IU。作者得出结论，钝性腹部创伤中的高淀粉酶血症并非胰腺损伤所特有，但可能提示存在严重的腹腔内病变。
