[Detection of hepatic lesions in patients with multiple injuries. Value of the determination of blood glutamo-pyruvic transaminase].
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.
D000007:Abdominal Injuries / Q000175:diagnosis; D000293:Adolescent; D000328:Adult; D000410:Alanine Transaminase / Q000097:blood*; D001803:Blood Transfusion; D002986:Clinical Trials as Topic; D005260:Female; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D012774:Shock, Traumatic / Q000201:enzymology; D013997:Time Factors; D014947:Wounds and Injuries / Q000201:enzymology
D000410:Alanine Transaminase
Détection des lésions hépatiques chez les polytraumatisés. Intérêt du dosage de la transaminase glutamo-pyruvique sérique