参考文献:1.Croce MA, Fabian TC, Menke PG, Waddle-Smith L, Minard G, Kudsk KA, et al. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial. Ann Surg. 1995;221(6):744–53.PubMedCentral CrossRef PubMed 2.Piper GL, Peitzman AB. Current management of hepatic trauma. Surg Clin North Am. 2010;90(4):775–85.CrossRef PubMed 3.Federle MP, Goldberg HI, Kaiser JA, Moss AA, Jeffrey RB Jr, Mall JC. Evaluation of abdominal trauma by computed tomography. Radiology. 1981;138(3):637–44.CrossRef PubMed 4.Brenner DJ, Hall EJ. Computed tomography–an increasing source of radiation exposure. N Engl J Med. 2007;357(22):2277–84.CrossRef PubMed 5.Richards JR, McGahan JP, Pali MJ, Bohnen PA. Sonographic detection of blunt hepatic trauma: hemoperitoneum and parenchymal patterns of injury. J Trauma. 1999;47(6):1092–7.CrossRef PubMed 6.Oldham KT, Guice KS, Kaufman RA, Martin LW, Noseworthy J. Blunt hepatic injury and elevated hepatic enzymes: a clinical correlation in children. J Pediatr Surg. 1984;19(4):457–61.CrossRef PubMed 7.Hennes HM, Smith DS, Schneider K, Hegenbarth MA, Duma MA, Jona JZ. Elevated liver transaminase levels in children with blunt abdominal trauma: a predictor of liver injury. Pediatrics. 1990;86(1):87–90.PubMed 8.Puranik SR, Hayes JS, Long J, Mata M. Liver enzymes as predictors of liver damage due to blunt abdominal trauma in children. South Med J. 2002;95(2):203–6.CrossRef PubMed 9.Karam O, La Scala G, Le Coultre C, Chardot C. Liver function tests in children with blunt abdominal traumas. Eur J Pediatr Surg. 2007;17(5):313–6.CrossRef PubMed 10.Stassen NA, Lukan JK, Carrillo EH, Spain DA, Norfleet LA, Miller FB, et al. Examination of the role of abdominal computed tomography in the evaluation of victims of trauma with increased aspartate aminotransferase in the era of focused abdominal sonography for trauma. Surgery. 2002;132(4):642–6.CrossRef PubMed 11.Srivastava AR, Kumar S, Agarwal GG, Ranjan P. Blunt abdominal injury: serum ALT-A marker of liver injury and a guide to assessment of its severity. Injury. 2007;38(9):1069–74.CrossRef PubMed 12.Sahdev P, Garramone RR Jr, Schwartz RJ, Steelman SR, Jacobs LM. Evaluation of liver function tests in screening for intra-abdominal injuries. Ann Emerg Med. 1991;20(8):838–41.CrossRef PubMed 13.Tian Z, Liu H, Su X, Fang Z, Dong Z, Yu C, et al. Role of elevated liver transaminase levels in the diagnosis of liver injury after blunt abdominal trauma. Exp Ther Med. 2012;4(2):255–60.PubMedCentral PubMed 14.Tan KK, Bang SL, Vijayan A, Chiu MT. Hepatic enzymes have a role in the diagnosis of hepatic injury after blunt abdominal trauma. Injury. 2009;40(9):978–83.CrossRef PubMed 15.Lee WC, Kuo LC, Cheng YC, Chen CW, Lin YK, Lin TY, et al. Combination of white blood cell count with liver enzymes in the diagnosis of blunt liver laceration. Am J Emerg Med. 2010;28(9):1024–9.CrossRef PubMed 16.Hamada H, Tagawa Y, Fujita T, Nishida M, Endo Y, Kobayashi K, et al. Cut-off values for AST and ALT as criteria for performing abdominal enhanced computed tomography (CT) in the diagnosis of blunt liver injury. J Jpn Assoc Acute Med. 2012;23:142–50 (Article in Japanese). 17.Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR. Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995;38(3):323–4.CrossRef PubMed 18.Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982;143(1):29–36.CrossRef PubMed 19.Perkins NJ, Schisterman EF. The inconsistency of “optimal” cutpoints obtained using two criteria based on the receiver operating characteristic curve. Am J Epidemiol. 2006;163(7):670–5.PubMedCentral CrossRef PubMed 20.Shanmuganathan K. Multi-detector row CT imaging of blunt abdominal trauma. Semin Ultrasound CT MR. 2004;25(2):180–204.CrossRef PubMed 21.Hammerstingl RM, Vogl TJ. Abdominal MDCT: protocols and contrast considerations. Eur Radiol. 2005;15(Suppl 5):E78–90.CrossRef PubMed 22.Aschoff AJ. MDCT of the abdomen. Eur Radiol. 2006;16(Suppl 7):M54–7.CrossRef PubMed
1. Department of Emergency Medicine, Teikyo University Hospital, 2-11-1 Kaga, Itabashi, Tokyo, Japan 3. Department of Traumatology, Oslo University Hospital-Ulleval, Oslo, Norway 2. Department of Emergency Medicine, Toranomon Hospital, Tokyo, Japan
刊物主题:Biomedicine general; Medicine/Public Health, general; Life Sciences, general;
出版者:BioMed Central
ISSN:1756-0500
文摘
Background Patients with blunt trauma to the liver have elevated levels of liver enzymes within a short time post injury, potentially useful in screening patients for computed tomography (CT). This study was performed to define the optimal cut-off values for serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) in patients with blunt liver injury diagnosed with contrast enhanced multi detector-row CT (CE-MDCT).