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目的:探讨骨折创伤后肝功能异常的原因。方法:对2865例不同性质四肢骨折创伤后血清丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)等肝功异常情况进行分析统计。结果:2865例骨折创伤后发生肝功异常238例(8.3%);不同部位骨折创伤后的肝功异常无显著差异(P>0.05);多发骨折、开放骨折、休克、全身炎症反应者转氨酶升高差异显著(P<0.05)。结论:多发骨折、开放骨折等创伤后肝功异常发生率高,且与骨折创伤的严重程度密切相关。
Objective: To investigate the causes of liver dysfunction after traumatic fracture. Methods: A total of 2865 cases of traumatic fractures of the extremities were analyzed. Serum levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were analyzed. Results: There were 238 cases (8.3%) of abnormal liver function after fracture in 2865 cases. There was no significant difference in liver function abnormalities after trauma in different parts (P> 0.05). Multiple fractures, open fractures, shock, systemic transaminase High difference was significant (P <0.05). Conclusion: The incidence of liver abnormalities such as multiple fractures and open fractures is high, which is closely related to the severity of fractures.