악안면 손상후 Serum Transaminase 수치의 변화에 관한 연구

Alterations of serum transminase levels after maxillofacial trauma : clinical study and literature review

Abnormalities of hepatic function and morpholgy have been observed frequently in severely injured patients. The causes of these abnormalities are not established although hepatic ischemia has been implicated. In this study, elevated serum enzymatic changes(SGOT SGPT) were observed in 34 of 103 patients with maxillofacial trauma. They usually recovered at normal values before receiving an operation and complete recovery was seen before discharge. We must differentiate the true liver disease from the trauma-related false abnormal liver function. The careful study of elevated SGOT and SGPT levels in the injured patient is important in the assessment of those individuals who are at risk for drug related complications and potential misdiagnosis of the true liver disease.