The Clinical Significance of Measuring the Level and Trend of Butyrylcholinesterase for Patients with Gloydius blomhoffii Bite
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 7
Abstract
We retrospectively conducted a medical chart review of all patients with mamushi bites who were treated in our department between July 2013 and August 2017. The subjects were divided into two groups: the Mild group included subjects whose grades of mamushi bites were I and II, while the Severe group included subjects whose grades of mamushi bites were III, IV, and V. The subjects’ age, sex, medical history, duration from bite to arrival at the hospital, grade on arrival and the maximum grade of mamushi bites classification during hospitalization, hospital day of occurrence of maximum grade of mamushi bites, duration of hospitalization, ratio of reception of anti-venom, mortality rate, and the level of BCHE on arrival, at its minimum, and its trend within seven days were investigated and compared between the two groups. Thirty-five cases were examined in this study. The swelling associated with mamushi bites tended to be significantly worse after admission, even if the patients received treatment. The swelling associated with mamushi bites ceased within seven days of arrival. The BCHE level showed a significant decreasing trend after admission. The grade of mamushi bites on arrival, ratio of reception of anti-venom, diminution (level on arrival minus the minimum level of BCHE during hospitalization) of BCHE, and duration of hospitalization in the Mild group were significantly lower than in the Severe group. However, the minimum BCHE level in the Mild group was significantly higher than that in the Severe group. In addition, the minimum BCHE level had a moderate negative relationship with the maximum grade classification, while the diminution of BCHE had a moderate positive relationship with the maximum grade classification. Accordingly, BCHE may be useful for objectively and quantitatively evaluating patients with mamushi bites.
Authors and Affiliations
Ikuto Takeuchi MD, Kazuhiko Omori MD. PhD. , Hiroki Nagasawa MD. , Kei Jitsuiki MD. , Akihiko Kondo MD. , Hiromichi Ohsaka MD. PhD. , Kouhei Ishikawa MD PhD. , Youichi Yanagawa MD. PhD
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