To explore the changes in serum
enzymes in patients with a
snake bite, the treatment of respiratory dysfunction, and the clinical effect of anti-snake serum treatment. Fifty
snake bite patients admitted to the emergency medicine department were selected and rolled into a light group (n=27), heavy group (n=15), and critical group (n=8). Anti-venomous snake serum was injected intravenously. Patients with severe respiratory dysfunction were treated with
mechanical ventilation. The white blood cell (WBC),
C-reactive protein (CRP),
interleukin-6 (IL-6),
alanine aminotransferase (ALT),
aspartate aminotransferase (AST), blood
urea nitrogen (BUN), and
creatinine (Cr) counts of the heavy group and the critical group were higher versus light group (P<0.05). The WBC, CRP,
IL-6, ALT, AST, BUN, and Cr of the critical group were higher versus the heavy group (P<0.05). The prothrombin time (PT), activated partial thrombin time (APTT), and thrombin time (TT) of the heavy group and critical group were longer versus the light group (P<0.05). The PT, APTT, and TT of the critical group were longer than the heavy group (P<0.05). The
fibrinogen (FIB) of the light group was higher in contrast to that in the other two groups (P<0.05), while the critical group was the lowest (P<0.05). In summary, the severity of
snakebites in patients can be evaluated according to the indexes of WBC,
IL-6, coagulation function, and liver and kidney function.