The usefulness of the enzymatic tests in acute poisonings
โ Scribed by Maciej Bogusz
- Publisher
- Springer-Verlag
- Year
- 1975
- Tongue
- English
- Weight
- 507 KB
- Volume
- 34
- Category
- Article
- ISSN
- 0340-5761
No coin nor oath required. For personal study only.
โฆ Synopsis
In the group of 107 patients poisoned by carbon monoxide (18 patients), ethanol (10), barbiturates (18), glutehimide (10), tranquilizers (19), organic solvents (10),salicylates (3), organochlorines (8), and sulfonamides (5)--the activities of 8 serum enzymes were determined for 6 consecutive days of treatment, the enzymes being as follows: aminotransferases, cholinesterase, alkaline phosphatase, lactate, alpha-hydroxybutyrate, glutamate, and sorbitol dehydrogenase. The antipyrine half-life was also assayed. It has been shown that the poisonings by particular groups of poisons do not bring about characteristic changes in the activity of enzymes that might be of any diagnostic value. The intensity of changes was connected withe depth and duration of toxic coma. Most frequently an increase ensued in the activity of AspAt and AlAt in the third 24-hrs period, and an increase in the activity of SDH in the first 24-hrs period. In the group under examination there were 26 drug abusers in whom a shortening of the antipyrine half-life was discovered. They were less responsive to toxic doses of drugs, and the enzymatic changes in them were less distinct. No changes in the activity of tested enzymes, which are characteristic of toxicomania, were found.
๐ SIMILAR VOLUMES
The rating of degree of evidence indicating organic involvement is subject to considerable inter-rater variability. The GBST scores show great,er ability to discriminate between organics and a group of subjects in whom there is no question of organicity than between a group of organics and a group
Benzodiazepines belong to the most widely prescribed group of drugs and are involved in a large proportion of the acute poisonings seen in emergency departments. The aim of the study was to examine whether a relationship exists between the number of poisonings with dierent types of benzodiazepines a