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[酒精性疾病的实验室诊断]

[The laboratory diagnostics of alcoholic disease].

作者信息

Strumnik Anna, Karski Jerzy

机构信息

Niepubliczny Zakład Opieki Zdrowotnej "Klinika", Szpital w Rykach.

出版信息

Pol Merkur Lekarski. 2012 Apr;32(190):270-3.

Abstract

Ethyl alcohol is metabolized in the body with the involvement of three metabolic pathways which are the system of alcohol dehydrogenase (ADH), the layout of the microsomal oxidation of alcohol (MEOS) and pathway of catalase. The above-mentioned routes are oxidative mechanisms for the elimination of alcohol and run in the liver. For the mechanism of oxidative metabolites of alcohol elimination include sialic acid, beta-hexosaminidase, carbohydrate-deficient transferrin, alanine aminotransferase, aspartate aminotransferase, gamma-glutamyltransferase, and 5-hydroxytryptophol. Minor importance in the detoxification pathway of alcohol nonoxidative whose metabolites act as indicators of recent alcohol consumption. These include fatty acid ethyl esters, ethyl glucuronide, etyl sulphate and phosphatidylo ethanol.

摘要

乙醇在体内通过三种代谢途径进行代谢,即酒精脱氢酶(ADH)系统、酒精微粒体氧化(MEOS)布局和过氧化氢酶途径。上述途径是肝脏中消除酒精的氧化机制。酒精消除的氧化代谢产物机制包括唾液酸、β-己糖胺酶、缺糖转铁蛋白、丙氨酸转氨酶、天冬氨酸转氨酶、γ-谷氨酰转移酶和5-羟色醇。在酒精非氧化解毒途径中作用较小,其代谢产物可作为近期饮酒的指标。这些包括脂肪酸乙酯、乙基葡萄糖醛酸苷、硫酸乙酯和磷脂酰乙醇。

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