Boişteanu P, Naum E, Chiriţă V, Marinescu V, Pirozynski T
Rev Med Chir Soc Med Nat Iasi. 1989 Jul-Sep;93(3):491-6.
The late diagnosis of severe alcoholism--often after the onset of somatic complaints and the appearance of psychic disorders needs extensive research able to identify new objective clinical and paraclinical markers to allow early and accurate identification of alcoholism also after various periods of abstinence. The scores obtained are the consequence of alcohol abuse and not of nutritional deficiencies or some other associated visceral-humoral sufferings. The authors underline the significance of gamma-GTP in assessing early severe alcoholism state and the necessity and importance of finding certain specific biological markers--early and sensitive for etillic intoxication--that would considerably simplify the manner of diagnosis and an efficient therapy. The identification of certain significant and specific markers before the onset of visceral-humoral disorders would improve the psychoprotective measures before the onset of tolerance and withdrawal--determinant factors of severe etillic intoxication.
严重酒精中毒的晚期诊断——通常在出现躯体不适和精神障碍之后——需要进行广泛研究,以确定新的客观临床和辅助临床标志物,从而能够在不同戒酒期后早期准确识别酒精中毒。所获得的分数是酒精滥用的结果,而非营养缺乏或其他相关内脏-体液疾病的结果。作者强调γ-谷氨酰转肽酶在评估早期严重酒精中毒状态方面的重要性,以及寻找某些特定生物标志物——对乙醇中毒早期且敏感——的必要性和重要性,这将大大简化诊断方式并实现有效治疗。在内脏-体液疾病发作之前识别某些重要且特定的标志物,将改善在耐受性和戒断(严重乙醇中毒的决定性因素)发作之前的心理保护措施。