Iakovchenko V A, Makarovskiĭ V V, Moshkin A V
Zh Nevrol Psikhiatr Im S S Korsakova. 1993;93(5):79-81.
The serum activity of alanine aminotransferase, aspartate aminotransferase, glutamate dehydrogenase, gamma-glutamyl transferase and creatinine kinase was studied in 81 patients with chronic alcoholism and 31 patients with alcoholic psychoses. Eighty-one healthy apparently non-drinkers served as a control group. It is concluded that when acute alcoholic psychoses develop, patients with chronic alcoholism display a simultaneous increase in the activity of enzymes releasing from damaged muscular and hepatic tissues. This makes the application of a number of the diagnostic criteria developed in classical clinical enzymology impossible. The phenomenon of concurrent increases in the activity of creatine kinase, aspartate aminotransferase and glutamate dehydrogenase by 4 times or more has been proposed to be used as a criteria for identifying alcoholic psychosis in alcoholics.
对81例慢性酒精中毒患者和31例酒精性精神病患者的血清丙氨酸转氨酶、天冬氨酸转氨酶、谷氨酸脱氢酶、γ-谷氨酰转移酶及肌酸激酶活性进行了研究。81名明显不饮酒的健康人作为对照组。得出的结论是,当急性酒精性精神病发作时,慢性酒精中毒患者受损肌肉和肝脏组织释放的酶活性会同时升高。这使得经典临床酶学中制定的一些诊断标准无法应用。肌酸激酶、天冬氨酸转氨酶和谷氨酸脱氢酶活性同时升高4倍或更多的现象已被提议用作识别酗酒者酒精性精神病的标准。