Zima T
1. ústav lékarská chemie a biochemie 1. LF UK, Praha.
Cas Lek Cesk. 1996 Jul 14;135(14):458-65.
Alcohol is one of the most widely used addictive substances. It can be assumed that everybody encounters alcohol--ethanol in various forms and concentrations in the course of their lives. A global and social problem of our civilization is alcohol consumption which has a rising trend. Since 1989 the consumption of alcoholic beverages is rising and the mean annual consumption of concentrated ethanol per head is cea 10 litres. In ethanol abuse the organism is damaged not only by ethanol alone but in particular by substances formed during its metabolism. Its detailed knowledge is essential for the knowledge and investigations of the metabolic and toxic effect of ethanol on the organism. Ingested alcohol is in 90-98% eliminated from the organism by three known metabolic pathways: 1-alcohol dehydrogenase, 2-the microsomal ethanol oxidizing system and 3-catalase. Alcohol is a frequent important risk factor of serious "diseases of civilization" such as IHD, hypertension, osteoporosis, neoplastic diseases. Cirrhosis of the liver and chronic pancreatitis are the well known diseases associated with alcohol ingestion and also their most frequent cause. It is impossible to list all organs and diseases which develop as a result of alcohol consumption. It is important to realize that regular and "relatively" small amounts in the long run damage the organism and may be even fatal.
酒精是使用最为广泛的成瘾性物质之一。可以假定,每个人在其一生中都会以各种形式和浓度接触到酒精——乙醇。饮酒是我们文明社会的一个全球性社会问题,且呈上升趋势。自1989年以来,酒精饮料的消费量一直在增加,人均每年纯乙醇的消费量约为10升。在酒精滥用的情况下,机体不仅会受到乙醇本身的损害,尤其还会受到其代谢过程中形成的物质的损害。详细了解这一点对于认识和研究乙醇对机体的代谢及毒性作用至关重要。摄入的酒精90% - 98%通过三种已知的代谢途径从机体中消除:1 - 乙醇脱氢酶,2 - 微粒体乙醇氧化系统,3 - 过氧化氢酶。酒精是严重“文明病”如缺血性心脏病、高血压、骨质疏松症、肿瘤性疾病等常见的重要危险因素。肝硬化和慢性胰腺炎是与饮酒相关的众所周知的疾病,也是其最常见的病因。因饮酒而引发的所有器官病变和疾病不胜枚举。重要的是要认识到,长期规律饮用“相对”少量的酒也会损害机体,甚至可能致命。