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酒精中毒的肝脏及其他医学病症:从发病机制到治疗

Hepatic and other medical disorders of alcoholism: from pathogenesis to treatment.

作者信息

Lieber C S

机构信息

Department of Medicine, Mount Sinai School of Medicine, Bronx Veterans Affairs Medical Center, New York 10468, USA.

出版信息

J Stud Alcohol. 1998 Jan;59(1):9-25. doi: 10.15288/jsa.1998.59.9.

DOI:10.15288/jsa.1998.59.9
PMID:9498311
Abstract

The medical risks of moderate and excessive alcohol consumption are reviewed. Current knowledge of metabolism of alcohol, including effects of moderate amounts, on hepatic metabolism and toxicity is summarized, with an evaluation of the relationship between the level of consumption and its effects on nutrients (including retinoids, carotenoids and folate), liver disease and other medical complications of alcoholism, including cardiovascular diseases and cancer. Putative benefits are also considered. Promising therapeutic approaches evolving from newly gained insight in the pathogenesis of medical complications of alcoholism are outlined.

摘要

本文综述了适度饮酒和过量饮酒的医学风险。总结了目前关于酒精代谢的知识,包括适量饮酒对肝脏代谢和毒性的影响,并评估了饮酒量与其对营养素(包括类视黄醇、类胡萝卜素和叶酸)、肝脏疾病以及酒精中毒的其他医学并发症(包括心血管疾病和癌症)的影响之间的关系。文中还考虑了潜在的益处。概述了从对酒精中毒医学并发症发病机制的新认识中发展而来的有前景的治疗方法。

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Hepatic and other medical disorders of alcoholism: from pathogenesis to treatment.酒精中毒的肝脏及其他医学病症:从发病机制到治疗
J Stud Alcohol. 1998 Jan;59(1):9-25. doi: 10.15288/jsa.1998.59.9.
2
Metabolism of ethanol and some associated adverse effects on the liver and the stomach.乙醇的代谢及其对肝脏和胃的一些相关不良影响。
Recent Dev Alcohol. 1998;14:7-40. doi: 10.1007/0-306-47148-5_2.
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Alcohol, liver, and nutrition.酒精、肝脏与营养
J Am Coll Nutr. 1991 Dec;10(6):602-32. doi: 10.1080/07315724.1991.10718182.
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Alcohol and nutrition: caloric value, bioenergetics, and relationship to liver damage.酒精与营养:热量值、生物能量学及其与肝损伤的关系。
Annu Rev Nutr. 1986;6:457-74. doi: 10.1146/annurev.nu.06.070186.002325.
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[Alcoholic liver disease].[酒精性肝病]
Wiad Lek. 2003;56(1-2):61-70.
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Medical problems associated with alcoholism.与酗酒相关的医学问题。
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[Biochemical aspects of alcoholism. IV. Alcohol-induced diseases of the liver].[酒精中毒的生化方面。IV. 酒精性肝病]
Postepy Hig Med Dosw. 1989;43(5-6):541-73.
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[The liver and alcohol].[肝脏与酒精]
Z Gastroenterol. 1988 Oct;26 Suppl 3:53-9.
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[Alcohol-induced damage of the liver].[酒精性肝损伤]
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Am J Clin Nutr. 1979 Dec;32(12 Suppl):2654-8. doi: 10.1093/ajcn/32.12.2654.

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Buprenorphine maintenance treatment retention improves nationally recommended preventive primary care screenings when integrated into urban federally qualified health centers.丁丙诺啡维持治疗保留率在整合至城市联邦合格健康中心时,可改善国家推荐的预防性初级保健筛查。
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