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作者在文中指出:关于冠心病引起肝掌的机制可能与性激素代谢紊乱、雌激素增多有关,有报道急性心肌梗塞、陈旧性心肌梗塞、自发性心绞痛患者血浆雌二醇和 E_2/T 比值明显增多。关于心肌梗塞发生肝掌机制一方面由于雌二醇水平升高,另一方面本病剧烈疼病引起应激反应,使 ACTH 分泌增多,从而抑制了睾酮分泌,增加了睾酮的清除,儿茶酚胺的分泌增高,促使外周组织对睾酮的转化加速,导致睾酮的水平下降。雌二醇水平的增高促使周围毛细血管扩张而形成肝掌。
The author pointed out in the article: The mechanism of liver palms caused by coronary heart disease may be related to the disorder of sex hormones metabolism and the increase of estrogen. It has been reported that the ratio of plasma estradiol and E 2 / T in acute myocardial infarction, old myocardial infarction and spontaneous angina pectoris patients increased obviously. On the one hand, the mechanism of liver infarction myocardial infarction due to elevated levels of estradiol, on the other hand the disease painful disease caused by stress response, increased ACTH secretion, thus inhibiting the testosterone secretion, increased testosterone clearance, catecholamine secretion Increased, prompting peripheral tissues on the conversion of testosterone accelerated, resulting in decreased levels of testosterone. Increasing estradiol levels cause the surrounding capillaries to dilate to form liver palms.