Initial exploration of the mechanism of liver palms and spider angioma.
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摘要: 对肝掌和蜘蛛痣 (或毛细血管扩张 )的发生机制进行初步的探讨。对 6 4例有肝掌蜘蛛痣的肝硬化患者及 4 4例无肝掌蜘蛛痣的肝硬化患者血中血管紧张素Ⅰ、血管紧张素Ⅱ、醛固酮、内皮素、胰高血糖素及一氧化氮水平进行检测。男、女患者肝掌的发生率分别为 4 7 6 %和 2 0 8% ,差异有显著性意义 (P <0 0 5 ,x2 =4 4 6 3) ,而男、女患者蜘蛛痣 (或毛细血管扩张 )的发生率差异无显著性意义 (P >0 0 5 ,x2 =0 0 6 0 )。Child -pugh分级C级患者肝掌和 /或蜘蛛痣 (或毛细血管扩张 )的发生率虽然高于A级和B级 ,但差异也无显著性意义 (x2 分别为 0 977和 1 0 15 ,P均大于 0 0 5 )。有肝掌蜘蛛痣的肝硬化患者与无肝掌蜘蛛痣的肝硬化患者血中血管紧张素Ⅰ、血管紧张素Ⅱ、醛固酮、内皮素、胰高血糖素及一氧化氮水平的差异均无显著性意义。肝掌蜘蛛痣的发生与胰高血糖素及一氧化氮等扩血管物质无关 ,与血管紧张素Ⅰ、血管紧张素Ⅱ、醛固酮、内皮素等物质也无关 ,其发生机制尚需进一步研究。Abstract: To explore the mechanism of liver palms and spider angioma (orcapillarectasia) initially. The concentrations of serum AngiotensinⅠ (ATⅠ) , AngiotensinⅡ (ATⅡ) , Aldosterone (ALD) , Endo thelin (ET) , Glucagon (GLUCA) , Nitric Oxide (NO) in 64 patients with liver cirrhosis who presented liver palms and / or spider angioma and 44 patients with the same disease who didn't present liver palms or spider angioma were measured. The presence rates of liver palms in male and female patients were 47 6% and 20 8% respectively ( P <0 05, x 2 =4 463) . The presence rates of spider angioma (or capillarectasia) in male and female patients were 34 5% and 29 2% respectively ( P >0 05, x 2 =0 060) . The presence rate of liver palms and / or spider angioma in patients with grade C of liver function was higher than the rates in patients with grade A and B, but the differences of the rates were not significant (the values of x 2 were 0 977 and 1 015 respectively, P >0 05) . The differences between the levels of serum ATⅠ, ATⅡ, ALD, ET, GLUCA, NO in patients with liver palms and / or spider angioma and patients without liver palms or spider angioma were all not significant. Presence of liver palms and spider angioma has no relationship with serum levels of ATⅠ, ATⅡ, ALD, ET, GLUCA, NO. The mechanism should be studied continuously.
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Key words:
- liver palms /
- spider angioma /
- mechanism
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