肝脏病的若干内分泌表现

• 作 者: 罗邦尧 蔡厚明 沈卫峰 张家庆
• 机 构: 上海第二医学院附属瑞金医院,上海第二医学院附属瑞金医院,上海第二医学院附属瑞金医院,第二军医大学长海医院,
• 出 处: 国外医学(内科学分册)
• 发表日期: 1981年03期
• 关键词: 肝脏病 内分泌异常 原发性肝细胞癌 红细胞生成素 血色病 甲状旁腺激素 高钙血症 内分泌腺 红细胞增多症 肝硬化

某些对肝脏有影响的疾病可能表现为内分泌异常,例如,血色病常表现糖尿病和睾丸功能不全;原发性肝细胞癌患者通常有红细胞增多症和高钙血症,可能由于红细胞生成素和甲状旁腺激素样多肽所致。肝硬化患者的内分泌异常继发于肝脏本身的疾病,因而多数内分泌腺均可受累;肝脏对激素的代谢减退和血浆结合异常可进一步加重内分泌紊乱。本文就肝脏病患者的临床内分泌异常作一综述。

Some diseases that affect the liver may show endocrine abnormalities, for example, hemochromatosis often presents with diabetes and testicular insufficiency; patients with primary hepatocellular carcinoma usually have polycythemia and hypercalcemia, may be due to erythropoietin and Parathyroid hormone-like peptide caused. Endocrine disorders in patients with liver cirrhosis secondary to the liver itself, and therefore most of the endocrine glands can be involved; the liver of the hormone metabolism and plasma abnormalities can further aggravate endocrine disorders. This article reviews the clinical endocrine abnormalities in patients with liver disease.