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内分泌器官疾病往往影响全身,包括心血管系统。本文概述内分泌疾病的心血管系统表现。脑垂体疾病一、肢端肥大症或巨人症垂体前叶生长激素细胞腺瘤或增生,发生于青春期前,可引起巨人症;发生于青春期后,因骨骺已闭,发展为肢端肥大症。其心血管系统改变与生长激素增多和内脏器官增生有关。 (一)心脏增大 X线胸片可见心影比正常人为大,尤其是左室肥厚的程度可能超过其他内脏。但因患者的身长及(或)体重超过正常,故按公式推算,心脏面积增大者相对少见。例如我国上海报告的28例肢端肥大症,有心脏肥大者仅2例(7.1%)。但超声心动图检查有左室后壁或室间隔肥厚者分别占14.3%和21.4%;左室心肌重量大于正常者占39.3%。心脏增大与病程及伴有高血压的时限有关。肢端肥大症患
Endocrine disorders often affect the body, including the cardiovascular system. This article provides an overview of cardiovascular system manifestations of endocrine disorders. A pituitary disease Acromegaly or gigantism Anterior pituitary growth hormone cell adenoma or hyperplasia, occurred in pre-puberty, can cause gigantism; occurred in puberty, due to epiphyseal closed, the development of acromegaly. Its cardiovascular system changes and increased growth hormone and visceral organ hyperplasia. (A) increased heart X-ray showed psychedelic large than normal, especially the extent of left ventricular hypertrophy may be more than other viscera. However, due to the patient’s length and / or weight over normal, so calculated according to the formula, the heart area is relatively rare. For example, 28 cases of acromegaly were reported in Shanghai, China. Only 2 cases (7.1%) had cardiac hypertrophy. However, echocardiography with left ventricular posterior wall or septal hypertrophy accounted for 14.3% and 21.4% respectively; left ventricular myocardial weight was greater than the normal 39.3%. Increased heart and duration of the disease associated with hypertension. Acromegaly suffering