人类具有2组功能独特的小汗腺,1组分布在除掌跖外的全身皮肤,这组对热敏感的腺体,在对热的适应性变化中起着重要的作用;另组小汗腺仅对情绪激动刺激起反应,主要分布在掌跖部。腋下小汗腺对热及情绪激动的反应是独特的。无论是情绪激动或热源刺激所引起的出汗率都表现出极大的个体差异,对多数多汗症患者来说,单纯给予局部治疗措施就足够了,如六水合铝的酒精溶液,然而仍有相当一部分患者用局部治疗无效。采用系统性抗胆碱能治疗。药物必须达到产生毒性作用后方可出现减轻出汗的效果,故此法无实用价值,部分病例可服用镇静剂,如安定,一旦患者习惯于这种药物,就不会产生嗜睡而仍能维持镇静效果,若多汗症局限于腋窝,可对汗腺的主要分布区域施行切除术。显然,对于掌跖多汗症来说,切除术并不适用。数十年来,对于掌部多汗症,赞成用交感神经切除 Humans have two groups of unique small sweat glands, one group is located in the skin outside the palmoplantar and this group of heat-sensitive glands play an important role in the adaptation to heat; the other group only Responsive to emotional stimulation, mainly in the palms and soles. The armpit sweat glands respond to heat and emotions are unique. Both perspiration rates caused by emotional or thermal stimuli show significant individual differences. For most patients with hyperhidrosis, local therapy alone is adequate, such as alcohol in aluminum hexahydrate, however, A considerable number of patients with local treatment ineffective. The use of systemic anticholinergic treatment. Drugs must have to produce toxic effects before they can reduce the effect of sweating, so this method has no practical value, in some cases may take sedatives, such as stability, once the patient accustomed to this drug, it will not produce lethargy and still maintain the calming effect, If hyperhidrosis is confined to the armpits, the main area of ​​sweat glands can be resected. Obviously, for palmoplantar hyperhidrosis, resection does not apply. For decades, hyperhidrosis of the palm, sympathectomy is favored