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左心室肥厚( LVH )是维持性血液透析( MHD )最常见的心血管系统并发症。近一半的MHD患者死于LVH引起的心血管病变。已知导致MHD患者 LVH的病因包括:高血压、糖尿病、贫血、钙磷代谢紊乱、微炎症状态、营养不良、血液净化方式不同及透析期间体质量增加等。这些因素互相影响、共同作用于心血管系统,导致其发生重构。“,”Left ventricular hypertrophy(LVH) is one of the most common cardiovascular complications of maintenance hemodialysis(MHD) patients.The causes of left ventricular hypertrophy include hyperten-sion,diabetes,anemia,calcium and phosphorus metabolism disorders,micro-inflammation,malnutrition,dif-ferent types of blood purification,weight gain during dialysis,etc.These factors influence each other and do harm to the cardiovascular system,leading to LVH.