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目的分析恶性肿瘤伴高钙血症患者的临床诊治特点以及预后情况。方法回顾性分析焦作市第二人民医院肿瘤内科2004-01-2009-06收治的23例晚期恶性肿瘤合并高钙血症患者的临床资料,并随访观察其生存情况,分析其临床特点、诊治规律及影响预后的主要因素。结果 22例患者血钙浓度为2.78~4.37 mmol/L,经双膦酸盐治疗后血钙均降至正常;发现高钙血症后生存时间为3~153 d,中位生存时间仅为36 d。结论高钙血症多见于恶性肿瘤晚期,预后差,应早期诊断,积极予双膦酸盐类药物降血钙治疗。
Objective To analyze the clinical diagnosis and treatment of malignant tumor with hypercalcemia and its prognosis. Methods The clinical data of 23 patients with advanced malignant neoplasm complicated with hypercalcemia admitted to the Department of Oncology, The Second People ’s Hospital of Jiaozuo City from January 2004 to June 2009 were retrospectively analyzed. The patients were followed up to observe their clinical features, diagnosis and treatment And affect the prognosis of the main factors. Results 22 cases of patients with serum calcium concentration of 2.78 ~ 4.37 mmol / L, after treatment with bisphosphonates serum calcium were normal; found after hypercalcemia survival time of 3 ~ 153 d, the median survival time was only 36 d. Conclusion Hypercalcemia is more common in the advanced stage of malignant tumors, the prognosis is poor, should be diagnosed early, positive to bisphosphonates hypocalcemia treatment.