摘要
目的研究住院患者发生高钙血症的原因,为临床诊断和治疗提供依据。方法将2016年1月至2017年12月四川大学华西医院住院患者中血钙水平超过3.0mmol/L者共386例纳入研究,分析患者的相关实验室指标,收集患者临床信息,分析每位患者发生高钙血症的病因,按病因进行分类分析。结果386例有高钙血症的住院患者中,外源性因素130例(占34%),甲状旁腺功能亢进88例(占23%),恶性肿瘤121例(占31%),其他47例(占12%)。各病因的患者间血钙水平比较,差异无统计学意义。结论高钙血症的主要原因为外源性因素、恶性肿瘤、甲状旁腺功能亢进等。临床中应结合病史具体分析并采取正确的治疗方案。
Objective We studied the causes of hypercalcemia in hospitalized patients and ultimately provided guidelines for clinical diagnosis and treatment.Methods From January 2016 to December 2017,a total of 386 patients with serum calcium concentration of more than 3.0 mmol/L were enrolled in the West China Hospital of Sichuan University.The laboratory indicators were analyzed and the clinical information was collected to analyze the cause of each patient.The cause of hypercalcemia was classified and analyzed.Results Of the 386 hospitalized patients with hypercalcemia,130(34%)were exogenous factors,88(23%)were hyperparathyroidism,121(31%)were malignant,and 47(12%)were the other causes.There was no significant difference in serum calcium concentration between the various etiology groups.Conclusion The main cause of hypercalcemia is exogenous factors,malignant tumors,and hyperparathyroidism.During the clinical diagnosis and treatment,the doctor needs to analyze the patient′s medical history and adopt the correct treatment plan.
作者
王辉
丁霏
罗薇
廖静
贺勇
聂鑫
李贵星
WANG Hui;DING Fei;LUO Wei;LIAO Jing;HE Yong;NEI Xin;LIGuixing(Department of Laboratory Medicine,West China Hospital,SichuanUniversity,Chengdu 610041,China)
出处
《国际检验医学杂志》
CAS
2019年第15期1811-1813,共3页
International Journal of Laboratory Medicine
基金
四川省科技厅支撑计划项目(2016SZ0044)
