关键词: 高钙血症, 老年人, 诊断

Abstract:

Objective To analyze clinical characteristics and causes of elderly patients with hypercalcemia. Methods The clinical manifestations and diagnosis and treatment process of three elderly patients with hypercalcemia admitted to Shaanxi Provincial People's Hospital were retrospectively analyzed, and the related literature were reviewed. Results Clinical manifestations of the three elderly patients with hypercalcemia varied, one patient suffered from drowsiness as the initial symptom, one patient showed systemic myasthenia, and the other patient showed speech disorder. All the three patients received multiple examinations, and hypercalcemia was confirmed by checking the serum calcium level curve. The serum calcium level was significantly decreased and the clinical symptoms were effectively improved after massive fluid rehydration, diuresis, intramuscular injection of salmon calcitonin, continuous renal replacement therapy and similar therapeutic measures. Conclusion The elderly should be alerted to the possibility of hypercalcemia and timely determine the serum calcium if they suffer from sudden changes in consciousness, general myasthenia gravis and speech disorder. Normally, the incidence of hypercalcemia in elderly patients is relatively hidden and the clinical symptoms are not specific, it is necessary to expand the idea for diagnosis and treatment when the acute attack of cardio-cerebrovascular disease is ruled out and the curative effect is not satisfactory, and take note of eliminating the possibility of hypercalcemia.

Key words: hypercalcemia, aged, diagnosis