並列摘要
Hypercalcemia is one of the common problems in the hospice ward. Hypercalcemia has been diagnosed in around 20 to 30 percent of patients with cancer during the course of their diseases. The main presenting symptoms of hypercalcemia were bone pain, anorexia, constipation and altemation of the consciousness. The detection of hypercalcemia in a patient with cancer signifies a poor prognosis; about 50 percent of such patients die within 30 days. Therefore hypercalcemia is one of the dying signs in patients with cancer. If hypercalcemia had been diagnosed, we must inform patient and his (her) family about the findings, as well as prognosis. Once hypercalcemia under control, the patents consciousness may improve and other symptoms related to hypercalcemia will be alleviated. He or She will have a better time with his (her) family: However, there were some families who feel that impaired consciousness might be more appropriate for the dying patient and further aggressive management of hypercalcemia might hot be warranted. Therefore it is important to make appropriate management decision about hypercalcemia in hospice ward.
延伸閱讀
- 楊秀謙、黃文德、吳家兆（2017）。高血鈣的診斷與治療。內科學誌，28(3)，168-180。https://doi.org/10.6314/JIMT.2017.28(3).07
- 韓明霖、陳萬裕（1982）。高鈣血症與惡性腫瘤。當代醫學，(103)，388-390。https://doi.org/10.29941/MT.198205.0004
- 陳遠浩、陳烱暉、朱夢麟（1988）。高鈣尿症與血尿－二病例報告。Acta Paediatrica Sinica，29(2)，126-130。https://www.airitilibrary.com/Article/Detail?DocID=00016578-198804-29-2-126-130-a
- 游惟勝、吳曉玲、康曉妍、古育瑄（2017）。低鈣血症的病理機轉與治療。家庭醫學與基層醫療，32(3)，72-77。https://www.airitilibrary.com/Article/Detail?DocID=P20090727001-201703-201704060013-201704060013-72-77
- 李忠政、黃文德、林石化（2011）。Diagnosis and Treatment of Hypokalemia。內科學誌，22(1)，31-39。https://doi.org/10.6314/JIMT.2011.22(1).04