Research on early identification and nursing intervention of hypercalcemia in emergency malignant tumors
急诊恶性肿瘤高钙血症的早期识别与护理干预研究

摘要

目的 对急诊恶性肿瘤高钙血症早期症状进行识别并总结护理干预对策。方法 回顾性纳入2024年5月-2025年10月急诊恶性肿瘤高钙血症患者56例，对患者早期症状进行评估，急诊治疗期间进行综合性护理，分析护理效果。结果 结合回顾，该部分患者早期容易存在有嗜睡、头晕等神经系统症状，或伴随有恶心、呕吐等消化系统症状。部分患者存在有心律失常、胸闷等心血管系统症状，或夜尿增多、多尿等泌尿系统症状。经综合性护理后，该组患者各方面症状迅速改善，血钙浓度降低，与护理前对比（P<0.05）。结论 急诊恶性肿瘤高钙血症患者早期症状较为复杂，需准确识别患者各方面早期症状，并结合患者病情特点制定各方面护理措施，促使患者各方面症状可以迅速得到缓解。

Abstract

Objective To identify the early symptoms of hypercalcemia in emergency malignant tumors and summarize nursing intervention strategies.
Methods A retrospective analysis was conducted on 56 patients with hypercalcemia in emergency malignant tumors from May 2024 to October 2025. Early symptoms of patients were assessed, comprehensive nursing care was provided during emergency treatment, and nursing outcomes were analyzed.
Results In combination with the review, these patients often presented with early neurological symptoms such as somnolence and dizziness, or gastrointestinal symptoms such as nausea and vomiting. Some patients exhibited cardiovascular system symptoms including arrhythmia and chest tightness. Others showed urinary system symptoms like increased nocturia and polyuria. After comprehensive nursing intervention, various symptoms of the group improved rapidly, and blood calcium levels decreased. Compared with before nursing, there was a statistically significant difference (P < 0.05).
Conclusion   The early symptoms of hypercalcemia in emergency malignant tumor patients are relatively complex. It is necessary to accurately identify various early symptoms and formulate corresponding nursing measures based on the patients’ condition to enable rapid relief of various symptoms.