[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-115-1-內外科護理學-006","nurse-115-1-medical-surgical-006",115,1,6,"有關急性胰臟炎的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"因膽道疾病導致膽汁與胰液逆流而引起","穆菲氏徵象（Murphy’s sign）是常見表徵","康復期應採高脂飲食","血清中鈣濃度通常會升高","A",null,[],"本題考點是急性胰臟炎的成因與檢驗表現。依共同通路理論,膽結石阻塞在總膽管與胰管會合處的 Vater 氏壺腹時,膽汁逆流入胰管並使胰液排出受阻,胰蛋白酶在腺體內被提前活化而發生自體消化,膽道疾病與酒精因此並列兩大主因,選 A。B 錯:穆菲氏徵象是右上腹深壓時吸氣中止,屬急性膽囊炎的表徵,胰臟炎的痛為上腹持續劇痛並穿透至背部。C 錯:脂肪刺激膽囊收縮素分泌而增加胰液,康復期採低脂飲食。D 錯:胰脂解酶使腹腔脂肪皂化並結合鈣離子,血鈣通常下降而非升高。","檢驗上血中澱粉酶在數小時內上升、約 24 小時達高峰,脂解酶上升較慢但持續較久且特異性高,兩者合看可判斷病程。低血鈣是預後不良指標之一,其機轉為脂肪壞死區形成鈣皂沉積,並非攝取不足。體徵上 Cullen 徵象(臍周瘀青)與 Grey Turner 徵象(側腹瘀青)代表出血性壞死,屬重症線索。記憶口訣:胰臟炎「痛在上腹穿到背、彎腰抱膝比較好、澱粉脂解一起飆、鈣往下掉最危險」。延伸複習:Ranson 預後指標、禁食與鼻胃管減壓的生理理由、慢性胰臟炎造成脂肪便與糖尿病的內外分泌雙重失能。",[24,26,28,30],{"term":25,"count":10},"共同通路理論",{"term":27,"count":10},"胰酶自體消化",{"term":29,"count":10},"穆菲氏徵象",{"term":31,"count":10},"脂肪皂化與低血鈣",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-medical-surgical-007","有關口服膽囊攝影檢查（oral cholecystography）的敘述，下列何者正確？",7,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-medical-surgical-017","有關骨折癒合及治療之敘述，下列何者錯誤？",17,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-medical-surgical-055","有關氣管內插管病人之護理措施，下列何者錯誤？",55,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-medical-surgical-019","王先生，55 歲，身體質量指數為 30 kg\u002Fm 2 ，紅血球沉降速率正常範圍，主訴早晨起來關節疼痛與僵硬，在活動幾分鐘後可緩解僵硬。下列何者為王先生最可能的診斷？",19,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-1-medical-surgical-053","有關放置胸管（chest tube）病人的照護，下列何者正確？",53,110,"2026-08-06",1787299088581]