[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-115-2-內外科護理學-005","nurse-115-2-medical-surgical-005",115,2,5,"當腦瘤病人出現噴射性嘔吐時，腫瘤最可能壓迫到下列那一個部位？",{"A":14,"B":15,"C":16,"D":17},"中腦","橋腦","延腦","下視丘","C",null,[],"本題考點是嘔吐中樞的解剖定位。依生理學,嘔吐中樞位於延腦網狀結構,鄰近第四腦室底部的化學受體觸發區;當腫瘤或顱內壓上升直接壓迫刺激此處時,會出現不伴隨前驅噁心、突然而有力的噴射性嘔吐,故選 C。A 錯在中腦受壓主要影響第三對腦神經與網狀活化系統,表現為瞳孔對光反應異常、眼球運動障礙與意識改變。B 錯在橋腦病灶多呈凝視麻痺、針點狀瞳孔與異常呼吸型態。D 錯在下視丘負責體溫、水分電解質、內分泌與食慾調節,受壓表現為尿量異常與體溫失調,皆非噴射性嘔吐的定位所在。","噴射性嘔吐與一般腸胃道嘔吐的差別在刺激入口:前者由顱內壓直接刺激延腦嘔吐中樞,因此不經噁心前驅期就爆發;後者經迷走神經與化學受體觸發區傳入,多先噁心。顱內壓上升的經典三徵可一起記:清晨加劇的頭痛、噴射性嘔吐、視乳突水腫與視覺模糊,嬰兒另加頭圍增加與前囟膨出。延腦同時含呼吸與心血管中樞,一旦受壓或疝脫會出現 Cushing 三徵(血壓上升且脈壓變大、心跳變慢、呼吸不規則),屬腦幹功能受損的危險訊號,是與腦壓上升早期表現對照的重點。",[24,26,29,31],{"term":25,"count":10},"顱內壓上升",{"term":27,"count":28},"延腦嘔吐中樞",1,{"term":30,"count":28},"噴射性嘔吐",{"term":32,"count":28},"腦幹功能定位",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-medical-surgical-006","有關腸阻塞之敘述，下列何者錯誤？",6,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-medical-surgical-052","有關肺栓塞之預防措施，下列何者最重要？",52,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-medical-surgical-066","有關黏液性水腫昏迷之敘述，下列何者正確？",66,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-medical-surgical-024","有關喉癌手術後發聲及吞嚥功能改變之敘述，下列何者錯誤？",24,108,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-medical-surgical-068","有關糖尿病酮酸中毒（DKA）的敘述，下列何者正確？",68,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-medical-surgical-022","有關白內障症狀的敘述，下列何者錯誤？",22,110,"2026-08-06",1787299036987]