[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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":26},"nurse-106-1-內外科護理學-007","nurse-106-1-medical-surgical-007",106,1,7,"江先生，85 歲，於 1 個月前頭部不小心撞到門框，當時並無任何異狀，但近來常出現記憶力差、嗜睡等症狀，今早因意識越來越差，由家屬送至急診，經電腦斷層掃描診斷為慢性硬膜下出血，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"此種出血多為靜脈出血","會出現巴特爾氏徵象（Battle’s Sign）","一定會出現鼻漏或耳漏","一定會出現庫欣氏三病徵（Cushing’s Triad）","A",null,[],"本題考點為慢性硬膜下出血的病生理特徵。依其成因,老年人腦萎縮使橋靜脈受牽扯,輕微頭部外傷即造成橋靜脈緩慢滲血,故多為靜脈性出血、症狀延遲數週才顯現,與題幹85歲、外傷後漸進意識變差相符,選A。B巴特爾氏徵象屬顱底骨折;C鼻漏或耳漏並非硬膜下出血的必然表現;D庫欣氏三病徵(血壓升高、脈搏變慢、呼吸型態改變)是顱內壓急遽升高的晚期徵象,並非一定出現,故B、C、D皆錯。","硬膜下出血源自橋靜脈(低壓、慢滲),故可延遲成慢性;硬膜外出血多來自腦膜中動脈(高壓、快速),典型有清醒期後急轉惡化。老年、酗酒、抗凝血藥使用者是慢性硬膜下血腫高危族群。庫欣三病徵屬顱內壓升高的代償晚期,並非每例都會呈現。",[24,27,30,32],{"term":25,"count":26},"慢性硬膜下出血",3,{"term":28,"count":29},"橋靜脈",2,{"term":31,"count":29},"庫欣氏三病徵",{"term":33,"count":10},"靜脈性出血",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-medical-surgical-008","有關腦脊髓液的分析結果，下列何者正常？",8,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-medical-surgical-024","有關喉癌之敘述，下列何者錯誤？",24,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-medical-surgical-038","減少腫瘤溶解症候群發生之處置，下列何者錯誤？",38,107,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-1-medical-surgical-076","依據吳先生的症狀與徵象估計其失血量，下列何者正確？",76,108,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-109-2-medical-surgical-040","有關 Fentanyl 皮膚止痛貼片照護之敘述，下列何者錯誤？",40,109,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-110-2-medical-surgical-074","承上題，有關王先生診斷可能出現的徵象，下列何者錯誤？",74,110,"2026-09-04",1788510692684]