[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-012":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":25},"nurse-106-1-內外科護理學-012","nurse-106-1-medical-surgical-012",106,1,12,"有關肝硬化造成腹水的機轉，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"門脈高壓","留鹽激素增加","膠質滲透壓增加","血清蛋白減少","C",null,[],"本題考點為肝硬化腹水的形成機轉,屬找錯誤敘述題。依其病生理,肝硬化造成門脈高壓使靜水壓升高、體液滲入腹腔;肝功能受損使白蛋白合成減少,膠質滲透壓「下降」使血管留不住水分;有效循環血量下降又刺激醛固酮(留鹽激素)增加、加重鈉水滯留。故A門脈高壓、B留鹽激素增加、D血清蛋白減少皆正確,C「膠質滲透壓增加」與實際的下降相反,為錯誤敘述。","腹水四機轉環環相扣:門脈高壓(靜水壓↑)、低白蛋白(膠質滲透壓↓)、醛固酮與 ADH 上升(鈉水滯留)、淋巴回流過載。膠質滲透壓由白蛋白維持,白蛋白一低就下降——C 把因果反向即為陷阱。治療重點為限鈉、利尿劑與必要時補充白蛋白。",[24,26,29,32],{"term":14,"count":25},5,{"term":27,"count":28},"醛固酮",4,{"term":30,"count":31},"肝硬化腹水",3,{"term":33,"count":10},"膠質滲透壓",[35,39,44,49,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-medical-surgical-013","有關因 B、C 型肝炎感染後導致肝硬化之類型，下列何者正確？",13,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-106-2-medical-surgical-029","有關心律不整之治療，下列何者正確？",29,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-107-1-medical-surgical-043","有關末期腎疾病（ESRD）病人之液體攝取量的估計原則，下列何者最適當？",43,107,{"webId":50,"stem":51,"number":10,"year":52,"session":43},"nurse-108-2-medical-surgical-001","有關病毒性腦膜炎的處置，下列何者正確？",108,{"webId":54,"stem":55,"number":56,"year":57,"session":43},"nurse-109-2-medical-surgical-045","有關使用 Braden scale 評估壓傷危險因子和處置之敘述，下列何者正確？",45,109,{"webId":59,"stem":60,"number":61,"year":62,"session":43},"nurse-110-2-medical-surgical-079","有關急救藥物主要治療效果的敘述，下列何者錯誤？",79,110,"2026-09-04",1788510692722]