[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"產兒科護理學","maternal-pediatric",{"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-106-2-產兒科護理學-080","nurse-106-2-maternal-pediatric-080",106,2,80,"雷氏症候群（Reye’s syndrome）早期病變的主要徵象為何？",{"A":14,"B":15,"C":16,"D":17},"嘔吐","去大腦髓質僵直","反射消失","過度換氣","A",null,[],"本題考點在雷氏症候群(Reye's syndrome)早期病變的主要徵象。雷氏症候群是急性腦病變合併肝臟脂肪變性,典型於病毒感染(尤其流感、水痘)恢復期突然發生,最早、最主要的徵象是持續劇烈嘔吐,隨後才進展為嗜睡、意識改變等腦病變,選 A。B 去大腦僵直屬病程惡化、腦功能嚴重受損的後期表現。C 反射消失亦為神經功能嚴重惡化的晚期徵象。D 過度換氣可能出現於病程中,但非最早的主要徵象。核心在早期以劇烈嘔吐為首發表現,晚期才出現嚴重神經惡化。","雷氏症候群機轉為粒線體功能障礙致肝脂肪浸潤與高血氨,引發急性腦水腫腦病變。病程:病毒感染康復期→突發持續嘔吐(早期)→倦怠嗜睡、行為改變、意識障礙→抽搐、去大腦僵直、昏迷(晚期)。與 aspirin(水楊酸)使用相關,故兒童病毒感染(流感、水痘)禁用 aspirin 退燒是最重要預防。記憶:『病毒後猛吐要想雷氏症;小孩病毒感染別給阿斯匹靈』。實驗室見肝酵素與血氨升高、血糖可能偏低。",[24,27,29,31],{"term":25,"count":26},"雷氏症候群(Reye's syndrome)",1,{"term":28,"count":26},"早期劇烈嘔吐",{"term":30,"count":26},"急性腦病變與肝脂肪變性",{"term":32,"count":26},"aspirin 禁用關聯",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":26,"year":37,"session":26},"nurse-107-1-maternal-pediatric-001","有關我國婦嬰生命統計之概況，下列何者正確？",107,{"webId":39,"stem":40,"number":41,"year":37,"session":10},"nurse-107-2-maternal-pediatric-017","陳女士 G 2 P 0 獨自來待產，下列何種情況需立即通知醫師？",17,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-108-1-maternal-pediatric-031","有關孕期心臟病之敘述，下列何者錯誤？",31,108,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-1-maternal-pediatric-069","王小妹，1 歲，因感冒、發燒、左耳痛而就診，被診斷為急性中耳炎，下列護理措施何者較適當？",69,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-maternal-pediatric-033","有關德國麻疹與懷孕關係，下列敘述何者錯誤？",33,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-maternal-pediatric-067","小蘋，5 歲，診斷為缺鐵性貧血，血紅素（Hb）為 5.5 g\u002FdL，下列何項身體反應與此檢驗值最不相關？",67,111,"2026-09-04",1788510699844]