[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-106-2-內外科護理學-040","nurse-106-2-medical-surgical-040",106,2,40,"有關造成大量凝血活酶釋入血液中，導致凝血因子全面活化，促使全身血管內凝血之情況，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"敗血症","羊水栓塞","毒蛇咬傷","慢性淋巴性白血病","D",null,[],"本題考點是瀰漫性血管內凝血(DIC)的常見誘因。DIC因大量凝血活酶(組織因子)釋入血流,使凝血系統全面活化、微血管內廣泛血栓並耗盡凝血因子而致出血。(A)敗血症、(B)羊水栓塞、(C)毒蛇咬傷皆會釋放大量組織因子或促凝物質而誘發DIC,敘述正確。(D)慢性淋巴性白血病並非典型DIC誘因;真正與DIC高度相關的血液惡性腫瘤是急性前骨髓性白血病(APL),故(D)為錯誤選項。","DIC誘因記憶『敗、產、傷、癌、蛇、溶』:敗血症、產科急症(羊水栓塞、胎盤早期剝離)、嚴重創傷或燒傷、惡性腫瘤(尤其急性前骨髓性白血病APL)、毒蛇咬傷、溶血輸血反應。機轉為組織因子大量進入循環→凝血活化→微血栓加上凝血因子與血小板耗竭→血栓與出血並存。實驗室見PT\u002FaPTT延長、血小板↓、纖維蛋白原↓、D-dimer↑。",[24,26,29,30],{"term":25,"count":10},"瀰漫性血管內凝血DIC",{"term":27,"count":28},"組織因子",1,{"term":15,"count":28},{"term":31,"count":28},"急性前骨髓性白血病",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-2-medical-surgical-041","有關腫瘤溶解症候群的處置，下列何者錯誤？",41,{"webId":38,"stem":39,"number":40,"year":41,"session":28},"nurse-107-1-medical-surgical-057","有關協助肺心症病人清除呼吸道分泌物之措施，下列何者錯誤？",57,107,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-107-2-medical-surgical-071","救護車送入一位昏迷病人，心跳 120 次\u002F分，血壓 85\u002F50 mmHg，呼吸速率 35 次\u002F分，呼吸有一股很濃的腐壞水果味，血糖為 600 mg\u002FdL。下列何者為其最可能之診斷？",71,{"webId":47,"stem":48,"number":49,"year":50,"session":28},"nurse-109-1-medical-surgical-029","有關冠狀動脈疾病病人接受鉈-201 之檢查目的，下列何者正確？",29,109,{"webId":52,"stem":53,"number":54,"year":55,"session":28},"nurse-110-1-medical-surgical-073","有關糖尿病足之護理指導，下列何者正確？",73,110,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-111-2-medical-surgical-027","關於雷諾氏病的敘述，下列何者錯誤？",27,111,"2026-09-04",1788510698615]