[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-106-2-內外科護理學-066","nurse-106-2-medical-surgical-066",106,2,66,"有關黏液性水腫昏迷之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"出現高血糖徵象","血清中甲狀腺素降低","需以抗甲狀腺藥物治療","為副甲狀腺機能亢進的重要合併症","B",null,[],"本題考點為黏液性水腫昏迷(myxedema coma)的病理特徵。此為嚴重甲狀腺功能低下(hypothyroidism)的極端失代償狀態,故血清甲狀腺素(T3、T4)降低,B 正確。A 甲狀腺低下代謝率下降,傾向低體溫與低血糖而非高血糖,錯誤;C 病因是甲狀腺素不足,治療須『補充』甲狀腺素而非用抗甲狀腺藥,抗甲狀腺藥是用於甲亢,錯誤;D 黏液水腫昏迷是甲狀腺(非副甲狀腺)功能低下的合併症,與副甲狀腺機能亢進無關,錯誤。故選 B。","黏液性水腫昏迷=甲狀腺功能低下的危象,臨床三聯『低體溫、意識改變、低鈉\u002F低血糖』,常由感染、寒冷、鎮靜劑誘發。治療補充甲狀腺素(靜脈 levothyroxine)、支持保溫、視情況給類固醇。對照甲亢危象(thyroid storm)則是高燒、心搏過速、躁動,兩者處置方向相反。口訣:『黏液水腫昏迷=甲低到極點,冷、鈍、糖低,補甲狀腺素』。",[24,27,30,32,34],{"term":25,"count":26},"甲狀腺功能低下",5,{"term":28,"count":29},"黏液性水腫昏迷",1,{"term":31,"count":29},"血清甲狀腺素降低",{"term":33,"count":29},"低體溫\u002F低血糖",{"term":35,"count":29},"levothyroxine 補充治療",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-2-medical-surgical-067","有關第 2 型糖尿病之敘述，下列何者正確？",67,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-107-2-medical-surgical-003","鍾先生自工地 10 公尺高處落下，造成 C3～C5 完全性脊髓損傷，經 119 送達急診，下列敘述何者錯誤？",3,107,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-108-1-medical-surgical-017","有關骨髓炎的治療方式，下列何者最為少見？",17,108,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-109-1-medical-surgical-055","病人肺部手術後出現呼吸速率加快、粉紅色泡沫狀痰液、持續性咳嗽、呼吸困難和囉音等表徵，最有可能的合併症是下列何者？",55,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-110-2-medical-surgical-019","王先生，診斷痛風性關節炎，正服用秋水仙素（Colchicine）。有關此藥物的護理指導，下列何者正確？",19,110,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-2-medical-surgical-053","有關肺水腫（pulmonary edema）的敘述，下列何者正確？",53,111,"2026-09-04",1788510698888]