[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-107-1-產兒科護理學-054","nurse-107-1-maternal-pediatric-054",107,1,54,"有關雷氏症候群（Reye’s syndrome）病童的臨床症狀，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"血清中的氨濃度降低","血糖濃度增加","易形成血栓","肝功能障礙（SGOT、SGPT 高）","D",null,[],"本題考點是雷氏症候群(Reye's syndrome)的臨床檢驗表現。依其病理,此症為急性腦病變合併肝臟脂肪浸潤,肝細胞受損使轉胺酶上升,故 D『肝功能障礙(SGOT、SGPT 升高)』正確。選項 A 錯誤:肝功能受損使氨代謝障礙,血氨應『升高』而非降低。選項 B 錯誤:肝醣分解與糖質新生受損,常出現『低血糖』而非血糖增加。選項 C 錯誤:肝臟合成凝血因子能力下降,病童傾向『出血』而非易形成血栓。三個錯項都與『肝功能衰竭』的實際後果方向相反。","雷氏症候群典型三聯:病毒感染(如水痘、流感)恢復期使用『阿斯匹靈』後,出現急性腦病變(嘔吐、意識改變、抽搐)加上肝臟脂肪變性。實驗室特徵一致指向肝衰竭:轉胺酶升高、高血氨、低血糖、凝血功能異常(PT 延長),但『膽紅素通常不高』是其特色。臨床鐵律:兒童病毒感染時禁用阿斯匹靈,正是為預防此症。記憶主軸『肝壞了會怎樣』:氨升、糖降、易出血、酵素升,即可一次判掉三個反向錯項。",[24,27,30,32],{"term":25,"count":26},"雷氏症候群",4,{"term":28,"count":29},"阿斯匹靈禁忌",2,{"term":31,"count":10},"肝臟脂肪浸潤SGOT\u002FSGPT升高",{"term":33,"count":10},"高血氨與低血糖",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-maternal-pediatric-055","醫護人員藉由評估嬰幼兒的精細動作，肌肉張力及平衡感等活動，可判斷下列何者之功能？",55,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-107-2-maternal-pediatric-071","持續靜脈灌注前列腺素 E 1 （PGE 1 ）可維持動脈導管開放，增加肺動脈血流。下列何種先天性心臟病，不適合使用 PGE 1 治療？",71,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-108-2-maternal-pediatric-005","有關運用廓清式呼吸之敘述，下列何者錯誤？",5,108,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-109-2-maternal-pediatric-043","臺灣發展遲緩早期療育實施服務的流程，主要負責協調整合與管理的窗口為何？",43,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-maternal-pediatric-007","有關妊娠期婦女需增加熱量攝取之敘述，下列何者正確？",7,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-maternal-pediatric-041","面對自閉症（Autism）病童住院，下列護理措施何者最適當？",41,112,"2026-09-04",1788510703773]