[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-107-1-內外科護理學-003","nurse-107-1-medical-surgical-003",107,1,3,"姚先生被車子碾過造成 T12，L1～L3 脊髓損傷，到達急診後出現脊髓休克，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"無法控制大小便","無法自行呼吸","腸道蠕動降低造成腹脹","肛門反射消失","B",null,[],"本題考點是脊髓休克的表現與損傷節段對呼吸的影響。依橫膈由第 3–5 頸神經(C3-5, 膈神經)支配，姚先生損傷位於 T12–L3(胸腰段)，遠低於膈神經節段，橫膈功能保留，故仍能自行呼吸，B為錯誤敘述而選B。脊髓休克指損傷平面以下反射暫時全失、呈弛緩性癱瘓:大小便失禁(A)、腸蠕動減弱致腹脹與麻痺性腸阻塞(C)、肛門與深部肌腱反射消失(D)皆為典型表現，故正確。","呼吸肌的節段對應是脊髓損傷必背:C3-5 管橫膈(「C3,4,5 keep the diaphragm alive」),頸段高位損傷才會呼吸衰竭需插管;胸段影響肋間肌與咳嗽力量;腰段以下不影響呼吸。脊髓休克(spinal shock)是損傷後即刻的反射消失期,與「神經性休克(neurogenic shock)」不同——後者是交感神經傳出中斷造成低血壓合併心搏過緩,好發於 T6 以上損傷。脊髓休克緩解的指標是球海綿體反射(bulbocavernosus reflex)恢復。",[24,27,29,31],{"term":25,"count":26},"脊髓休克",5,{"term":28,"count":10},"膈神經節段 C3-5",{"term":30,"count":10},"胸腰段脊髓損傷",{"term":32,"count":10},"弛緩性癱瘓與反射消失",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-004","陳先生因頭部外傷出現顱內壓升高，有關使用 Mannitol 治療之敘述，下列何者錯誤？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-medical-surgical-020","有關截肢病人的照護，下列何者錯誤？",20,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-medical-surgical-034","有關封閉式體內放射線治療之敘述，下列何者錯誤？",34,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-1-medical-surgical-072","有關執行胸外心臟按壓的敘述，下列何者正確？",72,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-medical-surgical-036","有關 BUN 與 Serum Creatinite 比值的敘述，下列何者正確？",36,110,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-111-2-medical-surgical-070","有關抗利尿激素分泌不當症候群（SIADH）的護理指導，下列何者錯誤？",70,111,"2026-09-04",1788510702444]