[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-010":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-010","nurse-107-1-medical-surgical-010",107,1,10,"有關傾倒症候群（Dumping Syndrome）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"出現高血壓、心搏緩慢等心血管症狀","常見於畢羅氏第二型（Billroth II）手術病人","大量低張性的食糜迅速流至空腸所引起","治療先從增加碳水化合物飲食開始","B",null,[],"本題考點是傾倒症候群的成因與好發族群。依畢羅氏第二型胃切除吻合使胃內容物繞過幽門直接大量進入空腸，是傾倒症候群最常見的術式背景，故B正確。A應為低血壓、心搏過速等交感興奮症狀，非高血壓與心搏緩慢，錯;C機轉是大量「高張性」食糜迅速進入空腸引發體液滲入腸腔，非低張性，錯;D飲食治療應減少碳水化合物、採高蛋白高脂並乾濕分離少量多餐，而非先增加碳水化合物，故錯。","傾倒症候群分早發與晚發。早發(餐後 15-30 分):高滲食糜入空腸→液體移入腸腔→血容驟降,出現心悸、盜汗、腹絞痛與腹瀉。晚發(餐後 1-3 小時):大量糖分快速吸收→胰島素過度分泌→反彈性低血糖。飲食對策一致:少量多餐、高蛋白高脂低碳、限制單糖、進食時不喝湯水(乾濕分離)、餐後平躺以延緩胃排空。Billroth II 因失去幽門節律控制,是最典型的手術誘因;預防重於治療。",[24,27,29,31],{"term":25,"count":26},"傾倒症候群",5,{"term":28,"count":10},"畢羅氏第二型手術",{"term":30,"count":10},"高張性食糜",{"term":32,"count":10},"低血壓與心搏過速",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-011","有關潰瘍性結腸炎與區域性結腸炎之比較，下列何者錯誤？",11,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-medical-surgical-027","針對心房纖維顫動病人使用 warfarin（coumadin）之目的，下列何者正確？",27,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-medical-surgical-041","王太太 50 歲，診斷為急性白血病，入院行高劑量 Ara-C 化學治療後，白血球 3,500\u002Fcumm、嗜中性球為 13%，下列敘述何者正確？",41,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-1-medical-surgical-079","當支氣管擴張症病人出現下列何種狀況需盡速就醫？",79,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-medical-surgical-043","有關席林試驗可協助診斷的貧血類別，下列何者正確？",43,110,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-111-2-medical-surgical-077","有關服用有機磷中毒的護理措施，下列何者錯誤？",77,111,"2026-09-04",1788510702510]