[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-107-1-內外科護理學-013","nurse-107-1-medical-surgical-013",107,1,13,"有關膽囊炎處置之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"Atropine 可預防膽道平滑肌痙攣痛","Buscopan 可減輕痛性痙攣","Morphine 可減輕膽道痙攣痛","Pro-Banthine 可消除平滑肌痙攣","C",null,[],"本題考點為膽囊炎解痙止痛用藥的選擇。依 Morphine 會引起歐狄氏括約肌(Sphincter of Oddi)痙攣、升高膽道內壓，反而加重膽絞痛，傳統上不建議用於膽道痙攣痛，故C「Morphine 可減輕膽道痙攣痛」為錯誤而選C。A Atropine 與D Pro-Banthine(propantheline)皆為抗膽鹼藥可鬆弛平滑肌;B Buscopan(hyoscine)為解痙劑可緩解痛性痙攣，三者機轉與膽道解痙相符，故正確。","膽絞痛止痛的經典教科書觀點:因 morphine 誘發 Oddi 括約肌痙攣,傳統改用 meperidine(Demerol)。抗膽鹼類(atropine、propantheline、hyoscine\u002FBuscopan)透過阻斷蕾毒蕈受體使膽道與腸道平滑肌鬆弛,是解痙主力。理解主線:膽道痛源於膽囊或膽管平滑肌強力收縮對抗阻塞,故治療邏輯是「鬆弛平滑肌+止痛」而非用會加劇括約肌痙攣的藥。近年文獻對 morphine 是否真正臨床顯著仍有討論,但國考仍以傳統觀點為準。",[24,27,29,31],{"term":25,"count":26},"抗膽鹼藥物",2,{"term":28,"count":10},"膽囊炎解痙止痛",{"term":30,"count":10},"Morphine 與歐狄氏括約肌痙攣",{"term":32,"count":10},"平滑肌解痙",[34,38,42,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-014","有關 C 型肝炎的治療，下列何者正確？",14,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-medical-surgical-030","有關心絞痛病人使用硝酸甘油之護理指導，下列何者錯誤？",30,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-medical-surgical-044","有關蜂窩性組織炎的敘述，下列何者正確？",44,108,{"webId":48,"stem":49,"number":26,"year":50,"session":26},"nurse-109-2-medical-surgical-002","有關頭部外傷病人經手術取出顱內血腫並於腦室內放置顱內壓監測器（ICP monitoring device）之敘述，下列何者錯誤？",109,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-110-2-medical-surgical-046","有關蜂窩性組織炎病人的護理措施，下列何者錯誤？",46,110,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-111-2-medical-surgical-080","有關狂牛症（mad cow disease）的敘述，下列何者錯誤？",80,111,"2026-09-04",1788510702531]