[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":25},"nurse-107-2-產兒科護理學-071","nurse-107-2-maternal-pediatric-071",107,2,71,"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？",{"A":14,"B":15,"C":16,"D":17},"肺動脈瓣狹窄","主動脈狹窄","三尖瓣閉鎖","大血管轉位","B",null,[],"本題考點在於前列腺素 E1(PGE1)維持動脈導管開放的適應症。題幹指明目的是維持導管開放以「增加肺動脈血流」,適用於須靠導管將血引入肺循環的右側阻塞或血流混合型病灶,如肺動脈瓣狹窄、三尖瓣閉鎖、大血管轉位。主動脈狹窄屬左心室出口阻塞,問題在於全身循環而非肺血流不足,此適應症理由不適用,故 B 不適合,即為答案。A、C、D 皆屬導管依賴、需增加肺血流的病灶,適合使用 PGE1。","「導管依賴型」先天性心臟病分兩類:依賴導管供應肺血流(肺動脈閉鎖\u002F重度狹窄、三尖瓣閉鎖、法洛氏四重症)與依賴導管供應體循環或供血流混合(大血管轉位)。PGE1 使動脈導管平滑肌鬆弛保持開放,爭取手術時機。主動脈狹窄雖也可能導管依賴,但其需求是維持體循環灌流,與本題設定「增加肺動脈血流」的目的不符,是本題的區辨關鍵。",[24,26,29,31],{"term":15,"count":25},3,{"term":27,"count":28},"前列腺素 E1(PGE1)",1,{"term":30,"count":28},"動脈導管依賴型先心病",{"term":32,"count":28},"肺動脈血流",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-072","有關罹患心臟病嬰兒服用毛地黃的護理指導，下列何者正確？",72,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-maternal-pediatric-008","下列何種方式是依據懷孕婦女子宮底高度位置推估預產期？",8,108,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-109-1-maternal-pediatric-022","有關哺餵母乳婦女產後排卵與月經之生理變化，下列敘述何者正確？",22,109,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-110-1-maternal-pediatric-060","感染麻疹（measles）在卡他期（catarrhal stage）的病童之 3C 症狀，下列敘述何者不適當？",60,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-024","有關產後子宮復舊（uterine involution），下列敘述何者正確？",24,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-058","小立，6 歲，一週前被三斑家蚊叮咬，之後出現發燒、頭痛、嘔吐、痙攣、頸部僵硬的症狀，其抽取腦脊髓液的檢查結果，下列敘述何者正確？",58,112,"2026-09-04",1788510726369]