[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-107-2-內外科護理學-006","nurse-107-2-medical-surgical-006",107,2,6,"病人的血壓值為 150\u002F90 mmHg，顱內壓為 15 mmHg，其腦組織灌流壓（CPP）下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"50 mmHg","75 mmHg","95 mmHg","115 mmHg","C",null,[],"本題考點是腦組織灌流壓(CPP)的計算公式。CPP=平均動脈壓(MAP)−顱內壓(ICP)。先算 MAP=(收縮壓+2×舒張壓)÷3=(150+2×90)÷3=(150+180)÷3=330÷3=110 mmHg。再代入 CPP=MAP−ICP=110−15=95 mmHg,故選 C。選項 A(50)、B(75)、D(115)皆為誤用公式或算術所得:若誤把 MAP 當成(收縮+舒張)÷2=120 再減 15 會得 105;若直接用舒張壓 90−15 會得 75(B);唯有正確以 MAP 公式計算並扣除 ICP,才得 95 mmHg,故答案為 C。","MAP=(SBP+2×DBP)\u002F3,因心動週期中舒張期較長,故舒張壓權重加倍。CPP 正常約 60–100 mmHg;低於 50–60 mmHg 恐致腦缺血,持續偏低會造成不可逆腦損傷。臨床維持 CPP 的兩條路:提升 MAP(補液、升壓藥)或降低 ICP(抬頭、滲透性利尿如 mannitol、控制發燒躁動)。此題純為公式運算,先求 MAP 再減 ICP 即可,務必別把 MAP 錯用成算術平均。",[24,27,29,31],{"term":25,"count":26},"腦灌流壓CPP公式",1,{"term":28,"count":26},"平均動脈壓MAP",{"term":30,"count":26},"顱內壓ICP",{"term":32,"count":26},"CPP=MAP-ICP",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-007","有關阿茲海默氏症病人的臨床表徵，下列何者正確？①短期記憶缺失 ②長期記憶缺失 ③易怒 ④失去定向力",7,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-medical-surgical-023","有關鼻竇炎之敘述，下列何者錯誤？",23,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-medical-surgical-037","有關癌症初級預防之敘述，下列何者錯誤？",37,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-medical-surgical-075","糖尿病病人在下列何種情況下不宜增加胰島素的劑量？",75,109,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-1-medical-surgical-039","有關化學治療藥物作用機轉與副作用之敘述，下列何者錯誤？",39,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-1-medical-surgical-073","有關副甲狀腺功能低下之臨床表徵，下列何者正確？①嗜睡 ②高血鈣 ③骨質耗損加劇 ④白內障 ⑤高血磷",73,112,"2026-09-04",1788510724948]