[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-basic-medicine-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-108-1-基礎醫學-008","nurse-108-1-basic-medicine-008",108,1,8,"下列何者的靜脈血，不經由肝門靜脈進入肝臟？",{"A":15,"B":16,"C":17,"D":18},"胰臟","闌尾","頸段食道","直腸","C",null,[],"本題考點是肝門靜脈系統的引流範圍。依循環解剖,肝門靜脈收集消化道(食道腹段以下至直腸上段)、胰、脾等腹腔器官的靜脈血送入肝臟代謝,而頸段食道的靜脈血回流至甲狀腺下靜脈與體循環的上腔靜脈系統,不經肝門靜脈,故選C頸段食道。A胰臟、B闌尾、D直腸(上段)的靜脈血皆屬肝門靜脈系統的引流範圍。此題關鍵在辨識肝門靜脈只收集「腹部消化系」的血流,位於頸部的食道上段屬體循環引流。","肝門靜脈由脾靜脈與腸繫膜上靜脈匯合而成,把富含營養與由腸道吸收物質的靜脈血先送入肝臟處理(首渡效應),再經肝靜脈入下腔靜脈。臨床上門脈高壓時,門脈與體循環的吻合處會怒張形成側支循環,典型為食道下段靜脈曲張(腹段食道)、痔靜脈叢與臍周靜脈。食道存在門脈與體循環的分水嶺:下段屬門脈、頸段屬體循環,正是本題陷阱所在。",[25,28,30,32],{"term":26,"count":27},"肝門靜脈系統",2,{"term":29,"count":11},"門脈引流範圍",{"term":31,"count":11},"頸段食道靜脈回流",{"term":33,"count":11},"門脈與體循環吻合",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-1-basic-medicine-009","胎兒心臟的卵圓孔，連通的是那兩個腔室？",9,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-108-2-basic-medicine-025","進入青春期，由下列何種激素刺激卵巢濾泡發育，使初級卵母細胞完成第一次減數分裂？",25,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-109-1-basic-medicine-039","下列何者最不可能引起左心衰竭（left heart failure）？",39,109,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-110-1-basic-medicine-077","有關梅毒螺旋菌（Treponema pallidum）的感染，下列敘述何者錯誤？",77,110,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-111-2-basic-medicine-041","下列那一種作用過程，不能用來傳遞細菌的遺傳物質？",41,111,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-113-1-basic-medicine-035","Fexofenadine較不具鎮靜安眠作用，原因為何？",35,113,"2026-09-04",1788510708180]