[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-011":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-108-1-內外科護理學-011","nurse-108-1-medical-surgical-011",108,1,11,"下列何者為食道重建術後最嚴重的合併症？",{"A":14,"B":15,"C":16,"D":17},"傷口吻合處滲漏","吸入性肺炎","腹瀉","吞嚥困難","A",null,[],"本題考點在食道重建術（多以胃或腸段拉高吻合）後最致命的合併症。依外科吻合原理，食道位於縱膈腔，吻合處滲漏會使消化液與食物漏入縱膈，引發縱膈炎與敗血症，死亡率高，故選A。B吸入性肺炎雖常見且危險，但可經姿位與抗生素控制，非最嚴重；C腹瀉屬腸道功能調適問題，不危及生命；D吞嚥困難為術後常見暫時現象，多可復健改善。故傷口吻合處滲漏為最嚴重合併症。","縱膈腔為密閉負壓空間，吻合處滲漏後感染沿疏鬆結締組織快速擴散，形成縱膈炎並易併發膿胸與敗血性休克。記憶重點：任何腸胃道吻合術後出現「發燒＋心搏過速＋引流液異常」都要警覺滲漏。可對比：食道術後主要合併症依嚴重度約為吻合處滲漏＞吸入性肺炎＞吻合處狹窄。",[24,27,29,31],{"term":25,"count":26},"敗血症",7,{"term":28,"count":10},"食道吻合術",{"term":30,"count":10},"吻合處滲漏",{"term":32,"count":10},"縱膈炎",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-medical-surgical-012","有關肝硬化病人服用 Lactulose 之敘述，下列何者正確？",12,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-108-2-medical-surgical-028","評估脈搏強度時，發現「很難摸得到，脈搏明顯的減弱」，下列紀錄何者正確？",28,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-medical-surgical-042","有關足癬的敘述，下列何者錯誤？",42,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-1-medical-surgical-080","下列何者不屬於傳染病的護理評估項目？",80,110,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-111-2-medical-surgical-044","18 歲女大生因玩煙火，導致左手有部分燒痂到急診求診，對燒傷部位的立即護理處置，下列何者正確？",44,111,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-112-2-medical-surgical-078","當車禍造成嚴重創傷的病人送到急診出現：脈搏 124 次／分、呼吸 32 次／分胸部起伏明顯，血壓 130\u002F100 mmHg、皮膚溼且冰冷、尿量減少、呈現呼吸性鹼中毒情形，下列休克階段的分期，何者正確？",78,112,"2026-09-04",1788510709559]