[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-053","nurse-108-1-medical-surgical-053",108,1,53,"有關連枷胸的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"會使死腔減少","會造成奇異性呼吸","會影響肺吸氣時胸腔產生的正壓","連枷段會在吸氣時向外突出，而吐氣時往內拉","B",null,[],"本題考點在於連枷胸（flail chest）的病理生理特徵。連枷胸指相鄰多根肋骨各兩處以上骨折，形成一段與胸廓失去連續性的游離胸壁，隨胸腔內壓變化而與正常呼吸相反地起伏，造成奇異性（矛盾）呼吸，故選 B。（A）錯在無效通氣與死腔反而增加，非減少。（C）錯在吸氣時胸腔內產生的是負壓（使空氣進入），題目誤述為正壓。（D）錯在連枷段的動作方向相反：吸氣時被負壓吸而向內凹陷、吐氣時向外突出，與選項所述恰好顛倒。","奇異性呼吸機轉：正常吸氣時胸內負壓使胸壁外擴、肺膨脹；連枷段因失去骨性支撐，被負壓「吸進去」而內凹，吐氣時正壓又把它推出，動作與胸廓相反，導致氣體在兩肺間來回擺動（pendelluft）、通氣無效並常合併下方肺挫傷。記憶口訣：「吸氣內凹、吐氣外凸，方向都相反」。處置重點在止痛與正壓通氣支持。連結概念：胸內負壓、肺挫傷、擺動氣流 pendelluft、正壓通氣。",[24,27,29,31,33],{"term":25,"count":26},"連枷胸 flail chest",2,{"term":28,"count":26},"奇異性呼吸",{"term":30,"count":26},"肺挫傷",{"term":32,"count":10},"胸內負壓",{"term":34,"count":10},"無效通氣",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-medical-surgical-054","針對左側氣胸病人之患側胸部評估，下列何者為最可能之發現？",54,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-108-2-medical-surgical-070","長期口服或注射類固醇病人最可能出現的副作用，下列何者正確？",70,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-109-2-medical-surgical-004","有關顱內腫瘤壓迫對視覺的影響，下列何者錯誤？",4,109,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-110-2-medical-surgical-042","有關癌症病人感染問題的敘述，下列何者錯誤？",42,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-1-medical-surgical-006","有關巴金森氏症病人的日常活動指導，下列敘述何者錯誤？",6,112,{"webId":60,"stem":61,"number":62,"year":58,"session":63},"nurse-112-3-medical-surgical-040","有關腎臟功能血液檢查，下列敘述何者正確？",40,3,"2026-09-04",1788510709981]