[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-056","nurse-108-1-medical-surgical-056",108,1,56,"有關呼吸性酸中毒之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"因換氣速率過快所造成","易見於水楊酸中毒病人","中樞神經系統受刺激，病人會有手腳麻刺感","慢性阻塞性肺疾病病人吸入過多氧氣易導致","D",null,[],"本題考點在於呼吸性酸中毒的成因與情境辨識。呼吸性酸中毒因肺泡換氣不足、二氧化碳滯留使血中碳酸增加而 pH 下降；慢性阻塞性肺疾病（COPD）病人若吸入過高濃度氧氣，會抑制其賴以呼吸的低血氧驅動，導致換氣更差、二氧化碳滯留而加重呼吸性酸中毒，故選 D。（A）錯在換氣過快是二氧化碳排出過多，造成的是呼吸性鹼中毒。（B）錯在水楊酸中毒早期刺激呼吸中樞過度換氣，屬呼吸性鹼中毒（後期才併代謝性酸中毒）。（C）錯在手腳麻刺感為低血鈣症狀，典型見於呼吸性鹼中毒（鹼血使游離鈣下降），非呼吸性酸中毒。","口訣「呼吸看 CO₂：吹太多鹼、憋著就酸」。呼吸性酸中毒＝PaCO₂ 上升、pH 下降，見於 COPD、呼吸抑制、神經肌肉無力。COPD 病人長期高碳酸血症使中樞對 CO₂ 不敏感，改依賴低血氧驅動呼吸，故給氧須低流量控制以免抑制呼吸（CO₂ narcosis）。呼吸性鹼中毒（過度換氣）反使 pH 升高、游離鈣下降而出現手足抽搐與感覺異常。連結概念：低血氧呼吸驅動、CO₂ narcosis、代償性 HCO₃⁻ 滯留、游離鈣。",[24,27,30,32,34],{"term":25,"count":26},"呼吸性酸中毒",8,{"term":28,"count":29},"二氧化碳滯留",4,{"term":31,"count":10},"COPD 給氧原則",{"term":33,"count":10},"低血氧呼吸驅動",{"term":35,"count":10},"呼吸性鹼中毒鑑別",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-1-medical-surgical-057","下列何者最容易造成 α 1 -抗胰蛋白酶（α 1 -antitrypsin）缺乏？",57,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-108-2-medical-surgical-073","有關下視丘之敘述，下列何者正確？",73,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-109-2-medical-surgical-007","王小姐進行經蝶骨腦下垂體切除術，術後發現鼻部有水樣液體流出之護理措施，下列何者正確？",7,109,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-110-2-medical-surgical-045","有關傷口敷料的敘述，下列何者正確？",45,110,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-1-medical-surgical-009","B 型肝炎病毒帶原者且 HBeAg（+），下列敘述何者正確？",9,112,{"webId":62,"stem":63,"number":64,"year":60,"session":65},"nurse-112-3-medical-surgical-043","有關庫欣氏症候群症狀的病理機轉，下列何者錯誤？",43,3,"2026-09-04",1788510710018]