[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":25},"nurse-108-1-內外科護理學-075","nurse-108-1-medical-surgical-075",108,1,75,"依據吳先生目前的生理狀態，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"血管性休克","心因性休克","低血容積性休克","神經性休克","C",null,[],"本題考點為休克類型的鑑別。吳先生車禍造成股骨骨折併深撕裂傷、血流不止，屬明顯外失血，加上心跳 130、呼吸 35、血壓 90\u002F60、皮膚冰冷潮濕、微血管充填大於 5 秒，是循環血量流失導致組織灌流不足，符合低血容積性休克，故選 C。選項 A 血管性（分佈性）休克源於血管異常擴張，皮膚多溫熱潮紅，與此處冰冷潮濕不符。選項 B 心因性休克源於心臟幫浦衰竭，多見於心肌梗塞而非外傷失血。選項 D 神經性休克因交感神經張力喪失而血管擴張、心跳常變慢，與此處心搏過速的代償反應相反。","低血容積性休克的代償機轉：血量減少→交感神經興奮→心跳加快、周邊血管收縮→皮膚冰冷潮濕、脈搏細速、微血管充填延遲。與神經性休克關鍵鑑別在心跳：低血容積是心搏過速（代償），神經性因失去交感張力反而心搏過緩且皮膚溫暖。分佈性休克（含敗血性、過敏性、神經性）早期為暖休克。記憶對比：外傷大出血＋皮膚濕冷＋心跳快＝低血容積；脊髓損傷＋皮膚溫暖＋心跳慢＝神經性。連結概念：組織灌流、微血管充填時間、交感代償。",[24,26,29,32],{"term":16,"count":25},4,{"term":27,"count":28},"微血管充填時間",3,{"term":30,"count":31},"交感神經代償",2,{"term":33,"count":10},"與神經性休克鑑別",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-medical-surgical-076","依據吳先生的症狀與徵象估計其失血量，下列何者正確？",76,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-109-1-medical-surgical-012","有關黃疸之敘述，下列何者正確？",12,109,{"webId":45,"stem":46,"number":47,"year":43,"session":31},"nurse-109-2-medical-surgical-026","僧帽瓣逆流或狹窄的病人，易出現下列何種症狀？①呼吸困難 ②下肢水腫 ③端坐呼吸 ④咳嗽 ⑤肝腫大",26,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-110-2-medical-surgical-064","下列何種疾病的常見臨床症狀不包括血尿？",64,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-medical-surgical-028","有關心房纖維顫動病人服用 Warfarin 之護理指導，下列何者錯誤？",28,112,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-113-1-medical-surgical-012","有關關節炎的敘述，下列何者正確？",113,"2026-09-04",1788510710162]