[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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":11},"nurse-108-2-基礎醫學-027","nurse-108-2-basic-medicine-027",108,2,27,"何種休克會使心臟的血液輸出量增加？",{"A":15,"B":16,"C":17,"D":18},"出血性休克","過敏性休克","敗血性休克","神經性休克","C",null,[],"本題考點為各型休克的血流動力學差異。敗血性休克早期屬分布性休克,細菌毒素引起全身血管廣泛擴張、周邊阻力下降,心臟代償性加速並增加輸出,呈高心輸出量的「暖休克」,故使心臟血液輸出量增加者為敗血性休克,選C。A出血性休克因血容量流失,前負荷與心輸出量下降。B過敏性休克雖也是分布性且血管擴張,但常伴嚴重血管通透性增加與有效循環容量驟減,典型不以心輸出量升高為特徵。D神經性休克因交感張力喪失致血管擴張與心跳變慢,心輸出量下降。判斷關鍵在於認清敗血性休克初期的高排出量、低阻力特徵。","休克四大類:低血容量性(出血、脫水,前負荷↓、心輸出量↓)、心因性(泵衰竭,心輸出量↓)、阻塞性(如心包填塞、肺栓塞,充盈或射出受阻)、分布性(敗血、過敏、神經性,周邊阻力↓)。敗血性休克初期為「暖休克」:心輸出量↑、周邊阻力↓、皮膚溫熱;晚期失代償轉為「冷休克」。對比記憶:唯有敗血性早期心輸出量增加,其餘多為心輸出量下降。神經性休克特徵為低血壓合併心搏過緩(交感喪失)。",[25,27,30,32],{"term":26,"count":11},"休克分類",{"term":28,"count":29},"敗血性休克暖休克",1,{"term":31,"count":29},"高心輸出量低阻力",{"term":33,"count":29},"分布性休克",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-basic-medicine-028","腎小球濾液與血漿的組成，主要差異為下列何者？",28,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-basic-medicine-044","下列口腔黏膜病灶中，轉變成惡性腫瘤機會最高的是：",44,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-basic-medicine-058","Amiodarone為治療心室心搏過速，合併左心室功能受損之首選用藥，下列何者不是長期使用此藥後的副作用？",58,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-1-basic-medicine-016","下列何種神經節主要負責傳遞一般體表感覺訊息？",16,111,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-112-2-basic-medicine-040","下列何種青黴素衍生物，可用於治療綠膿桿菌（Pseudomonas aeruginosa）之感染？",40,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-basic-medicine-034","下列藥物中，何者為 calcitonin gene-related peptide（CGRP）受體拮抗劑，除了可緩解急性偏頭痛（acute migraine）症狀，亦可用於預防偏頭痛？",34,113,3,"2026-09-04",1788510705019]