[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"產兒科護理學","maternal-pediatric",{"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-108-2-產兒科護理學-029","nurse-108-2-maternal-pediatric-029",108,2,29,"有關 HELLP syndrome 的症狀與致病機轉之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"為妊娠子癇症，易在懷孕 20 週以前出現，主要症狀是因血小板增加與溶血所引發","指溶血、肝功能指數上升、血小板下降的症候群","是妊娠出血性疾病的一種，包含血液動力失衡、低紅血球症與胎盤功能下降","致病機轉通常與孕婦對胎兒的 ABO 血型不合有關","B",null,[],"本題考點是 HELLP 症候群的定義與機轉。依其名稱縮寫，HELLP 指溶血（Hemolysis）、肝酵素上升（Elevated Liver enzymes）、血小板低下（Low Platelets）三大特徵的症候群，屬子癲前症／子癇症的嚴重變異，故選 B。A 錯在多在懷孕 20 週『以後』發生，且機轉是血小板『下降』與溶血、而非血小板增加。C 錯在把 HELLP 描述為妊娠出血性疾病並列「低紅血球症、胎盤功能下降」的籠統說法，未抓住溶血、肝酵素升高、血小板低下的核心三要件。D 錯在 HELLP 與母胎 ABO 血型不合無關，ABO 不合造成的是新生兒溶血病。","HELLP 機轉：血管內皮受損與血管痙攣→微血管病性溶血（紅血球通過受損微血管被機械性破壞，周邊血抹片見裂片細胞）、肝竇纖維蛋白沉積致肝細胞缺血而肝酵素上升（可致右上腹或上腹痛）、血小板因消耗而下降。屬子癲前症光譜，通常 20 週後出現，可合併高血壓、蛋白尿。記憶：『H 溶血、EL 肝酵素升、LP 血小板低』。與 ABO／Rh 血型不合（造成新生兒溶血）機轉截然不同，勿混淆。",[24,27,29,32,34],{"term":25,"count":26},"HELLP 症候群",3,{"term":28,"count":10},"血小板低下",{"term":30,"count":31},"微血管病性溶血",1,{"term":33,"count":31},"肝酵素上升",{"term":35,"count":31},"子癲前症",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-maternal-pediatric-030","有關協助子宮復舊的產後運動，下列何者錯誤？",30,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-109-1-maternal-pediatric-046","下列何者不是瀕死兒童的生理變化？",46,109,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-109-2-maternal-pediatric-060","小花 6 個月，疑似罹患呼吸道融合病毒，有關採檢相關的敘述，下列何者最適當？",60,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-111-1-maternal-pediatric-018","陳女士，產後 1 週，表示有易怒、失眠、沒有食慾、注意力不集中的情形，其最有可能的情況為何？",18,111,{"webId":56,"stem":57,"number":58,"year":59,"session":31},"nurse-112-1-maternal-pediatric-062","小名，3 歲，疑似罹患流行性感冒，有關臨床表徵的敘述，下列何者最不適當？",62,112,{"webId":61,"stem":62,"number":44,"year":63,"session":31},"nurse-113-1-maternal-pediatric-046","小強罹患先天性巨結腸症（congential megacolon），有關照護和手術之護理指導敘述，下列何者正確？",113,"2026-09-04",1788510707095]