[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-108-2-內外科護理學-044","nurse-108-2-medical-surgical-044",108,2,44,"有關焦痂切開術的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"適用於環形燒傷（circumferential burns），切開時無需麻醉","適用於輻射性燒傷（radiation burns），切開時需要麻醉","為了減壓而切開傷口，故切開後的傷口不宜包紮","若焦痂切開術後仍無法改善組織灌流時，可進一步執行筋膜切開術","D",null,[],"本題考點是焦痂切開術(escharotomy)的適應與後續處置,找出正確者。依處置原則,環形全層燒傷的焦痂僵硬缺乏彈性,腫脹時會如止血帶般壓迫深部組織致灌流不足,若焦痂切開後仍無法改善組織灌流,可進一步施行筋膜切開術(fasciotomy)以釋放筋膜腔壓力,故 D 正確。B 錯在適應症與麻醉描述,焦痂切開主要用於環形燒傷而非輻射性燒傷。C 錯在包紮,切開後傷口仍需適當覆蓋保護、防感染,並非「不宜包紮」。A 敘述環形燒傷雖為適應症,但「切開時無需麻醉」的絕對說法不夠嚴謹,故不選為最正確。","減壓階梯:環形全層燒傷→組織腫脹→筋膜間隔症候群風險→先做焦痂切開(escharotomy,切至皮下)→若灌流仍差,再做筋膜切開(fasciotomy,切開筋膜)。全層焦痂本身無感覺神經,故切焦痂痛感低,但深部切開與病人整體仍需鎮痛。評估灌流看遠端脈搏、微血管填充、感覺與疼痛。可連結:筋膜間隔症候群、環形燒傷、組織灌流評估、fasciotomy。",[24,27,29,31],{"term":25,"count":26},"焦痂切開術 escharotomy",1,{"term":28,"count":26},"筋膜切開術 fasciotomy",{"term":30,"count":26},"環形燒傷",{"term":32,"count":26},"組織灌流減壓",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-045","有關燒傷病人的緊急處理措施 5 步驟之敘述，下列何者錯誤？",45,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-medical-surgical-061","有關尿液檢查的敘述，下列何者錯誤？",61,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-075","糖尿病病人在下列何種情況下不宜增加胰島素的劑量？",75,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-1-medical-surgical-033","輸注下列何種藥物時，需以不透光錫箔紙包住點滴瓶及輸液管？",33,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-1-medical-surgical-077","下列何類休克有皮膚潮紅、溫暖的臨床徵象？①低血容性 ②敗血性 ③心因性 ④神經性",77,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-113-2-medical-surgical-011","有關骨髓炎之護理指導，下列敘述何者錯誤？",11,113,"2026-09-04",1788510706551]