[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-053":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-108-2-內外科護理學-053","nurse-108-2-medical-surgical-053",108,2,53,"肺葉切除術後，常放置兩支胸管引流，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"一支置於腋中線的第二肋間引流液體，另一支置於胸前第八及第九肋間處引流肋膜腔下方的空氣","一支置於腋中線的第二肋間引流空氣，另一支置於胸前第八及第九肋間處引流肋膜腔下方的液體","一支置於胸前的第二肋間引流空氣，另一支置於腋中線第八及第九肋間處引流肋膜腔下方的液體","一支置於胸前的第二肋間引流液體，另一支置於腋中線第八及第九肋間處引流肋膜腔下方的空氣","C",null,[],"本題考點在於肺葉切除術後雙胸管的擺放位置與氣液分流原理。依「氣體上升、液體下沉」的物理原則，引流空氣的胸管應置於胸腔上方即胸前第二肋間，引流液體的胸管應置於下方即腋中線第八、九肋間，兩者分工排出肋膜腔的空氣與滲液以促使肺復張，故選 C。選項 A、B 將引流管放在腋中線第二肋間或胸前第八九肋間，位置上下顛倒，不符合氣上液下原則。選項 D 把上方管設為引流液體、下方管引流空氣，同樣違反氣體向上聚集、液體向下積聚的分佈，造成引流效率不佳。故只有 C 的配置正確。","原理來自氣體密度低而上浮、液體受重力下沉。上胸管(高位、前胸第二肋間)排氣使肺膨脹，下胸管(低位、腋中或後基底)排液排血。判題口訣「上氣下液、前上後下」。術後照護重點：維持水下密閉引流、觀察氣泡與波動、記錄引流量與性狀，避免管路扭折或高於胸腔造成逆流。",[24,27,29,32,34],{"term":25,"count":26},"肋膜腔",3,{"term":28,"count":10},"肺復張",{"term":30,"count":31},"胸腔引流",1,{"term":33,"count":31},"氣上液下原則",{"term":35,"count":31},"肺葉切除術後",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-medical-surgical-054","當進行肺部聽診時，可經由聽診器清楚的聽到病人所說的話，下列何者為此項檢查之結果？",54,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-109-1-medical-surgical-070","有關格雷氏病（Grave’s disease）之敘述，下列何者正確？",70,109,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-110-1-medical-surgical-004","因車禍造成左側胸椎第 6 節受傷的病人，出現脊髓半側截斷症候群，下列敘述何者正確？",4,110,{"webId":52,"stem":53,"number":54,"year":55,"session":31},"nurse-111-1-medical-surgical-042","有關乳癌症狀與疾病分期之敘述，下列何者正確？",42,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-2-medical-surgical-006","張先生因高處跌下導致脊髓損傷住院，護理師可經由下列何種反射出現，而知張先生已渡過脊髓休克期？",6,112,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-113-2-medical-surgical-020","有關二尖瓣狹窄之血液動力學檢查結果，下列何者錯誤？",20,113,"2026-09-04",1788510706639]