[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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":27},"nurse-109-1-基礎醫學-033","nurse-109-1-basic-medicine-033",109,1,33,"肺動脈栓塞導致死亡，是屬於那類的休克？",{"A":15,"B":16,"C":17,"D":18},"低血容性休克","心因性休克","敗血性休克","過敏性休克","B",null,[],"本題考點是休克的病生理分類。肺動脈栓塞造成右心後負荷驟增、左心回血與心輸出量急遽下降而致死，屬於幫浦（心臟）無法有效輸出的機轉，歸類為心因性（阻塞性）休克，故選 B。(A) 低血容性休克是失血或脫水導致血量不足，肺栓塞並無血量喪失。(C) 敗血性休克是感染引發全身血管擴張、分佈異常，機轉不同。(D) 過敏性休克是 IgE 媒介的全身血管擴張與通透性增加，亦非肺栓塞機轉。故肺栓塞致死屬心因性（阻塞性）休克，答案為 B。","休克四大類：低血容性（血量↓）、心因性（幫浦衰竭，如心肌梗塞）、阻塞性（血流受機械阻塞，如肺栓塞、心包填塞、張力性氣胸）、分佈性（血管張力↓，含敗血、過敏、神經性）。嚴格分類肺栓塞屬「阻塞性」，但許多教科書與國考將其歸入廣義心因性（心臟無法輸出）——本題官方答案取 B。機轉：大塊肺栓塞→肺循環阻力暴增→右心衰竭與心室互賴使左心充盈下降→心輸出量與血壓崩落。記憶：阻塞性休克＝「泵沒壞但被卡住」，臨床常與心因性並列。",[25,28,31,32,34],{"term":26,"count":27},"右心衰竭",3,{"term":29,"count":30},"休克分類",2,{"term":16,"count":30},{"term":33,"count":11},"肺動脈栓塞",{"term":35,"count":11},"阻塞性休克",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-1-basic-medicine-034","有關嬰兒多囊性腎病變之敘述，下列何者正確？",34,{"webId":42,"stem":43,"number":44,"year":10,"session":30},"nurse-109-2-basic-medicine-050","下列抗心律不整的藥物，何者會延長動作電位的間期，且甲狀腺機能異常者需小心使用？",50,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-110-1-basic-medicine-064","下列何者與磺胺藥（sulfadoxine）混合使用，以治療弓形蟲（Toxoplasma gondii）之感染？",64,110,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-111-2-basic-medicine-022","有關重症肌無力（myasthenia gravis）病人之敘述，下列何者正確？",22,111,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-113-1-basic-medicine-026","缺鐵性貧血（iron deficiency anemia）的紅血球，其形態有何特徵？",26,113,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-114-2-basic-medicine-020","下列那一種刺激會引起最多的唾液分泌？",20,114,"2026-09-04",1788510711190]