[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-001":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":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-109-1-內外科護理學-001","nurse-109-1-medical-surgical-001",109,1,"有關脊髓休克（Spinal shock）的敘述，下列何者錯誤？",{"A":13,"B":14,"C":15,"D":16},"病人的肛門反射正常","受傷部位以下的肌肉力量消失","受傷部位以下的溫、痛、觸覺消失","腸蠕動下降或出現麻痺性腸阻塞","A",null,[],"本題考點在於脊髓休克(Spinal shock)的臨床表徵辨識。脊髓休克指急性脊髓損傷後,損傷平面以下所有反射活動暫時完全喪失。依此機轉,受傷部位以下肌力消失(B)、溫痛觸覺等感覺消失(C)、因自主神經抑制致腸蠕動下降甚或麻痺性腸阻塞(D)皆為正確表徵。而肛門反射屬脊髓反射,在脊髓休克期同樣消失,故「肛門反射正常」(A)敘述錯誤,為答案。考點在於掌握脊髓休克以「反射全面消失」為核心,肛門反射的恢復反而是脊髓休克結束的指標。","脊髓休克是急性脊髓損傷後、損傷平面以下反射弧暫時「總斷電」,表現為弛緩性癱瘓、感覺喪失、反射消失(含肛門反射、球海綿體反射)、膀胱無力與麻痺性腸阻塞、血壓下降。臨床上球海綿體反射或肛門反射的恢復,正是判斷脊髓休克結束、可據以評估損傷完全與否的指標。因此「反射正常」在休克期是矛盾敘述。對比:脊髓休克是暫時性反射喪失,神經性休克則是血流動力學(低血壓、心搏過緩)問題。",[23,26,29,31],{"term":24,"count":25},"脊髓休克",5,{"term":27,"count":28},"麻痺性腸阻塞",4,{"term":30,"count":10},"反射消失",{"term":32,"count":10},"肛門反射",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-002","右側大腦損傷所引起的功能缺失，下列何者正確？①左側偏癱 ②空間及認知缺損 ③語言及計算能力降低 ④行動變得快及衝動",2,{"webId":39,"stem":40,"number":41,"year":9,"session":37},"nurse-109-2-medical-surgical-018","有關骨性關節炎的診斷檢查，下列何者正確？",18,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-032","有關心臟血管系統的診斷檢查結果，下列敘述何者正確？",32,110,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-111-1-medical-surgical-070","有關抗利尿激素分泌不當症候群（SIADH）之臨床表徵，下列何者錯誤？",70,111,{"webId":53,"stem":54,"number":55,"year":56,"session":37},"nurse-112-2-medical-surgical-034","張小姐，42 歲，診斷為乳癌第二期，日前進行癌症治療，有關腫瘤標記之敘述，下列何者錯誤？",34,112,{"webId":58,"stem":59,"number":60,"year":61,"session":37},"nurse-113-2-medical-surgical-048","有關心因性休克的敘述，下列何者正確？",48,113,"2026-09-04",1788510712321]