[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-016":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-109-2-基礎醫學-016","nurse-109-2-basic-medicine-016",109,2,16,"交感神經中的大內臟神經（greater splanchnic nerve）其節前神經纖維來自下列何者？",{"A":15,"B":16,"C":17,"D":18},"頸段脊髓","胸段脊髓","腰段脊髓","薦段脊髓","B",null,[],"本題考點是交感神經節前纖維的脊髓來源分節。依自律神經解剖，交感神經屬胸腰系統，其節前神經元位於脊髓T1至L2的側角。大內臟神經(greater splanchnic nerve)由T5至T9的節前纖維組成，穿過交感神經節不換元，直達腹腔神經節，故正解為B「胸段脊髓」。A頸段脊髓沒有側角交感神經元，頭頸交感來自上胸段上行。C腰段僅L1-L2屬交感範圍且供應下肢與骨盆，非大內臟神經來源。D薦段脊髓(S2-S4)屬副交感系統，與交感節前纖維無關。故選胸段。","內臟神經分三支：大內臟神經(T5-T9→腹腔神經節)、小內臟神經(T10-T11→上腸繫膜\u002F主動脈腎神經節)、最小內臟神經(T12→腎叢)，皆為交感節前纖維穿節而過，於椎前神經節換元後支配腹部臟器。記憶交感=T1-L2(胸腰)、副交感=腦幹CN III\u002FVII\u002FIX\u002FX加S2-S4(頭薦)。臨床上腹腔神經叢阻斷術(celiac plexus block)即利用此路徑緩解胰臟癌等內臟痛。",[25,28,30,32,34],{"term":26,"count":27},"交感神經胸腰系統",1,{"term":29,"count":27},"節前纖維",{"term":31,"count":27},"大內臟神經",{"term":33,"count":27},"脊髓側角",{"term":35,"count":27},"腹腔神經節",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-017","一莫耳葡萄糖（即180克）溶解於1公升水中所產生的滲透壓濃度為多少Osmol\u002FL？",17,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-110-1-basic-medicine-033","40 歲女性出現手指僵硬，吞嚥困難及非發炎性真皮明顯纖維化。此人最可能罹患下列何種疾病？",33,110,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-110-2-basic-medicine-047","關於腎臟囊腫疾病（cystic disease of the kidney），下列何者錯誤？",47,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-112-1-basic-medicine-035","下列何種酶可被咖啡因抑制？",35,112,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-113-2-basic-medicine-039","下列抗癌藥物中，何者最易產生腎毒性？",39,113,{"webId":61,"stem":62,"number":44,"year":63,"session":64},"nurse-114-3-basic-medicine-033","嗎啡（morphine）的止痛作用主要是活化下列何種受體而產生？",114,3,"2026-09-04",1788510714884]