[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-006":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-109-2-內外科護理學-006","nurse-109-2-medical-surgical-006",109,2,6,"腦中風病人使用 Aspirin 100 mg 1# P. O. Q. D.治療的目的，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"溶解血栓","解熱鎮痛","抗血小板凝集","降腦壓","C",null,[],"本題考點在於低劑量 Aspirin 用於中風病人的藥理作用機轉。Aspirin 屬環氧化酶（COX）抑制劑，低劑量會不可逆抑制血小板的 COX-1，減少血栓素 A₂生成，從而抑制血小板凝集，達到預防血栓再形成的效果，選 C。A 溶解血栓是血栓溶解劑的作用，Aspirin 無法溶解既成血栓。B 解熱鎮痛是 Aspirin 較高劑量時的作用，非低劑量之目的。D 降腦壓需靠滲透性利尿劑，與 Aspirin 機轉無關。故正確者為抗血小板凝集。","劑量決定 Aspirin 的臨床角色：低劑量（75–100 mg）選擇性抑制血小板 COX-1、壓低促凝的血栓素 A₂，用於抗血小板；高劑量才發揮解熱、鎮痛、抗發炎（抑制發炎介質合成）。血小板無細胞核，無法重新合成 COX，故抑制作用持續整個血小板壽命（約 7–10 天）——這也是術前需停藥數日的原因。缺血性中風的次級預防以抗血小板為主軸；急性期溶栓才用 t-PA，兩者機轉與時機不同，勿混淆。",[24,27,29,32,34],{"term":25,"count":26},"抗血小板",4,{"term":28,"count":10},"Aspirin",{"term":30,"count":31},"環氧化酶抑制劑",1,{"term":33,"count":31},"血栓素 A2",{"term":35,"count":31},"缺血性中風次級預防",[37,41,46,50,55,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-medical-surgical-007","王小姐進行經蝶骨腦下垂體切除術，術後發現鼻部有水樣液體流出之護理措施，下列何者正確？",7,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-110-1-medical-surgical-023","關於糖尿病性酮酸中毒（DKA）的敘述，下列何者正確？",23,110,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-110-2-medical-surgical-037","病人接受化學治療後血小板數值為 10,000 cells\u002Fmm，下列何者為護理評估重點？",37,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-111-2-medical-surgical-075","下列何者在副甲狀腺功能低下病人會呈現陽性反應？",75,111,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-112-3-medical-surgical-039","慢性腎臟病第四期病人解血尿懷疑是腎臟結石，下列診斷檢查何者最適當？",39,112,3,{"webId":62,"stem":63,"number":64,"year":65,"session":31},"nurse-114-1-medical-surgical-033","有關急性呼吸窘迫症候群（ARDS）之敘述，下列何者正確？",33,114,"2026-09-04",1788510716303]