[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-027","nurse-109-2-medical-surgical-027",109,2,27,"心包填塞（cardiac tamponade）之臨床表徵，下列何者正確？①低沉的心音 ②中心靜脈壓上升 ③奇異脈 ④脈搏壓變寬",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點在於心包填塞的臨床表徵。心包腔內液體積聚壓迫心臟，使心音經液體傳導而變得低沉遙遠（①）；心臟受壓致靜脈回流受阻，中心靜脈壓上升（②）；吸氣時收縮壓明顯下降超過 10 mmHg 形成奇異脈（③），三者皆屬心包填塞表現，故選 A（①②③）。④「脈搏壓變寬」錯誤，心包填塞因心輸出受限，收縮壓下降而使脈搏壓變「窄」而非變寬，故凡含④的選項皆排除。因此正確組合為①②③。","心包填塞的貝克三聯症（Beck's triad）：低血壓、頸靜脈怒張（中心靜脈壓上升）、心音低遠。另加奇異脈（pulsus paradoxus，吸氣時收縮壓下降 >10 mmHg）為重要徵象。機轉：心包腔壓力升高限制心室舒張充盈，每搏輸出量下降、脈搏壓變窄，並代償性心搏過速。心電圖可見電交替（electrical alternans）與低電壓。屬心臟急症，需緊急心包穿刺引流。與縮窄性心包炎鑑別，但兩者皆造成舒張充盈受限。",[24,27,30,32,35],{"term":25,"count":26},"心包填塞",6,{"term":28,"count":29},"脈搏壓變窄",3,{"term":31,"count":10},"奇異脈",{"term":33,"count":34},"貝克三聯症",1,{"term":36,"count":34},"中心靜脈壓上升",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-109-2-medical-surgical-028","造成心因性休克的主要原因，不包括下列何者？",28,{"webId":43,"stem":44,"number":45,"year":46,"session":34},"nurse-110-1-medical-surgical-044","下列皮膚病灶何者是原發性皮膚病變？",44,110,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-110-2-medical-surgical-058","護理一位出現肺水腫症狀與徵候的病人，下列措施之順序，何者最適當？①經由鼻導管給與 2 L\u002Fmin 氧氣治療 ②呼叫醫師 ③協助病人採高坐臥 ④準備床邊抽痰用物",58,{"webId":52,"stem":53,"number":54,"year":55,"session":34},"nurse-112-1-medical-surgical-016","有關食道憩室之敘述，下列何者錯誤？",16,112,{"webId":57,"stem":58,"number":59,"year":60,"session":34},"nurse-113-1-medical-surgical-010","有關預防傾倒症候群（dumping syndrome）的飲食建議，下列何者不適宜？",10,113,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-114-2-medical-surgical-004","有關癲癇藥物處置的敘述，下列何者正確？",4,114,"2026-09-04",1788510716508]