[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-028","nurse-109-2-medical-surgical-028",109,2,28,"造成心因性休克的主要原因，不包括下列何者？",{"A":14,"B":15,"C":16,"D":17},"心律不整","心肌梗塞","瓣膜性心臟病","創傷致出血過多","D",null,[],"本題考點在於心因性休克的成因，屬「找出非成因」。心因性休克本質是心臟幫浦功能衰竭導致心輸出量不足，成因包括心律不整（A，使有效搏出減少）、心肌梗塞（B，心肌壞死損及收縮力，為最常見原因）、瓣膜性心臟病（C，血流動力受阻）。D「創傷致出血過多」屬循環血量不足所致的低血容性休克，其問題在血量而非幫浦本身，並非心因性休克成因，故為答案。因此不屬心因性休克成因者為創傷致出血過多。","休克依機轉分四大類：心因性（幫浦衰竭：大範圍心肌梗塞、嚴重心律不整、瓣膜或機械併發症）、低血容性（失血、脫水，如本題創傷大出血）、分佈性（敗血性、過敏性、神經性，血管擴張致相對血量不足）、阻塞性（心包填塞、張力性氣胸、大量肺栓塞阻礙血流）。鑑別關鍵在「問題出在幫浦、血量、血管張力還是流出阻塞」。心因性休克血流動力特徵為心輸出量低、肺微血管楔壓與中心靜脈壓常升高，與低血容性休克的前負荷不足相反。",[24,27,29,31,34],{"term":25,"count":26},"心因性休克",7,{"term":15,"count":28},5,{"term":30,"count":28},"休克分類",{"term":32,"count":33},"低血容性休克",3,{"term":35,"count":10},"幫浦衰竭",[37,41,47,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-medical-surgical-029","林空服員近日覺得小腿不適，護理師採取下列何項評估其深部靜脈栓塞？",29,{"webId":42,"stem":43,"number":44,"year":45,"session":46},"nurse-110-1-medical-surgical-045","有關化學物質燒傷導致皮下組織損傷的處置，下列何者錯誤？",45,110,1,{"webId":48,"stem":49,"number":50,"year":45,"session":10},"nurse-110-2-medical-surgical-059","有關以定量吸入器（MDI）方式給藥的敘述，下列何者錯誤？",59,{"webId":52,"stem":53,"number":54,"year":55,"session":46},"nurse-112-1-medical-surgical-017","有關骨折病人發生脂肪栓塞之敘述，下列何者錯誤？",17,112,{"webId":57,"stem":58,"number":59,"year":60,"session":46},"nurse-113-1-medical-surgical-011","有關骨折癒合階段照護之敘述，下列何者正確？",11,113,{"webId":62,"stem":63,"number":28,"year":64,"session":10},"nurse-114-2-medical-surgical-005","有關病人因頸椎脊髓損傷處於脊髓休克期的敘述，下列何者錯誤？",114,"2026-09-04",1788510716512]