[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":10},"nurse-109-2-內外科護理學-059","nurse-109-2-medical-surgical-059",109,2,59,"下列何種疾病會出現奇異性呼吸（paradoxical respiration）？",{"A":14,"B":15,"C":16,"D":17},"張力性氣胸","槤枷胸","急性呼吸衰竭","肺高壓症","B",null,[],"本題考點是奇異性呼吸（paradoxical respiration）的成因辨識。考點在於辨識奇異性呼吸源於胸壁完整性喪失：連枷胸（flail chest）因相鄰多根肋骨各斷兩處，形成游離的胸壁節段，吸氣胸腔負壓時該段反常「內陷」、吐氣時反常「外凸」，與正常胸壁運動相反，故選B。A張力性氣胸表現為患側呼吸音消失、氣管偏移，而非奇異呼吸。C急性呼吸衰竭以氣體交換障礙、呼吸窘迫為主，無胸壁反常運動。D肺高壓症屬肺血管壓力升高，與胸壁力學無關。故僅連枷胸出現奇異性呼吸，選B。","連枷胸病生理：≥3根相鄰肋骨、各斷≥2處，游離段失去骨性連續而隨胸腔內壓被動反向移動，造成無效通氣與潮氣量下降；常合併下方肺挫傷，是低血氧的主因。處置重點：氧合與止痛以利呼吸、必要時正壓通氣做「內固定」、監測潮氣量。記憶：「連枷段吸氣凹、吐氣凸，跟大家相反（paradox）」。與張力性氣胸（氣管偏移）、開放性氣胸（吸吮傷口）並列為常考胸部外傷急症。",[24,26,28,31],{"term":25,"count":10},"奇異性呼吸",{"term":27,"count":10},"連枷胸",{"term":29,"count":30},"游離胸壁節段",1,{"term":32,"count":30},"多發肋骨骨折",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-medical-surgical-060","有關膀胱癌的敘述，下列何者錯誤？",60,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-110-1-medical-surgical-076","有關第一期心腦肺甦醒術（cardiopulmonary cerebral resuscitation; CPCR）的執行步驟，下列何者最優先？",76,110,{"webId":44,"stem":45,"number":46,"year":47,"session":30},"nurse-111-1-medical-surgical-010","有關肝硬化引起腹水機轉之敘述，下列何者正確？",10,111,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-112-1-medical-surgical-048","有關器官移植前的組織配對，降低排斥反應之檢驗項目，不包含下列何者？",48,112,{"webId":54,"stem":55,"number":56,"year":57,"session":30},"nurse-113-1-medical-surgical-042","有關原發性醛固酮過多症之護理措施，下列何者錯誤？",42,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-medical-surgical-036","有關慢性阻塞性肺疾病（COPD）病人之護理指導，下列何者最為適當？",36,114,"2026-09-04",1788510716828]