[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-109-2-內外科護理學-069","nurse-109-2-medical-surgical-069",109,2,69,"下列何種荷爾蒙分泌不足會導致黏液性水腫（myxedema）？",{"A":14,"B":15,"C":16,"D":17},"生長激素（GH）","甲狀腺激素（TSH）","腎上腺皮質素（ACTH）","性腺激素（LH 及 FSH）","B",null,[],"本題考點是黏液性水腫（myxedema）的內分泌病因。黏液性水腫是嚴重甲狀腺功能低下的表現，源於甲狀腺激素分泌不足，故選項B為正解。甲狀腺激素不足時，親水性黏多醣堆積於皮下組織，形成非凹陷性水腫、皮膚粗厚、表情呆滯與代謝率下降。選項A生長激素（GH）不足會造成侏儒症或成人生長激素缺乏；選項C腎上腺皮質素（ACTH）不足導致腎上腺功能低下、低血糖低血壓；選項D性腺激素（LH、FSH）不足影響生殖與月經，皆與黏液性水腫無直接因果。","黏液性水腫的關鍵字是『黏多醣沉積』：甲狀腺激素低下使組織代謝與蛋白清除變慢，親水性glycosaminoglycan堆積於真皮，吸水後形成不會凹陷的水腫，與腎病或心衰的凹陷性水腫不同。臨床全貌是全身代謝低下：怕冷、體重增加、便祕、心跳慢、反射遲緩、聲音低啞。最危急的併發症是黏液性水腫昏迷（低體溫、低血鈉、意識障礙、呼吸抑制），死亡率高。注意概念層次：甲狀腺激素（T3、T4）由甲狀腺分泌，受腦下垂體TSH調控，原發性低下時TSH反而代償上升，治療以左旋甲狀腺素補充為主。",[24,27,29,31],{"term":25,"count":26},"甲狀腺功能低下",5,{"term":28,"count":10},"黏液性水腫",{"term":30,"count":10},"黏多醣沉積",{"term":32,"count":33},"甲狀腺激素",1,[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-070","有關副甲狀腺功能低下病人之處置與護理，下列何者正確？",70,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-2-medical-surgical-006","有關多發性硬化症的敘述，下列何者正確？",6,110,{"webId":45,"stem":46,"number":47,"year":48,"session":33},"nurse-111-1-medical-surgical-020","有關痛風藥物 Probenecis（Benemid）的主要作用，下列何者正確？",20,111,{"webId":50,"stem":51,"number":52,"year":53,"session":33},"nurse-112-1-medical-surgical-058","有關透析治療之適應症，下列何者不適宜？",58,112,{"webId":55,"stem":56,"number":10,"year":57,"session":10},"nurse-113-2-medical-surgical-002","有關顱底骨骨折病人有耳漏、鼻漏的評估與及處置，下列敘述何者錯誤？",113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-medical-surgical-046","有關副甲狀腺機能亢進造成的影響，下列何者錯誤？",46,114,"2026-09-04",1788510716946]