[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-110-1-內外科護理學-004","nurse-110-1-medical-surgical-004",110,1,4,"因車禍造成左側胸椎第 6 節受傷的病人，出現脊髓半側截斷症候群，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"左側胸椎第 6 節以下的疼痛及溫度感消失","左側胸椎第 6 節以下的運動功能及震動感消失","左側胸椎第 6 節以下的輕觸覺消失","右側胸椎第 6 節以下的深觸覺消失","B",null,[],"本題考點為脊髓半側截斷症候群(Brown-Séquard syndrome)的感覺運動分離特徵。依脊髓傳導路的解剖,運動路(皮質脊髓束)與後索(震動、本體感、深觸覺)在延腦才交叉,故傷側同側喪失;而痛溫覺(脊髓丘腦側束)在脊髓每節即交叉,故對側喪失。左側 T6 受傷時,同側(左側)T6 以下運動功能與震動感消失,故選 B。選項 A 錯,痛溫覺喪失應在對側(右側)而非左側;選項 C 輕觸覺走前索與後索雙軌支配,通常不會完全消失;選項 D 深觸覺屬後索,應為傷側同側(左側)喪失而非右側。","口訣『同側動震深、對側痛溫』:同側(傷側)因後索與皮質脊髓束尚未交叉,喪失運動、震動與本體\u002F深觸覺;對側因脊髓丘腦束已交叉,喪失痛覺與溫覺。輕觸走前索(已交叉)加後索(未交叉),雙軌保險故常保留。理解交叉『在哪一層發生』是所有脊髓半切題的通關鑰匙。",[24,26,28,30],{"term":25,"count":10},"Brown-Séquard 症候群",{"term":27,"count":10},"後索震動與本體覺",{"term":29,"count":10},"脊髓丘腦束痛溫覺",{"term":31,"count":10},"傳導路交叉層次",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-medical-surgical-005","會影響吞嚥動作之腦神經，下列何者正確？①CN III ②CN VII ③CN IX ④CN X ⑤CN XI",5,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-medical-surgical-021","有關全髖關節置換術後病人之護理指導，下列何者錯誤？",21,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-medical-surgical-035","有關缺鐵性貧血病人的護理措施，下列何者正確？①教導病人使用吸管吸食液態鐵劑 ②鼓勵病人飯後服用鐵劑以增加鐵的吸收 ③鼓勵病人多攝取富含維生素 C 的食物 ④注射鐵劑後應避免立即拔出針頭",35,111,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-1-medical-surgical-073","有關副甲狀腺功能低下之臨床表徵，下列何者正確？①嗜睡 ②高血鈣 ③骨質耗損加劇 ④白內障 ⑤高血磷",73,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-medical-surgical-017","有關心包填塞之臨床表徵，下列何者錯誤？",17,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-medical-surgical-011","有關全髖關節置換術病人之術後護理措施，下列敘述何者最不適當？",11,114,3,"2026-09-04",1788510720752]