[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-015":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-110-1-內外科護理學-015","nurse-110-1-medical-surgical-015",110,1,15,"有關急性胰臟炎之相關檢驗項目的結果，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"血清鈣上升","血清澱粉酶上升","血清脂肪酶下降","血清葡萄糖下降","B",null,[],"本題考點為急性胰臟炎的實驗室檢驗變化。依病生理,胰臟腺泡受損使消化酶外漏入血,故血清澱粉酶(amylase)與脂肪酶(lipase)顯著上升,其中脂肪酶更具特異性,答案選 B 血清澱粉酶上升。選項 A 錯,急性胰臟炎常因脂肪壞死結合鈣、形成皂化作用而使血清鈣『下降』,並非上升,低血鈣還是預後不良指標;選項 C 錯,血清脂肪酶應『上升』而非下降;選項 D 錯,胰島受影響致胰島素分泌不足,加上壓力荷爾蒙升高,血糖多呈『上升』而非下降。故僅 B 敘述正確。","急性胰臟炎診斷靠 amylase 與 lipase 升高(常大於正常值三倍),lipase 上升較晚但持續久、特異性高。低血鈣機轉是脂肪壞死游離脂肪酸與鈣皂化沉積;高血糖源於胰島素相對不足。Ranson criteria 中血糖高、血鈣低皆屬預後不良項。記法:酶上升、鈣下降、糖上升,三個方向別背反。",[24,27,30,32],{"term":25,"count":26},"急性胰臟炎",4,{"term":28,"count":29},"高血糖",2,{"term":31,"count":10},"血清澱粉酶與脂肪酶上升",{"term":33,"count":10},"脂肪皂化低血鈣",[35,39,43,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-016","有關膽道疾病手術後放置 T 型管的護理措施，下列何者錯誤？",16,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-medical-surgical-032","有關僧帽瓣狹窄的臨床表徵，下列何者正確？",32,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-medical-surgical-046","有關感染疥瘡（Scabies）引起皮膚疾病之敘述，下列何者錯誤？",46,111,{"webId":49,"stem":50,"number":26,"year":51,"session":29},"nurse-112-2-medical-surgical-004","若右眼外旋神經受到血腫壓迫導致複視（diplopia），病人在下列那一種指示下，右眼複視最為明顯？",112,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-113-2-medical-surgical-028","40 歲男性病人，入院診斷為二度燒傷，依照帕克蘭公式計算需給予 12,000 c.c. 液體復甦治療，在燒傷後的第一個 8 小時內需補充完成多少輸液？",28,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-medical-surgical-022","腫瘤及組織病理分期 T x N 1 M 0 、G 4 其代表之意義，下列敘述何者最不適當？",22,114,3,"2026-09-04",1788510720855]