[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-078":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":26},"nurse-110-1-內外科護理學-078","nurse-110-1-medical-surgical-078",110,1,78,"有關敗血性休克引發瀰漫性血管內凝血（DIC）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"體內會產生凝血因子和血小板功能被抑制","DIC 產生之症狀包括皮膚出現水泡","應優先治療敗血症之導因","DIC 治療包括優先提供全血輸注","C",null,[],"本題考點在於敗血性休克引發瀰漫性血管內凝血（DIC）的病生理與處置原則。DIC的根本治療在於去除誘發原因，敗血症所致者應優先治療其感染導因，故選C。選項A錯在DIC是凝血系統被過度活化、大量消耗凝血因子與血小板，屬「消耗」而非單純被抑制，繼而引發出血。選項B錯在DIC臨床以廣泛出血、瘀斑、微血栓與器官缺血為主，皮膚出現水泡並非其典型症狀。選項D錯在治療以補充消耗掉的成分（如新鮮冷凍血漿、血小板、冷凍沉澱品）為主，並非優先提供全血輸注。故敘述正確者為C。","DIC病生理雙相並存：先是凝血過度活化形成微血栓造成器官缺血，同時大量消耗凝血因子與血小板致「消耗性凝血病」而廣泛出血，實驗室可見血小板下降、PT\u002FaPTT延長、纖維蛋白原下降、D-dimer上升。治療金律：「先治病因、再補成分」——敗血症控制感染、輸新鮮冷凍血漿補凝血因子、輸血小板與冷凍沉澱品補纖維蛋白原。全血並非首選，成分輸血更精準。可連結：消耗性凝血病、D-dimer、新鮮冷凍血漿、微血栓與器官衰竭。",[24,27,29,31],{"term":25,"count":26},"瀰漫性血管內凝血",3,{"term":28,"count":10},"消耗性凝血病",{"term":30,"count":10},"治療病因優先",{"term":32,"count":10},"成分輸血",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-079","有關休克初期身體啟動之正常代償機轉，下列何者錯誤？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-1-medical-surgical-015","有關癌症病人貧血問題之敘述，下列何者錯誤？",15,111,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-111-2-medical-surgical-029","有關風濕熱的主要臨床表徵，下列何者錯誤？",29,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-112-2-medical-surgical-067","有關皮質醇（Cortisol）之敘述，下列何者正確？",67,112,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-113-3-medical-surgical-041","有關腎臟癌的臨床表徵，下列何者錯誤？",41,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-medical-surgical-035","李先生因肺結核服用ethambutol（EMB）治療，下列敘述何者正確？",35,115,"2026-09-04",1788510721535]