[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-110-2-基礎醫學-030","nurse-110-2-basic-medicine-030",110,2,30,"造成氧合解離曲線（oxygen-hemoglobin dissociation curve）向左偏移，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"增加 2, 3-雙磷甘油（2, 3-diphosphoglycerate）","增加體溫","增加代謝","升高 pH 值","D",null,[],"本題考點在氧合血紅素解離曲線的左右偏移因子。曲線左移代表血紅素對氧親和力增加、同一氧分壓下飽和度較高。依Bohr效應,pH升高(鹼)、二氧化碳下降、體溫下降、2,3-DPG下降皆使曲線左移,故選D升高pH值。A增加2,3-DPG會降低親和力使曲線右移;B增加體溫使親和力下降、右移;C代謝增加產生更多二氧化碳與酸、亦右移。故造成左移者為pH升高。","記憶法『右移=組織要氧的情境』:運動時體溫↑、二氧化碳↑、H⁺↑(pH↓)、2,3-DPG↑→右移釋氧給組織。左移反之(低溫、鹼中毒、低2,3-DPG、胎兒血紅素HbF、一氧化碳結合)。Bohr效應描述二氧化碳\u002FH⁺對親和力的影響。臨床連結:輸注庫存血2,3-DPG低致左移、高山適應則2,3-DPG上升。",[25,28,30,33],{"term":26,"count":27},"2,3-DPG",3,{"term":29,"count":11},"血紅素氧親和力",{"term":31,"count":32},"氧合解離曲線",1,{"term":34,"count":32},"Bohr效應",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-basic-medicine-031","有關腸道中脂解酶（lipase）的敘述，下列何者正確？",31,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-111-1-basic-medicine-047","下列何者不是引起快速進行（新月形）腎小球腎炎[Rapidly progressive （crescentic） glomerulonephritis] 的原因？",47,111,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-112-1-basic-medicine-011","下列何者屬於胜肽類神經傳導物質？",11,112,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-113-2-basic-medicine-009","支配橫膈的膈神經（phrenic nerve），主要是來自下列何者？",9,113,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-114-3-basic-medicine-013","與脂肪組織中促進脂肪分解（lipolysis）作用，下列何者最為相關？",13,114,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-106-1-basic-medicine-057","下列有關新型抗凝血藥物 Argatroban 的敘述，何者正確？",57,106,"2026-09-04",1788510727571]