[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-032":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":10},"nurse-110-2-內外科護理學-032","nurse-110-2-medical-surgical-032",110,2,32,"有關僧帽瓣狹窄的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"左心房壓力上升，可能導致左心房擴大","血液鬱積於左心房造成周邊血壓上升","容易產生周邊靜脈栓塞","嚴重僧帽瓣狹窄會導致心收縮期雜音","A",null,[],"本題考點在於僧帽瓣狹窄的血流動力學表徵。僧帽瓣狹窄使左心房血液難以順利流入左心室，血液鬱積導致左心房壓力上升，長期造成左心房擴大，故A正確。血液鬱積於左心房會逆向造成「肺靜脈與肺循環」充血(肺高壓)，而非周邊血壓上升，B錯。左心房內血流鬱滯易形成血栓並脫落造成「動脈系統」栓塞(如腦中風)，而非周邊靜脈栓塞，C錯。僧帽瓣狹窄的雜音出現在「舒張期」(心室充盈時血流通過狹窄瓣膜)，而非收縮期，D錯。故正確為A。","壓力逆傳鏈：左房壓↑→左房擴大(易生Af與血栓)→肺靜脈與肺微血管壓↑→肺充血、肺高壓→右心負荷↑→右心衰竭。典型體徵為心尖舒張期隆隆樣雜音、開瓣音。血栓脫落走動脈路徑可致腦中風。記憶口訣「二尖瓣狹窄→左房大、肺鬱血、舒張雜音、易Af栓塞」。可連結概念：風濕性心臟病、肺高壓、心房顫動與抗凝。",[24,26,29,31],{"term":25,"count":10},"左心房壓力上升",{"term":27,"count":28},"僧帽瓣狹窄",1,{"term":30,"count":28},"舒張期雜音",{"term":32,"count":28},"動脈栓塞風險",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-medical-surgical-033","評估時請病人快速彎曲足背，如果出現小腿疼痛，表示為下列何種徵象？",33,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-medical-surgical-049","有關器官移植後之護理指導，下列何者錯誤？",49,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-medical-surgical-063","有關前列腺肥大與前列腺癌的敘述，下列何者錯誤？",63,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-medical-surgical-021","有關生物性心瓣膜特性的敘述，下列何者錯誤？",21,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-114-1-medical-surgical-025","下列何者接受自體移植治療後的5年存活率最高？",25,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-medical-surgical-019","下列何種心律不整，可以使用按摩頸動脈竇的方式來使心律恢復正常？",19,115,"2026-09-04",1788510729079]