[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-056","nurse-110-2-medical-surgical-056",110,2,56,"有關肋膜積水進行放液時，若一次超過 1,200 c.c.，可能會發生下列何種現象？",{"A":14,"B":15,"C":16,"D":17},"血壓急速上升","高碳酸血症","肺水腫","肺纖維化","C",null,[],"本題考點在胸腔或肋膜放液過快過多的併發症。當單次抽出肋膜積液超過約1,000至1,200 c.c.時,長期受壓萎陷的肺泡突然快速復張,微血管通透性改變、負壓牽引使液體滲入肺間質,造成複張性肺水腫,故選C。放液通常引起血壓下降而非急速上升,選項A錯;放液改善的是氣體交換,不會直接造成高碳酸血症,選項B錯;肺纖維化是慢性反覆傷害的結果而非單次放液的立即併發症,選項D亦不符,故均非答案。","複張性肺水腫(re-expansion pulmonary edema)機轉:長期塌陷肺泡再灌流時產生氧化壓力與微血管通透性上升,加上快速復張的機械牽扯,使液體滲漏至肺泡。預防原則:單次放液量限制、緩慢引流並監測症狀。記憶數字:單次抽液上限約1,000至1,200 c.c.。可連結大量氣胸快速抽氣後亦可能發生複張性肺水腫的同源概念。",[24,26,29,31,33],{"term":25,"count":10},"微血管通透性",{"term":27,"count":28},"肋膜放液",1,{"term":30,"count":28},"複張性肺水腫",{"term":32,"count":28},"單次放液量限制",{"term":34,"count":28},"放液併發症",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-057","有關人體酸鹼平衡的敘述，下列何者正確？",57,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-111-1-medical-surgical-073","有關甲狀腺功能低下症之護理措施，下列何者正確？",73,111,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-112-1-medical-surgical-007","進行意識評估，病人無法自動睜眼，叫喚才會睜開眼睛，人、地定向感清楚，但時間回答錯誤，能遵照指示做出正確的動作，其 GCS 昏迷量表，下列何者正確？",7,112,{"webId":51,"stem":52,"number":53,"year":49,"session":54},"nurse-112-3-medical-surgical-045","有關胰臟所製造的激素與作用，下列敘述何者錯誤？",45,3,{"webId":56,"stem":57,"number":58,"year":59,"session":28},"nurse-114-1-medical-surgical-049","有關輸血品項與適應症之敘述，下列何者錯誤？",49,114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-medical-surgical-043","有關抗利尿不當症候群（SIADH）的臨床表徵，下列何者正確？①血鈉 128 mEq\u002FL ②尿鈉 40 mEq\u002FL ③尿比重 1.050 ④血漿滲透壓 350 mOsmo\u002Fkg ⑤尿液滲透壓 50 mOsmo\u002Fkg",43,115,"2026-09-04",1788510729315]