[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-038":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-111-1-內外科護理學-038","nurse-111-1-medical-surgical-038",111,1,38,"有關特異性血小板減少性紫斑症之敘述，下列何者正確？①可能與自體免疫疾病有關 ②骨髓檢查可發現巨核細胞增加 ③須避免使用 Aspirin 的藥物 ④經常發生於細菌感染後",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點為特異性（免疫性）血小板減少性紫斑症 ITP 的正確敘述。①ITP 為自體抗體破壞血小板的自體免疫疾病，正確；②因周邊血小板被破壞，骨髓代償性使巨核細胞（megakaryocyte）增生，正確；③血小板低下有出血風險，須避免會抑制血小板功能的 Aspirin 等 NSAIDs，正確，故①②③為解答 A。④錯在急性型 ITP 常見於「病毒」感染後（尤其兒童），非細菌感染後，故含④的選項排除。判斷關鍵在辨識④把病毒誤植為細菌。","ITP 屬第 II 型過敏反應，IgG 自體抗體結合血小板膜醣蛋白（GPIIb\u002FIIIa），使之於脾臟被巨噬細胞吞噬清除。骨髓抹片見巨核細胞正常或增多，可與再生不良性貧血區別。兒童急性型多於病毒感染後自限性緩解；成人多為慢性。治療用類固醇、IVIG，難治者行脾臟切除。護理重點：避免 Aspirin\u002FNSAID、預防外傷與出血。",[24,27,29,31],{"term":25,"count":26},"自體免疫",4,{"term":28,"count":10},"免疫性血小板減少性紫斑症 ITP",{"term":30,"count":10},"巨核細胞增生",{"term":32,"count":10},"避免 Aspirin",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-039","有關化學治療藥物作用機轉與副作用之敘述，下列何者錯誤？",39,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-055","有關慢性支氣管炎病人出院護理指導的敘述，下列何者正確？",55,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-069","下列何種荷爾蒙分泌過多會導致康氏症候群（Conn’s syndrome）？",69,112,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-2-medical-surgical-007","有關胃癌的敘述，下列何者正確？",7,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-medical-surgical-011","有關全髖關節置換術病人之術後護理措施，下列敘述何者最不適當？",11,114,3,{"webId":60,"stem":61,"number":41,"year":62,"session":10},"nurse-106-1-medical-surgical-055","有關槤枷胸之敘述，下列何者正確？",106,"2026-09-04",1788510734561]