[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-077","nurse-111-1-medical-surgical-077",111,1,77,"下列何種情況最可能引發神經性休克？",{"A":14,"B":15,"C":16,"D":17},"蜜蜂螫傷引發休克","張力性氣胸造成休克","心肌梗塞造成休克","車禍脊髓受損造成休克","D",null,[],"本題考點在於神經性休克(neurogenic shock)的成因辨識。依其病生理,神經性休克源於交感神經傳導受阻、血管張力喪失導致廣泛血管擴張與血壓下降,常見於「脊髓損傷」,故 D 車禍脊髓受損造成休克為典型成因,為本題答案。A 蜜蜂螫傷屬過敏性(anaphylactic)休克,由過敏反應釋放組織胺引起。B 張力性氣胸屬阻塞性(obstructive)休克,因胸腔壓迫回心血流受阻。C 心肌梗塞屬心因性(cardiogenic)休克,因心臟幫浦功能衰竭。四者機轉不同,唯脊髓損傷符合神經性休克。","神經性休克特徵與其他休克不同:因交感張力喪失,呈現「低血壓合併心搏過緩」及皮膚溫暖乾燥,而其他分布性\u002F低容積休克多為心搏過速與四肢濕冷。休克分類記憶:低容積(出血、脫水)、心因性(心肌梗塞)、阻塞性(氣胸、肺栓塞、心包填塞)、分布性(過敏性、敗血性、神經性)。脊髓損傷平面愈高,交感受損愈廣,神經性休克愈明顯。",[24,27,29,32,34],{"term":25,"count":26},"神經性休克",5,{"term":28,"count":26},"休克分類",{"term":30,"count":31},"血管擴張",4,{"term":33,"count":10},"脊髓損傷",{"term":35,"count":10},"交感神經張力喪失",[37,41,46,51,56,62],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-medical-surgical-078","有關敗血症之敘述，下列何者錯誤？",78,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-112-1-medical-surgical-014","有關慢性胃炎之敘述，下列何者錯誤？",14,112,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-112-2-medical-surgical-028","有關心肌梗塞急性期的治療，下列敘述何者正確？①從鼻套管給 10 L\u002Fmin 氧氣 ②給予麻醉性止痛劑止痛，如 morphine ③給予血栓溶解劑治療 ④給予抗凝血劑治療 ⑤補充維生素 K",28,2,{"webId":52,"stem":53,"number":54,"year":55,"session":50},"nurse-113-2-medical-surgical-046","下列何者是副甲狀腺功能亢進的臨床表徵？",46,113,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-114-3-medical-surgical-050","有關阻塞性黃疸的評估，下列敘述何者最適當？",50,114,3,{"webId":63,"stem":64,"number":44,"year":65,"session":50},"nurse-106-2-medical-surgical-014","有關罹患膽結石的高風險族群，下列何者錯誤？",106,"2026-09-04",1788510735270]