[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-111-2-內外科護理學-014","nurse-111-2-medical-surgical-014",111,2,14,"有關消化性潰瘍的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"胃酸分泌過多，破壞消化道的肌肉層","胃潰瘍好發年輕人為主","十二指腸潰瘍進食後 30 分鐘內疼痛症狀會加劇","可能為幽門桿菌感染所引起","D",null,[],"本題考點在消化性潰瘍的病因與臨床特徵，要選正確者。D正確：幽門螺旋桿菌(H. pylori)感染與長期使用NSAIDs是消化性潰瘍最主要的兩大成因。A錯誤，潰瘍破壞的是黏膜層乃至黏膜下層，並非肌肉層；B錯誤，胃潰瘍好發於中老年，年輕人較多見的是十二指腸潰瘍；C錯誤，十二指腸潰瘍疼痛特徵是空腹或飯後2至3小時痛、進食後反而緩解，胃潰瘍才是進食後疼痛加劇。故選D。","消化性潰瘍是黏膜防禦(黏液、碳酸氫鹽、前列腺素)與攻擊因子(胃酸、胃蛋白酶、H. pylori、NSAIDs)失衡的結果。記憶對比：胃潰瘍為進食後痛、體重減輕；十二指腸潰瘍為空腹\u002F夜間痛、進食後緩解、體重多維持。H. pylori以三合一療法(PPI加兩種抗生素)根除。NSAIDs抑制前列腺素合成而削弱黏膜保護，是藥物性潰瘍主因。",[24,27,30,33],{"term":25,"count":26},"幽門螺旋桿菌",6,{"term":28,"count":29},"消化性潰瘍",5,{"term":31,"count":32},"胃潰瘍vs十二指腸潰瘍疼痛",1,{"term":34,"count":32},"NSAIDs與前列腺素",[36,40,45,49,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-medical-surgical-015","王先生最近感覺疲勞就醫，抽血檢驗發現血清 IgG Anti-HAV 為陽性時所代表的意義，下列何者正確？",15,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-medical-surgical-031","靜脈注射不當造成血管紅、腫、痛是屬於下列何種血管問題？",31,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-medical-surgical-045","有關電燒傷所造成的身體損傷，下列敘述何者正確？",45,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-113-3-medical-surgical-013","下列何者會出現眼睛痛的症狀？",13,113,3,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-115-1-medical-surgical-017","有關血栓性靜脈炎之評估與照護原則，下列敘述何者錯誤？",17,115,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-2-medical-surgical-031","心肌梗塞後病人所出現的心電圖變化，下列何者一旦出現最有可能永遠不會消失？",106,"2026-09-04",1788510738369]