[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-111-2-內外科護理學-030","nurse-111-2-medical-surgical-030",111,2,30,"有關心包填塞（cardiac tamponade）症狀的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"頸靜脈怒張","心跳變快","尿量減少","收縮壓上升","D",null,[],"本題考點為心包填塞的臨床表徵與其血流動力學。心包腔積液壓迫心臟,依機轉會限制心室舒張充盈,使心輸出量下降。依 Beck 三徵,表現為頸靜脈怒張(靜脈回流受阻,A對)、心跳變快(代償心輸出下降,B對)、心音遙遠及血壓下降;心輸出量減少也使腎灌流不足導致尿量減少(C對)。因心臟受壓填塞,收縮壓應是下降而非上升,故 D 敘述錯誤,為本題答案。","心包填塞的 Beck 三徵可記為「血壓降、頸靜脈脹、心音悶」。病生理核心是心包內壓上升限制心室舒張充盈,每搏輸出量與心輸出量下降,故血壓降、脈壓變窄。同時出現奇脈(吸氣時收縮壓下降超過 10 mmHg),因吸氣使右心充盈增加、室間隔左推進一步壓迫左心。頸靜脈怒張反映全身靜脈回流受阻,尿量減少反映腎前性灌流不足。與此對比,張力性氣胸也會頸靜脈怒張+低血壓,但氣管偏移與患側呼吸音消失可資鑑別。",[24,27,30,33],{"term":25,"count":26},"心包填塞",6,{"term":28,"count":29},"奇脈",3,{"term":31,"count":32},"Beck 三徵",1,{"term":34,"count":32},"心室舒張受限",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-medical-surgical-031","下肢周邊血管動脈疾病的護理指導，下列敘述何者正確？",31,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-medical-surgical-047","有關細胞毒殺過敏反應之敘述，下列何者錯誤？",47,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-medical-surgical-061","有關慢性腎絲球腎炎之敘述，下列何者正確？①肌酸酐清除率（CCr.）數值異常上升 ②血尿素氮及血肌酸酐的數值會異常升高 ③可由經皮腎臟組織切片檢查早期確診 ④腎皮質變厚及腎臟變大",61,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-113-3-medical-surgical-029","有關免疫球蛋白特性之敘述，下列何者正確？",29,113,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-115-1-medical-surgical-033","王先生使用呼吸器，突然呼吸器出現壓力過高警報，下列何者為可能的原因？",33,115,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-2-medical-surgical-047","有關發生急性溶血性輸血反應處置之敘述，下列何者錯誤？",106,"2026-09-04",1788510738511]