[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-033","nurse-111-2-medical-surgical-033",111,2,33,"有關搭飛機長程旅行後常會出現深部靜脈栓塞的主要原因，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"靜脈內皮細胞受損","血液凝固性增加","血液鬱積","血管收縮","C",null,[],"本題考點為深部靜脈栓塞(DVT)成因,依 Virchow 三要素(血液鬱積、血管內皮受損、血液高凝狀態)分析。長程飛行的核心機轉是久坐不動、下肢肌肉幫浦作用停止,導致靜脈血流緩慢鬱積,是最主要原因,選 C。A 內皮受損與長時間靜坐無直接關聯;B 血液凝固性增加雖是三要素之一,但飛行主要非因高凝而是鬱積;D 血管收縮並非 DVT 的機轉。故最主要原因為血液鬱積。","Virchow triad(血流鬱積、內皮損傷、高凝狀態)是所有血栓題的分析框架。長途飛行(economy class syndrome)的主導因子是靜脈鬱積:狹窄座位使下肢屈曲久坐、小腿肌肉幫浦停擺,血液滯留於深靜脈。機艙低濕與相對脫水可加重高凝,但屬次要。預防重點為定時活動下肢、多喝水、穿彈性襪。栓子若脫落循靜脈回流入右心,再打入肺動脈即造成肺栓塞,故 DVT 與肺栓塞常視為同一疾病譜(靜脈血栓栓塞症,VTE)。",[24,27,30,32],{"term":25,"count":26},"深部靜脈栓塞",6,{"term":28,"count":29},"Virchow 三要素",5,{"term":16,"count":31},1,{"term":33,"count":31},"靜脈血栓栓塞症",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-medical-surgical-034","奇脈（paradoxical pulse）是指下列何種情況？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-medical-surgical-050","有關後天免疫缺乏症候群（AIDS）病人出現伺機性感染之敘述，下列何者正確？",50,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-medical-surgical-064","下列何者會出現間歇性無痛血尿之症狀？①尿道炎 ②輸尿管結石 ③膀胱癌 ④腎臟癌",64,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-medical-surgical-032","王先生診斷肺癌接受放射線治療時，出現皮膚乾燥、發癢和脫皮情形，下列護理措施何者最適當？",32,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-115-1-medical-surgical-036","有關肺栓塞造成的通氣與灌流比失衡（ventilation and perfusion mismatch）之敘述，下列何者正確？",36,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-medical-surgical-050","下列何者為確診病人有無肺結核感染最準確的方式？",106,"2026-09-04",1788510738531]