[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-112-1-基礎醫學-018","nurse-112-1-basic-medicine-018",112,1,18,"下列有關敗血性休克的敘述，何者最不可能發生？",{"A":15,"B":16,"C":17,"D":18},"因腸管破裂造成腹膜炎所引起發高燒","泌尿道感染所引起","初期時病人的心輸出量會明顯降低","全身廣泛性產生小血塊","C",null,[],"本題考點在於敗血性休克（septic shock）的血行動力學特徵，屬「找最不可能發生」題。敗血性休克屬分布性休克，因大量發炎介質使周邊血管廣泛擴張、後負荷降低，初期心臟代償而心輸出量常「上升」，呈現暖休克（warm shock）。A腸破裂腹膜炎、B泌尿道感染都是常見感染源可引起敗血症、D全身廣泛性小血塊即瀰漫性血管內凝血（DIC）是敗血症併發症，皆可能發生。C「初期心輸出量明顯降低」與敗血性休克初期高心輸出的特徵相反，故最不可能發生、為答案。考點在於辨識敗血性休克初期為高心輸出、低周邊阻力。","休克分型對比：敗血性(分布性)休克初期＝高心輸出、低SVR、四肢溫暖(暖休克)；晚期心肌抑制才轉為低心輸出的冷休克。相對地，低血容性與心因性休克是低心輸出、高SVR、四肢濕冷。敗血症易併發DIC(廣泛微血栓＋消耗性出血)。臨床監測含乳酸、SvO₂與液體復甦反應。",[25,28,30,32],{"term":26,"count":27},"敗血性休克",2,{"term":29,"count":11},"分布性休克血行動力學",{"term":31,"count":11},"高心輸出低阻力",{"term":33,"count":11},"DIC",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-1-basic-medicine-019","下列有關心衰竭病程中的代償調節作用之敘述，何者正確？",19,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-112-3-basic-medicine-015","下列何者為副交感（parasympathetic）神經興奮所引起之反應？",15,3,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-113-2-basic-medicine-009","支配橫膈的膈神經（phrenic nerve），主要是來自下列何者？",9,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-basic-medicine-007","女性月經來潮（menstruation）時，子宮的那一層構造會剝落，造成月經出血？",7,114,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-1-basic-medicine-061","Ondansetron 之臨床適應症為：",61,106,{"webId":60,"stem":61,"number":42,"year":62,"session":27},"nurse-107-2-basic-medicine-015","下列何者參與形成血腦障壁？",107,"2026-09-04",1788510740619]