[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-basic-medicine-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-112-1-基礎醫學-023","nurse-112-1-basic-medicine-023",112,1,23,"下列何者是兒童接受肝臟移植最常見的原因？",{"A":15,"B":16,"C":17,"D":18},"肝母細胞癌（hepatoblastoma）","肝細胞癌（hepatocellular carcinoma）","原發性膽道性硬化（primary biliary cirrhosis）","膽道閉鎖（biliary atresia）","D",null,[],"本題考點在於兒童接受肝臟移植的最常見原因。膽道閉鎖（biliary atresia）是新生兒期膽管進行性纖維化閉塞的疾病，導致膽汁鬱積、肝硬化與肝衰竭，是兒童（尤其嬰幼兒）肝臟移植最常見的原因，故選D。A肝母細胞癌雖是兒童常見肝臟惡性腫瘤，但屬腫瘤範疇、非移植首因；B肝細胞癌好發於成人慢性肝炎肝硬化背景，非兒童常見；C原發性膽道性硬化（現稱原發性膽汁性膽管炎）主要見於中年女性，非兒童疾病。考點在於辨識膽道閉鎖為小兒肝移植首要適應症。","膽道閉鎖臨床：新生兒出生後持續性黃疸、灰白便、茶色尿、肝腫大，須及早以Kasai手術(肝門腸吻合)重建膽流，失敗或延誤則進展至肝衰竭需肝移植。與生理性黃疸鑑別關鍵在「結合型膽紅素上升」與灰白便。小兒肝移植病因以膽道閉鎖居首，代謝性肝病次之。",[25,27,29,31],{"term":26,"count":11},"膽道閉鎖",{"term":28,"count":11},"兒童肝臟移植適應症",{"term":30,"count":11},"Kasai手術",{"term":32,"count":11},"新生兒膽汁鬱積",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-basic-medicine-024","下列與發炎關係最少的關節炎是：",24,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-3-basic-medicine-020","下列何者為微粒（micelle）在消化系統中的主要功能？",20,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-113-2-basic-medicine-014","下列何種激素的分泌對血糖濃度的影響最小？",14,113,2,{"webId":50,"stem":51,"number":52,"year":53,"session":42},"nurse-114-3-basic-medicine-012","下列何者是肌肉收縮過程中、短時間（數毫秒內）提供能量的最主要來源？",12,114,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-1-basic-medicine-066","有關免疫球蛋白 IgG 的敘述，下列何者正確？",66,106,{"webId":60,"stem":61,"number":41,"year":62,"session":48},"nurse-107-2-basic-medicine-020","下列那一腦區受損將使人失去害怕的感覺？",107,"2026-09-04",1788510740660]