[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-112-1-內外科護理學-035","nurse-112-1-medical-surgical-035",112,1,35,"有關瀰漫性血管內凝血的敘述，下列何者正確？①與感染有關 ②常出現凝血症狀 ③檢查時纖維蛋白原下降 ④常出現出血症狀",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點在於瀰漫性血管內凝血(DIC)的病生理。依機轉,DIC常繼發於嚴重感染、敗血症等,①與感染有關正確;過度凝血耗盡凝血因子與血小板,故③纖維蛋白原下降正確;凝血因子耗竭後轉為廣泛出血,④常出現出血症狀正確,故答案為C(①③④)。②「常出現凝血症狀」雖DIC早期有微血栓,但臨床最突出且列為典型表現的是出血傾向,本題以出血為主軸,故不選②。","DIC是凝血與纖溶同時失控:先廣泛微血栓消耗血小板與凝血因子(fibrinogen下降),繼而因子耗盡導致全身出血。實驗室:血小板↓、PT\u002FaPTT延長、fibrinogen↓、D-dimer\u002FFDP↑。誘因:敗血症、產科急症、癌症、大量創傷。臨床最引人警覺的是多部位出血,治療以矯治病因並補充血液成分為主。",[24,27,29,31],{"term":25,"count":26},"瀰漫性血管內凝血DIC",2,{"term":28,"count":10},"纖維蛋白原下降",{"term":30,"count":10},"出血傾向",{"term":32,"count":10},"感染敗血症誘因",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-036","有關異體周邊血液幹細胞移植之敘述，下列何者正確？",36,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-112-2-medical-surgical-052","下列何者不是肺水腫病人之典型臨床表徵？",52,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-medical-surgical-016","有關心肌炎病人的護理指導，下列何者不適宜？",16,113,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-114-2-medical-surgical-014","下列何者為白內障最主要的病變構造？",14,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-018","有關退化性關節炎臨床表徵之敘述，下列何者錯誤？",18,106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-1-medical-surgical-052","有關胃食道逆流的敘述，下列何者錯誤？",107,"2026-09-04",1788510741999]