[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-112-2-基礎醫學-024","nurse-112-2-basic-medicine-024",112,2,24,"慢性肉芽腫發炎反應所導致的限制性心包炎，最常見的病原菌或病因是：",{"A":15,"B":16,"C":17,"D":18},"梅毒（syphilis）","結核菌（Mycobacteria tuberculosis）","金黃色葡萄球菌（Staphylococcus aureus）","大腸桿菌（E. coli）","B",null,[],"本題考點在於慢性肉芽腫性發炎導致限制性心包炎的病原。依感染病理，結核菌（Mycobacterium tuberculosis）引起的心包炎屬慢性肉芽腫性發炎，會造成心包纖維化、增厚甚至鈣化，限制心臟舒張充盈而形成限制性（收縮性）心包炎，故選 B。A 梅毒主要侵犯主動脈與中樞神經；C 金黃色葡萄球菌造成的是急性化膿性心包炎而非肉芽腫；D 大腸桿菌屬一般化膿性菌，皆不以慢性肉芽腫與心包纖維鈣化為特徵。","肉芽腫性發炎的招牌病因就是結核（乾酪樣壞死）與部分黴菌、類肉瘤病。結核性心包炎在流行地區是收縮性心包炎的重要成因，臨床可見頸靜脈怒張、Kussmaul 徵象與心音遙遠。記憶：慢性＋肉芽腫＋纖維鈣化＝想到 TB。可連結心包填塞（急性、血流動力學急症）與收縮性心包炎（慢性、舒張受限）的鑑別一併複習。",[25,27,29,32],{"term":26,"count":11},"肉芽腫性發炎",{"term":28,"count":11},"乾酪樣壞死",{"term":30,"count":31},"結核菌",1,{"term":33,"count":31},"限制性心包炎",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-basic-medicine-025","由於發炎導致組織表面壞死，稱為：",25,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-113-1-basic-medicine-021","有關組織傷口癒合的敘述，下列何者最不適當？",21,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-basic-medicine-015","下列有關女性排卵的敘述，何者正確？",15,3,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-115-1-basic-medicine-013","下列有關股四頭肌（quadriceps femoris）的敘述，何者錯誤？",13,115,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-basic-medicine-037","下列何種疾病的發生與抽菸的關係最少？",37,106,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-2-basic-medicine-071","Bordetella pertussis 造成百日咳的病程中，那一時期菌量最高，也最具傳染力？",71,107,"2026-09-04",1788510746347]