[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"產兒科護理學","maternal-pediatric",{"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-112-2-產兒科護理學-078","nurse-112-2-maternal-pediatric-078",112,2,78,"兒童罹患雷氏症候群（Reye’s Syndrome）常會有複雜性合併症產生，有關其病因和症狀，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"為代謝性腦病變合併胰臟病變的疾病","可能與使用含阿斯匹靈（aspirin）退燒有關","血液中氨（ammonia）值下降","血糖濃度增加","B",null,[],"本題考點是雷氏症候群的病因與生化變化。雷氏症候群為急性腦病變合併肝臟脂肪浸潤，流行病學上與兒童病毒感染(如水痘、流感)期間使用含阿斯匹靈(aspirin)退燒高度相關，故選 B，這也是兒科禁用 aspirin 退燒的依據。它是腦病變合併肝臟病變而非胰臟病變，A 錯。肝功能受損使氨代謝障礙，血中氨值上升而非下降，C 錯。肝醣分解與糖質新生受損，常出現低血糖而非血糖上升，D 錯。","雷氏症候群的病生理核心在粒線體功能障礙：肝細胞脂肪變性使尿素循環失能，導致高血氨與肝性腦病變；同時肝醣耗竭造成低血糖。臨床分期由嘔吐、嗜睡進展到抽搐、昏迷。關鍵衛教與國考常考點是：兒童及青少年發燒(尤其病毒感染)應選用 acetaminophen 或 ibuprofen，避免 aspirin。記憶口訣可抓三高一低：高血氨、肝酵素高、顱內壓高、血糖低。",[24,27,29,31],{"term":25,"count":26},"雷氏症候群 Reye's Syndrome",1,{"term":28,"count":26},"阿斯匹靈 aspirin 禁用",{"term":30,"count":26},"急性腦病變合併肝病變",{"term":32,"count":26},"高血氨 低血糖",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-079","小琪，5 歲，診斷為中度腦性麻痺（Cerebral Palsy），有咀嚼、吞嚥控制困難問題，有關飲食之居家照顧指導，下列敘述何者錯誤？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-045","膽道閉鎖（biliary atresia）是嬰兒先天性疾病之一，下列敘述何者錯誤？",45,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-039","10 歲的連小妹持續乾咳多日，有輕微發燒，胸部 X 光檢查發現兩側下肺葉呈現間質性浸潤，痰中的單核白血球上升，且家中的雙胞胎妹妹也曾有類似的症狀，下列何者為連小妹罹患肺炎最可能的致病因子？",39,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-037","有關腸病毒（enteroviruses infection）護理指導，下列敘述何者最適當？",37,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-061","有關兒童罹患黴漿菌性肺炎（mycoplasma pneumonia）的臨床表徵，下列敘述何者正確？",61,106,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-1-maternal-pediatric-015","王女士，待產期間為右枕前位，進行內迴轉時，下列何者正確？",15,108,"2026-09-04",1788510748656]