[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-112-2-內外科護理學-007","nurse-112-2-medical-surgical-007",112,2,7,"關於腦瘤伽馬刀（gamma knife）立體定位放射線手術之敘述，下列何者正確？①適用於直徑小於 3 公分腫瘤 ②不會有手術切開傷口 ③治療時間約需半小時 ④使用碘放射線射入腫瘤以破壞腫瘤細胞",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點是伽馬刀立體定位放射手術的原理與適應症，正解為①②③（選 A）。依伽馬刀原理，它以多束聚焦的珈瑪射線（來自鈷-60，Cobalt-60）精準會聚於腦內病灶，屬非侵入性照射：①適用於直徑小於 3 公分的小型腫瘤，因劑量聚焦範圍有限，正確；②不需開顱、無手術切開傷口，僅需固定頭架，正確；③單次治療時間約半小時左右，正確。④敘述錯誤，伽馬刀使用的是鈷-60 產生的珈瑪射線而非「碘放射線」，碘-131 屬體內置入的放射性核種治療（如甲狀腺），與伽馬刀機轉不同，故含④的選項均不選。","伽馬刀屬立體定位放射手術（stereotactic radiosurgery, SRS），核心概念是「單束劑量低、多束交會處劑量高」，讓周邊正常腦組織所受劑量降到最低而病灶接受破壞性高劑量，因此適合體積小、邊界清楚的病灶（如小型腦膜瘤、聽神經瘤、動靜脈畸形、腦轉移瘤）。與傳統開顱手術對比：無傷口、無麻醉風險、恢復快，但效果需數月才顯現且大腫瘤不適用。放射源鈷-60 的半衰期約 5.27 年，需定期更換。記憶重點：伽馬刀＝珈瑪射線＋鈷-60＋聚焦＋無切口，切勿與使用碘核種的近接放射治療混淆。",[24,27,29,31],{"term":25,"count":26},"伽馬刀",1,{"term":28,"count":26},"立體定位放射手術",{"term":30,"count":26},"鈷-60珈瑪射線",{"term":32,"count":26},"腦瘤治療適應症",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-008","重症肌無力病人使用抗膽鹼酯酶藥物的護理指導，下列何者正確？①腹部絞痛可能為劑量不足徵象 ②鼓勵進食高蛋白食物預防副作用 ③血壓上升可能為劑量過量徵象 ④務必準時服藥因延遲服藥可能會喪失吞藥力量",8,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-medical-surgical-024","乳腺癌病人出現意識混亂、嗜睡、虛弱、心律不整、嘔吐及便秘，下列何者為其最可能發生的癌症合併症？",24,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-medical-surgical-018","有關心房纖維顫動臨床處置之敘述，下列何者正確？",18,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-medical-surgical-016","38 歲孕齡婦女，診斷為下肢深部靜脈栓塞，接受抗凝血劑 Heparin 注射治療，下列敘述何者最不適當？",16,114,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-106-1-medical-surgical-070","有關糖尿病酮酸中毒之常見徵象，下列何者正確？",70,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-medical-surgical-024","鼻咽癌病人接受放射線治療的護理措施，下列何者錯誤？",107,"2026-09-04",1788510747316]