[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-052","nurse-112-2-medical-surgical-052",112,2,52,"下列何者不是肺水腫病人之典型臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"動脈氧分壓（PaO 2 ）48 mmHg","肺動脈楔壓（PAWP）14 mmHg","頸靜脈怒張","中心靜脈壓（CVP）18 cmH 2 O","B",null,[],"本題考點為肺水腫（pulmonary edema）的典型臨床表徵，屬找出『非典型』表徵的反向題。不符典型者為 B：肺動脈楔壓（PAWP）14 mmHg 屬正常範圍（正常約 6～12 mmHg，14 僅輕微偏高），心因性肺水腫時 PAWP 應明顯升高（＞18 mmHg），故此數值不是肺水腫典型表現，故選 B。A 屬典型，PaO₂ 48 mmHg 顯示嚴重低血氧；C 頸靜脈怒張與 D 中心靜脈壓 18 cmH₂O 升高，皆反映右心負荷與體液滯留，符合心衰竭合併肺水腫的表現。","心因性肺水腫的核心機轉是左心衰竭使左心房與肺微血管靜水壓上升，液體滲入肺間質與肺泡，PAWP（反映左心房壓）明顯升高（常＞18–20 mmHg）是重要血流動力學指標。低血氧（PaO₂↓）源於肺泡氣體交換障礙。頸靜脈怒張與 CVP 升高反映右心與體循環容量負荷。本題陷阱在 PAWP 14 mmHg 僅輕度偏高、未達肺水腫典型的顯著升高，故為『非典型』。可連結 Swan-Ganz 導管監測與正常值（CVP 2–8 mmHg、PAWP 6–12 mmHg）複習。",[24,27,30,32],{"term":25,"count":26},"肺水腫",9,{"term":28,"count":29},"肺動脈楔壓PAWP正常值",1,{"term":31,"count":29},"低血氧PaO2",{"term":33,"count":29},"中心靜脈壓與頸靜脈怒張",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-053","王先生胸壁受到鈍傷入院求治，下列何者表示可能有肺挫傷的情形？",53,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-113-1-medical-surgical-019","有關心臟節律器之敘述，下列何者正確？",19,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-medical-surgical-013","下列何者會出現眼睛痛的症狀？",13,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-115-1-medical-surgical-011","病人因左側股骨骨折而接受石膏制動之治療，下列敘述何者錯誤？",11,115,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-medical-surgical-035","章小姐在癌症治療過程中，向護理師反應「我快要死了，再也看不到我女兒了」，以庫伯勒-羅斯癌症病人的心理反應，是屬於下列那個階段？",35,106,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-107-2-medical-surgical-069","有關皮下注射胰島素吸收速率之比較，下列何者正確？",69,107,"2026-09-04",1788510747726]