[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-112-2-內外科護理學-053","nurse-112-2-medical-surgical-053",112,2,53,"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？",{"A":14,"B":15,"C":16,"D":17},"呼吸緩慢","呼吸音降低","桶狀胸","受傷部位有吸吮聲","B",null,[],"本題考點為肺挫傷（pulmonary contusion）的臨床評估。考點在於胸壁鈍傷後肺實質受損、肺泡出血水腫使氣體進出受阻，聽診會出現患側『呼吸音降低』（或囉音），故正解為 B。A 錯誤，肺挫傷因氣體交換障礙常見呼吸『增快』費力而非緩慢；C 錯誤，桶狀胸是慢性阻塞性肺病長期過度充氣的表現，與急性外傷無關；D 錯誤，受傷部位有吸吮聲（sucking chest wound）是開放性氣胸的特徵，屬穿刺傷而非鈍傷肺挫傷，故選 B。","肺挫傷是胸部鈍傷後肺泡與微血管破裂出血、間質水腫，導致局部氣體交換障礙，臨床出現呼吸急促、低血氧、咳血絲痰及患側呼吸音減弱或囉音，胸部 X 光常於受傷後 24–48 小時才顯現浸潤影，故需持續監測。須與開放性氣胸（傷口吸吮聲、需三邊敷料）、連枷胸（反常呼吸運動）鑑別。桶狀胸屬慢性阻塞性肺病的慢性變化。記憶『鈍傷肺挫傷＝呼吸音降、血氧掉、X光延後現』。",[24,26,28,30],{"term":25,"count":10},"肺挫傷",{"term":15,"count":27},1,{"term":29,"count":27},"胸部鈍傷",{"term":31,"count":27},"與開放性氣胸鑑別",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-2-medical-surgical-054","葉先生為 COPD 病人，醫囑為：fenoterol（Berotec）2 puffs INHA BID，下列何者表示其使用正確？",54,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-113-1-medical-surgical-020","有關下肢深部靜脈栓塞服用Warfarin病人之護理指導，下列何者正確？",20,113,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-113-3-medical-surgical-014","有關後天免疫缺乏症候群（AIDS）之敘述，下列何者錯誤？",14,3,{"webId":48,"stem":49,"number":50,"year":51,"session":27},"nurse-115-1-medical-surgical-012","有關不同關節炎之比較，下列何者正確？",12,115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-2-medical-surgical-036","有關癌症病人臨床實驗室檢查結果之敘述，下列何者正確？",36,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-107-2-medical-surgical-070","有關使用抗甲狀腺硫醯胺類（thionamides）藥物之敘述，下列何者正確？",70,107,"2026-09-04",1788510747737]