[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"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-112-3-基礎醫學-005","nurse-112-3-basic-medicine-005",112,3,5,"下列血管何者與下腔靜脈（inferior vena cava）直接相連？",{"A":15,"B":16,"C":17,"D":18},"肝靜脈（hepatic vein）","脾靜脈（splenic vein）","腸繫膜上靜脈（superior mesenteric vein）","腸繫膜下靜脈（inferior mesenteric vein）","A",null,[],"本題考點在於下腔靜脈的直接屬支解剖關係。依循環解剖，下腔靜脈接收來自橫膈以下的靜脈血，其中肝臟的血液是先經肝門靜脈與肝動脈進入肝臟、於肝竇匯集後由肝靜脈直接注入下腔靜脈，故肝靜脈與下腔靜脈直接相連，選 A。B 脾靜脈屬肝門靜脈系統，匯入肝門靜脈而非直接進下腔靜脈。C 腸繫膜上靜脈引流小腸與右半結腸，與脾靜脈合成肝門靜脈。D 腸繫膜下靜脈引流左半結腸與直腸，注入脾靜脈或腸繫膜上靜脈。三者皆屬肝門靜脈系統，血液須先過肝才回到下腔靜脈，並非直接相連。","關鍵是分清「肝門靜脈系統」與「體循環靜脈回流」。腸胃道與脾臟的靜脈血富含吸收後的養分，須先經肝門靜脈進肝代謝與解毒，這是所謂第一關卡效應；處理完的血才由肝靜脈匯入下腔靜脈回心。記法：進肝的是肝門靜脈（portal），出肝回心的是肝靜脈（hepatic vein）。脾靜脈、腸繫膜上下靜脈都是肝門靜脈的組成支流，屬於進肝端，自然不會直接接下腔靜脈。",[25,27,30,33],{"term":26,"count":11},"下腔靜脈",{"term":28,"count":29},"肝門靜脈系統",2,{"term":31,"count":32},"肝靜脈",1,{"term":34,"count":32},"肝臟血液循環",[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-3-basic-medicine-006","支持子宮的韌帶中，下列何者會經過鼠蹊管（inguinal canal）連結到大陰唇（labia majora）？",6,{"webId":41,"stem":42,"number":29,"year":43,"session":29},"nurse-113-2-basic-medicine-002","女性體內黃體素（progesterone）的含量在下列子宮週期中何時最高？",113,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-113-3-basic-medicine-046","肝炎病毒中，那一種病毒需要 B 型肝炎病毒同時感染，才能幫助它複製繁殖？",46,{"webId":49,"stem":50,"number":51,"year":52,"session":32},"nurse-115-1-basic-medicine-044","有關疫苗的敘述，下列何者錯誤？",44,115,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-106-2-basic-medicine-068","人類血型為 A 型，其血中抗體為：",68,106,{"webId":59,"stem":60,"number":61,"year":62,"session":32},"nurse-108-1-basic-medicine-022","負責氣體交換之呼吸道細胞為下列那一種？",22,108,"2026-09-04",1788510743913]