[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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":26},"nurse-112-3-基礎醫學-022","nurse-112-3-basic-medicine-022",112,3,22,"下列何者不是下肢深部靜脈血栓（deep venous thrombosis）常引起的臨床表現？",{"A":15,"B":16,"C":17,"D":18},"患側下肢遠端水腫","患側遠端疼痛","肺栓塞","肝臟栓塞","D",null,[],"本題考點在於下肢深部靜脈血栓（DVT）的臨床表現。依病理生理，DVT 形成後會阻塞靜脈回流，造成患側遠端水腫與疼痛；血栓脫落隨靜脈血流經右心進入肺動脈時，會造成肺栓塞。本題為反向題，非典型表現者為 D 肝臟栓塞：下肢靜脈血回流經下腔靜脈與右心進入肺循環，脫落栓子會卡在肺而非流向肝臟，肝臟並非其栓塞終點。A 遠端水腫與 B 遠端疼痛皆為 DVT 局部阻塞的典型症狀，C 肺栓塞是最危險的併發症，三者皆為常見表現。","追蹤栓子的流向就能判斷：下肢深靜脈血栓→股靜脈→下腔靜脈→右心房、右心室→肺動脈，故脫落栓子造成的是肺栓塞而非肝栓塞。肝臟的血栓來源另有其道（如肝門靜脈血栓由腸胃道靜脈系統而來）。記法：靜脈栓子順流「回心再進肺」，卡在肺；不會逆流或轉向到肝。臨床上 DVT 三大警訊為單側腫、痛、肺栓塞的胸痛與喘。",[25,27,30,33],{"term":17,"count":26},5,{"term":28,"count":29},"深部靜脈血栓",2,{"term":31,"count":32},"靜脈回流路徑",1,{"term":34,"count":32},"栓子流向",[36,40,45,50,55,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-3-basic-medicine-023","下列那一種疾病最常發生非化膿性增殖性滑液膜炎（proliferative synovitis）？",23,{"webId":41,"stem":42,"number":43,"year":44,"session":29},"nurse-113-2-basic-medicine-019","平靜呼氣中止後，正常吸入一口空氣到肺臟，此吸入的氣體體積稱為：",19,113,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-114-1-basic-medicine-013","下列有關成人腰椎（lumbar vertebrae）的敘述，何者正確？",13,114,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-115-2-basic-medicine-011","泛素（ubiquitin）最主要的功能為何？",11,115,{"webId":56,"stem":57,"number":26,"year":58,"session":32},"nurse-107-1-basic-medicine-005","腹骨盆腔九分區的假想線中，最下方的水平線通過下列何者？",107,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-108-1-basic-medicine-039","下列那條血管與硬腦膜外血腫（epidural hematoma）關聯性最大？",39,108,"2026-09-04",1788510744069]