[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"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-112-3-內外科護理學-027","nurse-112-3-medical-surgical-027",112,3,27,"病人剛接受骨髓移植 2 週，主訴右上腹痛，評估有黃疸、腹水，下列何者是病人最有可能發生的問題？",{"A":14,"B":15,"C":16,"D":17},"感染","急性移植物抗宿主疾病（GVHD）","肝靜脈阻塞（Veno-occlusive disease, VOD）","腸阻塞","C",null,[],"本題考點在於骨髓移植後早期併發症的鑑別。移植後約2週出現右上腹痛、黃疸、腹水,是肝靜脈阻塞疾病(veno-occlusive disease, VOD,又稱肝竇阻塞症候群)的典型表現,因高劑量前處置化療損傷肝小靜脈與肝竇內皮所致,故選C。A感染多以發燒、局部感染徵象為主。B急性移植物抗宿主疾病(GVHD)典型侵犯皮膚、腸道、肝臟,以皮疹、腹瀉為主。D腸阻塞以腹脹、嘔吐、腸蠕動異常表現,均不符此三聯症。","VOD三聯症可記為「體重上升(腹水)、右上腹痛(肝腫大)、黃疸(膽紅素上升)」,好發於移植後前3週,與前處置藥物(如busulfan、cyclophosphamide)的肝毒性有關。與GVHD的區別在於VOD以肝內血流阻塞為機轉,GVHD則是供者免疫細胞攻擊宿主組織。",[24,27,29],{"term":25,"count":26},"骨髓移植併發症",1,{"term":28,"count":26},"肝靜脈阻塞疾病(VOD)",{"term":30,"count":26},"移植物抗宿主疾病(GVHD)",[32,36,42,47,52,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-112-3-medical-surgical-028","有關頭頸部放射治療對口腔造成的影響，下列處置何者正確？",28,{"webId":37,"stem":38,"number":39,"year":40,"session":41},"nurse-113-2-medical-surgical-024","陳小弟，15 歲，剛被診斷為急性白血病，醫師給予強度較強的化學治療，有關急性白血病治療完全緩解的標準，下列何者錯誤？①骨髓內芽細胞（blast cell）＜5% ②周邊血液有芽細胞 ③無器官浸潤 ④造血細胞接近正常值",24,113,2,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-114-1-medical-surgical-018","有關心衰竭之敘述，下列何者正確？",18,114,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-115-2-medical-surgical-016","有關 B 型利鈉胜肽（B-type Natriuretic peptide）檢查的敘述，下列何者正確？",16,115,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-107-1-medical-surgical-010","有關傾倒症候群（Dumping Syndrome）的敘述，下列何者正確？",10,107,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-108-1-medical-surgical-044","有關蜂窩性組織炎的敘述，下列何者正確？",44,108,"2026-09-04",1788510745008]