[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"產兒科護理學","maternal-pediatric",{"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-113-1-產兒科護理學-040","nurse-113-1-maternal-pediatric-040",113,1,40,"有關川崎氏症病童的治療及其目的，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"給與阿斯匹靈（aspirin），以促進血小板凝集","給與免疫球蛋白（IVIG）可有效降低冠狀動脈瘤發生","給與苯巴比特魯錠（phenobarbital）治療舞蹈症","給與盤尼西林（penicillin）以預防發炎","B",null,[],"本題考點在於川崎氏症(Kawasaki disease)的治療藥物與其目的。依川崎症治療準則,靜脈注射免疫球蛋白(IVIG)是急性期首選,能抑制血管發炎,有效降低冠狀動脈瘤的發生率,故B正確。A錯:阿斯匹靈在川崎症用於抗發炎(高劑量)與抗血小板凝集(低劑量),目的是「抑制」而非「促進」血小板凝集。C錯:phenobarbital為抗癲癇藥,與川崎症治療無關,舞蹈症(chorea)見於風濕熱而非川崎症。D錯:川崎症是血管炎不是細菌感染,盤尼西林(抗生素)無治療作用。辨識關鍵在IVIG護心(降低冠狀動脈瘤)。","川崎症為中小型血管炎,最嚴重併發症是冠狀動脈瘤。標準治療:發病10天內給IVIG 2g\u002Fkg加高劑量aspirin抗發炎,退燒後改低劑量aspirin抗血小板以防血栓。臨床特徵記憶(CRASH & burn):Conjunctivitis結膜炎、Rash皮疹、Adenopathy頸淋巴結、Strawberry tongue草莓舌、Hand\u002Ffoot肢端腫脫皮,加持續高燒≥5天。",[24,27,30,33],{"term":25,"count":26},"川崎氏症",5,{"term":28,"count":29},"冠狀動脈瘤",3,{"term":31,"count":32},"免疫球蛋白IVIG",2,{"term":34,"count":10},"阿斯匹靈抗血小板",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-1-maternal-pediatric-041","有關嬰幼兒缺鐵性貧血（iron deficiency anemia）之敘述，下列何者正確？",41,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-113-3-maternal-pediatric-037","有關嬰兒玫瑰疹（roseola）的評估，下列敘述何者錯誤？",37,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-114-2-maternal-pediatric-031","有關嬰兒安全給藥原則之敘述，下列何者錯誤？",31,114,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-maternal-pediatric-029","有關江女士的表現，下列何者為潛在適應不良的徵兆？",29,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-maternal-pediatric-073","有關心臟病童的藥物使用，下列敘述何者正確？",73,107,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-108-2-maternal-pediatric-027","有關新生兒的暗示行為之敘述，下列何者錯誤？",27,108,"2026-09-04",1788510750976]