[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-113-2-內外科護理學-007","nurse-113-2-medical-surgical-007",113,2,7,"有關胃癌的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"胃淋巴癌最常見","好發在 40 歲以下的女性","好發在上段與食道接近之處","與醃漬食物攝取過多有關","D",null,[],"本題考點在於胃癌的流行病學與危險因子。依據致癌機轉,醃漬、煙燻、高鹽食物含大量硝酸鹽,經細菌轉為亞硝胺類致癌物並促發慢性胃炎,是明確危險因子,故 D 正確。A 錯在胃癌以「腺癌」最常見(約九成),胃淋巴癌僅占少數。B 錯在胃癌好發於 50 歲以上、男性多於女性,並非 40 歲以下女性。C 錯在胃癌好發於胃竇及幽門部,與食道接近的是賁門\u002F胃底,並非最常見部位。整體以飲食型態與慢性發炎串連危險因子,可對照幽門螺旋桿菌感染同屬重要致癌因素。","胃癌致病鏈:高鹽醃漬+幽門螺旋桿菌→慢性萎縮性胃炎→腸上皮化生→分化不良→腺癌(Correa 級聯)。腺癌又分腸型(與環境飲食相關)與瀰漫型(與遺傳、印戒細胞相關)。記憶:醃、煙、鹽、菌是四大推手,好發胃竇。",[24,27,29,32],{"term":25,"count":26},"幽門螺旋桿菌",6,{"term":28,"count":10},"胃腺癌",{"term":30,"count":31},"亞硝胺與醃漬食物",1,{"term":33,"count":31},"好發部位胃竇",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-medical-surgical-008","有關全腸道外營養療法（TPN）常見的併發症，下列何者錯誤？",8,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-medical-surgical-004","有關癲癇（epilepsy）發作處置，下列敘述何者錯誤？",4,114,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-114-2-medical-surgical-048","下列何者不是腸病毒 71 型病人併發重症的前兆？",48,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-106-1-medical-surgical-046","預防疥瘡再發及傳染他人的護理指導，下列何者錯誤？",46,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-010","與幽門螺旋桿菌（Helicobacter pylori）感染有關的胃部疾病，下列何者正確？①A 型慢性胃炎 ②B 型慢性胃炎 ③消化性潰瘍 ④急性胃炎 ⑤胃食道逆流",10,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-044","有關焦痂切開術的敘述，下列何者正確？",44,108,"2026-09-04",1788510754922]