[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-036":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-036","nurse-113-2-medical-surgical-036",113,2,36,"有關急性呼吸窘迫症候群（ARDS）病人使用機械性通氣時，配合使用呼氣末端正壓（PEEP）之目的，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"減少分流程度","減少肺泡塌陷","改善血管的通透性","改善氧合狀態","C",null,[],"本題考點在於呼氣末端正壓（PEEP）在 ARDS 機械通氣的作用機轉。PEEP 於呼氣末維持一定正壓，使原本會塌陷的肺泡保持張開，故能減少肺泡塌陷（B）、增加功能性餘氣量與可交換的肺泡面積，進而減少肺內分流（shunt，A）、改善氧合（D）。本題為反向題，錯誤敘述為 C：ARDS 的根本病生理是肺泡微血管膜通透性增加造成非心因性肺水腫，PEEP 屬物理性撐開肺泡的通氣策略，並不能修復或改善血管通透性，通透性需靠病因治療與時間，故 C 為目的敘述錯誤者，選 C。","PEEP 的核心是招募（recruitment）塌陷肺泡並防止其於呼氣末再度塌陷，減少反覆開合造成的剪力傷害。記法：PEEP 管的是「肺泡開不開」，不是「血管漏不漏」。通透性增加是 ARDS 的上游病灶（發炎介質破壞肺泡-微血管膜），屬病理成因而非通氣可逆的目標。過高 PEEP 反會壓迫肺微血管、減少靜脈回流而降心輸出，須權衡。",[24,27,30,32],{"term":25,"count":26},"肺內分流",3,{"term":28,"count":29},"PEEP 機轉",1,{"term":31,"count":29},"ARDS 肺泡-微血管膜通透性",{"term":33,"count":29},"功能性餘氣量",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-medical-surgical-037","有關良性前列腺肥大症狀與導因之敘述，下列何者正確？",37,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-medical-surgical-033","有關急性呼吸窘迫症候群（ARDS）之敘述，下列何者正確？",33,114,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-114-3-medical-surgical-027","成人燒傷部位與範圍包括左上肢全部、左下肢正面及軀幹正面，依據九法則評估其燒傷面積為何？",27,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-106-1-medical-surgical-075","有關心肺復甦術時胸部按壓之敘述，下列何者錯誤？",75,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-039","有關白血病檢查與治療之敘述，下列何者錯誤？",39,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-073","有關下視丘之敘述，下列何者正確？",73,108,"2026-09-04",1788510755186]