[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-3-內外科護理學-005","nurse-113-3-medical-surgical-005",113,3,5,"缺血性腦中風使用血栓溶解劑（rt-PA）治療的敘述，下列何者錯誤？①可以重新打通阻塞血管 ②有動脈瘤或動靜脈畸形者不適用 ③必須在中風 8 小時內使用 ④嚴重肝病病人不適用",{"A":14,"B":15,"C":16,"D":17},"④","③","②","①","B",null,[],"本題考點在於缺血性腦中風 rt-PA 血栓溶解治療的適應症與時間窗,要求選出錯誤敘述。依治療準則,靜脈注射 rt-PA 的黃金時間為症狀發生後 3～4.5 小時內,而非③所述「8 小時內」,故錯誤敘述為③,選 B。①正確,rt-PA 溶解血栓可再灌流阻塞血管;②正確,動脈瘤或動靜脈畸形者因出血風險極高列為禁忌;④正確,嚴重肝病凝血功能異常、出血風險高,亦屬禁忌。本題為反向題,屬急性中風治療時間窗辨識題。","rt-PA 時間窗是高頻考點:靜脈溶栓 4.5 小時內,動脈取栓(機械性血栓移除)可延長至 6～24 小時(依影像評估)。「8 小時」是刻意設的錯誤數字。核心禁忌全繞著出血風險:近期手術\u002F外傷、活動性出血、顱內出血病史、血小板過低、INR 過高、嚴重肝病。務必先做腦部 CT 排除出血性中風才可給藥。時間就是腦(Time is brain)。",[24,27,29,31],{"term":25,"count":26},"rt-PA 血栓溶解劑",1,{"term":28,"count":26},"缺血性腦中風",{"term":30,"count":26},"3-4.5 小時時間窗",{"term":32,"count":26},"出血禁忌症",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-medical-surgical-006","有關維持口腔黏膜完整性的原則，下列敘述何者錯誤？",6,{"webId":39,"stem":40,"number":41,"year":42,"session":41},"nurse-114-2-medical-surgical-002","有關顱內腫瘤病人顱內壓 ICP=18 mmHg，其照護之敘述，下列何者正確？",2,114,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-114-3-medical-surgical-046","小明在登山途中不慎被一條青色的蛇咬傷，下列敘述何者最適當？",46,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-106-2-medical-surgical-014","有關罹患膽結石的高風險族群，下列何者錯誤？",14,106,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-107-2-medical-surgical-058","執行動脈血液氣體分析時，未將抽取之血液樣本放置冰水中會導致檢查值發生之改變，下列何者正確？",58,107,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-109-1-medical-surgical-012","有關黃疸之敘述，下列何者正確？",12,109,"2026-09-04",1788510752464]