甲狀腺切除術後病人，哪項發現最需要立即回報？
Which finding is the most critical to report in a client recovering from a thyroidectomy?
- AIncision site pain切口部位疼痛
- BHoarseness聲音沙啞
- CStridor✓ 正解喉鳴
- DNeck swelling頸部腫脹
甲狀腺切除術後，護理師需優先評估氣道通暢度。喉鳴（Stridor）是一種高頻的呼吸音，代表氣道嚴重狹窄，常見於術後喉頭水腫或因血腫壓迫氣管。此為呼吸窘迫的警訊，若不及時處理可能導致窒息，屬於 ABC（Airway, Breathing, Circulation）原則中的最高優先級。其他選項如聲音沙啞可能與喉返神經（Recurrent Laryngeal Nerve）損傷有關，雖需記錄但非立即致命。
After thyroidectomy, the nurse must give priority to assessing airway patency. Stridor is a high-pitched respiratory sound indicating severe airway narrowing, commonly caused by postoperative laryngeal edema or tracheal compression from a hematoma. It is a warning sign of respiratory distress and may lead to asphyxia if not addressed promptly; it represents the highest priority under the ABC (Airway, Breathing, Circulation) principle. Other options such as hoarseness may be related to recurrent laryngeal nerve injury and require documentation but are not immediately life-threatening.
在美國臨床環境中，一旦發現喉鳴，護理師必須立即啟動 Rapid Response Team (RRT) 並準備好床邊氣管切開術 (Tracheostomy) 工具包，這在台灣臨床中亦是標準的高危緊急應變流程。