護理師照護一位放置胸管的病人。哪項發現需要立即通知醫師？
A nurse is caring for a client with a chest tube. Which finding should the nurse report to the healthcare provider immediately?
- ASubcutaneous emphysema at the insertion site插管處有皮下氣腫
- BContinuous bubbling in the water-seal chamber✓ 正解水封瓶內持續冒泡
- C100 mL of dark red drainage in the collection chamber收集瓶內有 100 mL 之暗紅色引流液
- DFluctuation of the fluid in the water-seal chamber水封瓶內液面隨呼吸波動
胸管水封瓶（Water-seal chamber）正常情況下應隨呼吸潮汐性波動（tidaling）。出現「持續性氣泡」（continuous bubbling）代表系統有空氣洩漏或肺部支氣管胸膜瘻，是胸管系統的緊急異常，需立刻通知醫師處理。其他選項：水封瓶液面波動屬正常呼吸壓力變化；100 mL 暗紅色引流量在術後初期屬於可接受範圍；插管處輕微的皮下氣腫需監測但通常非緊急情況。
The chest tube water-seal chamber should normally show tidaling with respiration. Continuous bubbling indicates an air leak in the system or a bronchopleural fistula, which is a chest tube system emergency requiring immediate physician notification. Other options: fluctuation of the water-seal fluid represents normal respiratory pressure changes; 100 mL of dark red drainage in the early postoperative period falls within acceptable range; mild subcutaneous emphysema at the insertion site should be monitored but is usually not an emergency.