— 生理適應 · MEDIUM · SATA —
護理師評估一位庫欣氏症候群 (Cushing syndrome) 病人。哪些發現與此診斷一致？（選所有適合的）
A nurse is assessing a client with Cushing syndrome. Which findings are consistent with this diagnosis? (Select all that apply.)
- AMoon face✓ 正解月圓臉
- BTruncal obesity✓ 正解軀幹性肥胖
- CHypoglycemia低血糖
- DPurple striae on the abdomen✓ 正解腹部紫紋
- EHypotension低血壓
— Explanation · 中文詳解 —
庫欣氏症候群（Cushing Syndrome）源於皮質醇（Cortisol）長期過多。過量的皮質醇會重新分配脂肪，導致月亮臉（Moon face）與軀幹性肥胖（Truncal obesity）；同時會破壞皮膚彈性纖維，在腹部產生紫色皮紋（Purple striae）。此外，皮質醇具糖質新生作用導致高血糖，並具礦物皮質素活性導致高血壓，而非低血糖或低血壓。
Cushing syndrome is caused by prolonged excess cortisol. Excessive cortisol redistributes fat, producing moon face and truncal obesity, and it breaks down skin elastic fibers, producing purple striae on the abdomen. In addition, cortisol promotes gluconeogenesis, leading to hyperglycemia, and exhibits mineralocorticoid activity, leading to hypertension, rather than hypoglycemia or hypotension.