— 安全與感染控制 · EASY · MCQ —
評估病人是否感染時,下列哪項檢驗數據是最經典的指標?
When assessing a client for infection, which lab finding is the most classic indicator?
- AIncreased platelet count血小板計數增加
- BElevated white blood cell count (Leukocytosis)✓ 正解白血球計數升高 (白血球增多症)
- CDecreased white blood cell count (Leukopenia)白血球計數降低 (白血球減少症)
- DDecreased red blood cell count紅血球計數降低
— Explanation · 中文詳解 —
白血球增多(Leukocytosis)是身體對急性感染的正常發炎反應,是臨床診斷感染最基礎的實驗室數據。雖然在極嚴重感染或免疫功能低下時可能出現 Leukopenia,但 Leukocytosis 仍為最普遍的初始指標。
Leukocytosis is the normal inflammatory response of the body to acute infection and is the most basic laboratory finding for the clinical diagnosis of infection. Although leukopenia may occur in severe infection or in immunocompromised clients, leukocytosis remains the most universal initial indicator.
✦ 台美臨床差異
兩地醫院皆將白血球分類計數(WBC Differential Count)作為感染診斷的核心工具。