— 生理適應 · MEDIUM · MCQ —
護理師評估一位急性胰臟炎病人。預期會發現哪種疼痛特徵？
A nurse is assessing a client with acute pancreatitis. Which pain characteristic should the nurse expect?
- AEpigastric pain radiating to the back✓ 正解放射至背部的上腹部疼痛
- BColicky pain in the right upper quadrant右上腹的絞痛
- CRight lower quadrant pain with rebound tenderness伴隨反彈痛的右下腹疼痛
- DDiffuse abdominal pain relieved by eating進食後緩解的全身性腹痛
— Explanation · 中文詳解 —
急性胰臟炎（Acute pancreatitis）的典型疼痛是因為胰臟腫脹、發炎及酵素外漏刺激腹膜所致。疼痛部位通常位於上腹部（Epigastric region），且具有明顯的放射痛特徵，常放射至背部。此類疼痛通常在平躺時加劇，身體前傾或採取胎兒姿勢時可稍緩解，進食後因胰臟分泌酵素增加而變得更劇烈。
The classic pain of acute pancreatitis results from pancreatic swelling, inflammation, and leakage of pancreatic enzymes irritating the peritoneum. Pain is typically located in the epigastric region with marked radiation, often to the back. The pain is usually worse when lying flat and somewhat relieved by leaning forward or assuming a fetal position; it intensifies after eating because pancreatic enzyme secretion increases.