一位肺葉切除術後的病人接有胸腔引流管，護理師發現水封瓶中有持續性氣泡冒出。此現象代表什麼？
A nurse is caring for a client with a chest tube following a lobectomy. The nurse notes continuous bubbling in the water seal chamber. What does this finding indicate?
- AThe chest tube is occluded胸腔引流管阻塞
- BNormal lung re-expansion正常肺部再擴張
- CAn air leak in the system✓ 正解系統中存在漏氣
- DPleural effusion resolving胸腔積液正在消退
水封瓶內的持續性氣泡通常代表胸腔系統存在空氣洩漏，這可能是胸腔內殘留空氣或引流系統連接處密合不良。正常情況下，氣泡僅在咳嗽或用力呼氣時出現（間歇性）。A 錯，正常為隨呼吸波動；C 與引流液有關；A 則會導致氣泡停止。
Continuous bubbling in the water-seal chamber usually indicates an air leak in the chest drainage system, which may originate from residual air in the pleural space or a loose connection in the drainage system. Normally, bubbling occurs only intermittently with coughing or forced exhalation. Option B is wrong because normal lung re-expansion is associated with tidaling that fluctuates with breathing; option D relates to drainage fluid; and option A would result in cessation of bubbling.
台美胸腔引流瓶護理皆強調觀察氣泡，美國護理師更常主動協助醫師進行夾管測試確認漏氣位置。