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藥理與非經腸給藥 · EASY · MCQ

護理師為嬰兒進行肌肉注射。首選部位為何?

A nurse is administering an intramuscular injection to an infant. Which site is preferred?

  • ADorsogluteal
    臀大肌(Dorsogluteal)
  • BVastus lateralis✓ 正解
    股外側肌(Vastus lateralis)
  • CDeltoid
    三角肌(Deltoid)
  • DVentrogluteal
    臀中肌(Ventrogluteal)
Explanation · 中文詳解

嬰兒的肌肉組織尚未完全發育,且神經血管分布較為密集。大腿外側肌(Vastus lateralis)是嬰兒肌肉注射的唯一首選部位,因為該處肌肉厚度足夠,且遠離主要的坐骨神經與血管,能有效降低注射傷害的風險。其他部位如背臀部,因嬰兒常久坐或肌肉層過薄,不適合注射;三角肌則因肌肉發育尚未成熟,不適用於嬰兒。

The muscle tissue of infants is not yet fully developed, and their nerves and blood vessels are densely distributed. The vastus lateralis is the only preferred site for intramuscular injection in infants, because the muscle there is thick enough and remains distant from the major sciatic nerve and blood vessels, effectively reducing the risk of injection injury. Other sites such as the dorsogluteal area are unsuitable because infants often sit for long periods or have an overly thin muscle layer; the deltoid is also unsuitable for infants because the muscle is not yet mature.

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