— 降低風險 · MEDIUM · MCQ —
護理師評估病人的傷口癒合情形。下列哪項發現屬於局部感染的徵象？
A nurse is evaluating a client's wound healing. Which finding is considered a sign of a localized infection?
- APresence of granulation tissue存在肉芽組織
- BClear serous drainage清澈的漿液性引流物
- CEpithelialization at the edges邊緣上皮化
- DPurulent, malodorous drainage✓ 正解化膿且有異味的引流物
— Explanation · 中文詳解 —
局部感染的徵兆包括紅、腫、熱、痛以及化膿。膿性（Purulent）滲液且具惡臭（Malodorous）是細菌代謝產物，明確顯示局部感染。其他選項如漿液性滲出、邊緣上皮化及肉芽組織生長，皆為正常的傷口修復進程。
Signs of local infection include redness, swelling, heat, pain, and purulent discharge. Purulent and malodorous drainage represents bacterial metabolic byproducts and clearly indicates local infection. The other options – serous exudate, edge epithelialization, and granulation tissue – are all normal wound healing processes.
✦ 台美臨床差異
無顯著差異，兩國均依據紅腫熱痛及分泌物性狀進行評估。