— 降低風險 · HARD · MCQ —
對於髖關節置換術後的病人，下列哪項評估發現最需要回報？
Which assessment finding is the most critical to report for a client who is postoperative following a total hip arthroplasty?
- AIncision site redness切口部位紅腫
- BReported pain level of 6/10主訴疼痛程度為 6/10
- CSudden onset of dyspnea and tachycardia✓ 正解突發性呼吸困難和心搏過速
- DDecreased bowel sounds腸鳴音減弱
— Explanation · 中文詳解 —
接受全髖關節置換術（Total Hip Arthroplasty）的術後病人，由於手術創傷與長期臥床，屬於靜脈血栓栓塞症（VTE）的高風險群。若發生深部靜脈栓塞（DVT）並脫落，極易引發肺栓塞（PE）。突發性的呼吸困難與心跳過速是肺栓塞的經典臨床徵象，代表肺部灌流受損，具高度生命威脅，必須立即回報並啟動緊急處置。
Patients who undergo total hip arthroplasty are at high risk for venous thromboembolism (VTE) due to surgical trauma and prolonged bed rest. If a deep vein thrombosis (DVT) dislodges, it can readily cause a pulmonary embolism (PE). Sudden-onset dyspnea and tachycardia are classic clinical signs of pulmonary embolism, indicating impaired pulmonary perfusion and posing a high threat to life; this must be reported immediately and emergency management initiated.