— 基本照護與舒適 · HARD · MCQ —
一位石膏固定肢體的病人，出現下列何項發現代表神經血管受損（Neurovascular compromise）？
Which assessment finding in a client with a casted extremity indicates neurovascular compromise?
- ALocalized warmth at the site of the injury受傷部位局部發熱
- BMinimal swelling of the surrounding tissue周圍組織輕微腫脹
- CParesthesia and pallor of the toes✓ 正解趾頭感覺異常及蒼白
- DItching under the cast石膏下搔癢
— Explanation · 中文詳解 —
石膏過緊會引發腔室症候群（Compartment syndrome）。神經血管受損的 5P 指標（Pain, Pallor, Paresthesia, Pulselessness, Paralysis）中，感覺異常（Paresthesia）與蒼白（Pallor）是早期重要警訊。局部溫熱、輕微腫脹或搔癢屬常見術後反應，非立即威脅。
A cast that is too tight can cause compartment syndrome. Among the 5 Ps of neurovascular compromise (Pain, Pallor, Paresthesia, Pulselessness, Paralysis), paresthesia and pallor are important early warning signs. Localized warmth, mild swelling, or itching are common postoperative reactions and do not constitute an immediate threat.
✦ 台美臨床差異
美台對腔室症候群（Compartment syndrome）的高度警覺性相同，均要求立即通報醫護。