一位急性胰臟炎病人正接受靜脈輸液並禁食，下列哪項評估發現是通報醫師的最高優先事項？
A client with acute pancreatitis is receiving IV fluids and is NPO. Which assessment finding is the highest priority to report to the healthcare provider?
- ATrousseau sign noted during blood pressure measurement✓ 正解測量血壓時發現Trousseau徵象
- BBlood glucose of 180 mg/dL血糖為180 mg/dL
- CAbsent bowel sounds in all four quadrants四個象限均無腸鳴音
- DReports of 6/10 intensity abdominal pain主訴腹部疼痛強度為6/10
Trousseau 徵象代表低血鈣，常見於重症急性胰臟炎，因為壞死脂肪組織結合鈣離子導致低血鈣，若未處理可能引發抽搐或心律不整，威脅生命安全。A（血糖）雖需監測但非立即致命；B（腸鳴音消失）是胰臟炎常見反應；D（疼痛）需處理但首重維持電解質平衡。
Trousseau's sign indicates hypocalcemia and is commonly seen in severe acute pancreatitis, because necrotic fatty tissue binds calcium and leads to low serum calcium; if left untreated, it may precipitate seizures or arrhythmias and threaten the patient's life. Option B (blood glucose) must be monitored but is not immediately life-threatening; option C (absent bowel sounds) is a common manifestation of pancreatitis; and option D (pain) must be addressed, but maintaining electrolyte balance takes priority.
美國護理師常需執行 Trousseau 等神經學檢查；台灣臨床較依賴抽血報告監測鈣離子，護理師較少在 BP 測量時執行此檢查。