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生理適應 · MEDIUM · MCQ

甲狀腺切除術後病人,下列哪項護理措施是適當的?

Which of the following interventions is appropriate for a client post-thyroidectomy?

  • AEncourage frequent neck range-of-motion exercises
    鼓勵頻繁進行頸部活動範圍運動
  • BPlace in high-Fowler’s position✓ 正解
    採高福勒氏臥位
  • CMaintain a flat, supine position
    維持平躺仰臥位
  • DRemove surgical dressing immediately post-op
    術後立即移除手術敷料
Explanation · 中文詳解

甲狀腺切除術(thyroidectomy)後,病人主要風險包括術後頸部水腫導致的呼吸道阻塞,以及因副甲狀腺受損導致的低血鈣(hypocalcemia)。術後採取 High-Fowler's 姿勢(高半坐臥位)能藉由重力幫助頸部靜脈回流,減輕手術部位腫脹,進而降低呼吸窘迫風險。平躺則會增加頸部壓力與腫脹感。術後應限制頸部過度活動,以防縫線鬆脫或出血。

After a thyroidectomy, the main risks for the patient include airway obstruction due to postoperative neck edema and hypocalcemia caused by damage to the parathyroid glands. Placing the patient in the High-Fowler's position uses gravity to facilitate venous return from the neck, reducing swelling at the surgical site and thereby decreasing the risk of respiratory distress. Lying flat increases pressure and swelling in the neck. Postoperatively, excessive neck motion should be limited to prevent suture rupture or bleeding.

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