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生理適應 · HARD · MCQ

病人診斷為急性呼吸窘迫症候群(ARDS)。胸部 X 光的哪項特徵符合此病況?

A client is diagnosed with acute respiratory distress syndrome (ARDS). Which finding on a chest X-ray is characteristic of this condition?

  • AHyperinflation of the lungs
    肺部過度充氣
  • BGround-glass opacities or 'white-out'✓ 正解
    磨玻璃樣混濁或『白肺』
  • CLocalized consolidation in one lobe
    單一肺葉的局限性實變
  • DClear lung fields
    肺野清晰
Explanation · 中文詳解

急性呼吸窘迫症候群(Acute Respiratory Distress Syndrome, ARDS)是一種嚴重的肺部疾病,其特徵是肺泡毛細血管膜的廣泛性損傷,導致滲透性增加,使富含蛋白質的液體滲漏到肺泡和肺間質空間。這會造成非心因性肺水腫、肺順應性下降和嚴重的低血氧症。胸部 X 光(Chest X-ray, CXR)是診斷 ARDS 的重要工具之一,其影像學特徵反映了肺部廣泛的病理變化。護理師應能識別這些影像特徵,以評估病況進展。

Acute respiratory distress syndrome (ARDS) is a severe pulmonary disorder characterized by diffuse injury to the alveolar-capillary membrane, leading to increased permeability and leakage of protein-rich fluid into the alveoli and pulmonary interstitium. This results in non-cardiogenic pulmonary edema, decreased lung compliance, and severe hypoxemia. Chest X-ray (CXR) is an important diagnostic tool for ARDS, and its imaging features reflect the widespread pathological changes in the lungs. Nurses should be able to recognize these imaging characteristics in order to evaluate disease progression.

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