— 生理適應 · EASY · MCQ —
一位急性胰臟炎病人最可能面臨哪項併發症的風險？
A client with acute pancreatitis is at highest risk for which of the following complications?
- AChronic constipation慢性便秘
- BHypovolemic shock✓ 正解低血容量性休克
- CType 1 diabetes mellitus第一型糖尿病
- DHypertension高血壓
— Explanation · 中文詳解 —
急性胰臟炎會引發強烈的全身發炎反應，導致微血管通透性增加，大量液體滲漏至第三空間（腹腔），造成血液濃縮與循環血量不足。因此，低血容積休克是急性期最致命的併發症之一。其他選項雖可能發生，但非即刻性的主要死因。
Acute pancreatitis triggers a strong systemic inflammatory response that increases capillary permeability, causing large volumes of fluid to leak into the third space (the peritoneal cavity), with resulting hemoconcentration and inadequate circulating volume. Hypovolemic shock is therefore one of the most lethal complications in the acute phase. The other options may occur but are not immediate primary causes of death.
✦ 台美臨床差異
美台臨床對於急性胰臟炎的輸液治療準則一致，皆以積極給予等張晶體溶液進行復甦。