— 生理適應 · HARD · SATA —
下列哪些徵象代表顱內壓(ICP)升高?(選所有適合的)
Which of the following signs are indicative of increased intracranial pressure (ICP)? (Select all that apply.)
- ABradycardia✓ 正解心搏過緩
- BHypertension with widening pulse pressure✓ 正解伴有脈壓差增寬的高血壓
- CIrregular respirations✓ 正解呼吸不規則
- DHypotension低血壓
- ETachycardia心搏過速
— Explanation · 中文詳解 —
庫欣氏三徵候(Cushing's triad)是顱內壓升高的典型臨床表現,包含:心跳過慢(Bradycardia)、高血壓伴隨脈壓差變大(Hypertension with widening pulse pressure)以及不規則呼吸(Irregular respirations)。心跳過速與低血壓通常與休克有關,而非顱內壓升高。
Cushing's triad is the classic clinical presentation of increased intracranial pressure and includes: bradycardia, hypertension with widening pulse pressure, and irregular respirations. Tachycardia and hypotension are usually associated with shock rather than increased intracranial pressure.
✦ 台美臨床差異
兩地均視 Cushing's triad 為危急指標,必須立即向神經外科醫師報告。